Pharmacology Points

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·         Don’t give non-selective beta-blockers to patients with respiratory problems
·         Vitamin C can cause false +ive occult blood
·         Avoid the ‘G’ herbs (ginsing, ginger, ginko, garlic) when on anti-clotting drugs (coumadin, ASA, Plavix, etc)
·         ASA toxicity can cause ringing of the ears
·         No narcotics to any head-injury victims
·         Mg2+ toxicity is treated with Calcium Gluconate
·         Do not give Calcium-Channel Blockers with Grapefruit Juice
·         Oxytocin is never administered through the primary IV
·         Lithium patients must consume extra sodium to prevent toxicity
·         MAOI Patients should avoid tyramine: Avocados, bananas, beef/chicken liver, caffeine, red wine, beer, cheese (except cottage cheese), raisins, sausages, pepperoni, yogurt, sour cream.
·         Don’t give atropine for glaucoma – it increases IOP
·         Don’t give ant-acids with food — b/c it delays gastric emptying.
·         Don’t give Stadol to Methadone/Heroin Preggo’s — cause instant withdrawal symptoms
·         Insulin – clear before cloudy (withdrawing sequence)
·         Don’t give meperidine (Demerol) to pancreatitis patients
·         Always verify bowel sounds when giving Kayexelate
·         Hypercalcemia = hypophosphatemia (and vice versa)
·         Radioactive Dye – urine excretion
·         Signs of toxic ammonia levels is asterixis (hands flapping)
·         D10W can be substituted for TPN (temporary use)
·         Dopamine and Lasix are incompatible
·         Hypoglycemic shivers can be stopped by holding the limb, seizures cannot (infants)
·         Common Side effect of aluminum hydroxide – constipation
·         Thiazide diuretics may induce hyperglycemia
·         Take iron with Vit C – it enhances absorbtion – Do not take with milk
·         B1 – For Alcoholic Patients (to prevent Wernicke’s encephalopathy & Korsakoff’s syndrome)
·         B6 – For TB Patients
·         B9 – For Pregnant Patients
·         B12 – Pernicious anemia, Vegetarians.
·         Complications of Coumadin – 3H’s – Hemorrhage, hematuria & hepatitis
·         FFP is administered to DIC b/c of the clotting Fx
·         Mannitol (osmtic diuretic [Head injury]) crystallizes at room temp – use a filter needle
·         Antianxiety medication is pharmacologically similar to alcohol –used for weaning Tx
·         Administrate Glucagon when pt is hypoglycemia and unresponsive
·         Phenazopyridine ( Pyridium)–Urine will appear orange
·         Rifampicin — Red-urine, tears, sweat)
·         Hot and Dry = sugar high (hyperglycemia)
·         Cold and clammy = need some candy (hypoglycemia)
·         Med of choice for V-tach is lidocaine
·         Med of choice for SVT = adenosine or adenocard
·         Med of choice for Asystole = atropine
·         Med of choice for CHF is Ace inhibitor.
·         Med of choice for anaphylactic shock is Epinephrine
·         Med of choice for Status Epilepticus is Valium.
·         Med of choice for bipolar is lithium.
·         Give ACE inhibitors w/food to prevent stomach upset
·         Administer diuretics in the morning
·         Give Lipitor at 1700 since the enzymes work best during the evenin
·         Common Tricyclic Meds – 3 syllabes (pamelor, elavil)
·         Common MAOI’s – 2 syllables (nardil, marplan)
·         TPN has a dedicated line & cannot be mixed ahead of time
·         RHoGAM — Given at 28 weeks & 72 hrs postpartum
·         Do not administer erythromycin to Multiple Sclerosis pt
·         Benadryl and Xanax taken together will cause additive effects.
·         Can’t take Lasix if allergic to Sulfa drugs.
·         Acetaminophen can be used for headache when the client is using nitroglycerin.

·         Dilantin – can not give with dextrose. Only give with NS.

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notes.nursium.com: Pharmacology Points
Pharmacology Points
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https://notes.nursium.com/2017/06/pharmacology-points.html
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