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MED GUESS

DEBORAH L. STEVENSON, MSN, RN


metformin hydrochloride

CLASS: ANTIDIABETIC

INDICATION: TYPE 2 DIABETES

HOLD 48 HRS BEFORE & AFTER CONTRAST

DOSE MAY NEED ADJUSTMENT DURING TIMES OF STRESS

TAKE WITH FOOD

GLUCOPHAGE
nicotinic acid

CLASS: ANTILIPEMIC

INDICATION: LOWERS LDL’S & TRIGLYCERIDES

RAISES HDL’S

FLUSHING MAY OCCUR

MONITOR LIVER ENZYMES

NIASPAN
rifampin

CLASS: ANTI-TUBERCULAR
INDICATION:TB
MONITOR HEPATIC FUNCTION, AVOID ALCOHOL
BODY FLUIDS CAN TURN RED-ORANGE:
PERMANENTLY STAINS CONTACT LENSES
DECREASES EFFECTIVENESS OF ORAL
CONTRACEPTIVES
RIFADIN
adenosine

CLASS: ANTIDYSRHYTHMIC

INDICATION: PAROXYSMAL SVT

ADMIN RAPID IV BOLUS: 1-2 SECONDS

MUST BE ON CARDIAC MONITOR – MAY PRODUCE NEW


DYSRHYTHMIAS OR WORSEN EXISTING ONES

MAY CAUSE FLUSHING OR CHEST PAIN LASTING 1-2 MINUTES

INCOMPATIBLE WITH OTHER DRUGS

ADENOCARD
pantoprazole sodium

CLASS: ANTIULCER, PROTON PUMP INHIBITOR

INDICATION: GERD

ADMINISTERED P.O. (DO NOT CHEW OR CRUSH) OR IV

RELIEF WITHIN 2 WEEKS

CLIENTS TAKING COUMADIN (WARFARIN) SHOULD REPORT


BLEEDING

PROTONIX
oxytocin

CLASS: UTERINE STIMULANT


INDICATION: AUGMENTATION OR INDUCTION OF
LABOR, UTERINE ATONY, POST-PARTUM HEMORRHAGE
ADMINISTER SECONDARY INFUSION USING PUMP
MONITOR UTERUS FOR TACHYSYSTOLE
CHECK FOR FETAL DISTRESS
PITOCIN
fentanyl

CLASS: ANALGESIC

INDICATION: ACUTE & CHRONIC PAIN

REVERSIBLE AGENT IS NARCAN

PATCH: CUT HAIR-DON’T SHAVE, HEAT INCREASES DELIVERY AND


CAUSES TOXICITY

MONITOR FOR RESPIRATORY DEPRESSION

DURAGESIC
methotrexate sodium

CLASS: ANTINEOPLASTIC

INDICATION: RA & SEVERE PSORIASIS UNRESPONSIVE TO OTHER


TREATMENT

MONITOR CBC AND FOR S/S OF INFECTION

MAINTAIN FLUID INTAKE OF 2-3L

HIGH DOSES MAY RESULT IN RENAL CRYSTALS

SERIOUS TO FATAL REACTIONS WITH NSAIDS


palivizumab
(PAL i VIZ oo mab)

CLASS: MONOCLONAL ANTIBODY

INDICATION: PREVENTION OF RSV

ADMINISTER PRIOR TO THE BEGINNING OF RSV SEASON AND


MONTHLY THROUGHOUT THE SEASON

SYNAGIS
methylprednisolone sodium
succinate

CLASS: STEROIDAL ANTI-INFLAMMATORY


INDICATION: INFLAMMATORY RESPONSE
DO NOT STOP ABRUPTLY
P.O. FORM TAKEN WITH FOOD OR MILK
CUSHINGNOID EFFECTS WITH LONG TERM THERAPY
(MOON FACE, BUFFALO HUMP, TRUNCAL OBESITY)
SOLUMEDROL
raloxifene hydrochloride

CLASS: SELECTIVE ESTROGEN RECEPTOR


MODULATOR
INDICATION: POSTMENOPAUSAL OSTEOPOROSIS,
DECREASE RISK OF BREAST CANCER
ADMINISTERED P.O. ONCE DAILY
AVOID LONG PERIODS OF RESTRICTED MOVEMENT:
MAY CAUSE BLOOD CLOTS
EVISTA
atorvastatin calcium
(atorvaSTATin)

CLASS: ANTIHYPERLIPIDEMIC

INDICATION: LOWERS LIPID LEVELS

ADVERSE REACTION: RHABDOMYOLYSIS > ARF

MONITOR LIVER ENZYMES

NO GRAPEFRUIT

LIPITOR
ziprasidone hydrochloride
(ziPRAsidone)

CLASS: ANTIPSYCHOTIC
INDICATION: BIPOLAR DISORDER
REPORT: DIZZINESS, FAINTING, IRREGULAR HEARTBEAT
OR OTHER HEART PROBLEMS
CAUTION IN THE ELDERLY – INCREASED MORTALITY
WITH DEMENTIA RELATED PSYCHOSIS
MONITOR FOR HYPERGLYCEMIA & METABOLIC
SYNDROME
GEODON
indomethacin

CLASS: ANTI-INFLAMMATORY/NSAID

INDICATION: PAIN RELATED TO

GOUT, RA AND OSTEOARTHRITIS

ADMIN WITH FOOD, MILK OR ANTACID

MONITOR FOR GI BLEEDING

HYPERSENSITIVITY TO SUNLIGHT

INDOCIN
montelukast
(monteluKAST)

CLASS: BRONCHODILATOR/LEUKOTRIENE
INDICATION: ALLERGIES & EXERCISE-INDUCED
BRONCHOSPASM
NOT INDICATED FOR ACUTE ASTHMA ATTACK
DON’T SUBSITUTE FOR INHALED STEROID
TABLETS CONTAIN PHENYLALANINE
SINGULAIR
mometasone

CLASS: ANTI-INFLAMMATORY

INDICATION: SEASONAL ALLERGIES

IMMUNE SUPPRESSION

DO NOT ADMINISTER TO CLIENTS WITH MILK ALLERGY

NASONEX
metronidazole (zol)

CLASS: ANTIBIOTIC, ANTIPROTOZOAL

INDICATION: ANAEROBIC AND PROTOZOAL INFECTIONS

DRUG OF CHOICE FOR CLOSTRIDIUM DIFFICILE

NO ALCOHOL DURING OR THREE DAYS AFTER TREATMENT

METALLIC TASTE; URINE MAY TURN DARK RED-BROWN

FLAGYL
erythropoietin

CLASS: RECOMBINENT HUMAN ERYTHROPOIETIN

INDICATION: ANEMIA; POST-OP PATIENTS TO REDUCE NEED FOR


BLOOD PRODUCTS

STIMULATES RELEASE OF RETICULOCYTES FROM BONE MARROW –


DEVELOP INTO MATURE RBCS

GIVEN SQ & IV

MONITOR H&H

MAY ALSO NEED VIT B12 & FOLIC ACID

EPOGEN
sildenafil citrate

CLASS: ANTI-IMPOTENCE

INDICATION: ERECTILE DYSFUNCTION

CONTRAINDICATED WITH NITRATES > FATAL HYPOTENSION

TAKE 30 MIN TO 4 HRS PRIOR TO

DESIRED SEXUAL ACTIVITY

SEEK MEDICAL ATTENTION FOR ERECTIONS LASTING GREATER THAN


4 HRS

VIAGRA
estrogen conjugated

CLASS: CONJUGATED ESTROGEN

INDICATION: MENOPAUSAL SYMPTOMS, SLOWS PROGRESSION OF


OSTEOPOROSIS & HORMONE REPLACEMENT

PREMARIN
linezolid
(liNAzolid)

CLASS: ANTIBIOTIC
INDICATION:TREATMENT OF VRE & MRSA
MONITOR BP AS HTN MAY RESULT
AVOID FOODS WITH TYRAMINE: AGED CHEESE, AIR-DRIED MEATS,
RED WINE, SAUERKRAUT, SOY SAUCE,TAP BEERS
ZYVOX
gabapentin

CLASS: ANTICONVULSANT

INDICATION: PARTIAL SEIZURES AND NEURALGIA

WITHDRAW DRUG SLOWLY

FIRST DOSE TAKEN AT BEDTIME TO MINIMIZE DIZZINESS

MONITOR FOR SUICIDAL TENDENCIES

NEURONTIN
methadone hydrochloride

CLASS: SYNTHETIC OPIATE AGONIST

INDICATION: PAIN, USUALLY CHRONIC, OPIOID DETOXIFICATION

HAS A CUMULATIVE EFFECT

MONITOR RESPIRATORY STATUS CLOSELY

METHADOSE/DOLOPHINE
insulin detemir

CLASS: LONG-ACTING INSULIN (24-48 HOURS)

INDICATION: DIABETES

ADMINISTERED SQ WITH EVENING MEAL OR HS (DOSES MUST BE


ADMIN 12 HRS APART)

DO NOT MIX WITH OTHER INSULINS

MONITOR BLOOD SUGARS

LEVEMIR
piperacillin/tazobactam

CLASS: ANTIMICROBIAL
INDICATION: MODERATE TO SEVERE INFECTION
CHECK ALLERGY TO PENICILLIN
MONITOR NA+ INTAKE, DRUG CONTAINS NA+
CONCURRENT USE OF ANTICOAGULANT
PROLONGS BLEEDING
ZOSYN
lisdexamfetamine dimesylate
(lisdexamFETamine)

Class: CNS Stimulant


Indication: ADHD
Available in P.O. form only
Taken once daily
Vyvanse
warfarin sodium

CLASS: ANTICOAGULANT
INDICATION:THROMBOLYTIC EVENTS
MONITOR INR/PT
MAINTAIN CONSISTENT INGESTION OF GREEN LEAFY VEGETABLES
DARK GREEN LEAFY VEGETABLES INCREASE CLOTTING AND CAN LOWER
INR
TEACH BLEEDING PRECAUTIONS
ANTIDOTE – VITAMIN K
COUMADIN
aripiprazole
(air-e-pip-ra-zol)

CLASS: ATYPICAL ANTIPSYCHOTIC

INDICATION: SCHIZOPHRENIA OR BIPOLAR 1

AVOID: GRAPEFRUIT, ALCOHOL, OVERHEATING & DEHYDRATION

INCREASED RISK OF HYPERGLYCEMIA

ABILIFY
memantine hydrochloride

CLASS: ANTIDEMENTIA AGENT

INDICATION: MODERATE TO SEVERE DEMENTIA SUCH AS ALZHEIMER’S

ADMINISTERED P.O.

AVOID A DIET HIGH IN FRUITS AND VEGGIES > DECREASE IN ACIDITY

ALKALINE URINE CAN DECREASE CLEARANCE OF DRUG LEADING TO


TOXITY

MONITOR FOR GI BLEEDING

NAMENDA
ceftazidime
(sef´ta-zĭ-dēm)

CLASS: ANTIBIOTIC

INDICATION: GRAM NEGATIVE BACTERIA

CONTRAINDICATED WITH SENSITIVITY TO CEPHALOSPORINS

INCOMPATIBLE WITH VANCOMYCIN

MONITOR GLUCOSE LEVELS FOR INCREASE

ASSESS BUN & CREATININE

FORTAZ
risedronate
(ris-ed´ro-naāt)

CLASS: BONE RESORPTION INHIBITOR

INDICATION: PAGET’S DISEASE, OSTEOPOROSIS

DAILY, WEEKLY & MONTHLY REGIMENS

CONTRAINDICATED WITH ESOPHAGEAL DISORDERS

TAKE WITH FULL GLASS OF H2O IN MORNING ONE HOUR BEFORE


FOOD OR DRINK & REMAIN UPRIGHT FOR 30 MIN

ACTONEL
diltiazem hydrochloride

CLASS: CALCIUM CHANNEL BLOCKER

INDICATION: ATRIAL FIB & ATRIAL FLUTTER, SVT

ADMINISTERED P.O. OR IV

IV THERAPY PREFERRED FOR INITIAL TREATMENT

CARDIZEM
dutasteride
(duTASteride)

CLASS: BENIGN PROSTATIC HYPERPLASIA AGENT

INDICATION: SYMPTOMATIC BPH

FEMALES OF CHILD BEARING AGE

SHOULD NOT HANDLE THIS MEDICATION – ABSORBED THROUGH


SKIN

AVODART
varenicline
(ver-EN-i-cline)

CLASS: NICOTINIC BLOCKER


INDICATION: SMOKING CESSATION
TAKEN ONE WEEK PRIOR TO QUITTING SMOKING
GIVE WITH A FULL GLASS OF H20 AFTER MEALS
MONITOR FOR CHANGES IN MOOD – MAY LEAD TO DEPRESSION,
SUICIDAL OR HOMICIDAL IDEATION
ADVERSE REACTIONS MAY INCLUDE ANGIOEDEMA
CHANTIX
methylergonovine maleate

CLASS: UTERINE STIMULANT

INDICATION: UTERINE ATONY, POST-PARTUM HEMORRHAGE

PROMOTES UTERINE CONTRACTION

CONTRAINDICATED IN HTN & CARDIAC DISEASE

SIDE EFFECTS MAY INCLUDE HYPERTENSION, NAUSEA, VOMITING,


H/A

METHERGINE
pregabalin

CLASS: ANALGESIC & ANTICONVULSANT


INDICATION: NEUROPATHIC PAIN AND FIBROMYALGIA
MANAGEMENT OF PARTIAL SEIZURES
BINDS ON CNS NERVES, REDUCES CA+ INFLUX INTO CELL; DECREASES
RELEASE OF NEUROTRANSMITTERS INTO SYNAPTIC CLEFT; INCREASES
TRANSPORT AND DENSITY OF GABA – WHICH SUPPRESSES NERVE
ACTIVITY
DO NOT STOP DRUG ABRUPTLY
MONITOR FOR EDEMA
LYRICA
clopidogrel bisulfate
(clopido-growl)

CLASS: PLATELET AGGREGATION INHIBITOR

INDICATION: REDUCE ATHEROSCLEROTIC EVENTS

PROLONGS BLEEDING TIME

STOP 5 DAYS PRIOR TO ELECTIVE SURGERY

PRILOSEC (MOMEPRAZOLE) & NEXIUM (ESOMEPRAZOLE) DECREASE


EFFECTIVENESS

PLAVIX
levothyroxine sodium

CLASS: THYROID HORMONE REPLACEMENT

INDICATION: POST-THYROIDECTOMY, MYXEDEMA COMA;


HYPOTHYROIDISM

ADVERSE EFFECT: THYROID STORM (HIGH FEVER, TACHYCARDIA, HF,


ANGINA, MI, AGITATION, RESTLESSNESS, DELIRIUM > COMA)

DO NOT DISCONTINUE WITHOUT MEDICAL ADVICE

INCREASES HR – GIVE IN AM

SYNTHROID
cefepime hydrochloride

CLASS: ANTIBIOTIC

INDICATION: COMPLICATED UTI’S, SKIN & SOFT

TISSUE INFECTIONS

NEPHROTOXIC AND OTOTOXIC

CONTRAINDICATED WITH SENSITIVITY TO CEPHALOSPORINS

MONITOR FOR DIARRHEA

MAXIPIME
gentamicin sulfate

CLASS: ANTIBIOTIC

INDICATION: BACTERIAL INFECTIONS

MONITOR PEAK AND TROUGH LEVELS: NEPHROTOXICITY &


OTOTOXICITY

DO NOT ADMINISTER THROUGH SAME IV LINE AS OTHER


MEDICATIONS > INACTIVATION OF MED CAN OCCUR

MONITOR URINE OUTPUT & RENAL FUNCTION

GENTAMICIN
risperidone

CLASS: ANTIPSYCHOTIC

INDICATION: PSYCHOTIC DISORDERS,

BIPOLAR MANIA & IRRITABILITY ASSOCIATED

WITH AUTISM

DO NOT MIX ORAL SOLUTION WITH COLA OR TEA (TANNIN WILL


AFFECT ABSORPTION)

RISPERDAL
donepezil hydrochloride
(doNApezil)

CLASS: ANTIDEMENTIA

INDICATION: MILD, MODERATE TO SEVERE ALZHEIMER’S

MONITOR FOR BRADYCARDIA

INCREASES ACETYLCHOLINE LEVELS IN CEREBRAL CORTEX

DO NOT DISCONTINUE ABRUPTLY OR RESPIRATORY FAILURE MAY


OCCUR

GIVE PO AT BEDTIME

ARICEPT
lidocaine hydrochloride

CLASS: ANTIDYSRHYTHMIC

INDICATION: SECOND LINE DRUG FOR VENTRICULAR


DYSRHYTHMIAS

NOT EFFECTIVE AGAINST SVT

ADMINISTERED IV

TOXICITY CAN LEAD TO SEIZURES

LIDOCAINE
nebivolol hydrochloride

CLASS: BETA BLOCKER


INDICATION: HTN, DECREASE: HR, MYOCARDIAL CONTRACTION &
CARDIAC OUTPUT
DO NOT STOP DRUG ABRUPTLY
MAY IMPAIR THINKING OR REACTION TIME
WEIGH CLIENT DAILY – MONITOR FOR SWELLING OF ANKLES AND FEET,
BRADYCARDIA OR IRREGULAR HR
PATIENT SHOULD REPORT WEIGHT GAIN OF 2 LB IN 24 HOURS OR 5 LB
IN ONE WEEK
BYSTOLIC
oxycodone hydrochloride

CLASS: OPIOID ANALGESIC

INDICATION: MODERATE TO SEVERE LONG TERM PAIN CONTROL

SHOULD NOT BE TAKEN WITHIN 2 WEEKS OF ADMINISTRATION OF


MAOI’S

CONSIDERED A DANGEROUS DRUG!

OXYCONTIN
hydromorphone hydrochloride

CLASS: OPIOID DERIVATIVE

INDICATION: MODERATE TO SEVERE PAIN

MONITOR RESPIRATIONS

ADMINISTERED IV, IM, P.O., OR SQ

MAY WORSEN GALLBLADDER PAIN – INCREASES BILIARY TRACT


PRESSURE CAUSING SPASMS OF THE SPHINCTER OF ODDI

DILAUDID
levofloxacin

CLASS: ANTIBIOTIC

INDICATION: ACUTE INFECTIONS OR TO PREVENT EXACERBATION OF


CHRONIC INFECTIONS

ADMINISTERED IV OR P.O.

GIVE CAUTIOUSLY IN CLIENTS WITH CNS DISORDERS & RENAL


INSUFFICIENCY

MAY ALTER BLOOD GLUCOSE LEVELS IN DIABETIC CLIENTS

AVOID GIVING WITHIN 2 HRS OF ANTACIDS

INCREASES RISK OF ACUTE TENDON RUPTURE

LEVAQUIN
vancomycin hydrochloride

CLASS: ANTIBIOTIC
INDICATION: MRSA & SEVERE C. DIFFICILE
MUST BE INFUSED OVER ONE HOUR
PEAK AND TROUGH ORDERED
“RED MAN” SYNDROME & HYPOTENSION WITH RAPID INFUSION
(RELEASE OF LARGE AMOUNTS OF HISTAMINE – FLUSHING ON FACE,
NECK , TRUNK, UPPER BODY; HYPOTENSION, SUPERINFECTIONS,
GENERALIZED TINGLING, CHILLS, FEVER, HIVES, NAUSEA)
RENAL & OTOTOXICTY
VANCOCIN
lanoxin

CLASS: CARDIAC GLYCOSIDE

INDICATION: HEART FAILURE & PSVT

ASSESS AP FOR ONE MINUTE PRIOR TO ADMIN

MONITOR LEVELS (0.8-2.0 NG/ML)

MONITOR K+ LEVELS (3.5-5.0)

HYPOKALEMIA LEADS TO TOXICITY – BLURRED VISION, HALOS, LOSS OF


APPETITE, CONFUSION, LETHARGY

REVERSAL AGENT - DIGIBIND

DIGOXIN
propranolol hydrochloride

CLASS: ANTIDYSRHYTHYMIC

NONSELECTIVE BETA BLOCKER

INDICATIONS: SVT, RECURRENT V-TACH, EXERCISE-INDUCED


TACHYDYSRHYTHMIAS,

CHECK HR AND BP PRIOR TO ADMIN: HOLD FOR HYPOTENSION OR


EXTREMES OF HR

INDERAL
esomeprazole magnesium
(es″o-mep´rah-zōl)

CLASS: PROTON PUMP INHIBITOR

INDICATION: GERD

TAKE ONE HOUR BEFORE MEALS

DO NOT CRUSH OR CHEW DRUG PELLETS

CAUTION IN CLIENTS ON: DIAZEPAM, DIGOXIN AND COUMADIN –


DECREASES ABSORPTION OF THESE DRUGS > TOXIC LEVELS AND
BLEEDING ANOMALIES

NEXIUM
venlafaxine hydrochloride
(ven″lah-fak´sēn)

CLASS: ANTIDEPRESSANT (SNRI - SEROTONIN NOREPINEPHRINE REUPTAKE


INHIBITOR ANTIDEPRESSANT)
INDICATION: DEPRESSION & ANXIETY

MAY INCREASE PT/INR

DO NOT DISCONTINUE ABRUPTLY

INCOMPATIBLE WITH MAOI’S

SEROTONIN SYNDROME: MONITOR FOR RESTLESSNESS, HALLUCINATIONS,


LOSS OF COORDINATION,TACHYCARDIA, RAPID CHANGES IN BP, INCREASED
TEMP, HYPERREFLEXIA

EFFEXOR
lithium carbonate

CLASS: ANTIDEPRESSANT, ANTI-MANIC


INDICATION: BIPOLAR DISORDER
NARROW THERAPEUTIC RANGE (0.4-1.4) - FULL BENEFITS 2-3 WEEKS
MAINTAIN NORMAL NA+ LEVELS – INTERACTS WITH DIURETICS, ACE
INHIBITORS, NSAIDS
TOXICITY – TREMOR, ATAXIA, DYSARTHRIA, NYSTAGMUS, RENAL IMPAIRMENT,
CONVULSIONS
AVOID FOODS HIGH IN SODIUM ALCOHOL, AVOID DEHYDRATION AND
EXCESSIVE CAFFEINE
ESKALITH
enoxaparin sodium

CLASS: ANTITHROMBOTIC

INDICATION: PREVENTION OF DVT & PE

HOLD IF PLATELET LEVEL < 100,000MM/3

AVOID OTC DRUGS CONTAINING SALICYLATES

ADMINISTER SQ

MONITOR PLATELETS AND OCCULT BLEEDING

LOVENOX
dabigatran
(da-bye-GAT-ran)

CLASS: DIRECT THROMBIN INHIBITOR


INDICATION: ATRIAL FIBRILLATION
KEEP DRY AND IN ORIGINAL BOTTLE
MONITOR FOR OCCULT BLEEDING
AVOID CONCURRENT USE OF MEDS THAT
PROLONG BLEEDING
PRADAXA
varicella vaccine

CLASS: LIVE VACCINE

INDICATION: PREVENTION OF “CHICKEN POX”

CONTRAINDICATED IN ALLERGY TO EGGS, NEOMYCIN AND


GELATIN

ADMINISTER SQ

VARIVAX
furosemide

CLASS: DIURETIC

INDICATION: EDEMA & HYPERTENSION

MONITOR FOR HYPOKALEMIA

ADMINISTER K+ SUPPLEMENT

MONITOR HR, BP & WEIGHT

RAPID IV MAY CAUSE OTOTOXICITY

LASIX
cordarone

CLASS: ANTIDYSRHYTHYMIC

POTASSIUM CHANNEL BLOCKER

INDICATION: FIRST LINE DRUG FOR VENTRICULAR & ATRIAL


DYSRHYTHMIAS

RESPIRATORY & VISUAL TOXIC EFFECTS

MAY CAUSE PULMONARY FIBROSIS, FLASH PULMONARY EDEMA,


LIVER FAILURE

AMIODARONE
phenytoin

CLASS: ANTICONVULSANT

INDICATION: SEIZURE DISORDER

IV DOSE ADMINISTERED IN NS ONLY

THERAPEUTIC LEVEL (10-20 MCG/ML)

IMPLEMENT SEIZURE PRECAUTIONS

DISCONTINUE IF RASH OR JAUNDICE APPEARS

DO NOT GIVE AN INFLUENZA VACCINE TO PATIENTS ON THIS MED – INCREASES SEIZURE ACTIVITY

CAN MASK LOW THYROID RESERVE

GOOD ORAL HYGIENE TO PREVENT GINGIVAL HYPERPLASIA

DILANTIN
insulin aspart

CLASS: INSULIN, SHORT ACTING


INDICATION: DIABETES, HYPERGLYCEMIA
ADMINISTER SQ 5-10 MIN BEFORE MEALS
CLOSELY MONITOR GLUCOSE LEVELS IN PATIENTS WITH RENAL &
HEPATIC IMPAIRMENT
NOVOLOG
budesonide/formoterol

CLASS: COMBINATION INHALER


INDICATION: ASTHMA MAINTENANCE
MUST BE 12 YEARS OR OLDER (MDI)
RINSE MOUTH AFTER ADMINISTRATION TO PREVENT
THRUSH
MONITOR FOR OSTEOPOROSIS WITH LONG TERM USE
SYMBICORT
fluticasone/salmeterol
(floo TIK a sone & sal ME te role)

CLASS: COMBINATION (ANTI-


INFLAMMATORY/BRONCHODILATOR) INHALER
INDICATION: LONG-TERM MAINTENANCE
OF ASTHMA
RINSE MOUTH AFTER INHALATION
ADVAIR
methylphenidate hydrochloride

CLASS: PSYCHOSTIMULANT
INDICATION: ADHD
GIVE WITH FULL GLASS OF H2O TO PREVENT LODGING IN THE THROAT
LAST DAILY DOSE 6 HRS BEFORE HS TO PREVENT INSOMNIA
CONTRAINDICATED WITH MAOI’S
MAY CAUSE APPETITE SUPPRESSION – GIVE WITH MEALS
ER PILL MAY BE SEEN IN STOOL – DOES NOT DISSOLVE OR CHANGE
SHAPE
CONCERTA
simvastatin/ezetimibe
(SIM va stat in and ez ET i mibe)

CLASS: ANTIHYPERLIPIDEMIC & CHOLESTEREMIC

INDICATION: HYPERCHOLESTEROLEMIA &

HYPERLIPIDEMIA

THE COMBINATION: SIMVASTATIN & ZETIA MAY ALLOW LOWER


DOSING OF SIMVASTATIN DECREASING STATIN ADVERSE REACTIONS

PATIENT TO REPORT SEVERE MUSCLE PAIN OR FATIGUE

VYTORIN
human papillomavirus vaccine

CLASS: IMMUNIZATION

INDICATION: PREVENT HPV & OTHER GENITAL WARTS AND REDUCE


RISK OF CERVICAL CANCER

ADMINISTERED TO MALES AND FEMALES

GARDASIL
nitroglycerin

CLASS: ANTIANGINAL, VASODILATOR

INDICATION: PREVENT OR TREAT ANGINA

RAPID ONSET: 1-3 MIN SUBLINGUAL

WHAT ARE THE MOST CURRENT GUIDELINES?

STORE IN DRY, DARK, TIGHTLY CLOSED CONTAINER

CHECK BP BEFORE ADMINISTERING

NITRO SUBLINGUAL
Regular Insulin

CLASS: INSULIN

INDICATION: DIABETES & HYPERKALEMIA

ONLY INSULIN ADMINISTERED IV


haloperidol

CLASS: TYPICAL ANTIPSYCHOTIC

INDICATION: PSYCHOTIC AND NON PSYCHOTIC DISORDERS LIKE


TOURETTE’S

MONITOR FOR EXTRAPYRAMIDAL SYMPTOMS

CAUSES DROWSINESS & DRY MOUTH

HALDOL
zolpidem tartrate

CLASS: SEDATIVE-HYPNOTIC, ANTIANXIETY

INDICATION: SHORT TERM INSOMNIA

RAPID ONSET

MAY CAUSE COMPLEX SLEEP-RELATED BEHAVIORS SUCH AS EATING,


DRIVING, TALKING ON PHONE WHILE SLEEPING WITH NO RECALL

AMBIEN