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Generic Name: phenazopyridine Trade Name: Pyridium Classification: nonopioid analgesics, urinary tract analgesics
—Action:
 Acts locally on the urinary tract mucosa to produce analgesic or local anesthetic effects. Has no antimicrobial activity. Diminished urinary tract discomfort. —

Function:
Provides relief from the following urinary tract symptoms, which may occur in association with infection or following urologic procedures —

Side effect:
headache, vertigo, hepatotoxicity, nausea. bright-orange urine, renal failure, rash, hemolytic anemia, methemoglobinemia. —

Nursing intervention:
Medication should be discontinued after pain or discomfort is relieved (usually 2 days for treatment of urinary tract infection). Concurrent antibiotic therapy should continue for full prescribed duration Administer medication with or following meals to decrease GI irritation. (Do not crush, break, or chew tablet)
  Generic Name: quetiapine (kwet-EYE-a-peen)
Trade Name: Seroquel
Classification:
  pyschosis and mood stabilizer
—Function:
anti acts by serving as an antagonist of dopamine and serotonin. Also antagonizes histamine H1 receptors and alpha1-adrenergic receptors —
Side effect:
NEUROLEPTIC MALIGNANT SYNDROME, SEIZURES, dizziness, cognitive impairment, extrapyramidal symptoms, sedation, tardive dyskinesia.ear pain, rhinitis, pharyngitis.cough, dyspnea. palpitations, peripheral edema, postural hypotension.anorexia, constipation, dry mouth, dyspepsia.sweating.leukopenia. weight gain, hyperglycemia. flu-like syndrome. —

Nursing intervention:
 PO: May be administered without regard to food. Extended-release tablets should be swallowed whole, do not break, crush, or chew
Generic Name: olanzapine (oh-LAN-za-peen)
Trade Name: Zyprexa
 Classification: antipsychotics, mood stabilizers
—Function:
Acute and maintenance treatment of schizophrenia —

Side effect: NEUROLEPTIC MALIGNANT SYNDROME, SEIZURES, SUICIDAL THOUGHTS, agitation, dizziness, headache, restlessness, sedation, weakness, dystonia, insomnia, mood changes, personality disorder, speech impairment, tardive dyskinesia., amblyopia, rhinitis, ↑ salivation, pharyngitis, cough, dyspnea. orthostatic hypotension, tachycardia, chest pain. —constipation, dry mouth, abdominal pain, ↑ appetite, weight loss or gain, nausea, ↑ thirst.,↓ libido, urinary incontinence. AGRANULOCYTOSIS, leukopenia, neutropenia. photosensitivity.amenorrhea, galactorrhea, gynecomastia, hyperglycemia, goiter.dyslipidemia. hypertonia, joint pain. tremor. fever, flu-like syndrome. —

Nursing intervention:
• Do not confuse Zyprexa (olanzapine) with Celexa (citalopram) or Zyrtec (cetirizine)
  Generic Name: donepezil ( doe-NEP-i-zill)
Trade Name:
Aricept
Classification: anti-Alzheimers's agents
—Function: Mild to moderate dementia associated with Alzheimer's disease

—Sideeffect:
 headache, abnormal dreams, depression, dizziness, drowsiness, fatigue, insomnia, syncope, sedation (unusual). atrial fibrillation, hypertension, hypotension, vasodilation. diarrhea, nausea, anorexia, vomiting, weight gain (unusual). —frequent urination. ecchymoses. hot flashes, weight loss. arthritis, muscle cramps.

 —Nursing intervention: Administer in the evening just before going to bed. May be taken without regard to food
  Generic Name: esomeprazole ( es-o-MEP-ra-zole)
 Trade Name: Nexium
 Classification: antiulcer agents
—Function:
GERD/erosive esophagitis

—Side effect:
headache. abdominal pain, constipation, diarrhea, dry mouth, flatulence, nausea.

 —Nursing intervention:
Administer at least 1 hr before meals. Capsules should be swallowed whole
Generic Name: ergocalciferol (er-goe-kal-SIF-e-role) Trade Name: Drisdol Classification:  vitamin D
—Function: Treatment of familial hypophosphatemia, Treatment of hypoparathyroidism, Treatment of vitamin D-resistant rickets —

Sideeffect:
dizziness, headache, malaise, somnolence, weakness, conjunctivitis, photophobia, rhinorrhea, dyspnea,arrhythmias, edema, hypertension, anorexia, constipation, dry mouth, ↑ liver enzymes, metallic taste, nausea, PANCREATITIS, polydipsia, vomiting, weight loss, albuminuria, azotemia, ↓ libido, nocturia, polyuria, pruritus, hypercalcemia, hyperthermia, bone pain, metastatic calcification, muscle pain. —Nursing intervention: Measure solution accurately with calibrated dropper provided by manufacturer. May be mixed with juice, cereal, or food, or dropped directly into mouth
Generic Name: Alendronate (a-LEN-drone-ate)
 Trade Name: Fosamax Classification: bone resorption inhibitors
—Function: Treatment and prevention of postmenopausal osteoporosis. Treatment of osteoporosis in men, Paget's disease of the bone, corticosteroid-induced osteoporosis in patients (men and women) who are receiving B7.5 mg of prednisone/day (or equivalent) with evidence of decreased bone mineral density

 —Side effect:
 Headache, blurred vision, conjunctivitis, eye pain/inflammation, atrial fibrillation, abdominal distention, abdominal pain, acid regurgitation, constipation, diarrhea, dyspepsia, dysphagia, esophageal cancer, esophageal ulcer, flatulence, gastritis, nausea, taste perversion, vomiting, erythema, photosensitivity, rash, musculoskeletal pain, osteonecrosis (primarily of jaw). —

Nursing intervention:
Do not confuse Fosamax (alendronate) with Flomax (tamsulosin)
Generic Name: levodopa, carbadopa
Trade  Name: sinemet
 Classification: anti-parkinson agent, dopamine agonists
—Action:  relief of tremor and rigidity in parkinson’s syndrome —

Side effect: involuntary movements, anxiety, dizziness, hallucinations, memory loss, psychiatric problem, urges (gambling, sexual), blurred vision, mydriasis, nausea, vomiting, anorexia dry mouth hepatotoxicity, melanoma, hemolyticanemia, leucopenia, darkening of urine or sweat. —
Nursing intervention: PO Controlled –release tablets may be administered as whole or half tablets, but they should not be crushed or chewed
Generic Name:phenytoin (FEN-i-toyn)
 Trade Name: Dilantin
Classification: antiarrhythmics(group IB) , anticonvulsants
—Function: Treatment/prevention of tonic-clonic (grand mal) seizures and complex partial seizures —

Side effect: SUICIDAL THOUGHTS, ataxia, agitation, confusion, dizziness, drowsiness, dysarthria, dyskinesia, extrapyramidal syndrome, headache, insomnia, weakness, diplopia, nystagmus, hypotension (↑ with IV phenytoin), tachycardia,  gingival hyperplasia, nausea, constipation, drug-induced hepatitis, vomitin,  hypertrichosis, rash, exfoliative dermatitis, pruritus, purple glove syndrome, AGRANULOCYTOSIS, APLASTIC ANEMIA, leukopenia, megaloblastic anemia, thrombocytopenia, osteomalacia, osteoporosis, ALLERGIC REACTIONS INCLUDING STEVENS-JOHNSON SYNDROME , fever, lymphadenopathy.

—Nursing intervention:
 When transferring from phenytoin to another anticonvulsant, dosage adjustments are made gradually over several week
Generic Name: zinc sulfate (sink-SUL-fate) Trade Name: Zinc Classification: mineral electrolyte replacements supplements
—Function: Serves as a cofactor for many enzymatic reactions and Required for normal growth and tissue repair, wound healing, and senses of taste and smell —

Sideeffect: gastric irritation (oral use only), nausea, vomiting. —

Nursing intervention: Administer oral doses with food to decrease gastric irritation. Administration with caffeine, dairy products, or bran may impair absorption
Generic Name: amlodipine (am-LOE-di-peen)
Trade Name: Norvasc
Classification: HTN
—Function: Inhibits the transport of calcium into myocardial and vascular smooth muscle cells, resulting in inhibition of excitation-contraction coupling and subsequent contraction

—Sideeffect:
headache, dizziness, fatigue, peripheral edema, angina, bradycardia, hypotension, palpitations. gingival hyperplasia, nausea, flushing. —

Nursing intervention:
 May be administered without regard to meals
Generic Name:carvedilol (kar-VE-dil-ole)
Trade Name: Coreg
Classification: HTN
—Function: Decreased heart rate and blood pressure —

Sideeffect: dizziness, fatigue, weakness, anxiety, depression, drowsiness, insomnia, memory loss, mental status changes, nervousness, nightmares, blurred vision, dry eyes, nasal stuffiness, bronchospasm, wheezing,BRADYCARDIA, CHF, PULMONARY EDEMA. diarrhea, constipation, nausea,erectile dysfunction, ↓ libido.STEVENS-JOHNSON SYNDROME, TOXIC EPIDERMAL NECROLYSIS, itching, rashes, urticaria. —hyperglycemia, hypoglycemia, arthralgia, back pain, muscle cramps, paresthesia, ANAPHYLAXIS, ANGIOEDEMA, drug-induced lupus syndrome. —

Nursing intervention:
 Do not confuse carvedilol with captopril or carteolol

Generic Name: clonidine (KLON-i-deen) Trade Name: Catapres Classification: amti-HTN
—Function: Decreased blood pressure —
Sideeffect:
drowsiness, depression, dizziness, nervousness, nightmares,bradycardia, hypotension (↑ with epidural), palpitations,dry mouth, constipation, nausea, vomiting, erectile dysfunction, rash, sweating, sodium retention., weight gain, withdrawal phenomenon —

Nursing intervention:
Do not confuse Catapres (clonidine) with Cataflam (diclofenac)
—Generic Name: nitroglycerin (nye-tro-GLI-ser-in) —

Trade Name: Nitrostat —

Classification: antianginals
—
Function: Increases coronary blood flow by dilating coronary arteries and improving collateral flow to ischemic regions —

Side effect:
 dizziness, headache, apprehension, restlessness, weakness, blurred vision,  hypotension, tachycardia, syncope,abdominal pain, nausea, vomiting, contact dermatitis (transdermal or ointment),alcohol intoxication (large IV doses only), cross-tolerance, flushing, tolerance. —
Nursing intervention:
Doses must be diluted and administered as an infusion. Standard infusion sets made of polyvinyl chloride (PVC) plastic may absorb up to 80% of the nitroglycerin in solution. Use glass bottles only and special tubing provided by manufacturer
—Generic Name: lovastatin ( LOE-va-sta-tin) —
Trade Name: Mevacor
—Classification: lipid-lowering agents
—Function: Slows the progression of coronary atherosclerosis in patients with coronary artery disease —

Side effect: dizziness, headache, insomnia, weakness, blurred vision,  abdominal cramps, constipation, diarrhea, flatus, heartburn, altered taste, drug-induced hepatitis, dyspepsia, ↑ liver enzymes, nausea, pancreatitis, erectile dysfunction, rashes, pruritus, RHABDOMYOLYSIS, arthralgia, myalgia, myositis, hypersensitivity reactions.

—Nursing intervention: PO: Administer with food. Administration on an empty stomach decreases absorption by approximately 30%. Initial once-daily dose is administered with the evening meal. Swallow extended-release tablets whole; do not crush, break or chew.Avoid grapefruit and grapefruit juice during therapy; may increase risk of toxicity
—Generic Name: famotidine (fa-MOE-ti-deen) —
Trade Name: Pepcid —
Classification: antiulcer agents —
Function: Healing and prevention of ulcers, Decreased symptoms of gastroesophageal reflux, Decreased secretion of gastric acid —

Side effect: confusion, dizziness, drowsiness, hallucinations, headache,ARRHYTHMIAS,  constipation, diarrhea, nausea,  ↓ sperm count, erectile dysfunction,  gynecomastia, AGRANULOCYTOSIS, APLASTIC ANEMIA, anemia, neutropenia, thrombocytopenia,  pain at IM site, hypersensivity reactions. —

Nursing intervention: PO: Administer with meals or immediately afterward and at bedtime to prolong effect. Doses administered once daily should be administered at bedtime to prolong effect. Shake oral suspension prior to administration. Discard unused suspension after 30 days. Open blister for oral disintegrating tablets with dry hands, place tablet on tongue to disintegrate and swallow with saliva; no water is needed
—Generic Name: atenolol (a-TEN-oh-lole) —Trade Name: Tenormin —Classification: antianginals, antihypertensives

—Function: Decreased blood pressure and heart rate, Decreased frequency of attacks of angina pectoris, Prevention of MI —

Side effect: fatigue, weakness, anxiety, depression, dizziness, drowsiness, insomnia, memory loss, mental status changes, nervousness, nightmares, blurred vision, stuffy nose, bronchospasm, wheezing, BRADYCARDIA, CHF, PULMONARY EDEMA, hypotension, peripheral vasoconstriction, constipation, diarrhea, liver function abnormalities, nausea, vomiting,  erectile dysfunction, decreased libido, urinary frequency,  rashes,  hyperglycemia, hypoglycemia, arthralgia, back pain, joint pain, drug-induced lupus syndrome.

—Nursing intervention: PO: Take apical pulse before administering drug. If <50 bpm or if arrhythmia occurs, withhold medication and notify physician or other health care professional
—Generic Name: levothyroxine (lee-voe-thye-ROX-een)
—Trade Name: Levothroid, Levoxyl, Synthroid
—Classification: hormones(thyroid preparations) —

Function: Thyroid supplementation in hypothyroidism —

Sideeffect: headache, insomnia, irritability,angina pectoris, arrhythmias, tachycardia, abdominal cramps, diarrhea, vomiting, sweatin, hyperthyroidism, menstrual irregularities, heat intolerance, weight loss,accelerated bone maturation in children.

—Nursing intervention: Administer as a single dose with a full glass of water, preferably before breakfast to prevent insomnia
—Generic Name: fluticasone —
Trade Name: Flonase —
Classification:  anti inflammatories steroidal

—
Function:
Potent, locally acting anti-inflammatory and immune modifier —

Side effect:
 headache, epistaxis, nasal burning, nasal irritation, nasopharyngeal fungal infection, pharyngitis, nausea, vomiting, adrenal suppression (↑ dose, long-term therapy only), ↓ growth (children),  rash, urticaria, cough, ANAPHYLAXIS, ANGIOEDEMA. —

Nursing intervention:
After the desired clinical effect has been obtained, attempts should be made to decrease dose to lowest amount. Gradually decrease dose every 2–4 wk as long as desired effect is maintained. If symptoms return, dose may briefly return to starting dose
—Generic Name: beclomethasone (be-kloe-METH-a-sone)
—Trade Name: Qvar —
Classification: anti inflammatories steroidal
 
Function:
Potent, locally acting anti-inflammatory and immune modifier —

Side effect:
headache, cataracts, dysphonia, oropharyngeal fungal infections, pharyngitis, rhinitis, sinusitis, bronchospasm, cough, wheezing,  adrenal suppression (increased dose, long-term therapy only), decreased growth (children), back pain. —

Nursing intervention:
 Inhaln: Allow at least 1 min between inhalations of aerosol medication
Generic Name: hydrochlorothiazide Trade Name: Oretic —
Classification: antihypertensives, diuretics —

Function: Increases excretion of sodium and water by inhibiting sodium reabsorption in the distal tubule —

Side effect:
 dizziness, drowsiness, lethargy, weakness,  hypotension, anorexia, cramping, hepatitis, nausea, vomiting, photosensitivity, rashes, hyperglycemia, hypokalemia, dehydration, hypercalcemia, hypochloremic alkalosis, hypomagnesemia, hyponatremia, hypophosphatemia, hypovolemia., blood dyscrasias, hyperuricemia, hypercholesterolemia, muscle cramps, pancreatitis.

 —Nursing intervention:
 Administer in the morning to prevent disruption of sleep cycle
—Generic Name: bisacodyl —
Trade Name: Dulcolax —Classification:  laxative
—
Function:
Treatment of constipation

Side effect:
abdominal cramps, nausea, diarrhea, rectal burning, hypokalemia (with chronic use), muscle weakness (with chronic use), protein-losing enteropathy, tetany (with chronic use). —

Nursing intervention:
May be administered at bedtime for morning results
Generic Name: magnesium citrate (mag-NEE-zhum SI –trate) —
Trade Name: MOM
Classification: laxatives

—

—Function: Essential for the activity of many enzymes  —

Sideeffect:
 diarrhea, flushing, sweating.

 —Nursing intervention:
 Advise patient not to take this medication within 2 hr of taking other medications, especially fluoroquinolones, nitrofurantoin, and tetracyclines
—Generic Name: proclorperazine (proe-klor-PAIR-a-zeen)
—Trade Name: compazine —Classification: antiemetics, antipsychosis

 —
Function: management for vomiting, nausea, psychosis, and anxiety

 —Side effect: NEUROLEPTIC MALIGNANT SYNDROME, extrapyramidal reactions,sedation, tardive dyskinesia —

Nursing intervention:  do not confuse prochlorperazine with clorpromazine
—Generic Name: hydrocodone (hye-droe-KOE-done)
—Trade Name: Norco, Vicodin —Classification: allergy, cold and cough remedies (antitussive), opioid analgesics
 
Function: Decrease in severity of moderate pain and Suppression of the cough reflex

 Sideeffect: confusion, dizziness, sedation, euphoria, hallucinations, headache, unusual dreams,blurred vision, diplopia, miosis, respiratory depression, hypotension, bradycardia, constipation, dyspepsia, nausea, vomiting, urinary retention,sweating, physical dependence, psychological dependence, tolerance.

 —Nursing intervention: May be administered with food or milk to minimize GI irritation
—Generic Name: zolpidem (ZOLE-pi-dem)

—Trade Name: Ambien

—Classification: sedative/hypnotics

—Function: Produces CNS depression by binding to GABA receptors

—Sideeffect: daytime drowsiness, dizziness, abnormal thinking, amnesia, behavior changes, "drugged" feeling, hallucinations, sleep-driving, diarrhea, nausea, vomiting, ANAPHYLACTIC REACTIONS, hypersensitivity reactions, physical dependence, psychological dependence, tolerance. —

Nursing intervention:
 Before administering, reduce external stimuli and provide comfort measures to increase effectiveness of medication
—Generic Name: folic acid (FOE-lik-A-sid)
—Trade Name: folate
 —Classification: antianemics, vitamins

 
—Function: Restoration and maintenance of normal hematopoiesis. Prevention and treatment of megaloblastic and macrocytic anemias. Given during pregnancy to promote normal fetal development

—Sideeffect: —rash, irritability, difficulty sleeping, malaise, confusion, fever.

—Nursing intervention: Do not confuse folic acid with folinic acid (leucovorin calcium). be given subcut, deep IM, or IV when PO route is not feasible
—Generic Name: citaopram (si-TAL-oh-pram) —
Trade Name: Celexa
 —Classification: antidepressant —

Function: Depression

—Sideeffect: NEUROLEPTIC MALIGNANT SYNDROME, SUICIDAL THOUGHTS, apathy, confusion, drowsiness, insomnia, weakness, agitation, amnesia, anxiety, ↓ libido, dizziness, fatigue, impaired concentration, ↑ depression, migraine headache,abnormal accommodation, cough,postural hypotension, tachycardia,abdominal pain, anorexia, diarrhea, dry mouth, dyspepsia, flatulence, ↑ saliva, nausea, altered taste, ↑ appetite, vomiting,amenorrhea, dysmenorrhea, ejaculatory delay, erectile dysfunction, polyuria, sweating, photosensitivity, pruritus, rash, weight loss, weight gain, hyponatremia,arthralgia, myalgia,tremor, paresthesia,SEROTONIN SYNDROME, fever, yawning. —

Nursing intervention: Do not confuse with Celebrex (celecoxib), Cerebyx (fosphenytoin), Zyprexa (olanzapine), or Lexapro (escitalopram). Administer as a single dose in the morning or evening without regard to food
—Generic Name: furosemide (fur-OH-se-mide) —
Trade Name: Lasix
 —Classification: diuretics
 —
Function: Edema due to heart failure, hepatic impairment or renal disease, Hypertension

—Sideeffect: blurred vision, dizziness, headache, vertigo, hearing loss, tinnitus,hypotension, anorexia, constipation, diarrhea, dry mouth, dyspepsia, nausea, pancreatitis, vomiting, excessive urination, photosensitivity, pruritis, rash, hyperglycemia, hyperuricemia, dehydration, hypocalcemia, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis, APLASTIC ANEMIA, AGRANULOCYTOSIS, hemolytic anemia, leukopenia, thrombocytopenia, muscle cramps.: paresthesia,fever, increased BUN, nephrocalcinosis.

 —Nursing intervention: Do not confuse furosemide with torsemide. If administering twice daily, give last dose no later than 5 pm to minimize disruption of sleep cycle
—Generic Name: gabapentin (ga-ba-PEN-tin)
—Trade Name: Neurontin
—Classification: analgesic adjuncts, anticonvulsants, mood stabilizers —

Function: Partial seizures (adjunct treatment), Post-herpetic neuralgia. Neuropathic pain, Prevention of migraine headache, Bipolar disorder, Anxiety, Diabetic peripheral neuropathy

—Sideeffect: SUICIDAL THOUGHTS, confusion, , depression, drowsiness, sedation, anxiety, concentration difficulties (children), dizziness, emotional lability (children), hostility, hyperkinesia (children), malaise, vertigo, weakness.,abnormal vision, nystagmus, hypertension, weight gain, anorexia, flatulence, gingivitis,arthralgia, ataxia, altered reflexes, hyperkinesia, paresthesia, facial edema. —

Nursing intervention: May be administered without regard to meal
—Generic Name: levothyroxine (lee-voe-thye-ROX-een) —
Trade Name: Levothroid, Levoxyl, Synthroid —
Classification: hormones(thyroid preparations)

 —
Function: Thyroid supplementation in hypothyroidism

—Sideeffect: headache, insomnia, irritability,angina pectoris, arrhythmias, tachycardia, abdominal cramps, diarrhea, vomiting, sweatin, hyperthyroidism, menstrual irregularities, heat intolerance, weight loss,accelerated bone maturation in children.

 —Nursing intervention: Administer as a single dose with a full glass of water, preferably before breakfast to prevent insomnia
—Generic Name: lisinopril (lyse-IN-oh-pril) —
Trade Name: Zestril
 —Classification: anti-HTN

—Function: Alone or with other agents in the management of hypertension, Management of heart failure,Reduction of risk of death or development of heart failure after myocardial infarction —

Sideeffect: dizziness, fatigue, headache, weakness.cough.hypotension, chest pain.abdominal pain, diarrhea, nausea, vomiting.erectile dysfunction, impaired renal function.rashes.hyperkalemia.ANGIOEDEMA —

Nursing intervention: : For patients with difficulty swallowing tablets, pharmacist can compound an oral suspension; stable at room temperature for 4 wk. Shake suspension before each use
—Generic Name: sulfasalazine (sul-fa-SAL-a-zeen)
—Trade Name: Azulfidine
 —Classification: antirheumatics(DMARD), gastroinestinal anti inflammatories —

Function:  Inflammatory bowel diseases including —

Sideeffect: headache,pneumonitis,anorexia, diarrhea, nausea, vomiting, drug-induced hepatitis, crystalluria, oligospermia, orange-yellow discoloration of urine, rashes, exfoliative dermatitis, photosensitivity, yellow discoloration,AGRANULOCYTOSIS, APLASTIC ANEMIA, blood dyscrasias, eosinophilia, megaloblastic anemia, thrombocytopenia,peripheral neuropathy,hypersensitivity reactions including—SERUM SICKNESS AND STEVENS-JOHNSON SYNDROME , fever

 —Nursing intervention:. Do not confuse sulfasalazine with sulfisoxazole
—Generic Name: ascorbic acid (as-KOR-bikAS –id) —
Trade Name: Sunkist —
Classification: vitamins
—
Function: Necessary for collagen formation and tissue repair
—
Side effect: drowsiness, fatigue, headache, insomnia, cramps, diarrhea, heartburn, nausea, vomiting, kidney stones, flushing, deep vein thrombosis, hemolysis (in G6PD deficiency), sickle cell crisis, pain at subcut or IM sites. —

Nursing intervention: Often ordered as a part of multivitamin supplementation, because inadequate diet often results in multiple-vitamin deficiency
—Generic Name: omeprazole (o-MEP-ra-zole)
—Trade Name: Prilosec
—Classification: antiulcer agents —

Function: GERD/maintenance of healing in erosive esophagitis

—Sideeffect: dizziness, drowsiness, fatigue, headache, weakness,chest pain, abdominal pain, acid regurgitation, constipation, diarrhea, flatulence, nausea, vomiting,itching, rash, allergic reactions. —*CAPITALS indicates life-threatening. —

Nursing intervention: Do not confuse Prilosec (omeprazole) with Prinivil (lisinopril). May be administered concurrently with antacids
—Generic Name: alprazolam( al-PRAY-zoe-lam)
—Trade: Xanax
 —Classification: antianxiety

 —
Function: treatment of generalized anxiety disorder, panic disorder, etc..

 —Side effect:

—Nursing intervention:
—Generic Name: benazepril
—Trade Name: Lotensin —
Classification:  anti-HTN —

Function: Alone or with other agents in the management of hypertension —

Side effect: dizziness, drowsiness, fatigue, headache,cough,  hypotension, nausea,  impaired renal function, rashes, hyperkalemia, ANGIOEDEMA.

—Nursing intervention: PO: For patients with difficulty swallowing tablets, pharmacist can compound an oral suspension; stable for 30 days if refrigerated. Shake suspension before each use
Lactobacillus
—Generic Name: trazodone (TRAZ-oh-done) —

Trade Name: trazon

Classification: antidepressant —

Function: Alters the effects of serotonin in the CNS —

Sideeffect: SUICIDAL THOUGHTS, drowsiness, confusion, dizziness, fatigue, hallucinations, headache, insomnia, nightmares, slurred speech, syncope, weakness, blurred vision, tinnitus,hypotension, arrhythmias, chest pain, hypertension, palpitations, QT interval prolongation, tachycardia, dry mouth, altered taste, constipation, diarrhea, excess salivation, flatulence, nausea, vomiting,hematuria, erectile dysfunction, priapism, urinary frequency, rashes, anemia, leucopenia,myalgia,tremor.

—Nursing intervention: Administer with or immediately after meals to minimize side effects (nausea, dizziness) and allow maximum absorption of trazodone. A larger portion of the total daily dose may be given at bedtime to decrease daytime drowsiness and dizziness
—Generic Name: glipiZIDE (GLIP-i-zide) —

Trade Name: Glucotrol

 —Classification: antidiabetics

 —
Function: Lowers blood sugar by stimulating the release of insulin from the pancreas and increasing the sensitivity to insulin at receptor sites. May also decrease hepatic glucose production —

Sideeffect: dizziness, drowsiness, headache, weakness, constipation, cramps , diarrhea, drug-induced hepatitis, dyspepsia, ↑ appetite, nausea, vomiting, photosensitivity, rashes hypoglycemia,hyponatremia,APLASTIC ANEMIA, agranulocytosis, hemolytic anemia, leukopenia, pancytopenia, thrombocytopenia. —
Nursing intervention: Administer 30 min before a meal. Swallow extended-release tablets whole; do not crush, break or chew
—Generic Name: VALPROATES, —divalproex sodium (dye-val-PROE-ex SOE-dee-um)
—Trade Name: depakote
 —Classification: anticonvulsants,vascular headache suppressants

—
Function: Increase levels of GABA, an inhibitory neurotransmitter in the CNS

—Side effect: SUICIDAL THOUGHTS, agitation, dizziness, headache, insomnia, sedation, confusion, depression,  peripheral edema, visual disturbances,  HEPATOTOXICITY, PANCREATITIS, abdominal pain, anorexia, diarrhea, indigestion, nausea, vomiting, constipation, increased appetite,  alopecia, rashes,  weight gain, leukopenia, thrombocytopenia,  HYPERAMMONEMIA, HYPOTHERMIA, tremor, ataxia.

—Nursing intervention: Do not confuse depakote ER and regular dose forms. depakote ER produces lower blood levels than depakote dosing forms. If switching from depakote to depakote ER, increase dose by 8-20%
—Generic Name: trimethoprim
—Trade Name: Bactrim —
Classification:antiinfectives, antiprotozoals
—
Action: bactericidal action against susceptible bacteria

—Side effect: fatigue, hallucinations, headache, insomnia, mental depression —

Nursing intervention: do not confuse DS (double strength) formulations with single strength formulations
—Generic Name: cephalexin (sef-a-LEX-in) —

Trade Name: Keflex —Classification: anti-infectives

—Function: Binds to bacterial cell wall membrane, causing cell death

—Sideeffect: SEIZURES (HIGH DOSES), PSEUDOMEMBRANOUS COLITIS, diarrhea, abdominal pain, nausea, vomiting, rashes, urticaria, eosinophilia, hemolytic anemia, neutropenia, thrombocytopenia, allergic reactions including anaphylaxis, superinfection.

—Nursing intervention: Administer around the clock. May be administered on full or empty stomach. Administration with food may minimize GI irritation. Shake oral suspension well before administering. Refrigerate oral suspensions
—Generic Name: metoprolol (me-TOE-proe-lole) —

Trade Name: Lopressor —

Classification: antianginals, antihypertensives

—Function: Hypertension, Angina pectoris,Prevention of MI and decreased mortality in patients with recent MI, Management of stable, symptomatic (class II or III) heart failure due to ischemic, hypertensive or cardiomyopathc origin (may be used with ACE inhibitors, diuretics and/or digoxin; Toprol XL only) —

Sideeffect: fatigue, weakness, anxiety, depression, dizziness, drowsiness, insomnia, memory loss, mental status changes, nervousness, nightmares,blurred vision, stuffy nose, bronchospasm, wheezing,BRADYCARDIA, CHF, PULMONARY EDEMA, hypotension, peripheral vasoconstriction, constipation, diarrhea, drug-induced hepatitis, dry mouth, flatulence, gastric pain, heartburn, ↑ liver enzymes, nausea, vomiting, erectile dysfunction, ↓ libido, urinary frequeny, rashes,hyperglycemia, hypoglycemia, arthralgia, back pain, joint pain, drug-induced lupus syndrome. —

Nursing intervention: Take apical pulse before administering. If <50 bpm or if arrhythmia occurs, withhold medication and notify health care professional
Function: Hypertension, Angina pectoris,Prevention of MI and decreased mortality in patients with recent MI, Management of stable, symptomatic (class II or III) heart failure due to ischemic, hypertensive or cardiomyopathc origin (may be used with ACE inhibitors, diuretics and/or digoxin; Toprol XL only) —

Sideeffect: fatigue, weakness, anxiety, depression, dizziness, drowsiness, insomnia, memory loss, mental status changes, nervousness, nightmares,blurred vision, stuffy nose, bronchospasm, wheezing,BRADYCARDIA, CHF, PULMONARY EDEMA, hypotension, peripheral vasoconstriction, constipation, diarrhea, drug-induced hepatitis, dry mouth, flatulence, gastric pain, heartburn, ↑ liver enzymes, nausea, vomiting, erectile dysfunction, ↓ libido, urinary frequeny, rashes,hyperglycemia, hypoglycemia, arthralgia, back pain, joint pain, drug-induced lupus syndrome. —

Nursing intervention: Take apical pulse before administering. If <50 bpm or if arrhythmia occurs, withhold medication and notify health care professional
—Generic Name:digoxin (di-JOX-in)
—Trade Name: Lanoxin
—Classification: antiarrhythmics, inotropics

—Function: Increases the force of myocardial contraction

 —Sideeffect: fatigue, headache, weakness blurred vision, yellow or green vision, ARRHYTHMIAS, bradycardia, ECG changes, AV block, SA block, anorexia, nausea, vomiting, diarrhea, thrombocytopenia, electrolyte imbalances with acute digoxin toxicity. —

Nursing intervention: Administer oral preparations consistently with regard to meals.
—Generic Name: omeprazole (o-MEP-ra-zole) —
Trade Name: Prilosec —
Classification: antiulcer agents —

Function: GERD/maintenance of healing in erosive esophagitis

—Sideeffect: dizziness, drowsiness, fatigue, headache, weakness,chest pain, abdominal pain, acid regurgitation, constipation, diarrhea, flatulence, nausea, vomiting,itching, rash, allergic reactions. —*CAPITALS indicates life-threatening.

—Nursing intervention: Do not confuse Prilosec (omeprazole) with Prinivil (lisinopril). May be administered concurrently with antacids
—Generic Name: mirtazapine (meer-TAZ-a-peen) —
Trade Name: Remeron
Classification: anti-depressant

—Function: Major Depressive Disorder

 —
Sideeffect: drowsiness, abnormal dreams, abnormal thinking, agitation, anxiety, apathy, confusion, dizziness, malaise, weakness, sinusitis, dyspnea, increased cough, edema, hypotension, vasodilation, constipation, dry mouth, increased appetite, abdominal pain, anorexia, elevated liver enzymes, nausea, vomiting, urinary frequency, pruritus, rash, increased thirst, AGRANULOCYTOSIS, weight gain, hypercholesterolemia, increased triglycerides, arthralgia, back pain, myalgia, hyperkinesia, hypesthesia, twitching, flu-like syndrome —

Nursing intervention: May be given as a single dose at bedtime to minimize excessive drowsiness or dizziness
  —Generic Name: vancomycin (van-koe-MYE-sin) —

Trade Name: Vancocin —

Classification: anti-infectives

—Function: Binds to bacterial cell wall, resulting in cell death
—Sideeffect: ototoxicity, hypotension, nausea, vomiting nephrotoxicity, rashes, eosinophilia, leukopenia., phlebitis, back and neck pain HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS , chills, fever, "red man" syndrome (with rapid infusion), superinfection. —

Nursing intervention: Use calibrated measuring device for liquid preparations.

heparin
.
Generic Name: warfarin (WAR-fa-rin) —

Trade Name: Coumadin

Classification: anticoagulants —
Function: Interferes with hepatic synthesis of vitamin K-dependent clotting factors (II, VII, IX, and X)

—Sideeffect: cramps, nausea, dermal necrosis, BLEEDING, fever

—Nursing intervention: Do not interchange brands; potencies may not be equivalent
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