Post on 20-Nov-2014
description
DRUGSDRUGS
SUPPLEMENTALS ON SUPPLEMENTALS ON PHARMACOLOGYPHARMACOLOGY
Basic pharmacological Basic pharmacological classificationclassification
Action and indicationAction and indicationBad effects – adverse reaction /side effectBad effects – adverse reaction /side effectConsiderations Considerations Drug examplesDrug examples
DRUGS AND DRUG DRUGS AND DRUG CLASSIFICATIONS COMMONLY CLASSIFICATIONS COMMONLY
ASKEDASKED
DOPAMINE AND DOBUTAMINEDOPAMINE AND DOBUTAMINE ADRENALINADRENALIN
LIBRIUMLIBRIUM VALIUMVALIUM ATARAXATARAX
AMPHOGELAMPHOGEL MAALOXMAALOX
LIDOCAINELIDOCAINE AMINOGLYCOSIDESAMINOGLYCOSIDES CEPHALOSPORINSCEPHALOSPORINS
ERYTHROMYCINERYTHROMYCIN PENICILLINSPENICILLINS SILVADENESILVADENE
NITROFURANTOINNITROFURANTOIN PYRIDIUMPYRIDIUM
PROBANTHINEPROBANTHINE HEPARINHEPARIN COUMADINCOUMADIN
DILANTINDILANTIN VALIUMVALIUM PHENOBARBITALPHENOBARBITAL MAGNESIUM SULFATEMAGNESIUM SULFATE TEGRETOL AND CLONAZEPAMTEGRETOL AND CLONAZEPAM
MAOMAO TRICYCLICS-E.G.TOFRANIL/ELAVILTRICYCLICS-E.G.TOFRANIL/ELAVIL SSRI-FLOUXETINESSRI-FLOUXETINE
INSULININSULIN OHAOHA GLUCAGONGLUCAGON
LOMOTIL / IMMODIUMLOMOTIL / IMMODIUM COMPAZINE / DRAMAMINECOMPAZINE / DRAMAMINE
AMPHOTERICINAMPHOTERICIN COLCHICINECOLCHICINE PROBENECIDPROBENECID ALLOPURINOLALLOPURINOL
BENADRYLBENADRYLQUESTRANQUESTRAN
ANTIHYPERTENSIVESANTIHYPERTENSIVESLITHIUMLITHIUMANTINEOPLASTIC AGENTSANTINEOPLASTIC AGENTS
ANTIPARKINSONIAN ANTIPARKINSONIAN AGENTSAGENTS
ASAASA
ANTIPSYCHOTICSANTIPSYCHOTICS
TYLENOL AND PARACETAMOLTYLENOL AND PARACETAMOL ANTI-THYROIDSANTI-THYROIDS THYROID REPLACEMENTSTHYROID REPLACEMENTS ANTI TUBERCULARANTI TUBERCULAR MUCOLYTIC,EXPECTORANTSMUCOLYTIC,EXPECTORANTS BRONCHODILATORSBRONCHODILATORS ANTIVIRALANTIVIRAL
RITALIN , CYCLERTRITALIN , CYCLERT DIAMOXDIAMOX PILOCARPINEPILOCARPINE DIGOXINDIGOXIN
TENSILON TENSILON MESTINON AND PROSTIGMINMESTINON AND PROSTIGMINDIURETICSDIURETICSELECTROLYTE REPLACEMENTELECTROLYTE REPLACEMENTEYE MEDICATIONSEYE MEDICATIONSSTEROIDSSTEROIDSH2-RECEPTOR BLOCKERSH2-RECEPTOR BLOCKERS IMMUNOSUPRESSANTSIMMUNOSUPRESSANTSLAXATIVES AND STOOL SOFTENERSLAXATIVES AND STOOL SOFTENERSMIOTICS AND MYDRIATICSMIOTICS AND MYDRIATICS
MORPHINE SULFATEMORPHINE SULFATEDEMEROLDEMEROLNITROGLYCERINNITROGLYCERINISORDILISORDILNSAIDSNSAIDSSTREPTOKINASESTREPTOKINASE
ENDURANCE – DEVELOPS ENDURANCE – DEVELOPS EVERYTIME YOU DEFEAT EVERYTIME YOU DEFEAT THE TEMPTATION TO GIVE THE TEMPTATION TO GIVE UP……QUITTERS NEVER UP……QUITTERS NEVER LOSE BUT THEY NEVER LOSE BUT THEY NEVER WIN. REST IF YOU MUST. WIN. REST IF YOU MUST. BUT DON’T QUITBUT DON’T QUIT
SELECTED DRUGSSELECTED DRUGS
C LASSIFICATIONC LASSIFICATIONHOW TO ASSESS FOR HOW TO ASSESS FOR
EFFECTIVENESSEFFECTIVENESSEXACT TIMEEXACT TIMECLIENT TEACHING TIPSCLIENT TEACHING TIPSKEYS IN SAFETYKEYS IN SAFETY
AMPHOGEL(Aluminum Hydroxide)AMPHOGEL(Aluminum Hydroxide) AntacidAntacid Decrease in abdominal pain; neutralize gastric Decrease in abdominal pain; neutralize gastric
acidsacids Best given 2 hours after and 1 hour before Best given 2 hours after and 1 hour before
mealsmeals Increase OFI and bulk in diet, ambulate- causes Increase OFI and bulk in diet, ambulate- causes
constipation, absorption of antibiotics constipation, absorption of antibiotics ( tetracycline and phenothiazines and ( tetracycline and phenothiazines and effectiveness of ASA’S and pills are decreased.effectiveness of ASA’S and pills are decreased.
Use cautiously in patients with cardiac and renal Use cautiously in patients with cardiac and renal disease; monitor bowel function; monitor for disease; monitor bowel function; monitor for signs of phosphate deficiency-malaise,weakness signs of phosphate deficiency-malaise,weakness tremors and bone paintremors and bone pain
ALLUPURINOL(ZYLOPRIM)ALLUPURINOL(ZYLOPRIM) ANTIGOUT AGENTANTIGOUT AGENT REDUCED URIC ACID (BOTH SERUM AND REDUCED URIC ACID (BOTH SERUM AND
URINARY)BY INHIBITING XANTHINE URINARY)BY INHIBITING XANTHINE OXIDASE.OXIDASE.
GIVEN AFTER MEALS;MAY BE CRUSHED OR GIVEN AFTER MEALS;MAY BE CRUSHED OR WITH FLUID OR MIXED WITH FOODWITH FLUID OR MIXED WITH FOOD
CAUSES AGRANULOCYTOSIS,APLASTIC CAUSES AGRANULOCYTOSIS,APLASTIC ANEMIA,URTICARIA AND IS HEPATOXIC AND ANEMIA,URTICARIA AND IS HEPATOXIC AND RENAL INSUFFICIENCYRENAL INSUFFICIENCY
AIM IS TO LOWER SERUM URIC ACID LEVEL AIM IS TO LOWER SERUM URIC ACID LEVEL TO 6 MG/DL(MONITOR BY 1-3 WKS; TO 6 MG/DL(MONITOR BY 1-3 WKS; MONITOR LFT’S AND KIDNEY FUNCTION; MONITOR LFT’S AND KIDNEY FUNCTION; REPORT ONSET OF RASH;REPORT ONSET OF RASH;INCREASE OFI; AVOID EXPOSURE TO UV INCREASE OFI; AVOID EXPOSURE TO UV RAYS - CATARACTSRAYS - CATARACTS
ANTABUSEANTABUSE
CAUSES AN UNPLEASANT REACTION WHEN CAUSES AN UNPLEASANT REACTION WHEN COMBINED WITH ALCOHOLCOMBINED WITH ALCOHOL
PATIENT AVOIDS ALCOHOLPATIENT AVOIDS ALCOHOL BEST TAKEN AFTER ABSTAINING ALCOHOL BEST TAKEN AFTER ABSTAINING ALCOHOL
FOR 12 HOURSFOR 12 HOURS INSTRUCT PATIENT TO AVOID ALCOHOL INSTRUCT PATIENT TO AVOID ALCOHOL
BASED SUBSTANCESBASED SUBSTANCES INSPECT PATIENTS BELONGINGS AND INSPECT PATIENTS BELONGINGS AND
CONFISCATE ALCOHOLIC SUBSTANCES, CONFISCATE ALCOHOLIC SUBSTANCES, MONITOR LFT’SMONITOR LFT’S
APRESOLINE -HYDRALAZINEAPRESOLINE -HYDRALAZINE
ANTI HYPERTENSIVEANTI HYPERTENSIVEDECREASED BPDECREASED BPBEST TAKEN WITH FOODBEST TAKEN WITH FOODRISE SLOWLYRISE SLOWLYMONITOR FOR ORTHOSTATIC MONITOR FOR ORTHOSTATIC
HYPOTENSION AND HR FOR HYPOTENSION AND HR FOR TACHYCARDIATACHYCARDIA
ATROPINE SULFATEATROPINE SULFATE
ANTICHOLINERGIC, VAGOLYTIC DRYING ANTICHOLINERGIC, VAGOLYTIC DRYING AGENTAGENT
INCREASES HEART RATE IN A CLIENT WITH INCREASES HEART RATE IN A CLIENT WITH HEART BLOCK, USED PRE-OPERATIVELY TO HEART BLOCK, USED PRE-OPERATIVELY TO DECREASE SECRETIONSDECREASE SECRETIONS
BEST TAKEN 30 MINUTES BEFORE MEALBEST TAKEN 30 MINUTES BEFORE MEAL MAY CAUSE FACIAL FLUSHING, AVOID TASKS MAY CAUSE FACIAL FLUSHING, AVOID TASKS
THAT REQUIRE ACUTE VISIONTHAT REQUIRE ACUTE VISIONAVOID HOT ENVT.AVOID HOT ENVT.
CHECK BP, CAUSES HYPOTENSION, CHECK BP, CAUSES HYPOTENSION, CONSTIPATION AND DRYMOUTHCONSTIPATION AND DRYMOUTH
Bromcriptine Mesylate ( Parlodel)Bromcriptine Mesylate ( Parlodel)
Ergot Alkaloid, Antiparkinsonian agent, ANS Ergot Alkaloid, Antiparkinsonian agent, ANS agentagent
Restoring of ovulation thus correction of female Restoring of ovulation thus correction of female infertility and activated dopaminergic receptors infertility and activated dopaminergic receptors in the CNS – relief of symptoms of parkinsons – in the CNS – relief of symptoms of parkinsons – improvement seen in60-90 minimprovement seen in60-90 min
Give with meals, milk / food afterV.S. stabilizedGive with meals, milk / food afterV.S. stabilized May cause shock MI, Raynaud’s ,orthostatic May cause shock MI, Raynaud’s ,orthostatic
hypotension and nausea; supressed lactationhypotension and nausea; supressed lactation Have patient lie in supine position –may caues Have patient lie in supine position –may caues
dizziness and fainting;store intightly closed dizziness and fainting;store intightly closed containers;containers;
CELESTONECELESTONE((BETHAMETHASONEBETHAMETHASONE))
STEROID,STIMULATES LUNG STEROID,STIMULATES LUNG MATURITY IN INFANTSMATURITY IN INFANTS
- RESP DISTRESS- RESP DISTRESSGIVEN WITH FOODGIVEN WITH FOODREPORT SIGNS OF INFECTIONREPORT SIGNS OF INFECTIONMONITOR WEIGHT , GIVE ONCE A DAY MONITOR WEIGHT , GIVE ONCE A DAY
DOSE IN THE MORNING TO AVOID DOSE IN THE MORNING TO AVOID INSOMNIAINSOMNIAGIVEN 48 HOURS BEFORE DELIVERYGIVEN 48 HOURS BEFORE DELIVERY
Buspirone Hcl ( Buspar)Buspirone Hcl ( Buspar) Anxiolytic ( SRI and Dopamine agonist)Anxiolytic ( SRI and Dopamine agonist) Decreased anxietyDecreased anxiety Give with food or 8h before and after drinking Give with food or 8h before and after drinking
grapefruit juicegrapefruit juice Causes dizziness, drowsiness and headache, Causes dizziness, drowsiness and headache,
nausea,palpitations; desired response seen in 7-nausea,palpitations; desired response seen in 7-10 days(optimal 3-4 wks)10 days(optimal 3-4 wks)
Monitor cardiovascular parameters if taken with Monitor cardiovascular parameters if taken with digoxin;ensure compliance; report ASAP the digoxin;ensure compliance; report ASAP the following manifestations: nervousness, following manifestations: nervousness, nightmares, involuntary movements of the neck nightmares, involuntary movements of the neck or face, blurred vision and depression; monitor or face, blurred vision and depression; monitor dystonia , GUT function and LFT’sdystonia , GUT function and LFT’s
CLOZARIL-CLOZAPINECLOZARIL-CLOZAPINE
ANTIPSYCHOTICANTIPSYCHOTIC DECREASED DELUSION,HALLUCINATIONS DECREASED DELUSION,HALLUCINATIONS
AND LOOSENESS OF ASSOCIATIONAND LOOSENESS OF ASSOCIATION BEST TAKEN AFTER MEALSBEST TAKEN AFTER MEALS REPORT SORETHROAT AND AVOID REPORT SORETHROAT AND AVOID
EXPOSURE TO SUNLIGHTEXPOSURE TO SUNLIGHT CHECK BP – CAUSES HYPOTENSION, CHECK BP – CAUSES HYPOTENSION,
ASSESS FOR AKATHISIA, TARDIVE ASSESS FOR AKATHISIA, TARDIVE DYSKENISIA-TONGUE TWITCHING AND LIP DYSKENISIA-TONGUE TWITCHING AND LIP SMACKINGSMACKING
LIBRIUM-LIBRIUM-CHLORDIAZEPOXIDECHLORDIAZEPOXIDE
ANTIANXIETY-BENZODIAZEPINESANTIANXIETY-BENZODIAZEPINESDECREASED ANXIETY AND INC. DECREASED ANXIETY AND INC.
RELAXATIONRELAXATIONWITH FOOD OR MILKWITH FOOD OR MILKNO ACTIVITY REQUIRING NO ACTIVITY REQUIRING
ALERTNESS , SUGARLESS GUMALERTNESS , SUGARLESS GUMHOLD DRUG IF BP DROPS MORE THAN HOLD DRUG IF BP DROPS MORE THAN
20 MMHG , WATCH OUT FOR ECG 20 MMHG , WATCH OUT FOR ECG CHANGES AND TACHYCARDIA-REFERCHANGES AND TACHYCARDIA-REFER
Dilantin ( Phenytoin Na)Dilantin ( Phenytoin Na) Anti convulsantsAnti convulsants Decrease in seizure activity- by decreasing flow Decrease in seizure activity- by decreasing flow
of calcium and Na across neuronal membranesof calcium and Na across neuronal membranes Give with at least ½ glass of water or with meals Give with at least ½ glass of water or with meals
to decrease GI irritationto decrease GI irritation Red brown or pink discoloration of urine may Red brown or pink discoloration of urine may
occur, never mix with any drug or dextrose IV; occur, never mix with any drug or dextrose IV; perform oral care – gingival hyperplasia;perform oral care – gingival hyperplasia;causes catdiovascular depression, causes catdiovascular depression, agranulocytosis and aplastic anemiaagranulocytosis and aplastic anemia
Avoid alcohol and activities that require Avoid alcohol and activities that require alertness; increase vitamin D and exposure to alertness; increase vitamin D and exposure to sunlight in prolonged use; sunlight in prolonged use;
DOPAMINE( Intropin)DOPAMINE( Intropin) ADRENERGIC AGENTADRENERGIC AGENT BROCHODILATION AND INCREASED bp AND BROCHODILATION AND INCREASED bp AND
HEART RATEHEART RATE GIVEN FOR CARDIAC ARREST AND COPD – GIVEN FOR CARDIAC ARREST AND COPD –
STATSTAT MONITOR BP , CARDIAC MONITORING , MONITOR BP , CARDIAC MONITORING ,
PERIPERAL PULSES ,OUTPUT AND CBG – PERIPERAL PULSES ,OUTPUT AND CBG – CAN CAUSE HYPERGLYCEMIACAN CAUSE HYPERGLYCEMIA
DON’T MIX WITH OTHER SOLUTIONS, CAN DON’T MIX WITH OTHER SOLUTIONS, CAN CAUSE ARRYTHMIAS, ANTICHOLINERGIC CAUSE ARRYTHMIAS, ANTICHOLINERGIC EFFECTS AND TREMORSEFFECTS AND TREMORS
GARAMYCIN(GENTAMYCIN)GARAMYCIN(GENTAMYCIN)
AMINOGLYCOSIDE,BACTERICIDALAMINOGLYCOSIDE,BACTERICIDAL - INFECTION- INFECTIONNO SPECIFIC TIMENO SPECIFIC TIME INCREASE FLUID INTAKE, TINNITUS INCREASE FLUID INTAKE, TINNITUS
INDICATES OTOTOXICITYINDICATES OTOTOXICITYMONITOR FOR SIGNS AND SYMPTOMS MONITOR FOR SIGNS AND SYMPTOMS
OF OTOTOXICITY, NEPHROTOXICITY OF OTOTOXICITY, NEPHROTOXICITY AND NEUROTOXICITYAND NEUROTOXICITY
INDERAL -PROPANOLOLINDERAL -PROPANOLOL
ANTI ANGINAL, ANTIARRYTHMIC, ANTI ANGINAL, ANTIARRYTHMIC, ANTIHYPERTENSIVE,REDUCES PORTAL ANTIHYPERTENSIVE,REDUCES PORTAL PRESSURE AND DECREASES THE RISK OF PRESSURE AND DECREASES THE RISK OF BLEEDING FROM ESOPHAGEAL VARICESBLEEDING FROM ESOPHAGEAL VARICES
DECREASED BPDECREASED BP BEST TAKEN WITH MEALSBEST TAKEN WITH MEALS AVOID DRIVING , DO NOT DISCONTINUE AVOID DRIVING , DO NOT DISCONTINUE
ABRUPTLYABRUPTLY CHECK BP – CAUSES HYPOTENSIONCHECK BP – CAUSES HYPOTENSION
ISORDILISORDIL
ANTIANGINAL/RELAXES SMOOTH ANTIANGINAL/RELAXES SMOOTH MUSCLESMUSCLES
DECREASED BPDECREASED BPBEST TAKEN ON EMPTY STOMACHBEST TAKEN ON EMPTY STOMACHCHANGE POSITION SLOWLY, CAUSES CHANGE POSITION SLOWLY, CAUSES
FACIAL FLUSHINGFACIAL FLUSHINGCHECK BP, DO NOT CHEW SUSTAINED CHECK BP, DO NOT CHEW SUSTAINED
RELEASE FORMRELEASE FORM
LEVODOPALEVODOPA
ANTIPARKINSONISMANTIPARKINSONISMMUSCLES BECOME LESS STIFFMUSCLES BECOME LESS STIFFBEST TAKEN WITH MEALSBEST TAKEN WITH MEALSAVOID FOODS CONTAINING B6 OR AVOID FOODS CONTAINING B6 OR
CHON RICH FOODS-DECREASES CHON RICH FOODS-DECREASES ABSORPTIONABSORPTION
ENSURE PATIENT VOIDS-MAY CAUSE ENSURE PATIENT VOIDS-MAY CAUSE URINARY RETENTIONURINARY RETENTION
LITHIUM CARBONATELITHIUM CARBONATE ANTIMANICANTIMANIC DECREASED HYPERACTIVITYDECREASED HYPERACTIVITY BEST TAKEN AFTER MEALSBEST TAKEN AFTER MEALS INCREASE OFI’S 3 L/D AND Na 3 GM./DAYINCREASE OFI’S 3 L/D AND Na 3 GM./DAY AVOID ACTIVITIES THAT INCREASE AVOID ACTIVITIES THAT INCREASE
PERSPIRATIONPERSPIRATION TAKES 10-14 DAYS BEFORE THERAPEUTIC TAKES 10-14 DAYS BEFORE THERAPEUTIC
EFFECT BECOMES EVIDENT.ANTIPSYCHOTIC EFFECT BECOMES EVIDENT.ANTIPSYCHOTIC GIVEN DURING THE FIRST TWO WEEKS TO GIVEN DURING THE FIRST TWO WEEKS TO MANAGE ACUTE SYMPTOMSMANAGE ACUTE SYMPTOMS
MONITOR SERUM LEVEL , NAVDA-INDICATES MONITOR SERUM LEVEL , NAVDA-INDICATES TOXICITY, MANNITOL - ANTIDOTETOXICITY, MANNITOL - ANTIDOTE
TOFRANIL( Imipramine)TOFRANIL( Imipramine)
TCA ‘sTCA ‘sDecrease in brain amine levels – Decrease in brain amine levels –
alleviation of depression and relief of alleviation of depression and relief of obstructive sleep apneaobstructive sleep apnea
Same time in AM ;give sugarless candySame time in AM ;give sugarless candyCauses sedation urinary retention and Causes sedation urinary retention and
confusion( elderly) and photosensitivityconfusion( elderly) and photosensitivityDo not stop abruptly(HA , vertigo, Do not stop abruptly(HA , vertigo,
nightmares,malaise and weight change) ; nightmares,malaise and weight change) ; avoid OTC’s, alcohol and sleep inducersavoid OTC’s, alcohol and sleep inducers
TODAY WILL NEVER HAPPEN AGAIN ; TODAY WILL NEVER HAPPEN AGAIN ; DO NOT START IT WITH A BAD BAD DO NOT START IT WITH A BAD BAD IMPRESSION THAT THINGS ARE IMPRESSION THAT THINGS ARE DIFFICULT …….AND THAT YOU DIFFICULT …….AND THAT YOU CANNOT MASTER CANNOT MASTER ANYTHING…….REMEMBER YOU ARE ANYTHING…….REMEMBER YOU ARE NOT BORN TO FAIL AND TAKING A NOT BORN TO FAIL AND TAKING A SECOND CHANCE IS NOT AN SECOND CHANCE IS NOT AN OPTION…… YOU ARE BORN TO MAKE OPTION…… YOU ARE BORN TO MAKE IT GOOD.IT GOOD.
IT’S ALL IN THE MIND!!!!IT’S ALL IN THE MIND!!!!
BULLETSBULLETS
SALICYLATE POISONING-SALICYLATE POISONING-TINNITUS,NAVDA,LETHARGY/EXCITABILITY, TINNITUS,NAVDA,LETHARGY/EXCITABILITY, HYPERVENTILATION AND HYPERVENTILATION AND HYPERTHERMIA,METABOLIC ACIDOSISHYPERTHERMIA,METABOLIC ACIDOSIS
LIDOCAINE TOXICITYLIDOCAINE TOXICITY SLURRED SPEECHSLURRED SPEECH ALTERED CNSALTERED CNS MUSCLE TWITCHINGMUSCLE TWITCHING SEIZURESSEIZURES
TOXIC LEVELTOXIC LEVELLITHIUM 2.0 MeQ/lLITHIUM 2.0 MeQ/lDIGOXIN 2.0 NG/MLDIGOXIN 2.0 NG/MLTHEOPHYLLINE 20 MCG/MLTHEOPHYLLINE 20 MCG/ML
THIS DRUGS CAN INTERACTTHIS DRUGS CAN INTERACTTHEOPHYLLINE,DILANTIN,COUMADIN,ILOTHEOPHYLLINE,DILANTIN,COUMADIN,ILO
SONESONETETRACYCLINE AND QUINOLONES-NO TETRACYCLINE AND QUINOLONES-NO
TO PREGNANCYTO PREGNANCYAMINO GLYCOSIDE TOXICITYAMINO GLYCOSIDE TOXICITY
OTOTOXICITY AND NEPHROTOXICITYOTOTOXICITY AND NEPHROTOXICITY
PEAK – 1 ½ HOURS AFTER PEAK – 1 ½ HOURS AFTER ADMINISTRATIONADMINISTRATION
TROUGH – 30 MINUTES PRIOR TO THE TROUGH – 30 MINUTES PRIOR TO THE NEXT DOSENEXT DOSE
ORAL BIRTH CONTROL PILLS-COMP.ORAL BIRTH CONTROL PILLS-COMP.ABDOMINAL PAINABDOMINAL PAINCHEST PAIN-SOBCHEST PAIN-SOBHEADACHES AND HYPERTENSIONHEADACHES AND HYPERTENSIONEYE PROBLEMSEYE PROBLEMSSEVERE LEG PAINSEVERE LEG PAIN
LEADS – EMERGENCY DRUGSLEADS – EMERGENCY DRUGSBETA BLOCKER ACTIONSBETA BLOCKER ACTIONS
BETA 1 – HEARTBETA 1 – HEARTBETA 2 – LUNGSBETA 2 – LUNGS
SIDE EFFECTS OF ADRENERGIC SIDE EFFECTS OF ADRENERGIC ANTAGONIST BETA BLOCKERSANTAGONIST BETA BLOCKERSHYPOTENSIONHYPOTENSIONDROWSINESS/DEPRESSIONDROWSINESS/DEPRESSIONSYMPTOMS OF CHFSYMPTOMS OF CHFBRADYCARDIABRADYCARDIA
EXAMPLES EXAMPLES PROPANPROPANOLOLOLOL,TENORMIN,LOPRESSOR,TENORMIN,LOPRESSOR
SIDE EFFECTS OF ADRENERGIC SIDE EFFECTS OF ADRENERGIC ANTAGONIST ALPHA BLOCKERSANTAGONIST ALPHA BLOCKERSSEXUAL DYSFUNCTIONSEXUAL DYSFUNCTIONTACHYCARDIATACHYCARDIAORTHOSTATIC HYPOTENSIONORTHOSTATIC HYPOTENSIONVERTIGOVERTIGO
DOXAZOSIN ( CARDURA)DOXAZOSIN ( CARDURA)PRAZOSIN (MINIPRESS)PRAZOSIN (MINIPRESS)METHYLDOPA ( ALDOMET)METHYLDOPA ( ALDOMET)
CALCIUM ANTAGONISTS – VERY NICE CALCIUM ANTAGONISTS – VERY NICE DRUGSDRUGS
BLOCKS CALCIUM ACCESS TO CELLS BLOCKS CALCIUM ACCESS TO CELLS CAUSING DECREASED CAUSING DECREASED COTRACTILITY,CONDUCTIVITY OF THE COTRACTILITY,CONDUCTIVITY OF THE HEART AND DEC. FOR OXYGEN DEMANDHEART AND DEC. FOR OXYGEN DEMAND
SIDE SIDE EFFECTS:HYPOTENSION,BRADYCARDIA(AV EFFECTS:HYPOTENSION,BRADYCARDIA(AV BLOCK-BLOCK-PRECIPITATES)HA,ABDL.DISC,PERIPHERAL PRECIPITATES)HA,ABDL.DISC,PERIPHERAL EDEMAEDEMA
EXAMPLES:EXAMPLES: VERAPAMIL NIFEDIPINE DIALTIZEMVERAPAMIL NIFEDIPINE DIALTIZEM VERY NICE DRUGSVERY NICE DRUGS
DRUGS FOR BRADYCARDIADRUGS FOR BRADYCARDIA
ISOPROTERINOLISOPROTERINOLDOPAMINEDOPAMINEEPINEPHRINEEPINEPHRINEATROPHINEATROPHINE
ANTIHYPERTENSIVE DRUGSANTIHYPERTENSIVE DRUGS ACE ACE
INHIBITORS-CAPOTEN/CAPTOPRIL,VASINHIBITORS-CAPOTEN/CAPTOPRIL,VASOTEC/ENALAPRIL,LOTENSIN/BENZAPRILOTEC/ENALAPRIL,LOTENSIN/BENZAPRIL))
BETA – BLOCKERS- BETA – BLOCKERS- INDERAL/PROPANOLOL, INDERAL/PROPANOLOL, TENORMIN/ATENOLOLTENORMIN/ATENOLOL
CALCIUM ANTAGONIST- CALAN CALCIUM ANTAGONIST- CALAN ISOPTIN/VERAPAMIL, ISOPTIN/VERAPAMIL, CARDIZEM/DIALTIZEM, PROCARDIA/ CARDIZEM/DIALTIZEM, PROCARDIA/ NIFEDIPINENIFEDIPINE
ACE INHIBITORS-ACE INHIBITORS-
SIDE EFFECTS-DIZZINESSSIDE EFFECTS-DIZZINESS ORTHOSTATIC HYPOTENSIONORTHOSTATIC HYPOTENSION GI DISTRESSGI DISTRESS COUGH COUGH HEADACHEHEADACHE
ACTIONS- DECREASED PERIPHERAL ACTIONS- DECREASED PERIPHERAL VASCULARRESISTANCE WITHOUT VASCULARRESISTANCE WITHOUT INCREASED CARDIAC OUTPUT,CARDIAC INCREASED CARDIAC OUTPUT,CARDIAC RATE AND CARDIAC CONTRACTILITYRATE AND CARDIAC CONTRACTILITY
B-BLOCKERSB-BLOCKERS
ACTION – BLOCKS BETA RECEPTORS ACTION – BLOCKS BETA RECEPTORS IN THE HEART CAUSING DECREASED IN THE HEART CAUSING DECREASED HEART RATE, FORCE OF HEART RATE, FORCE OF CONDUCTION AND RATE OF AV CONDUCTION AND RATE OF AV CONDUCTIONCONDUCTION
SIDE EFFECTS- SIDE EFFECTS- BRADYCARDIA,LETHARGY,GI DIST. BRADYCARDIA,LETHARGY,GI DIST. CHF ,HYPOTENSION,DEPRESSIONCHF ,HYPOTENSION,DEPRESSION
ANTI-CANCER DRUGS-ADVERSE ANTI-CANCER DRUGS-ADVERSE REACTIONS AND PRECAUTIONSREACTIONS AND PRECAUTIONS
NAVDANAVDABONE MARROW SUPPRESSIONBONE MARROW SUPPRESSIONALOPECIAALOPECIA (AVOID PREGNANCY)(AVOID PREGNANCY)
CHOLINERGIC CRISIS- (WEAKNESS)CHOLINERGIC CRISIS- (WEAKNESS)
SALIVATIONSALIVATIONLACRIMATIONLACRIMATIONURINATION URINATION DEFECATIONDEFECATION
SYMPATHETIC/ANTI SYMPATHETIC/ANTI -CHOLINERGIC/ADRENERGIC- -CHOLINERGIC/ADRENERGIC- FIGHT/FLIGHTFIGHT/FLIGHT
PARASYMPATHETIC-REST AND DIGESTPARASYMPATHETIC-REST AND DIGEST
STEROIDS- (ENDS IN ONE) ANTI-STEROIDS- (ENDS IN ONE) ANTI-INFLAMMATORYINFLAMMATORY
INH –INCREASE B6INH –INCREASE B6LEVODOPA – DECREASE B6LEVODOPA – DECREASE B6MAO-NO MAO-NO
PICKLES,WINE,CHEES,BARBITURATESPICKLES,WINE,CHEES,BARBITURATES,TRICYCLIC ,TRICYCLIC ANTIDEPRESSANTS,ANTIHISTAMINES,ANTIDEPRESSANTS,ANTIHISTAMINES,ANTIHYPERTENSIVES,OTC COLD ANTIHYPERTENSIVES,OTC COLD MEDSMEDS
SWEATING,TREMORS,HYPERTHERMIA,HPN,SWEATING,TREMORS,HYPERTHERMIA,HPN,BOUNDING HEARTBOUNDING HEART