Nursing Tips

Pharmacology (102)

Iron supplements can cause dark green/black stools. This is expected and harmless.

Iron supplements and stool

Cathy Parkes

Iron supplements can cause dark green/black stools. This is expected and harmless.

Iron supplements and stool

Cathy Parkes

Iron supplements can cause dark green/black stools. This is expected and harmless.

Donepezil is a KEY medication used for Alzheimer's disease. It does NOT cure the disease, but it may improve memory, cognition, and an individual’s ability to perform ADLs.

Donepezil & Alzheimer's

Cathy Parkes

Donepezil is a KEY medication used for Alzheimer's disease. It does NOT cure the disease, but it may improve memory, cognition, and an individual’s ability to perform ADLs.

Donepezil & Alzheimer's

Cathy Parkes

Donepezil is a KEY medication used for Alzheimer's disease. It does NOT cure the disease, but it may improve memory, cognition, and an individual’s ability to perform ADLs.

ACE inhibitors typically end in -pril (ex: captopril, lisinopril). Remember the key side effects: hypotension, A=Angioedema, C=Cough, E=Elevated potassium)

ACE Inhibitors

Cathy Parkes

ACE inhibitors typically end in -pril. Remember the key side effects.

ACE Inhibitors

Cathy Parkes

ACE inhibitors typically end in -pril. Remember the key side effects.

Amitriptyline

Amitriptyline

Cathy Parkes

Amitriptyline is a Tricyclic Antidepressant. "Amy tripped over a tricycle in the desert". Desert helps you remember anticholinergic side effects (urinary retention, constipation, dry mouth, blurry vision, photophobia, tachycardia)

Amitriptyline

Cathy Parkes

Amitriptyline is a Tricyclic Antidepressant. "Amy tripped over a tricycle in the desert". Desert helps you remember anticholinergic side effects (urinary retention, constipation, dry mouth, blurry vision, photophobia, tachycardia)

 A person who gets medroxyprogesterone (Depo-Provera) shots for contraception needs to increase their intake of Calcium and Vitamin D because a key side effect of this medication is decreased bone density!

Depo-Provera Side Effect

Cathy Parkes

 A person who gets medroxyprogesterone (Depo-Provera) shots for contraception needs to increase their intake of Calcium and Vitamin D because a key side effect of this medication is decreased bone density!

Depo-Provera Side Effect

Cathy Parkes

 A person who gets medroxyprogesterone (Depo-Provera) shots for contraception needs to increase their intake of Calcium and Vitamin D because a key side effect of this medication is decreased bone density!

Baclofen is a centrally acting muscle relaxant. If you pull out your BACK, you might need BAClofen.

Baclofen

Cathy Parkes

Baclofen is a centrally acting muscle relaxant. If you pull out your BACK, you might need BAClofen.

Baclofen

Cathy Parkes

Baclofen is a centrally acting muscle relaxant. If you pull out your BACK, you might need BAClofen.

ANTACIDS: Take 1 hr and 3 hr after meals, and at bedtime. Also take 1 hour before or after other medications (not WITH other medications)

When to take Antacids

Cathy Parkes

ANTACIDS: Take 1 hr and 3 hr after meals, and at bedtime. Also take 1 hour before or after other medications (not WITH other medications)

When to take Antacids

Cathy Parkes

ANTACIDS: Take 1 hr and 3 hr after meals, and at bedtime. Also take 1 hour before or after other medications (not WITH other medications)

ADHD medications (e.g. methylphenidate and amphetamine mixtures) cause decreased appetite and weight loss in children.  Key Nursing Intervention: Monitor child's weight during therapy!

ADHD Medication and Children's Weight

Cathy Parkes

ADHD medications cause decreased appetite and weight loss in children.

ADHD Medication and Children's Weight

Cathy Parkes

ADHD medications cause decreased appetite and weight loss in children.

When mixing insulin, remember CLEAR before CLOUDY. Inject air in longer-acting insulin, then inject air in shorter-acting insulin. Without withdrawing needle, draw up shorter-acting insulin, then draw up longer-acting insulin.

Mixing insulin

Cathy Parkes

When mixing insulin, remember CLEAR before CLOUDY. Inject air in the longer-acting insulin (NPH), then inject air in the shorter-acting insulin (regular). Without withdrawing needle, draw up shorter-acting insulin, then draw...

Mixing insulin

Cathy Parkes

When mixing insulin, remember CLEAR before CLOUDY. Inject air in the longer-acting insulin (NPH), then inject air in the shorter-acting insulin (regular). Without withdrawing needle, draw up shorter-acting insulin, then draw...

Non-selective beta blockers are used for hypertension, angina, arrhythmias, and MIs. However, they should NEVER be used in patients with asthma, as they can cause bronchospasm.

Key Information: Beta Blockers

Cathy Parkes

Non-selective beta blockers are used for hypertension, angina, arrhythmias, and MIs. However, they should NEVER be used in patients with asthma, as they can cause bronchospasm.

Key Information: Beta Blockers

Cathy Parkes

Non-selective beta blockers are used for hypertension, angina, arrhythmias, and MIs. However, they should NEVER be used in patients with asthma, as they can cause bronchospasm.

Please Listen Carefully - these beta blockers are NON-selective:  Propranolol, Labetalol, Carvedilol. They will impact the lungs too!

Non-selective Beta Blockers

Cathy Parkes

Please Listen Carefully - these beta blockers are NON-selective: Propranolol, Labetalol, Carvedilol. They will impact the lungs too!

Non-selective Beta Blockers

Cathy Parkes

Please Listen Carefully - these beta blockers are NON-selective: Propranolol, Labetalol, Carvedilol. They will impact the lungs too!

Nursing Tips - Amiodarone Drip

Amiodarone Drip

Cathy Parkes

Amy owes me one hundred dollars, but she is in the hospital with VFIB on an amiodarone drip... so I guess it's not a good time to collect.

Amiodarone Drip

Cathy Parkes

Amy owes me one hundred dollars, but she is in the hospital with VFIB on an amiodarone drip... so I guess it's not a good time to collect.

Anticoagulant Side Effects

Anticoagulant Side Effects

Cathy Parkes

The key side effect to remember with ALL anticoagulants (ex: heparin, warfarin, rivaroxaban) is BLEEDING!

Anticoagulant Side Effects

Cathy Parkes

The key side effect to remember with ALL anticoagulants (ex: heparin, warfarin, rivaroxaban) is BLEEDING!

Epoetin Alfa

Epoetin Alfa

Cathy Parkes

Taking epoetin alfa will fix your anemia so you can grow up to be a strong alpha male.

Epoetin Alfa

Cathy Parkes

Taking epoetin alfa will fix your anemia so you can grow up to be a strong alpha male.

Niacin Hypercholesterolemia

Niacin Hypercholesterolemia

Cathy Parkes

Niacin (Vitamin B3) can be used to treat hypercholesterolemia. Key side effect is flushing of the face. My face doesn't look very nice after taking niacin (because it is flushed!)

Niacin Hypercholesterolemia

Cathy Parkes

Niacin (Vitamin B3) can be used to treat hypercholesterolemia. Key side effect is flushing of the face. My face doesn't look very nice after taking niacin (because it is flushed!)

Ferrous Sulfate

Ferrous Sulfate

Cathy Parkes

Ferrous Sulfate is an iron supplement that can stain the teeth. I'm furious that my teeth got stained from ferrous sulfate!

Ferrous Sulfate

Cathy Parkes

Ferrous Sulfate is an iron supplement that can stain the teeth. I'm furious that my teeth got stained from ferrous sulfate!

Magnesium Toxicity

Magnesium Toxicity

Cathy Parkes

Too much magnesium (magnesium toxicity) brought Maggie to her knees (due to cardiac and respiratory depression).

Magnesium Toxicity

Cathy Parkes

Too much magnesium (magnesium toxicity) brought Maggie to her knees (due to cardiac and respiratory depression).

Lithium

Lithium

Cathy Parkes

Lithium is a mood stabilizer, used for Bipolar Disorder. Patients on lithium need adequate fluid and sodium intake! Diuretics, anticholinergics, NSAIDs are not recommended.

Lithium

Cathy Parkes

Lithium is a mood stabilizer, used for Bipolar Disorder. Patients on lithium need adequate fluid and sodium intake! Diuretics, anticholinergics, NSAIDs are not recommended.

MAOIS for Depression

MAOIS for Depression

Cathy Parkes

MAOIs are used to treat depression. Important points about MAOIs: They interact with MANY other medications. Eating foods rich in tyramine can cause a hypertensive crisis. Foods rich in tyramine include...

MAOIS for Depression

Cathy Parkes

MAOIs are used to treat depression. Important points about MAOIs: They interact with MANY other medications. Eating foods rich in tyramine can cause a hypertensive crisis. Foods rich in tyramine include...

Doxorubicin

Doxorubicin

Cathy Parkes

Doxorubicin is an antitumor antibiotic used to treat cancer. Think "ruby" RED. This medication can cause RED discoloration of sweat, urine, and tears.

Doxorubicin

Cathy Parkes

Doxorubicin is an antitumor antibiotic used to treat cancer. Think "ruby" RED. This medication can cause RED discoloration of sweat, urine, and tears.

Vitamin C and Iron

Vitamin C and Iron

Cathy Parkes

Vitamin C increases the absorption of iron. If your patient is taking an iron supplement, be sure they eat foods rich in Vitamin C! Examples: citrus fruit or juices, tomatoes,...

Vitamin C and Iron

Cathy Parkes

Vitamin C increases the absorption of iron. If your patient is taking an iron supplement, be sure they eat foods rich in Vitamin C! Examples: citrus fruit or juices, tomatoes,...

Leuprolide

Leuprolide

Cathy Parkes

Leuprolide is a medication used to treat prostate cancer. HINT: Dr. Lou lied to me about the side effects of this medication, which include: hot flashes, gynecomastia, decreased libido.

Leuprolide

Cathy Parkes

Leuprolide is a medication used to treat prostate cancer. HINT: Dr. Lou lied to me about the side effects of this medication, which include: hot flashes, gynecomastia, decreased libido.

Vincristine

Vincristine

Cathy Parkes

Vincristine is an antimitotic medication used to treat cancer. A key side effect with this medication is peripheral neuropathy. HINT: Vin = wine in French. If you drink too much...

Vincristine

Cathy Parkes

Vincristine is an antimitotic medication used to treat cancer. A key side effect with this medication is peripheral neuropathy. HINT: Vin = wine in French. If you drink too much...

Phenazopyridine

Phenazopyridine

Cathy Parkes

Phenazopyridine is a urinary tract analgesic. It is used to treat the symptoms of a UTI (burning, pain, frequency, urgency). It is not an antibiotic! HINT: Pyro = Fire, and...

Phenazopyridine

Cathy Parkes

Phenazopyridine is a urinary tract analgesic. It is used to treat the symptoms of a UTI (burning, pain, frequency, urgency). It is not an antibiotic! HINT: Pyro = Fire, and...

Tamoxifen

Tamoxifen

Cathy Parkes

Tamoxifen is a medication used to treat breast cancer. It works by competing with estrogen for binding sites in breasts. HINT: Tammy is a foxy lady with breast cancer.

Tamoxifen

Cathy Parkes

Tamoxifen is a medication used to treat breast cancer. It works by competing with estrogen for binding sites in breasts. HINT: Tammy is a foxy lady with breast cancer.

NPH- Intermediate-Acting Insulin

NPH- Intermediate-Acting Insulin

Cathy Parkes

NPH is an intermediate-acting insulin. Onset is 1-2 hours, peak is 4-12 hours, and duration is 18-24 hours. HINT: Neil Patrick Harris (NPH) is a hard-working actor of intermediate height....

NPH- Intermediate-Acting Insulin

Cathy Parkes

NPH is an intermediate-acting insulin. Onset is 1-2 hours, peak is 4-12 hours, and duration is 18-24 hours. HINT: Neil Patrick Harris (NPH) is a hard-working actor of intermediate height....

Acarbose

Acarbose

Cathy Parkes

Acarbose is an alpha glucosidase inhibitor used to treat type 2 Diabetes. It works by inhibiting glucose absorption in the GI tract. HINT: A = "NO" + CARBS. So "No...

Acarbose

Cathy Parkes

Acarbose is an alpha glucosidase inhibitor used to treat type 2 Diabetes. It works by inhibiting glucose absorption in the GI tract. HINT: A = "NO" + CARBS. So "No...

Propylthioruracil (PTU)

Propylthiouracil (PTU)

Cathy Parkes

Propylthiouracil (PTU) is used for Grave's disease (and in preparation for a thyroidectomy). HINT: PTU will Prevent Thyroid from being Up too high.

Propylthiouracil (PTU)

Cathy Parkes

Propylthiouracil (PTU) is used for Grave's disease (and in preparation for a thyroidectomy). HINT: PTU will Prevent Thyroid from being Up too high.

Valproic Acid

Valproic Acid

Cathy Parkes

Valproic acid is an antiepileptic drug. Key side effect is hepatotoxicity! Carefully monitor liver lab values (ex: AST, ALT).

Valproic Acid

Cathy Parkes

Valproic acid is an antiepileptic drug. Key side effect is hepatotoxicity! Carefully monitor liver lab values (ex: AST, ALT).

Sucralfate

Sucralfate

Cathy Parkes

Sucralfate is a Mucosal Protectant used to treat duodenal ulcers. It reacts with stomach acid to form a thick paste that adheres to ulcers. HINT: Sucralfate gets sucked down into ulcers.

Sucralfate

Cathy Parkes

Sucralfate is a Mucosal Protectant used to treat duodenal ulcers. It reacts with stomach acid to form a thick paste that adheres to ulcers. HINT: Sucralfate gets sucked down into ulcers.

IBS Medications

IBS Medications

Cathy Parkes

Irritable Bowel Syndrome (IBS) Medications: alosetron is used for IBS w/diarrhea.HINT: You might aloe on your backside from all that diarrhea.  Lubiprostone is used for IBS w/consipation. HINT: Use lubiprostone to "lube up...

IBS Medications

Cathy Parkes

Irritable Bowel Syndrome (IBS) Medications: alosetron is used for IBS w/diarrhea.HINT: You might aloe on your backside from all that diarrhea.  Lubiprostone is used for IBS w/consipation. HINT: Use lubiprostone to "lube up...

Z-Track Method

Z-Track Method

Cathy Parkes

When administering iron dextran via IM injection, use the Z-track method!

Z-Track Method

Cathy Parkes

When administering iron dextran via IM injection, use the Z-track method!

Warfarin

Warfarin

Cathy Parkes

Warfarin is an important oral anticoagulant. The mode of action of warfarin is the antagonize vitamin K, which prevents formation of several clotting factors. HINT: Warfarin declares WAR on vitamin...

Warfarin

Cathy Parkes

Warfarin is an important oral anticoagulant. The mode of action of warfarin is the antagonize vitamin K, which prevents formation of several clotting factors. HINT: Warfarin declares WAR on vitamin...

Thrombolytic Meds

Thrombolytic Meds

Cathy Parkes

Thrombolytic meds include: alteplase, reteplase (many end in -plase). If you are trying to break up a clot, you have come to the right PLACE!

Thrombolytic Meds

Cathy Parkes

Thrombolytic meds include: alteplase, reteplase (many end in -plase). If you are trying to break up a clot, you have come to the right PLACE!

Gentamicin

Gentamicin

Cathy Parkes

Gentamicin is an aminoglycoside used to treat SERIOUS bacterial infections. Gentamicin looks like "Gentle", but it is the OPPOSITE of gentle. Key side effects include ototoxicity and nephrotoxicity.

Gentamicin

Cathy Parkes

Gentamicin is an aminoglycoside used to treat SERIOUS bacterial infections. Gentamicin looks like "Gentle", but it is the OPPOSITE of gentle. Key side effects include ototoxicity and nephrotoxicity.

Pioglitazone

Pioglitazone

Cathy Parkes

Pioglitazone is an oral antidiabetic medication. Key side effects include fluid retention and elevated LDL levels. HINT: Pioglitazone kind of looks like "pig zone", which can help you remember these...

Pioglitazone

Cathy Parkes

Pioglitazone is an oral antidiabetic medication. Key side effects include fluid retention and elevated LDL levels. HINT: Pioglitazone kind of looks like "pig zone", which can help you remember these...

Rivaroxaban

Rivaroxaban

Cathy Parkes

Rivaroxaban is an anticoagulant. HINT: If you take Rivaroxaban, your blood will flow like a river. RivaroXaban works by inhibiting factor Xa in the coagulation cascade.

Rivaroxaban

Cathy Parkes

Rivaroxaban is an anticoagulant. HINT: If you take Rivaroxaban, your blood will flow like a river. RivaroXaban works by inhibiting factor Xa in the coagulation cascade.

Glucagon

Glucagon

Cathy Parkes

Glucagon is a hyperglycemic agent used to treat severe hypoglycemia wihen a patient is unable to take oral glucose (ex: unconscious patient). HINT: When the glucose is all GONE, take...

Glucagon

Cathy Parkes

Glucagon is a hyperglycemic agent used to treat severe hypoglycemia wihen a patient is unable to take oral glucose (ex: unconscious patient). HINT: When the glucose is all GONE, take...

Sumatriptan

Sumatriptan

Cathy Parkes

Sumatriptan is a medication used to treat migraines by causing vasoconstriction of the intracranial arteries. If a SUMO wrestler sits on your head, that will also cause vasoconstriction.

Sumatriptan

Cathy Parkes

Sumatriptan is a medication used to treat migraines by causing vasoconstriction of the intracranial arteries. If a SUMO wrestler sits on your head, that will also cause vasoconstriction.

Sildenafil

Sildenafil

Cathy Parkes

Sildenafil is used to treat erectile dysfunction. If you use sildenafil it will help you fill out "down there".

Sildenafil

Cathy Parkes

Sildenafil is used to treat erectile dysfunction. If you use sildenafil it will help you fill out "down there".

Guaifenesin

Guaifenesin

Cathy Parkes

Guaifenesin is an expectorant. "Gauif" sounds like "Cough". It reduces the viscosity of secretions, making coughs more productive.

Guaifenesin

Cathy Parkes

Guaifenesin is an expectorant. "Gauif" sounds like "Cough". It reduces the viscosity of secretions, making coughs more productive.

Turbutaline Sulfate

Terbutaline Sulfate

Cathy Parkes

Terbutaline sulfate is a medication used to treat pre-term labor. HINT: Terbutaline looks like turbulence, and when flying, turbulence delays arrival time.

Terbutaline Sulfate

Cathy Parkes

Terbutaline sulfate is a medication used to treat pre-term labor. HINT: Terbutaline looks like turbulence, and when flying, turbulence delays arrival time.

Ondansetron

Ondansetron

Cathy Parkes

Ondansetron is an antiemetic (used to prevent nausea and vomiting). Hint: "I threw up on DAN. Better get me some ondansetron."

Ondansetron

Cathy Parkes

Ondansetron is an antiemetic (used to prevent nausea and vomiting). Hint: "I threw up on DAN. Better get me some ondansetron."

Zolpidem (Ambien) Uses

Zolpidem (Ambien) Uses

Cathy Parkes

Zolpidem (Ambien) is used for insomnia. Zolpidem will help you catch some ZZZs...

Zolpidem (Ambien) Uses

Cathy Parkes

Zolpidem (Ambien) is used for insomnia. Zolpidem will help you catch some ZZZs...

Misoprostol and Pregnancy

Misoprostol and Pregnancy

Cathy Parkes

Misoprostol can be used to prevent gastric ulcers in patients taking NSAIDs. Do NOT administer to a patient who might be pregnant (because it can cause a miscarriage). HINT: "Me...

Misoprostol and Pregnancy

Cathy Parkes

Misoprostol can be used to prevent gastric ulcers in patients taking NSAIDs. Do NOT administer to a patient who might be pregnant (because it can cause a miscarriage). HINT: "Me...

Histamine 2 Receptor Antagonists and DINE-ing

Histamine 2 Receptor Antagonists and DINE-ing

Cathy Parkes

Histamine 2 receptor antagonists (ex: ranitidine and famotidine) are used to treat ulcers and GERD. These meds will help you feel better when you "dine".

Histamine 2 Receptor Antagonists and DINE-ing

Cathy Parkes

Histamine 2 receptor antagonists (ex: ranitidine and famotidine) are used to treat ulcers and GERD. These meds will help you feel better when you "dine".

Administering misoprostol

Administering misoprostol

Cathy Parkes

When administering a misoprostol (for prevention of gastric ulcers) to a person of child-bearing age, be sure to run a PREGNANCY test first as this medication can cause a miscarriage!

Administering misoprostol

Cathy Parkes

When administering a misoprostol (for prevention of gastric ulcers) to a person of child-bearing age, be sure to run a PREGNANCY test first as this medication can cause a miscarriage!

Know your antidotes for anticoagulants

Know your antidotes for anticoagulants

Cathy Parkes

Know your antidotes for anticoagulants: Vitamin K for warfarin, Protamine for Heparin.

Know your antidotes for anticoagulants

Cathy Parkes

Know your antidotes for anticoagulants: Vitamin K for warfarin, Protamine for Heparin.