Drug Card Templates (1)-1

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Miller Motte Technical College *

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AHS1520

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Medicine

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Jan 9, 2024

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pdf

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8

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DRUG CARD Example Classification: subcategory(s) of a main category, ex: Main = Cardiovascular, Class = anti-arrhythmic Generic Name : written in small letters Trade Name: given by manufacturer, written in capital letters Schedule No: C-1 to C-V Actions: description of the cellular changes that occur with the drug Indications/Uses: medical conditions/diseases for which the drug is to be used Contraindications: conditions for which the drug should NOT be given Common Side Effects/Toxicity: unpleasant, harmful, or dangerous secondary effects of the drug. May also be referred to as adverse reactions. Patient Education (Key Points): what the patient should know to safely and effectively take this drug Special Instructions: include harmful interactions, cautions Use the Top 100 Drug List to complete the ten drug cards that are due this week. Type the information into the card templates, save to your computer, and upload it to the assignment link in Connect.
DRUG CARD Classification: Narcotic Analgesic Generic Name: Hydrocodone/APA Trade Name: NORCO/VICODIN Schedule No: C-II Actions: Hydrocodone is a full opioid agonist that interacts with the mu-receptors and, to a lesser extent, with delta receptors in the body. Activated mu-opioid receptors lead to inhibition of nociceptive pain reflexes and induce profound analgesia without affecting other sensory modalities such as touch. Indications/Uses: Moderate-to-severe pain control in postoperative patients, patients with trauma, or patients with cancer. Contraindications: Patients with severe respiratory depression, acute or significant bronchial asthma, gastrointestinal obstruction, and anaphylactic reactions due to components of the formula. Common Side Effects/Toxicity: Nausea, vomiting, constipation, lightheadedness, dizziness or drowsiness may occur. WARNING : Acetaminophen has been associated with fatal hepatic necrosis if taken at doses more than 4 g per day, especially with the ingestion of another acetaminophen-containing product. Hydrocodone intake may lead to life-threatening respiratory depression, especially if taken together with benzodiazepines or other CNS depressants. Signs of confusion and over-sedation in the elderly, Addiction, abuse, or misuse behaviors and conditions during treatment, Signs of respiratory depression, especially within 24 to 72 hours of treatment initiation and after dose increases. Patient Education (Key Points): This medicine should only be taken on an as-needed basis. You may take it less often than every 4 to 6 hours, but do not take it more often. It takes about 20 minutes for this medicine to start working. Like other narcotic pain medicines, this medicine can cause drowsiness, nausea, constipation and dizziness. Special Instructions: Tell your doctor and pharmacist if you are allergic to hydrocodone, any other medications, or any of the ingredients in hydrocodone extended-release capsules or extended-release tablets. Ask your pharmacist or check the Medication Guide for a list of the ingredients. DRUG CARD Classification: Hormones Generic Name: Levothyroxine Sodium Trade Name: SYNTHROID Schedule No: Actions: Is a synthetic thyroid hormone replacement; stimulates metabolism. Indications/Uses: Hypothyroid conditions such as cretinism, myxedema, goiter, mild hypothyroidism, surgical removal of thyroid gland.
Contraindications: I n patients with untreated subclinical (suppressed serum TSH level with normal T 3 and T 4 levels) or overt thyrotoxicosis of any etiology and in patients with acute myocardial infarction. Common Side Effects/Toxicity: Muscle weakness, headache, leg cramps, nervousness, trouble sleeping, diarrhea, skin rash, and partial hair loss. WARNING : Signs of toxicity include fast or irregular heartbeats, chest pain, shortness of breath, fever, hot flashes, sweating, tremors, feeling unusually cold, weakness, tiredness, sleep problems (insomnia), memory problems, feeling depressed, feeling irritable,headache, leg cramps, and muscle aches. Patient Education (Key Points): Levothyroxine oral works best if you take it on an empty stomach, 30 to 60 minutes before breakfast. Follow your doctor's dosing instructions and try to take the medicine at the same time each day. Swallow the tablet or capsule whole, with a full glass (8 ounces) of water. Special Instructions: 25-100 mg PO daily in a single dose; increase by 50-100 mg PO every 1-4 weeks until desired response occurs. DRUG CARD Classification: Antihypertensives Generic Name: Lisinopril Trade Name: PRINIVIL/ZESTRIL Schedule No: Actions: (ACE inhibitor) Suppresses the renin-angiotensin aldosterone system Indications/Uses: Hypertension Contraindications: In patients with hyperkalemia, a history of angioedema, renal failure with prior lisinopril use, bilateral renal artery stenosis, concomitant use with aliskiren in patients with diabetes mellitus, and during coadministration with a neprilysin inhibitor or within 36 hours of taking one Common Side Effects/Toxicity: Hypotension, dizziness; headache, fatigue, vertigo, cough, asthenia, and rash. Patient Education (Key Points): Drink plenty of water each day while you are taking this medicine. Lisinopril can be taken with or without food. Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Special Instructions: 20-40 mg daily
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DRUG CARD Classification: Antillpemics Generic Name: Simvastatin Trade Name: ZOCOR Schedule No: Actions: Decreases elevated total and LDL cholesterol and triglycerides. Indications/Uses: Hypercholesterolemia Contraindications: Patients with contraindications to simvastatin pharmacotherapy include those with active liver disease, including those who have elevated hepatic enzymes, pregnancy, and women who may become pregnant or who are breastfeeding. Common Side Effects/Toxicity: Rhabdomyolysis with renal dysfunction secondary to myoglobinuria, nausea, vomiting, diarrhea, dysfunction of certain cranial nerves, and headaches. Patient Education (Key Points): Take simvastatin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Shake suspension well for at least 20 seconds before each use. If you will be taking the simvastatin suspension, do not use a household teaspoon to measure your dose. Special Instructions: 40 mg daily in the evening or 80 mg tid DRUG CARD Classification: Antibiotics Generic Name: Azithromycin Trade Name: ZITHROMAX Schedule No: Actions: Binds to the bacterial 50S ribosomal subunit inhibiting protein synthesis (macrolide). Indications/Uses: Acute bacterial exacerbations of COPD due to Haemophilus influenzae, moraxella catarrhalis, streptococcus pnemoniae, pneumonia, genital ulcers, skin infections, urethritis, and cervicitis. Contraindications: diarrhea from an infection with Clostridium difficile bacteria, low amount of magnesium in the blood, low amount of potassium in the blood, myasthenia gravis, a skeletal muscle disorder, hearing loss, torsades de pointes, a type of abnormal heart rhythm, and slow heartbeat. Common Side Effects/Toxicity: Nausea, vomiting, diarrhea, abdominal pain, dyspepia, anorexia, dizziness, and headache.
Patient Education (Key Points): You may take azithromycin oral with or without food. Shake the oral suspension (liquid) before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Special Instructions: 500 mg PO on day 1 followed by 250 mg daily on days 2-5 for a total of 1.5 g. DRUG CARD Classification: Antillpemics Generic Name: Rosuvstatin Trade Name: CRESTOR Schedule No: Actions: Inhibits HMG-CoA reductase Indications/Uses: Hyhpercholestrolemia Contraindications: Hypersensitivity, Active liver disease, elevated liver function tests (LFTs), Pregnancy, and lactation. Common Side Effects/Toxicity: Myalgia, constipation, asthenia, muscle weakness, abdominal pain, and nausea. Patient Education (Key Points): Usually taken once a day, with or without food. Take the medicine at the same time each day. While using rosuvastatin, you may need frequent blood tests. Keep using this medicine as directed, even if you feel well. Special Instructions: 10 mg/daily DRUG CARD Classification: Proton Pump Inhibitors Generic Name: Esomeprazole Trade Name: NEXIUM Schedule No: Actions: Suppresses gastric acid Indications/Uses: Treatment for active duodenal ulcers with anti-infectives for Helicobacter pylori infection; gastroesophageal reflux disease.
Contraindications: I n patients with known hypersensitivity to substituted benzimidazoles or to any component of the formulation. Hypersensitivity reactions may include anaphylaxis, anaphylactic shock, angioedema, bronchospasm, acute interstitial nephritis, and urticaria Common Side Effects/Toxicity: Headache, dizziness, diarrhea, flatulence, cough and rash. Patient Education (Key Points): Take each dose with a full glass (8 ounces) of water. Esomeprazole should be taken at least one hour before a meal. Swallow the pill whole and do not crush, chew, break, or open it. If you cannot swallow a capsule whole, open it and sprinkle the medicine into a spoonful of pudding or applesauce. Special Instructions: 20-40 mg every day for 4-8 weeks in the treatment of gastroesophageal reflux disease; 40 mg bid for 10 days in combination with an antibiotic. DRUG CARD Classification: Antillpemics Generic Name: Atorvastatin Calcium Trade Name: LIPITOR Schedule No: Actions: Decreases elevated total and LDL cholesterol and triglyceride levels while increasing HDL cholesterol Indications/Uses: Hypercholesterolemia Contraindications: Hypersensitivity to atorvastatin, Active liver disease or unexplained transaminase elevation, Your doctor should not prescribe this medication if you are a patient with liver problems, untreated decreased level of thyroid hormones, Common Side Effects/Toxicity: Flatulence, dyspepsia, headache, myalgia and rash. Patient Education (Key Points): Take atorvastatin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Your doctor may start you on a low dose of atorvastatin and gradually increase your dose, not more than once every 2 to 4 weeks. Continue to take atorvastatin even if you feel well. Special Instructions: 10-20 mg/day initially; the range may be 10-80mg daily DRUG CARD
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Classification: Nonsteroidal Anti-inflammatory Drugs Generic Name: Ibuprofen Trade Name: MOTRIN Schedule No: Actions: Reduces pain, inflammation, fever; inhibits prostaglandin synthesis Indications/Uses: Rheumatoid arthritis, osteoartritis, mild to moderate pain Contraindications: use with caution if you are 65 and over, breastfeeding or if you have: asthma, kidney or liver problems, lupus, Crohn's disease or ulcerative colitis, previously had any bleeding in your stomach, high blood pressure (hypertension), and narrowing of the arteries (peripheral arterial disease). Common Side Effects/Toxicity: Epigastric distress, nausea, headache, dizziness, tinnitus, rash, visual disturbances, gastrointestinal bleeding, renal impairment, may inhibit platelet aggregation and prolong bleeding time; may increase bleeding time if co-administered with corticosteroids, anticoagulants, and use of alcohol. Patient Education (Key Points): Use the lowest dose that is effective in treating your condition. An ibuprofen overdose can damage your stomach or intestines. The maximum amount of ibuprofen for adults is 800 milligrams per dose or 3200 mg per day (4 maximum doses). A child's dose of ibuprofen is based on the age and weight of the child. Special Instructions: 200-800 mg PO tid or qid, adjusted individually; give with milk or food if stomach irritation occurs; takes up to 2 weeks to show effects, if no relief in 2 weeks, consult provider. DRUG CARD Classification: Atihypertensives Generic Name: Metoprolol Tartrate Trade Name: LOPRESSOR Schedule No: Actions: (Beta blocker) Decreases cardiac output, peripheral resistance, and cardiac oxygen consumption. Indications/Uses: Management of hypertension; most effective when used with a thiazide diuretic or another hypertensive. Contraindications: In patients with severe bradycardia, sick sinus syndrome, second- or third-degree AV block, cardiogenic shock, decompensated heart failure, and sick sinus syndrome unless a functioning pacemaker is present. Common Side Effects/Toxicity: Respiratory distress, bradycardia, dizziness, fatigue, diarrhea, and nausea.
Patient Education (Key Points): Metoprolol should be taken with a meal or just after a meal. Take the medicine at the same time each day. Swallow the capsule whole and do not crush, chew, break, or open it. Special Instructions: 100 mg/day in single or divided doses; maintenance dose: 100-450 mg/day.