1
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- The doctor orders a drug using the generic name. What is your best action when the drug
is delivered with a trade name you have not seen before?
- A. Call doctor to verify order
- B. Notify the pharmacist
- C. Give drug cautiously
- D. Use drug references
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2
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3
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4
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5
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- Opioid Analgesic
- Safe dose: Smallest amount to treat c/o
- Safe route: PO vs IM vs IV
- Effects in 10-30 minutes….SAFETY
- Best to give BEFORE painful treatments
- Give round the clock or PCA
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6
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- Discharged after knee replacement
- Asthmatic with persistent cough
- Athlete with torn meniscus
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7
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- Scheduled drug
- Analgesic and Antitussive effects
- Weaker then Morphine with milder side effects
- May be given with Tylenol for additive analgesic effects
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8
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9
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10
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- Do not take more often then prescribed
- Potential for drug dependence
- NO alcohol or drugs with sedative effects
- Stay in bed for > 30 minutes after injection
- Question driving and machinery use
- Constipation, drowsiness, difficulty breathing, severe N/V
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11
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12
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13
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- OPPOSITE of therapeutic effects
- Anxiety
- Aggressiveness
- Restlessness
- Muscle tension
- N/V, diarrhea
- Increased respiratory rate, temp, B/P
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14
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15
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16
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17
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18
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- Aspirin: Antiinflammatory,
Antipyretic, Analgesic
- Acetaminophen: Antipyretic,
Analgesic
- Ibuprofen: Antiinflammatory,
Antipyretic, Analgesic
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19
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- Excessive Tylenol produces a REDUCTION in Glutathione
- Glutathione is found in the liver and combines with toxic metabolites to
decrease hepatic toxicity
- Less Glutathione causes toxic metabolite build up in the liver
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20
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- Page 102 Abrams
- Acetylcysteine (Mucomyst)
- Cysteine is necessary for the synthesis of glutathione
- Does not reverse damage
- Allows more Glutathione availability
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21
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22
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23
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24
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- Avoid OTC drugs
- Protect Stomach
- Don’t take an overdose
- If no improvement call Dr
- Tell Dr of drugs prior to surgery
- Watch for allergies
- Minimize ETOH
- Watch for GI bleeding
- Hydrate
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25
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26
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27
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