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Preceptorship meds

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Preceptorship meds

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Preceptorship meds

  1. 1. J.F. 1. InsulinLisproinj 100 units/ml vial Humalogsliddingscale. Less than 10 mmol = 0 units@ 2100 > isa rapid-actinghumaninsulin analogusedtolowerbloodglucose. > side effectsare: Hypoglycemia, orlow bloodsugar, is the mostcommonside effectof insulinlispro. Symptomsof lowbloodsugarmay include headache,nausea,hunger,confusion,drowsiness,weakness, dizziness,blurredvision,fastheartbeat,sweating,tremor,troubleconcentrating,confusion,orseizure (convulsions). 2. Methadone Liquid10 mg/ml give 50 mg (5ml) PO BID@2100 > Anopioidissometimescalleda narcotic.Methadone isusedasa painrelieverandaspart of drug addictiondetoxificationandmaintenance programsandisonlyavailablefromcertifiedpharmacies. > Side effects:severeasthmaorbreathingproblems,abowel obstructioncalledparalytic ileus. 3. Gabapentin100 mg cap; 100 mg (1 cap) PO BID @ 2100 > isan anti-epilepticmedication,alsocalledananticonvulsant.Itaffectschemicalsandnervesin the body that are involvedinthe cause of seizuresandsome typesof pain. > impairyourthinkingorreactions,avoidtakinganantacidwithin2hours before orafteryoutake gabapentin,Drinkingalcohol withthis medicine. J.A. 1. Heparininj 5,000 units/0.5ml vial;5,000 units(0.5ml) SCQ12H @2100 > isan anticoagulant(bloodthinner) thatpreventsthe formationof blood clots. > bleeding 2. Gabapentin300 mg cap; 300 mg (1 cap) POHS @ 2100 > isan anti-epilepticmedication,alsocalledananticonvulsant.Itaffectschemicalsandnervesin the body that are involvedinthe cause of seizuresandsome typesof pain. > impairyourthinkingorreactions,avoidtakinganantacidwithin2hours before orafteryoutake gabapentin,Drinkingalcohol withthis medicine. 3. MelatoninSL 3 mg tab; 6 mg (2 tabs) SL daily@2000 > hasbeenusedinalternative medicine asalikelyeffective aidintreatinginsomnia(troublefalling asleeporstayingasleep).Itisalsolikelyeffectiveintreatingsleepdisordersinpeople whoare blind. 4. Mirtazepine 15 mg tab; 15 mg (1tab) PO HS @ 2100 > isan antidepressant,Itisthoughtto positivelyaffectcommunicationbetweennervecellsinthe central nervoussystemand/orrestore chemical balance inthe brain,usedtotreat major depressive disorder. > side effects:mayinclude confusion,memoryproblems,drowsiness,andfastheartrate. 5. Oxycodone 5 mg tab;5mg (1 tab) PO QID @ 2100 > isan opioidpainmedication.Anopioidissometimescalledanarcotic,usedto treatmoderate to severe pain. > Side effects:severeasthmaorbreathingproblems,abowel obstructioncalledparalyticileus. 6. Zopiclone 5 mgtab; 5mg (1 tab) PO HS @ 2100
  2. 2. > isused to treatsleepingproblems insomnia > side effects:Daytime drowsiness, dizziness, lightheadedness,bittertaste, drymouth, headache or stomachupsetmay occur the firstfewdays H.M. 1. Acetaminophen325mg tab; 650 (2 tabs) @ 2100 > isa pain relieverandafeverreducer. 2. LithiumCarbonate 300 mg cap; 300 mg (1 cap) @ 2100 > isusedto treatmanic-depressivedisorder(bipolardisorder).Itworkstostabilize the moodandreduce extremesinbehaviorbyrestoringthe balance of certainnatural substances(neurotransmitters)in the brain. 3. Quetiapine 25mg tab; 25 mg (1 tab) POHS @ 2100 > isan antipsychotic.Itmayincrease the riskof deathwhenusedtotreat mental problemscausedby dementiainelderly patients. Treatingschizophreniaorbipolardisorder. > Constipation;dizziness;drowsiness;dry mouth;headache;increased appetite;indigestion;light- headedness;nausea;runny orstuffy nose;sluggishness;sorethroat;stomach pain orupset;tiredness; vomiting;weakness;weightgain. 4. Sennosides12mg tab; 24 mg (2 tabs) PO HS @ 2100 > are usedto treat constipation.Theymayalsobe usedtocleanout the intestinesbefore abowel examination/surgery. Sennosidesare knownasstimulantlaxatives.Theyworkby keepingwaterinthe intestines,whichcausesmovementof the intestines. > dehydration 5. Trazodone 50 mg tab; 50 mg (1 tab) POHS @ 2100 > Trazodone isan antidepressant medicine.Itaffectschemicalsinthe brainthatmaybe unbalancedin people with depression. Trazodoneisusedtotreat major depressive disorder. R.B. Schedule Medications: 1. DalteparinInjection –Anticoagulant. Dalteparinisalsousedtopreventatype of bloodclotcalleddeep vein thrombosis (DVT), which can lead to blood clots in the lungs (pulmonary embolism). 2. Acetaminophen –referabove PRN: 1. Bowel Protocol – referabove 2. Hydromorphone –Opioid. Treatingmoderate tosevere paininnarcotic-tolerantpatientswhorequire larger than usual doses to provide adequate pain relief. 3. Ondansetron – referabove Diagnosis:Confusionpainonmovement MedHistory: MI withstent,Bloodclotdisorder J.F. Schedule Medication:
  3. 3. 1. Budesonide + Formeterol - Budesonide/formoterol aerosol is a corticosteroid and a long-acting beta- agonistbronchodilatorcombination.Itworks by reducinginflammationandwideningthe airwaysinthe lungs, which helps you breathe more easily. Patient has COPD. 2. Insulin lispro inj - Antidiabetic, rapid acting insulin, used to lower blood glucose. 3. Insulin reg 30/70 – Antidiabetic, type of premixed insulin contains a mixture of fast- acting insulin (insulin regular) and intermediate-acting insulin (insulin NPH). 4. Lactulose solution–referabove 5. Methadone – Opioid. Methadone isusedasa painrelieverandas part of drug addictiondetoxification and maintenance programs and is only available from certified pharmacies. 6. Tiotropium inhaler – Anticholinergic. Treating symptoms of chronic obstructive pulmonary disease (COPD),includingbronchitisandemphysema.Tiotropiumisananticholinergicagent.Itworksbyenlarging the airways to allow easier breathing. 7. Cyanocobalamin –referabove 8. Ferrous Sulfate - Ferrous Sulfate is an essential body mineral. Ferrous sulfate is used to treat iron deficiency anemia (a lack of red blood cells caused by having too little iron in the body). 9. Furosemide –Loopdiuretic. Thatprevents yourbody fromabsorbingtoomuchsalt.Thisallowsthe salt to instead be passed in your urine. Furosemide is used to treat fluid retention (edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome. 10. Gabapentin –Anticonvulsant. Itaffectschemicalsandnervesinthebodythatare involvedinthe cause of seizures and some types of pain. 11. Metformin –Antidiabetic. Itisusedinpatientswith type2diabetes.Controllinghigh bloodsugarhelps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. 12. Nadolol –Antiangina/Antihypertension. Nadololisabeta-blocker.Itworksbyslowingdownthe heart and decreasingthe amountof blooditpumpsout.Thishelpstodecrease bloodpressure,helpsthe heart pump more efficiently, and reduces the workload on the heart. 13. Spironolactone – Potassiumsparing diuretic. That prevents your body from absorbing too much salt and keeps your potassium levels from getting too low. PRN: 1. Acetaminophen –referabove 2. Bowel Protocol – referabove 3. Dimenhydrinate–referabove 4. Oxazepam–Antianxiety. Oxazepamisusedtotreatanxietydisordersoralcohol withdrawal symptoms. 5. Salbutamol – referabove Diagnosis: Cellulitis right leg – right foot toes amputation (fore foot amputation) - inflammation of subcutaneous connective tissue. MedHistory: ETOH, DM2, LiverCirrhosis COPD - isa lungdisease characterizedby chronic obstruction of lung airflow thatinterfereswithnormal breathingandisnotfullyreversible.The more familiarterms'chronicbronchitis'and'emphysema'are no longer used, but are now included within the COPD diagnosis. Hep C positive – a form of viral hepatitis transmitted in infected blood, causing chronic liver disease.It was formerly called non-A, non-B hepatitis. J.A. Schedule Medications: 1. CholestyramineResinLight –Lipidloweringagent. Usedalongwithaproperdietto lowercholesterol in the blood. Lowering cholesterol helps decrease the risk for strokes and heart attacks.
  4. 4. 2. Heparin inj – Anticoagulant. Used to prevent blood clots from forming in people who have certain medical conditionsorwhoare undergoingcertainmedical proceduresthatincreasethe chance thatclots will form. 3. Lactulose Solution –referabove 4. Polyethyleneglycol –referabove 5. Aspirin – referabove 6. Atenolol – Beta blocker, antihypertension - Atenolol is used to treat angina (chest pain) and hypertension (high blood pressure). 7. CalciumCarbonate – referabove 8. Cyanocobalamin –referabove 9. FolicAcid –VitaminB. Folicacidhelpsyourbodyproduceandmaintainnew cells,andalsohelpsprevent changes to DNA that may lead to cancer. 10. Furosemide –referabove 11. Gabapentin – referabove 12. Melatonin– referabove 13. Mirtazepine –referabove 14. Multi Vitamins –referabove 15. Oxycodone – Opioid. Oxycodone is used to treat moderate to severe pain. 16. Pantoprazole –referabove 17. Spironolactone –referabove 18. Zopiclone – Sedative. Zopiclone is used to treat sleeping problems (insomnia). PRN: 1. Acetaminophen –referabove 2. Bowel Protocol – referabove 3. Hydroxyzine – Sedative. Hydroxyzine is used as a sedative to treat anxiety and tension. Hydroxyzine may alsobe usedto control nauseaand vomiting.Hydroxyzineisalsousedtotreatallergicskinreactions such as hives or contact dermatitis. Diagnosis:Rule out bowel obstruction MedHistory: R/OBowel obstruction,Chroniclegulcers,Multi –L hipprecaution Cirrhosis - is a late stage of scarring (fibrosis) of the liver caused by many forms of liver diseases and conditions, such as hepatitis and chronic alcoholism. H.M. Schedule Medications: 1. Dalteparininj – referabove 2. Diclofenac – NSAID’s. Diclofenac is used to treat mild to moderate pain, or signs and symptoms of osteoarthritis or rheumatoid arthritis. 3. Aspirin – referabove 4. Acetaminophen –referabove 5. LithiumCarbonate - Usedtotreatmanic-depressive disorder(bipolardisorder).Itworkstostabilizethe mood and reduce extremes in behavior by restoring the balance of certain natural substances (neurotransmitters) in the brain. 6. Quetiapine –referabove 7. Sennosides –referabove 8. Sertraline –referabove 9. Trazodone – Antidepressants. Trazodone is used to treat major depressive disorder. 10. VitaminD– referabove PRN:
  5. 5. 1. Aluminum + Magnesium Hydroxide – Antacid. Used to treat the symptoms of too much stomach acid such asstomachupset, heartburn,andacid indigestion.Aluminumand magnesiumantacidsworkquickly to lower the acid in the stomach. 2. Bowel Protocol – referabove 3. Hydromorphone –referabove 4. Ondasetron – referabove Diagnosis:Sub dural hemorrhage - isa type of hematoma, usuallyassociatedwithtraumaticbraininjury. Blood gathers between the dura mater and the brain. MedHistory: CAD- happenswhenthearteriesthatsupplybloodtoheartmusclebecomehardenedandnarrowed.This isdue to the buildupof cholesterol andothermaterial,calledplaque,ontheirinnerwalls.Thisbuildupis calledatherosclerosis.Asitgrows,lessbloodcanflow throughthe arteries.Asa result,the heartmuscle can't get the bloodor oxygenitneeds.Thiscan leadto chest pain(angina) or a heartattack. Most heart attacks happen when a blood clot suddenly cuts off the hearts' blood supply, causing permanent heart damage. Dementia- a chronicor persistentdisorderof the mental processescausedbybraindisease orinjuryand marked by memory disorders, personality changes, and impaired reasoning. Bipolar - is a mental disorder with periods of depression and periods of elevated mood. 1. C.D. > fromRCH > ExacerbationCOPDclear > COPD,CABG,GI bleed,GERD,smoker,bladder,anxiety,chronicbackpain > Pupil reactive,independenttowashroom, 4ww and(oxygen1.5 room, 2 while walking) > GCS: 15, GI: eating,GU: perbathroom,Relationship:Soninlaw doingthe finance,Precaution:MRSA > haspuffer,antibioticuntil Nov.9 > hallucinationpsych,orientedx3,eveninglavxative,claustrophobic > chronicafib – riboxivan,bloodwork –for kidneyfunction,livealone –home healthsupport 2. M.G. > back pain,PICCline,IV antibiotic,morphine tablet > Dx:Osteomyelitis;MedHx:GI bleed,IV druguse,backpain > Cefazolinq8hrs,antibioticuntil Nov.9 ALC-FS– Familysocial,needtofindshelter ALC-HH – Home health ALC-CV – Convalescent,temporaryhome untiltheyfindashelter Patient:S.H. 1. Acetaminophen –Non-opioid 2. Hydromorphone - Opioid 3. Melatonin - Sedation 4. Pregabalin - Isan anticonvulsantandneuropathicpainagent.Itisthoughttobindto certainareas in the brainthat helpreduce seizures,nerve pain,andanxiety.
  6. 6. 5. Sennosides - Constipation Dx: PedestrianStruck Med: Orif bilateral knees,Asthma,drugaddict Patient:M.M. 1. Acetaminophen –Non-opioid Dx: Weakness,UTI Med Hx: A-fib,TIA,HTN,dementia,CAD Patient:C.K. 1. Lactulose Solution - Constipation 2. Gabapentin - Gabapentinisan anti-epilepticmedication,alsocalledananticonvulsant.Itaffects chemicalsandnerves inthe bodythatare involvedinthe cause of seizuresandsome typesof pain. Dx: AKI,liverdisease,liverCa Med Hx: Anemia,ETOHabuse

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