* Ethambutol: causes problems with vision, liver problem. * Isoniazid: can cause peripheral neuritis; take vitamin B6 to counter. MONOAMINE OXIDASE INHIBITORS (MAOI’s) : - Tyramine-rich foods may cause severe hypertension in patients who take MAOI’s. - Tyramine-rich foods include: aged cheese, chicken liver, avocados, bananas, meat tenderizer, salami, bologna, Chianti wine, and beer. PYRIDIUM: - Urinary tract analgesic and spasmolytic - Not an anti-infective - Turns urine bright orange. NITROGLYCERINE PATCH is administered up to three times with intervals of five minutes. MORPHINE: - Contraindicated in pancreatitis because it causes spasms of the Sphincter of Oddi. - Meperidine (Demerol) should be given. CLOZAPINE: - A significant associated toxic risk is blood dyscrasia. DIGOXIN: - Assess pulses for a full minute, if less than 60 bpm hold dose. - Check digitalis and potassium levels. HALOPERIDOL ADVERSE EFFECTS: - Drowsiness. - Insomnia. - Weakness. - Headache - Extrapyramidal symptoms: akathisia, tardive dyskinesia, dystonia. ALUMINUM HYDROXIDE: - Treatment of GERD and kidney stones. - WOF: constipation. HYDROXYZINE: - Treatment of anxiety and itching. - WOF: dry mouth. MIDAZOLAM: - Given for conscious sedation. - WOF: respiratory depression and hypotension. AMIODARONE - Take missed dose any time in the day or skip it entirely. - Do not take double dose. - WOF: diaphoresis, dyspnea, lethargy. WARFARIN (COUMADIN) - Stress importance of complying with prescribed dosage and follow-up appointments. - WOF: signs of bleeding, diarrhea, fever, rash. METHYLPHENIDATE (RITALIN) - Treatment of ADHD. - Assess for heart related side-effects and report immediately. - Child may need a drug holiday because the drug stunts growth. DOPAMINE - Treatment of hypotension, shock and low cardiac output. - Monitor ECG for arrhythmias and blood pressure. PHENYTOIN - Enteral feedings: stop the feeding 1-2h before and after the administration of the phenytoin because the enteral feedings decrease its absorption. - Flush with 30-50ml of NaCl before and after the administration of phenytoin. * WOF: Watch Out For
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- Spring '14