Medsurg2drugs - Drug What it does/what its for Adverse...

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Drug What it does/what it’s for Adverse effects How to give and when not to give Cipro (broad spectrum) To treat bacterial infections of urinary, respiratory, and GI tracts & bone and joint infections N&V, diarrhea, dyspepsia, headache, constipation, confusion, dizziness PO or IV. Not in pregnancy, in children under 18. Milk and OJ reduce effectiveness; so does iron. *report tendon pain or inflammation. Watch for bleeding with anticoagulants! Vancomycin Treats Gram-positive infections, “last resort” *NEPHROTOXIC* *Ototoxic* Watch for allergic reactions, hallucinations, severe skin rash, anuria or oliguria, jaundice IV. Peak: 20-40 mcg/ml Trough: 5-15 mcg/ml. *Monitor* Tetracycline (broad spectrum) Chlamydia, Rocky Mountain Spotted Fever, acne Epigastric discomfort, diarrhea, heartburn, suprainfection PO. Take on an empty stomach. No children under 8 or pregnant women— stains teeth. Avoid sun. Watch for bleeding with anticoagulants! Declomycin (demeclocycline) Bacterial infections, acne. Considered a tetracycline. N&V, loss of appetite, headache, dizziness. Watch for tinnitus, bruising, bleeding PO. Can take with food but no magnesium, aluminum, or calcium. No children under 8 or pregnant women— stains teeth. Avoid sun. Watch for bleeding with anticoagulants! Garamycin (gentamicin) (broad spectrum) Tough bacterial infections, especially Staph and Pseudomona, Serratia. *NEPHROTOXICITY! * *Ototoxicity (tinnitus), Balance problems IV, IM, or PO. Peak about 10 mg/dL, trough around 0-2 mg/dL. Obtain peaks 30 min-1 hour after dosing; trough before next dose. Watch for
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bleeding with anticoagulants! Avandia (rosiglitazone) Antidiabetic. Makes cells more sensitive to insulin. Type 2 diabetes Some serious ones to watch—stomach pain, dark urine, jaundice, vision problems, hives, urticaria PO. Tell Dr. if drink alcohol, are on heart failure meds, will have dye injected for procedures, have kidney problems, take insulin, are over 80, macular edema, pregnancy or planned pregnancy.
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