Medications :: essays research papers

Streptokinase  Ã‚  Ã‚  Ã‚  Ã‚  Thrombolytic, aka clot buster. One of our TPA (tissue plasminogen activator) used to bust clots in a pt with a stroke from an embolus or a thrombus or is having an MI from a thrombus or an embolus. Problem is if you bust the clot it will bust clots from head to toe giving biggest risk of BLEEDING. Aminophylline/TheoDur   Ã‚  Ã‚  Ã‚  Ã‚  Adrenergic bronciodilators, watch aminophylline levels bc there is I fine line between theraputic and toxic. Dilate pupils so don’t give to closed angle glaucoma. Will make you nervous jittery, decrease caffeine in their diet. Heparin  Ã‚  Ã‚  Ã‚  Ã‚  Anticoagulant, monitor dose with PTT, can be given sub-q or IV. Never ever IM because it will make the muscle bleed. #1 drug when a person has a DVT, must have drug double checked with another nurse before giving. SE: bleeding. Antidote is prodomyicin sulfate. Morphine   Ã‚  Ã‚  Ã‚  Ã‚  Opiate agonist, narcotic analgesic that all narcotics are based upon (prototype) non-ceiling drug, so keep on giving, raise dose for more pain. Used for acute pain such as post surgery and burn pain. But it is also good in severe chronic pain, such as pain from cancer. Comes in tablets (rare), liquid, injectable form, and a PCA pump form. Usual dose 10-12 mg q 2-4 hrs. biggest problem= it is a CNS depressant so need to avoid other CNS depressants (alcohol), can cause resp depression. Do not give is resp are 12 or below. Double check resp in  ½ hr (inj) Digoxin  Ã‚  Ã‚  Ã‚  Ã‚  Lanoxin, cardiotonic glycoside. Slows but strengthens the heartbeat, often give a loading dose to get the heart were it is supposed to be and then back off and give a maintanence dose. Usual dose 0.25 mg. always check an apical before giving, if below 60 hold the med and call dr. biggest problem is in older patients where there glomerular filtration rate decreases, they end up with accumulation of this drug, because their ADME is decreased as well as their glomerular filtration. Have a apical pulse of like 40 Marplan  Ã‚  Ã‚  Ã‚  Ã‚  MAO inhibitor, used as antidepressant, main concern is a diet that is low in fermented things (beer, cheese) can throw them into a hypertensive state. Nitroglycerin  Ã‚  Ã‚  Ã‚  Ã‚  Coronary vasodilator, used to treat angina, comes in a sublingual tablet to be used in an attack, can us one every five minutes up to 15 minutes, or 3 doses before calling 911. need to replace the bottle every 3 to 6 months, keep in a dark tight container (disenigrates when exposed to air, moisture, or light), come in a bid med, called nitrobid.