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Flashcards by Kate Parvey, updated more than 1 year ago
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Created by Kate Parvey
over 7 years ago
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| Question | Answer |
| Alka Seltzer Route & Dose | PO 2 tabs in water |
| Alka Seltzer Class & Action | NSAID, ANTACID Pre-0p to neutralize stomach acid. Blocks the action of cyclo-oxygenase that is involved in the production of prostaglandins in response to injury and cause pain, swelling and inflammation |
| Alka Seltzer Side Effects & LR/PR | SE: nausea, vomiting, diarrhea or abdominal pain stomach or duodenal ulcer, • bleeding from the stomach or intestine, • changes in liver function, • allergic reactions such as skin rash, angioedema or bronchospasm LR/PR: L3/C Contains Bicarbonate (Na/K), Aspirin, Citric Acid. Sodium hydrogen carbonate and citric acid form antacids by their effervescent reaction with water. Not to be used while breastfeeding or in children and adolescents under 16 years of age, unless on the advice of a doctor. |
| Ancef (discontinued) / Kefzol / Cefazolin Route & Dose | IV 1 to 2 gram IV administered ½ hour to 1 hour prior to the start of surgery * For operative procedures 2 hours or more 500 mg- 1g IV during surgery • 500 mg to 1 gram IV every 6 to 8 hours for 24 hours postoperatively. |
| Ancef (discontinued) / Kefzol / Cefazolin Class & Action | FIRST-GENERATION CEPHALOSPORIN ANTIBIOTIC Pre-op for cesarean birth to prevent infection. |
| Ancef (discontinued) / Kefzol / Cefazolin Side Effects & LR/PR | Genital itching; white patches in mouth; loss of appetite; heartburn; gas; nausea; vomiting; diarrhea; headache L1/B |
| Sodium Citrate / Bicitra ( discontinued) / Cytra-2 / Oracit / Shohl's Route & Dose | PO 10-30 mL PO Q6-8h PRN Max: 4 doses/day; Info: dilute in water Info: 1 mL = 1 mEq Na, 1 mEq bicarbonate equiv. |
| Sodium Citrate / Bicitra (discontinued) / Cytra-2 / Oracit / Shohl's Class & Action | Antacid Pre-op to neutralize stomach contents. Oxidizes to sodium bicarbonate, raising pH |
| Sodium Citrate / Bicitra (discontinued) / Cytra-2 / Oracit / Shohl's Side Effects & LR/PR | diarrhea; nausea; vomiting; water retention It should not be used in patients with kidney failure. L?/? It is not known whether sodium citrate/citric acid enters breast milk; therefore, it is best to be cautious before using it in nursing mothers. There are no adequate studies done on sodium citrate/citric acid to determine safe and effective use in pregnant women. |
| Acetominophen / Tylenol Route & Dose | PO 325-650 mg Q 4-6 hrs; MAX daily dose 4 gms.- due to liver toxicity. Consider other combination meds patient is taking that might contain acetaminophen. * take with food |
| Acetominophen / Tylenol Class & Action | Analgesic Maternal Fever/ Pain |
| Acetominophen / Tylenol Side Effects & LR/PR | GI upset, liver toxicity L1/B |
| Ambien / Zolpidem tartrate Route & Dose | 10 mg PRN at bedtime |
| Ambien / Zolpidem tartrate Class & Action | Sedative & Sleep Aid |
| Ambien / Zolpidem tartrate Side Effects & LR/PR | Fatigue L3/C |
| Anusol Pramoxine + zinc salts Route & Dose | PR Suppositories 4-6 times/day, after BM |
| Anusol Pramoxine + zinc salts Class & Action | Local Anesthetic Temporary relief of burning, pain, and itching caused by hemorrhoids. P: anesthetic for relieving pain & itching Z: anorectal protectant for relieving skin irritation, astringent for drying oozing/weeping lesions |
| Anusol Pramoxine + zinc salts Side Effects & LR/PR | P: buring, itching, tenderness P: L3 Z: L2 |
| Depo-Provera / Medroxyprogesterone Route & Dose | IM 150mg IM Q3mo Preferable to give 6 weeks postpartum to avoid problems with milk production. Start: w/in 5 days of menses onset, w/in 5 days postpartum, or 6wk postpartum if breastfeeding |
| Depo-Provera / medroxyprogesterone Class & Action | Progestin only contraceptive Contraception: Synthetic progestin for contraception Given orally for amenorrhea, dysmenorrhea, uterine bleeding, and infertility. |
| Depo-Provera / medroxyprogesterone Side Effects & LR/PR | Fluid retention, GI distress, menstrual disorders, breakthrough bleeding, weight gain L4/X |
| Docusate Route & Dose | PO 100 mg |
| Docusate Class & Action | LAXATIVE; STOOL SOFTENER Facilitates mixture of stool fat and water producing stools that are softer and easier to pass. |
| Docusate Side Effects & LR/PR | Nausea, diarrhea L2/C |
| Epifoam Route & Dose | TOP small amount of foam to the affected area, 3-4 times a day or as directed by provider Apply the foam directly to the area, or apply a small amount to a pad and use it to apply the foam to the affected area. |
| Epifoam Class & Action | Topical Anestheic + Corticosteroid Contains: PRAMOXIN: anesthetic that is used on skin to relieve minor pain, itching and discomfort. It works by temporarily numbing the area. HYDROCORTISONE: corticosteroid that reduces redness, swelling, and itching. |
| Epifoam Side Effects & LR/PR | Redness, burning, or itching at the application site P: L3/C H: L2/C |
| Ibuprofen Route & Dose | PO 600 mg every 6 hrs PRN * take with food |
| Ibuprofen Class & Action | ANALGESIC; ANTIPYRETIC Pain control associated with involution, episiotomy, and post-op incision |
| Ibuprofen Side Effects & LR/PR | GI upset L1/B |
| Iron Route & Dose | PO 325 mg QD or BID * do not give on empty stomach |
| Iron Class & Action | Metal Supplement For Anemia |
| Iron Side Effects & LR/PR | Gastric distress, constipation L1/Probably safe |
| Rubella Vaccine Route & Dose | SC 0.5 mL X 1 pre-filled syringe |
| Rubella Vaccine Class & Action | Live (attenuated) measles vaccine Given upon discharge to women with no rubella immunity. May be given in combination with measles and mumps vaccine (MMR). Exact mechanism or action unknown; induces antibody formation. |
| Rubella Vaccine Side Effects , LR/PR | Possible rash or sensitivity symptoms L2/X |
| Rubella Vaccine Considerations | Give 1 dose if unreliable vaccine history and born after 1956; give 2nd dose >28 days after 1st dose for college students, healthcare workers, international travelers; revaccinate w/ 2 doses if previously given killed measles vaccine or given unknown measles vaccine type in 1963-1967; consider 2 doses for high-risk pts if given killed mumps vaccine or unknown mumps vaccine type prior to 1979; contraindicated in pregnancy, planning pregnancy w/in 4wk, immunocompromised, or HIV w/ CD4 count <200 |
| Rhogan / RHO immune globlin Route & Dose | IM *prefilled syringe 300 mcg IM X1 at 28wks gestation 300 mcg IM X1 w/in 72 hrs of delivery *Dispensed by blood bank; all same delivery protocols as blood products, or some units keep on unit in refrigerator. |
| Rhogan / RHO immune globlin Class & Action | Immune Globulin Given to prevent rh incompatibility to rh negative mothers with a rh positive baby; or with miscarriage or abdominal trauma. Exact mechanism of action unknown; suppresses immune response of Rhnegative pts to Rh-positive RBCs. Given at 28 weeks as prophylaxis to Rh neg mothers. |
| Rhogan / RHO immune globlin Side Effects & LR/PR | • injection site reaction • temperature elevated L2/C |
| Tdap / Triple Antigen (DTP) Route & Dose | IM 0.5mL |
| Tdap / Triple Antigen (DTP) Class & Action | Combination Vaccine Contains diphtheria and tetanus toxoids, along with acellular pertussis adsorbed vaccine |
| Tdap / Triple Antigen (DTP) Side Effects & LR/PR | Possible Rash or sensitivity symptoms L2/B Avoid during on-going acute illness. Guillan- Barre syndrome may occur within 6 weeks of a tetanus-toxoid containing vaccine. |
| Tucks / Witch Hazel Route & Dose | Topical apply PRN up to 6X/day |
| Tucks / Witch Hazel Class & Action | No class Hemorrhoid pain: Astringent for drying oozing/weeping lesions, relieving local irritation. Induces surface protein precipitation, reducing fluid secretions, inflammation, irritation (astringent). |
| Tucks / Witch Hazel Side Effects & LR/PR | Stinging, Dryness No LR/PR |
| Senokot Route & Dose | Route ? PO? 100 mg every day recommended for 10 days or less |
| Senokot Class & Action | Senna laxative For constipation: increases peristalsis |
| Senokot Side Effects & LR/PR | Diarrhea, abdominal cramps, dark colored urine, fluid loss L3/C |
| Varicella Vaccine / Varifax Route & Dose | IM 0.5 mL X2 over 4-8 weeks |
| Varicella Vaccine / Varifax Class & Action | Vaccine Action? |
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