Triamcinoslone

Corticosteroid allergy & ASTHMA Nasocort spray, Amcort s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache sore throart nasal congestion,cold sym NVD Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset few days, peak 3-4 days use regular peak monitoring to determine respiratory status Preg. C

Triamcinoslone Nasocort spray, Amcort

Corticosteroid allergy & ASTHMA s,e: Dysphonia, hoarseness, oropharyngeal fungal infec headache, sore throart, nasal congestion,cold sym NVD Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset few days,peak 3-4 days use regular peak monitoring to determine respiratory status Preg. C

Triamcinoslone Nasocort spray, Amcort

Corticosteroid allergy & ASTHMA s,e: Dysphonia, hoarseness,oropharyngeal fungal infec headache,sore throat, nasal congestion,cold sym NVD, Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset few days,peak 3-4 days use regular peak monitoring to determine respiratory status Preg. C

Mometasone

Corticosteroid allergy & ASTHMA Nasonex s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache sore throart nasal congestion,cold sym NVD Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset few days, peak up to 3 wks use regular peak monitoring to determine respiratory status Preg. C Corticosteroid allergy & ASTHMA s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache, sore throart nasal congestion,cold sym NVD Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset few days,peak up to 3 wks use regular peak monitoring to determine respiratory status Preg. C

Mometasone Nasonex

Mometasone Nasonex

Corticosteroid allergy & ASTHMA s,e: Dysphonia, hoarseness, oropharyngeal fungal infec headache,sore throart, nasal congestion,cold sym NVD, Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset few days, peak up to 3 wks use regular peak monitoring to determine respiratory status Preg. C Corticosteroid allergy & ASTHMA Flonase s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache sore throart nasal congestion,cold sym NVD Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset 2 days, peak 1=2 wks use regular peak monitoring to determine respiratory status Corticosteroid Preg. C allergy & ASTHMA Flonase s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache sore throart nasal congestion,cold sym NVD Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset 2 days, peak 1=2 wks use regular peak monitoring to determine respiratory status Preg. C Corticosteroid allergy & ASTHMA s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache, sore throart, nasal congestion,cold sym NVD, Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset 2 days, peak 1=2 wks use regular peak monitoring to determine respiratory status Preg. C Corticosteroid allergy & ASTHMA Flunisolide s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache sore throart nasal congestion,cold sym NVD Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset few days, use regular peak monitoring to determine respiratory status Preg. C

Fluticasone

Fluticasone

Fluticasone Flonase

Flunisolide

Beclomethasone

Triamcinoslone

Mometasone

Fluticasone

Flunisolide

Corticosteroid allergy & ASTHMA Beclovent, Beconase s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache sore throart Dyspepsia Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset 5-7 days up to 3 wks, peak up to 3 wks use regular peak monitoring to determine respiratory status Preg. C Corticosteroid allergy & ASTHMA Nasocort spray, Amcort s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache sore throart nasal congestion,cold sym NVD Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset few days, peak 3-4 days use regular peak monitoring to determine respiratory status Corticosteroid Preg. C allergy & ASTHMA Nasonex s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache sore throart nasal congestion,cold sym NVD Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset few days, peak up to 3 wks use regular peak monitoring to determine respiratory status Corticosteroid Preg. C allergy & ASTHMA Flonase s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache sore throart nasal congestion,cold sym NVD Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset 2 days, peak 1=2 wks use regular peak monitoring to determine respiratory status Corticosteroid Preg. C allergy & ASTHMA Flunisolide s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache sore throart nasal congestion,cold sym NVD Unpleasant taste, upset stomach Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset few days, use regular peak monitoring to determine respiratory status Preg. C

Beclomethasone

Corticosteroid allergy & ASTHMA Beclovent, Beconase s,e: Dysphonia, hoarseness oropharyngeal fungal infec headache sore throart Dyspepsia Nursing consd: for chronic asthma, seasonal or perennial rhinitis nasal spray onset 5-7 days up to 3 wks, peak up to 3 wks use regular peak monitoring to determine respiratory status Preg. C

Loratadine (Claritin)

antihistamine Claritin s.e: drowsiness nurse. consd.: management of seasonal rhinitis avoid alcohol, other CNS depressants take on empty stomach, 1 hr b4 or 2 hrs after meals onset- 1-3 hrs, peak 8-12 hrs, duration greater than or equal to 24 hrs Rx/OTC; preg. B

Fexofenadine (Allegra)

antihistamine s.e: drowsiness nurse. consd.: management of rhinitis, allergy symptoms, chronic idiopathic urticaria avoid alcohol, other CNS depressants 60 mg tablet, onset w/in 1 hr. peak 2-3 hrs, duration 12 hrs 180 mg tablet, duration 24 hrs Rx/OTC; preg. C

Cetirizine HCI (Zyrtec)

Antihistamine s.e.: drowsiness, fatique, dry mouth, Relief of seasonal allergic rhinitis relief of perennial allergic rhinitis caused by molds, animal dander, and other allergens avoid alcohol Rx; preg B

Hydroxyzine (Atarax, Vistaril)

antihistamine s.e.: drowsiness, dry mouth nurs. consd: tmt of pruritus, pre-op anxiety, post-op nausea and vomiting, to potentiate opioid analgesics, sedation -PO; onseet 15-30 min, duration 4-6 hrs -avoid use of alchohol, other CNS depressants -teach pt. dizziness/drowsiness may occur, use caution in potentially hazardous activities -Rx; preg C

Acetaminophen (Tylenol)

Analgesics-nonopioid s.e.: anemia (long-term use) Liver and kidney failure (high doses) N. C.: tmt of mild pain and fever PO; onset less than 1 hr, peak 1/2-2 hrs, duration 4-6 hrs rectal: onset slow, pk 1-2 hrs, duration 3-4 hrs -take crushed or whole w/ full glass of water -can give / food or milk to decrease GI upset -signs of chronic poisoning: rapid, weak pulse, dyspnea, cold, clammy extremities -signs of chronic overdose; bleeding, bruising, malaise, fever, sore throat OTC; preg B -s Analgesics-nonopioid s.e.: anemia (long-term use) Liver and kidney failure (high doses) N. C.: tmt of mild pain and fever PO; onset less than 1 hr, peak 1/2-2 hrs, duration 4-6 hrs rectal: onset slow, pk 1-2 hrs, duration 3-4 hrs -take crushed or whole w/ full glass of water -can give / food or milk to decrease GI upset -signs of chronic poisoning: rapid, weak pulse, dyspnea, cold, clammy extremities -signs of overdose; bleeding, bruising, malaise, fever, sore throat OTC; preg B

Acetaminophen (Tylenol)

Aspirin

Analgesics- nonopioid s.e: nausea, vomiting, rash N.C: mild to moderate pain or fever, transiet ischemic attacks, prophylaxis of MI, ischemic, stroke, angina - PO; onset 15-30 min, pk 1-2 hrs, - long-term use: liver damage, dark urine, clay-colored stools -arthritis, give 30 min b4 exercise, may take 2 wks b4 full effect is felt -discard tabs if vinergar-like smell -do not give to children under 18-Reyes syndrome OTC: preg C

Celecoxib (Celebrex)

analgesics-nonopioid s.e: Fatique, anxiety, depression, nervousness, NV, anorexia, dry mouth, constipation N.C: mgmt of acute, chronic arthritis pain and primary dysmenorrhea pain relieve w/in 60 min -onset 24-48 hrs, duration 12-24 hrs -can take w/out meals -do not take if allergic to sulfonamides, aspirin or NSAIDs -Rx: preg C for 1st & 2nd trimester Preg D for 3rd trimester

Ibuprofen (Motrin, Advil)

analgesic-nonopioid s.e.: headache, Nausea, anorexia, GI bleeding, blood dyscrasias N.C: tmt of rheumatoid arthritis, osteoarthritis, primary dysmenorrhea, gout, dental pain, musculoskeletal disorders, fever -onset, 1/2 hrs, pk 1-2 hrs -contact clinician if ringing or roaring in ears, =toxicity -if changes in urinary pattern, increase wgt, edema, increased, pain in joints, fever, bl in urine=may indicate kidney damage -use sunscreen for photosensitivity -avoid use w/ ASA. NSAIDs, and alcohol, OTC; rx; preg B

Naproxen (naproxyn, Anaprox, Anaprox Ds, EC-Naproxyn, Aleve (OTC))

analgesic- nonopioid s.e.: GI bleeding, blood dyscrasias N.C: mgmt of mild to moderate pain, tmt of rheumatoid, juvenile and gouty arthritis, osteoaarthritis, primary dysmenorrhea -pts w/asthma, ASA hypersensitivity or nasal polyps have increased risk of hypersensitivity -contact clin if blurred vision, ringing or roaring in ears, =toxicity if have black stools, flulike symptoms, if changes in urinary pattern, increase wgt, edema, increased, pain in joints, fever, bl in urine=may indicate kidney damage -avoid use w/ ASA, steroids and alchohol Otc; rX: PREG B

Naproxen (naproxyn, Anaprox, Anaprox Ds, EC-Naproxyn, Aleve (OTC))

Heparin

Heparin

analgesic- nonopioid s.e.: GI bleeding blood dyscrasias N.C: mgmt of mild to moderate pain, tmt of rheumatoid, juvenile and gouty arthritis, osteoaarthritis, primary dysmenorrhea -pts w/asthma, ASA hypersensitivity or nasal polyps have increased risk of hypersensitivity -contact clinician if blurred vision, ringing or roaring in ears, =toxicity if have black stools, flulike symptoms, if changes in urinary pattern, increase wgt, edema, increased, pain in joints, fever, bl in urine=may indicate kidney damage -avoid use w/ ASA, steroids and alchohol Otc; rX: PREG B anticoagulant s.e.: hemorrhage tissue irritation/pain w/injection anemia thrombocytopenia fever N.C.: maintain patency of IV-(heparin flush in low doses) -therapeutic PPT @1.5-2.5 X the control w/out signs of hemorrhage -IV: pk 5 min, dur. 2-6 hrs -injec.=deep SQ; never IM-onset 2-6- min, dur. 8-12 hrs -antidote: protamine sulfate w/in 30 min -hemorrhage: bleeding gums, nose, unusual, black tarry stools, hematuria, fall in hemacrit or bl. pressure, guaiac-positive stools -avoid ASA & NSAIDs (watch for addition in OTC) -wear med. info tag RX- preg C anticoagulant s.e.: hemorrhage, tissue irritation/pain w/injection anemia, thrombocytopenia, fever N.C.: maintain patency of IV-(heparin flush in low doses) -therapeutic PPT @1.5-2.5 X the control w/out signs of hemorrhage -IV: pk 5 min, dur. 2-6 hrs -injec.=deep SQ; never IM-onset 2-6- min, dur. 8-12 hrs -antidote: protamine sulfate w/in 30 min -hemorrhage: bleeding gums, nose, unusual, black tarry stools, hematuria, fall in hemacrit or bl. pressure, guaiac-positive stools -avoid ASA & NSAIDs (watch for addition in OTC) -wear med. info tag RX- preg C Anticoagulant s.e.: hemorrhage Diarrhea, Rash, Fever N.C.: mgmt of pulmonary emboli, deep-vein thrombosis, MI, atrial dysrhythmias, postcardiac valve replacement -therapeutic PT@1.5-2.5 X control, INR @ 2.0=3.0 -onset: 12-24 hrs, pk 1-1/2 to 3 days, dur: 3-5 days -antidote: vit. K, whole bl, plasma -avoid foods high in Vit K, green leafy vegs. -do not interchange brands, potencies may not be equivalent -avoid ASA & NSAIDS + OTC meds that contain them -wear med.tag Rx. preg X (question-can you use different brand if run out of brand ordered? NO)

Warfarin (Coumadin)

Warfarin (Coumadin)

Anticoagulant s.e.: hemorrhage, Diarrhea, Rash, Fever N.C.: mgmt of pulmonary emboli, deep-vein thrombosis, MI, atrial dysrhythmias, postcardiac valve replacement -therapeutic PT@1.5-2.5 X control, INR @ 2.0=3.0 -onset: 12-24 hrs, pk 1-1/2 to 3 days, dur: 3-5 days -antidote: vit. K, whole bl, plasma -avoid foods high in Vit K, green leafy vegs. -do not interchange brands, potencies may not be equivalent -avoid ASA & NSAIDS + OTC meds that contain them Rx. preg X (question-can you use different brand if run out of brand ordered? NO)

Gabapentin (Neurontin)

Anticonvulsant s.e: CNS symptoms Rhinitis, Constipat,ion N.C.: for seizures & postherpetic neuralgia -do not take w/in 2 hrs of antacid -avoid abrupt w/drawal after long-term use, wk-long w/drawal -give w/out regard to meals, can open caps. & put in juice or applesauce -do not crush or chew caps -caution w/hazardous activities -wear med. tag Rx: preg C

Lamotrigine (Lamictal)

Anticonvulsant s.e.: CNS symptoms, NV, anorexia, abd. pain, dysmenorrhea N.C.: for mgmt of seizures in peds, stop at 1st sign of rash, inform M.D. -take divided doses w/meals or pc to decrease adverse eff. =use caution w/activitie =physical dependence, withdrawal problems - wear med tags Rx preg C

Phenobarbital (Luminal)

Anticonvulsant s.e: CNS effects, depressive effects on body systems, rash, initially constricts pupils, Respiratory depression -mgmt of epilepsy, febrile seizures in child.,sedation, insomnia -IV: slow rate-crash cart availible -IM: inject deep into large muscle, onset 10-30 min -PO: onset 20-60 min pk 8-12 hrs, dur. 6-10 hrs -caution w/activitie -Nystagmus may indicate early toxicity -Physical dependence, withdrawal problems -give Vit D if long-term use Rx: C-IV D=PO

Phenytoin (Dilantin)

Anticonvulsant s.e.:CNS effects, nystagmus,hirsutism, GI upset, gingival, hypertrophy N.C.:mgmt of seizures, migraines, trigeminal neuralgia, Bell's palsy -PO: divided doses, with or pc meals -pink/red/brown urine -IV admin may lead to cardiac arrest-crash cart needed-never mix in IV w/other drugs or dextrose -avoid abrupt withdrawal -do not use w/antacids or antidiarrheals w/in 2 hrs of med -caution w/activities-folic acid supps. for long-term use Preg C

Phenytoin (Dilantin)

Anticonvulsant s.e.:CNS effects, nystagmus,hirsutism, GI upset, gingival, hypertrophy N.C.:mgmt of seizures, migraines, trigeminal neuralgia, Bell's palsy -PO: divided doses, with or pc meals -pink/red/brown urine -IV admin may lead to cardiac arrest-crash cart needed-never mix in IV w/other drugs or dextrose -avoid abrupt withdrawal -do not use w/antacids or antidiarrheals w/in 2 hrs of med -caution w/activities -folic acid supps. for long-term use -wear med. tag Preg C

Topiramate (Topamax)

Anticonvulsant s.e.: CNS symptoms, wgt loss, photosensitivity N.C.: mgmt of seizure -give w/out regard to meals, can put in juice or applesauce -physical dependence/withdrawal problems -use caution w/activities -increase fluid intake-kidney stones -if eye problems-stop drug -photosensitivity -wear med tag preg C

Topiramate (Topamax)

Anticonvulsant s.e.: CNS symptoms, wgt loss, photosensitivity N.C.: mgmt of seizure -give w/out regard to meals, can put in juice or applesauce -physical dependence/withdrawal problems -use caution w/activities -increase fluid intake-kidney stones -if eye problems-stop drug-photosensitivity preg C

Carbamazepinek (Tegretol, Tegretol XR)

Anticonvulsant s.e.: CNS symptoms, Myelosuppression, photosensitivy N.C.: mgmt of seizures, trigeminal neuralgia, diabetic neuropathy =avoid driving for 3 days =monitor, bl. levels,CBC -eye exams =take w/food, milk, -brown/pink/red urine=discontinue gradually -avoid use w/alchohol, other CNS depressants -preg C

Carbamazepinek (Tegretol, Tegretol XR)

Anticonvulsant s.e.: CNS symptoms, Myelosuppression, photosensitivy N.C.: mgmt of seizures, trigeminal neuralgia, diabetic neuropathy =avoid driving for 3 days =monitor, bl. levels,CBC -eye exams =take w/food, milk, -brown/pink/red urine =discontinue gradually -avoid use w/alchohol, other CNS depressants -preg C

Valproate (Depacon)

Anticonvulsant CNS symptoms, mental status, behavioral changes, NVCD,heartburn, prolonged bleeding time N.C.:mgnt of seizures -withdrawal problems -monitor bl. levels, platelets, bleeding time, liver function tests -onset 2-4 days, pk bl level at end of infusion, dur: 6-24 hrs -preg D

Valproic Acid (Depakene, Myproic acid)

Anticonvulsant CNS symptoms, mental status, behavioral changes, NVCD,heartburn, prolonged bleeding time N.C.:mgnt of seizures -take w/meals or pc -swallow whole,no crushing -withdrawal problems -monitor bl. levels, platelets, bleeding time, liver function tests -onset 2-4 days, pk level of syrup 15-120 min, caps-1-4 hrs,, dur: 6-24 hrs -wear med tag -preg D

Divalproex Sodium (Depakote, Depokote ER)

Anticonvulsant CNS symptoms, mental status, behavioral changes, NVCD,heartburn, prolonged bleeding time N.C.:mgnt of seizures, manic episodes assoc.w/bipolar, migraine prophylaxis-withdrawal problems -monitor bl. levels, platelets, bleeding time, liver function tests -take w/meals or pc-swallow tabs whole no crushing -delayed release:pk bl level 3-5 hrs, dur. 12-24 hrs -extended release; onset 2-4 days, pk bl level 7-14 hrs, dur: 24 hrs -preg D

Divalproex Sodium (Depakote, Depokote ER)

Anticonvulsant CNS symptoms, mental status, behavioral changes, NVCD,heartburn, prolonged bleeding time N.C.:mgnt of seizures, manic episodes assoc.w/bipolar, migraine prophylaxis -withdrawal problems -monitor bl. levels, platelets, bleeding time, liver function tests -take w/meals or pc -swallow tabs whole no crushing -delayed release:pk bl level 3-5 hrs, dur. 12-24 hrs -extended release; onset 2-4 days, pk bl level 7-14 hrs, dur: 24 hrs -wear med. tag -preg D Anti-infective s.e.:do not use in preg. may cause bilateral congenital deafness, Ototoxicity cranial nerve VIII Nephrotoxicity Allegric reactions: fever, diff. breathing, rash N.C.: trtmt of severs systemic inf. of CNS, resp.,GI, urinary tract, Bone, skin, soft tissures, acute PID -IV over 1/2 -1 hr: IM deep,slow, never SQ -monitor bl.levels-ch peak-2 hrs after admin -ck trough-at time of dose/prior to med -monitor for superinfection(diarrhea, URI, coated tongue) -immediately report hearing or balance problems -encourage fluids 8-10 glasses daily preg C

Aminoglycosides: Amikacin, Gentamicin, Tobramycin (Amikin, Garamycin, Tobrax)

Aminoglycosides: Amikacin, Gentamicin, Tobramycin (Amikin, Garamycin, Tobrax)

Anti-infective s.e.:do not use during preg. may cause bilateral congenital deafness, Ototoxicity cranial nerve VIII Nephrotoxicity Allegric reactions: fever, diff. breathing, rash N.C.: trtmt of severs systemic inf. of CNS, resp.,GI, urinary tract, Bone, skin, soft tissures, acute PID -IV over 1/2 -1 hr: IM deep,slow, never SQ -monitor bl.levels -ch peak-2 hrs after admin -ck trough-at time of dose/prior to med -monitor for superinfection(diarrhea, URI, coated tongue) -immediately report hearing or balance problems -encourage fluids 8-10 glasses daily preg C Anti-infective s.e.: bl, kidney, heart,liver abnormalities GI upset, Hypokalemia-induced muscle pain, CNS disturbances, inefficient hearing, skin irritation and thrombosis if IV infiltrates N.C.: trmt of histoplasmosis, skin infections, septicemia, meningitis in HIV pts -monitor vital signs, report fever or change in function, especially NS -check for hypokalemia -meticulous care and observation of injection site -benefits balanced agst serious preg B

Antifungals: Amphotericin B (Fungizone)

Antifungals: Fluconazole (Diflucan)

s.e.: Nausea, Diarrhea, Headache, Abd. pain, taste distortion N.C.: trmt of vaginal, esophageal, or systemic candidiasis -prothrombin time is increased after warfarin usage -take missed dose asap, but do not double dose -reduces metabolism of tolbutamide, glyburide, and glipizide, so bl. glucose levels shoud be monitored in diabetics -preg C

Anti-malarials: Hydrozychloroquine (Plaquenil)

s.e.: eye disturbances, NV, Anorexia N.C.: mgmt of malaria, lupus erythematosus, rheumatoid arthritis -peak 1-2 hrs -take at same time ea day to maintain bl levels -for malaria, prophylaxis should be started 2 wks b4 exposure and for 4-6 wks after leaving exposure area preg C

Anti-malarials: Quinine Sulfate

Anti-infective s.e.: eye disturbances, NV, Anorexia N.C.: mgmt of malaria,nocturnal leg cramps -peak 1-3 hrs -take same time ea day to maintain bl. levels -avoid OTC cold meds, tonic water -preg X

Anti-protozoals: Metronidazole (Flagyl, Flagyl ER)

anti-infective CNS symptoms, abd cramps, metallic taste, N.C.: trtmt of wide variety of inf.including trichomoniasis and giardiasis =IV:immediate onset, PO-pk 1-2 hrs =dark-reddish brown urine =avoid hazardous activities =trtmt in both partners for trichomoniasis =do not drink alcohol in any form, during and 48 hrs after use, disulfiram-like reaction can occur preg B

Anti-tuberculars: Isoniazid (INH)

anti-infective s.e.: peripheral neuropathy, liver damage N.C.: prevention and trtmt of TB =PO/Im:onset rapid, pk 1-2 hrs, dur: up to 24 hrs =contact MD if signs of hepatitis:yellow eyes or skin, NV, anorexia, dark urine, unusual tiredness, or weakness -contact MD if signs of peripheral neuropathy: numbness, tingling or weakness preg C

Anti-virals: Acyclovir (Zovirax)

anti-infective s.e.: headache, bl. dyscrasias N.C: trmt of herpes, varicella =IV: onset & peak immediate =PO: absorbed minimally, onset unknown, pk 1-1/2 hrs =do not break, crush or chew =PO: take w/out regard to meals w/full glass water =if does missed take asap, up to 1 hr b4 next does =contact MD if sore throat, fever and fatique, could be signs of superinfection preg B

Anti-viral: Oseltamivir Phosphate (Tamiflu)

anti-infective s.e.: NV N.C:-used as prophylaxis in adults for influenza, including Avian Bird Flu -treats uncomplicated acute flu symptoms in pts that are symptomatic for 2 days or less -should not be used as substitute for flu vaccine -may be taken w/out regard for meals preg C

Anti-virals: Valacyclovir HCI (Valtrex)

anti-infective NV, abd. cramps, headache N.C: trtmt genital herpes =treats Herpes Zoster(shingles) =treats Herpes labialis (cold sores) =pts shoudl drink plenty of fluids during trtmt =avoid sexual ontact when lesions are visible =use with caution in preg & nursing mothers preg B

Anti-Viral: Zidovudine (AZT, Retrovir

anti-infective s.e.: fever, headache, malaise, NVD, Dizziness, insomnia, dyspepsia, anorexia, rash N.C: mgmt of HIV inf. & prevention of HIV following needlestick -GI upset and insomnia resolve after 3-4 wks -PO: pk 1/2-1 1/2 hrs preg C

Cephalosporins, 1st generation : Cefadroxil (Duricef)

anti-infective s.e. Diarrhea N.C: tmt of upper and lower respiratory tract, urinary tract, and skin infections, otitis media, tonsillitis & UTIs =peak 1- 1 1/2 hrs, dur: 12-24 hrs =take for 10-14 days to prevent superinfection preg B

Cephalosporins, 1st gen: Cephalexin (Keflex, Keflet)

anti-infective s.e. Diarrhea N.C: tmt of upper and lower respiratory tract, urinary tract, and skin infections, otitis media, =IM:peak 1 hrs, dur: 6-12 hrs; IV: pk 5 min, dur 4-6 hrs preg B

Cephalosporins, 1st gen. Cephapirin (Cefadyl)

anti-infective s.e. Diarrhea N.C: tmt of lower respiratory tract,skin infections, endocarditis, bacterial peritonitis =peak 30 min, dur: 4-6 hrs; up to 12 w/decreased urinary ouput =take for 10-14 days to prevent superinfection preg B

Cephalosporins, 1st gen: Cephradine (Velosef)

anti-infective s.e. Diarrhea N.C: tmt of serious respiratory tract, and skin infections, otitis media,& UTIs =peak 1- 2 hrs, dur: usually 6 but up to 12 hrs w/decreased renal function =take for 10-14 days to prevent superinfection preg B

Cephalosporins 2nd gen: Cefaclor (Ceclor, Ceclor CD)

anti-infective s.e. Diarrhea N.C: tmt of respiratory tract, urinary tract,bone, joint and skin infections, otitis media, =peak 1/2- hrs,extended release pk 1 1/2-2 1/2 hrs =take for 10-14 days to prevent superinfection preg B

Cephalosporins 2nd. gen: Cefamandole (Mandol)

anti-infectives.e. Diarrhea N.C: tmt of respiratory tract, urinary tract, and skin infections, peritonitis, septicemia, surgical prophylaxis =peak 1/2-1 hrs IV or IM -avoid alcohol preg B

Cephalosporins, 2nd gen: Cefonicid (monocid)

anti-infective s.e. Diarrhea N.C: tmt of respiratory tract, urinary tract, and skin infections, otitis media, peritonitis, septicemia =IM:peak 1 hr. =IV: onset 5 min preg B

Cephalosporins, 2nd gen: Cefotetan (Cefotan)

anti-infective s.e. Diarrhea N.C: tmt ofrespiratory tract, urinary tract, and bone, joint & skin infections, GYN & gonococcal inf, intrabdominal inf. =IM/IV:peak 1 1/2-3 hrs.or at end of infusion =avoid alcohol preg B

Methadone

Opioid Analgesic s.e.:Drowsiness, sedation nausea, vomiting, anorexia Respiratory depression constipation, cramps orthostatic hypotension confusion, headache rash N.C.: pain relief, detoxification/maintenance of narcotic addiction PO- IM, IV do not give if resp are less than 12 per min withdrawal symptoms RX C=11, Preg: C

Methadone

Opioid Analgesic s.e.:Drowsiness, sedation, nausea, vomiting, anorexia, Respiratory depression, constipation, cramps, orthostatic hypotension, confusion, headache, rash N.C.: pain relief, detoxification/maintenance of narcotic addiction PO- IM, IV do not give if resp are less than 12 per min withdrawal symptoms RX C=11, Preg: C

Hydromorphone (Dilaudid)

Opioid Analgesic s.e.:Drowsiness, sedation nausea, vomiting, anorexia Respiratory depression constipation, cramps orthostatic hypotension confusion, headache rash trmt of moderate to severe pain, nonproductive cough PO,IM,IV, SubQ, Rectal do not give if resp less than 12 per min Withdrawal symptoms Rx=C=11 Preg C

Hydromorphone (Dilaudid)

Opioid Analgesic s.e.:Drowsiness, sedation, nausea, vomiting, anorexia, Respiratory depression, constipation, cramps, orthostatic hypotension, confusion, headache, rash trmt of moderate to severe pain, nonproductive cough PO,IM,IV, SubQ, Rectal do not give if resp less than 12 per min Withdrawal symptoms Rx=C=11 Preg C

Propoxyphene (Darvon, Darvocet-N (propoxyphene with acetominophen)

Opioid Analgesic s.e.:Drowsiness, sedation nausea, vomiting, anorexia Respiratory depression constipation, cramps orthostatic hypotension confusion, headache rash mgmt of mile to moderate pain PO low sch rating for misuse potential, addiction liability -do not use in pts w/suicidal tendencies withdrawal symptoms may occur Rx: C=IV preg: C

Propoxyphene (Darvon, Darvocet-N (propoxyphene with acetominophen)

Opioid Analgesic s.e.:Drowsiness, sedation, nausea, vomiting, anorexia, Respiratory depression, constipation, cramps, orthostatic hypotension, confusion, headache, rash mgmt of mile to moderate pain PO low sch rating for misuse potential, addiction liability -do not use in pts w/suicidal tendencies withdrawal symptoms may occur Rx: C=IV preg: C

Oxycodone (Oxy Contin; with aspirin Percodan, with acetaminophen Percoset)

Opioid Analgesic s.e.:Drowsiness, sedation nausea, vomiting, anorexia Respiratory depression constipation, cramps orthostatic hypotension confusion, headache rash, Euphoria mgmt of moderate to severe pain PO Controlled release do not give if resp less than 12 per min withdrawal symptoms Rx: C=11 preg B

Oxycodone (Oxy Contin; with aspirin Percodan, with acetaminophen Percoset)

Opioid Analgesic s.e.:Drowsiness, sedation, nausea, vomiting, anorexia Respiratory depression, constipation, cramps, orthostatic hypotension, confusion, headache, rash, Euphoria mgmt of moderate to severe pain PO/ Controlled release do not give if resp less than 12 per min withdrawal symptoms Rx: C=11 preg B

Codeine

Opioid Analgesic s.e.:Drowsiness, sedation nausea, vomiting, anorexia Respiratory depression constipation, orthostatic hypotension mgmt of moderate to severe pain, nonproductive cough PO, IM/SQ do not give if resp less than 12 per min withdrawal symptoms Rx: C=11, III, IV, V (depends on route preg C

Codeine

Opioid Analgesic s.e.:Drowsiness, sedation, nausea, vomiting, anorexia Respiratory depression,constipation,orthostatic hypotension mgmt of moderate to severe pain, nonproductive cough PO, IM/SQ do not give if resp less than 12 per min withdrawal symptoms Rx: C=11, III, IV, V (depends on route) preg C

Hydrocodone Bitartrate & Acetaminophen (Lortabs)

Opioid Analgesic s.e.:Drowsiness, dizziness nausea, vomiting, constipation mgmt of moderate to severe pain habit forming use cautiously w/pts w/pulmonary considerations Rx: C=11I preg C

Meperidine (Demerol)

Opioid Analgesic s.e.:Drowsiness, sedation Respiratory depression orthostatic hypotension confusion, headache Euphoria mgmt of moderate to severe pain. pre-op sedation, post-op & OB analgesia PO, IM, IV, SQ do not give if resp less than 12 per min withdrawal symptoms Rx: C=11 preg C

Meperidine (Demerol)

Opioid Analgesic s.e.:Drowsiness, sedation, Respiratory depression orthostatic hypotension, confusion, headache, Euphoria mgmt of moderate to severe pain. pre-op sedation, post-op & OB analgesia PO, IM, IV, SQ do not give if resp less than 12 per min withdrawal symptoms Rx: C=11 preg C

Morphine (MS Contin)

Opioid Analgesic s.e.:sedation constipation Respiratory depression orthostatic hypotension Euphoria mgmt of severe pain continous dosing is more effective than prn, may be given by pt controlled analgesia PO,IM,IV, SQ withdrawal symptoms Rx: C=11 preg C

Morphine (MS Contin)

Opioid Analgesic s.e.:sedation constipation, Respiratory depression, orthostatic hypotension Euphoria, mgmt of severe pain continous dosing is more effective than prn, may be given by pt controlled analgesia PO,IM,IV, SQ withdrawal symptoms Rx: C=11 preg C