Pharm Facts
·Don’t give non-selective beta-blockers to patients w/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:
oAacados, 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
·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 symptom 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 synd)
·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.
Addison is skinny ( hypoglycemic, you get weight loss, you got weakness, and you get postural hypotn) Cushing is fat ( hyperglycemic, you get moon face big cheeks, and you retain a lot of Na and fluid)
·Never Give via IVP:
oKCL
oHeparin
oIbuprofen
oInsulin
oDobutamine
oASA
oAlbumin
oAcetaminophen
NCLEXies 
PHARMA:
Pharmacology – Know Indication/Action/Effect
Prefix/Suffix
-ase = thrombolytic
-azepam = benzodiazepine
-azine = antiemetic; phenothiazide
-azole = proton pump inhibitor, antifungal
-barbital = barbiturate
-coxib = cox 2 enzyme blockers
-cep/-cef = anti-infectives
-caine = anesthetics
-cillin = penicillin
-cycline = antibiotic
-dipine = calcium channel blocker
-floxacin = antibiotic
-ipramine = Tricyclic antidepressant
-ine = reverse transcriptase inhibitors, antihistamines
-kinase = thrombolytics
-lone, pred- = corticosteroid
-mab = monoclonal antibiotics
-micin = antibiotic, aminoglycoside
-navir = protease inhibitor
nitr-, -nitr- = nitrate/vasodilator
-olol = beta antagonist
-oxin = cardiac glycoside
-osin = Alpha blocker
-parin = anticoagulant
-prazole = PPI’s
-phylline = bronchodilator
-pril = ACE inhibitor
-statin = cholesterol lowering agent
-sartan = angiotensin II blocker
-sone = glucocorticoid, corticosteroid
-stigmine = cholinergics
-terol = Beta 2 Agonist
-thiazide = diuretic
-tidine = antiulcer
-trophin = Pituitary Hormone
-vir = anti-viral, protease inhibitors
-zosin = Alpha 1 Antagonist
-zolam = benzo/sedative
-zine = antihistamine
Pharm Facts
·Don’t give non-selective beta-blockers to patients w/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:
oAacados, 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
·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 symptom 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 synd)
·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.
Addison is skinny ( hypoglycemic, you get weight loss, you got weakness, and you get postural hypotn) Cushing is fat ( hyperglycemic, you get moon face big cheeks, and you retain a lot of Na and fluid)
·Never Give via IVP:
oKCL
oHeparin
oIbuprofen
oInsulin
oDobutamine
oASA
oAlbumin
oAcetaminophen
·Insulin:
oRapid: lispro – onset 24hr
oV.Long: Lantus – onset 1 hr. Peak: None. Duration: 24 hr continuous
·Anticholergic Side Effects:
oCan’t See
oCan’t Pee
oCan’t Spit
oCan’t Sh*t
·Hypocalcemia – CATS
oConvulsions
oArrythmias
oTetany
oSpasms & Stridor
·Hyper Kalemia Causes: ‘MACHINE’
oMedicationa (ace inhibitors, NSAIDS)
oAcidosis (metabolic & repiratory)
oCellular destruction (burns, traumatic injuy)
oHypoaldosteronism, Hemolysis
oNephrons, renal failure
oExcretion (impaired)
·Signs of increased K ‘ Murder’
oMuscle weaknes
oUrine – olyguria, anuria
oRespiratory distress
oDecreaed cardiac contractility
oECG Changes
oReflexes – hyperreflexia, or flaccid
·Substance Poisoning and Antidotes
oMethanol — Ethanol
oCO2 — Oxygen
oDopamine — Phentolamine
oBenzo’s (Versed) — Flumazenil
oLead — Succimer, Calcium Disodium
oIron — Deferoxamine
oCoumadin — Vitamin K
oHeparin — Protamine Sulfate
oThorazine — Cogentine
oWild Mushrooms – Atropine
oRat Poison – Vit K
·Parkland Formula: 4cc * Kg * BSA Burned = Total Volume Necessary
o1st 8hrs – ½ total volume
o2nd 8hrs – ¼ total volume
o3rd 8 hrs – ¼ total volumes
This is fantastic, thank you for sharing
Thank you so much, please, if you have sothing else send it to me by Email one more time please.
May my Lord Jesus Bless through your family.
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