ANALGESICS:

1. Aspirin: Do not give together with other anticoagulants. Stop taking

Aspirin some days before surgery. Do not give to children with viral infection(Reye syndrome) 2. NSAIDs e.g. IbuprofenTake with food; contraindicated for people with GI ulcers 3. Morphine (narcotic) A respiratory depressant. It should be withheld if the respirations are below 10 ANTI-CONVULSANTS:
4. Dilantin: Causes gum hyperplasia. Advice client to visit dentist

frequently ANTIINFLAMMATORY/STEROIDS
5. Predisone: Causes Cushing like symptoms. Common side effects are

immunosupression(monitor client for infection), hyperglycemia ANTI-COAGULANTS

6. Heparin: Monitor pts lab work-PTT. Antidote is protamine

sulfate 7. Coumadin: Monitor pts lab workPT. Antidote is Vitamin K ANTI-PARKINSONIAN (8 )Cogentin: Used to treat EPS (9)Sinemet: Drug is effective when tremors are not observed RESPIRATORY (10)Theophylline/Aminophylline: Side effects--Tachycardia CARDIOVASCULAR (11)Digoxin (Lanoxin): Signs of toxicity: Pt will complaint of visual change in colors. They would also complain of loss of appetite. ANTIHYPERTENSIVE (PRE-ECLAMPSIA)

(12)Magnesium Sulfate: Monitor for deep tendon reflex and respiratory depression

DIURETICS (13)Hydrochlothiazide: Monitor potassium levels (14)Lasix: Monitor potassium levels (15)Aldactone: Potassium sparing PSYCHOTROPICS (16) Lithium Carbonate: Know therapeutic range (0.8 to 1.2mEq). Also know symptoms of toxicity. Adequate fluid and salt intake is important. (17) MAOI inhibitors: Have dangerous food-drug interactions. Food with Tyramine should be avoided. For example: aged cheese, wine etc. (18) Disulfiram (Antabuse): Used for alcohol aversion therapy. Clients started on Disulfiram must avoid any form of alcohol or they would develop a severe reaction. Teach pt to avoid some over-the-counter cough preparations, mouthwash etc. MATERNITY (18) Oxytocin: Assess uterus frequently for tetanic contraction. ANTIDOTES (19) Narcan: Reverses the effects of narcotics (20)Calcium Gluconate: Antidote for magnesium sulfate (21)Vitamin K: Antidote for Coumadin Questions have been asked on NCLEX recently about the following drugs: (22Tegretol: side effects. (23)Atropine: What checks do you do before giving this drug (BP.)

(24)Epogen: Used in treating anemia because it increases RBC production. (25) Acyclovir: anti-viral medication used in treating shingles. EXTRA NOTES:
A. When a client is on antibiotics, teach the client to continue

taking the medication even though they feel better B. Monitor client taking antibiotics such as Vancomycin for ototoxicity. Pt will complain of tinnitus, room spinning (vertigo) and nausea. C. Clients taking vasodilators e.g. Verapramil would complain of headache