Specific Medications

Question 1

HCTZ (Hydrochlorothiazide)

Answer 1

1. Thiazide type Diuretic
2. Lowering BP and causing diuresis of edema
3. promotes excretion of Cl, K, H, Mg, Ph, Ca
4. Can Cause Hypotension / hypokalemia
5. TURNS URINE BLUE / PHOTOSENSITIVITY
6. wear sunscreen and change position slowly

Question 2

furosemide (Lasix)

Answer 2

1. Loop Diuretic
2. Can cause hypokalemia
3. Works extremely fast
4. Watch for Hearing changes
5. Can increase uric acid levels and gout symptoms

Question 3

spirolactone (Aldactone)

Answer 3

1. K+ sparing diuretic
2. Causes loss of Na & Ca and saves K+
3. Contraindicated in Hyperkalemia
4. Continue med even if feeling better

Question 4

Oxybutynin (Ditropan)

Answer 4

1. Anticholinergic (Antispasmodic)
2. Contraindicated in Narrow angle glaucoma, Myasthenia gravis,, CAD, & issues w/ motility
3. Can Cause
   - dry mouth, tachycardia, N/V, Headache and dizziness

Question 5

(phenazopyradine) (Pyridium)

Answer 5

1. Nonopioid analgesic used for urinary mucosa anesthetic
2. Relief from transurethral surgery / neurogenic bladder
3. Contraindicated in Renal Insufficiency
4. Causes orange-red urine that can stain

Question 6

ipatropium bromide (Atrovent)

Answer 6

1. Anti-cholinergic
2. Lower onset than Beta agonist (keeps the door open)
3. Can cause dry mouth, headache, anxiety
4. Don’t give w/ a cholinergic or adrenergic med

Question 7

Proventil (Albuterol)

Answer 7

1. Beta Agonist
2. Sympathetic response (Chest pain, palpitations, HTN)
3. Works very quickly for emergency situations

Question 8

Flovent (fluticasone)

Answer 8

1. Anti-inflammatories steroidal
2. Can cause dry mouth, cough, oral fungal infections, hoarseness
3. Use bronchodilators 1st, then after 5 minutes use corticosteroid
4. Rinse mouth after use to reduce fungal infection

Question 9

Accolate (zafirlukast)

Answer 9

1. Non steroidal anti-inflammatory (Leukotriene Receptor Antagonist)
2. Can cause Headache, dizziness, N/V/D, myalgia
3. Administer on empty stomach
4. Monitor theophylline levels, PT/INR levels if on these drugs concurrently

Question 10

diphenydramine (Benadryl)

Answer 10

1. H1 blocker (Antihistamine generation 1)
2. Drowsiness, dry mouth
3. Avoid driving and other activities requiring alertness while on med
4. wear sunscreen to avoid photosensitivity reaction

Question 11

fexofenadine (Allegra)

Answer 11

1. Anti-histamine (second generation)
2. Can make people awake instead of drowsy
   3.