TOP 30 NCLEX Meds

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1. Ace Inhibitors "PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE in lungs
from converting angiotensin I to
angiotensin II (powerful vasoconstrictor).
Decreases BP, Decreased Aldosterone
secretions, Sodium and fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension
2. Allupurinol G - Gulp 3L fluid per day
(Zyloprim) O - (NO) Organ Meats
U - Output up to 2 L/day
T - Teach
3. Aminoglycosides Gentamycin, Kanamycin sulfate,
Neomycin sulate, Steptomycin Sulfate
9. Atopine Tx Heart Blocks (increase HR)
(Caridiac Use)
4D's:
Dry Mouth, Dry Stool, Dilated Pupils,
Dilated Bladder (urinary retention)
10. Beta Blockers *** DO NOT give with ASTHMA,
BRONCHIAL CONSTRICTIVE
DISEASE!!!***
"LOL" Antenolol, metoprolol. labetolol
Antihypertensive. Blocks beta-adrenergic
receptors in heart, decreases excitability of
the heart, reduces caridac workload and
O2 consumption. Lowers BP.
Check BP before giving (hypotension)

*Orthostatic Hypotension
OTOTOXICITY
KIDNEY DAMAGE
* Do not D/C abruptly (2wks)
4. Aminophylline Bronchodilator - Decreases SOB
*Blocks normal signs of Hypoglycemia
Therapeutic levels 10-20 mcg/dl (sweating, tachycardia). Monitor Blood
TOXIC > 20 glucose!!
11. Bronchodilators Epinephrine (adrenalin)
CANT MIX WITH ANYTHING
5. Amphotericin B Antifungal Careful with Cardiac Pts
IVPB SLOW - 2+ hrs
12. Calcium "CA" Calan, Procardia, Cardizem
Hydrate pt - very toxic to kidneys, monitor
Channel Blocker
BUN.
Slow the HR and decrease BP (check HR
Check Hearing
and BP before). Inhibits mvmt of Calcium
Check K+ levels.
ions across membrane or cardiac and
6. Antacids Aluminum - Constipation arterial muscle cells. Results in slowed
Magnesium - Diarrhea impulse conduction, depression of
7. Anticholinergics Atropine myocardial constractility, dilation of
coroanry arteries.
GI - Slows motility, spasm
Eyes - Dilates pupils DO NOT GIVE TO SE: Constipation
GLAUCOME PTS
Heart - Increase HR Procardia sometimes causes peripheral
Resp - bronchodilator (Atrovent) edema

8. Anticoagulants Heparin (Antecdote - Protamine Sulfate) 13. Cancer Drugs Wear gloves, mask when preparing or
giving. Can be absorbed throught skin
Coumadin (Antecdote - Vit K.) 14. Cortisone Wt gain, Na+ retention, K+ Loss
(Steroids)
Bleeding precautions NEVER STOP SUDDENLY

PPT - Heparin
PT/INR - Coumadin
15. Digitalis Strengthens cardiac muscle contraction 26. Nitro Vasodilator
Antiarrhythmic Angina (1 tab 3x, 5 min apart)
Keep med dry, cool, only effective for 6 mo.
CANT MIX WITH ANYTHING (Tingling under tongue = good)

TOXICITY: ORTHOSTATIC HYPOTENSION

Pulse (slows - Check Apical Pulse before
27. Penicillines Take all 10 days
giving)
Photosensitivity 28. Potassium Check labs before giving, Never give IV
Puke (vomiting, nausea) Chloride PUSH
Yellow-Green Halos
Light Flashes Give with FOOD (GI distresss))

16. Dilantin Anti-convolsant

Extreme caution if pt. receiving potassium-
sparing diuretic.
Therapeutic level 10-20 (same as
amminophylline)
NOT for pts with RENAL DISEASE.
Toxicity > 20
Causes hyperplasia of gums - bleeding 29. Premarin 1. Hormone Replacement - Estrogen
gums Tx Menopause Sxs
Give extra VIT. D SD - Vascular Headaches
Periods continue
17. Direct - Acting Hydralazine (apresoline)
Vasodilator
2. Prempro (comination estrogen and
Relaxes smooth muscle of blood vessels,
progesteron)
lowing peripheral esistance.
No periods

Teach pt to check pulse d/t change in C.O. 30. Sulfa Drugs Drink lots of fluids
If HR <60 Contact physician. Can cause blood dyscrasias - REPORT
SORE THROAT, RASH IMMEDIATELY.
18. Diuretics K+ and NA+ follows the walter -->
electrolytes imbalances
UTI (Bactrim, sulfisoxazole)
19. Librium and To prevent DT's in acute alcohol Ulcerative colitis (Sulfasalazine)
Valume withdrwal
31. Tylenol Bad for Liver - DO NOT GIVE TO
Can produce physical dependency.
ALCOHOLICS
20. Lidocaine Decrease cardiac irritability
32. Urinary Pyridium (cystitis) - Orange/Red urine
Titate IV
Antispasmodics
Use with V. TACH
21. Lithium Bipolar Disorder
Decrease Na+ (risk of toxicity)
Increase Na+ levels (causes sodium
diuresis)
Toxic Level > 2 mEq/L
22. Miotics CONSTRICT (Pilo-Carpine)
For glaucoma - increased outflow of
aqueaous humor
23. Morphine IV for chest pain
Check Respirations
24. Mydriatics DILATES (Atropine)
Dont use in pts with gaucoma (build up
IOP)
25. Narcan Counteracts Morphine - opioid narcotics.