Medications :: essays research papers

Streptokinase     Thrombolytic, aka clot buster. One of our TPA (tissue plasminogen activator) used to bust clots in a pt with a stroke from an embolus or a thrombus or is having an MI from a thrombus or an embolus. Problem is if you bust the clot it will bust clots from strait to toe giving biggest risk of BLEEDING.Aminophylline/TheoDur      Adrenergic bronciodilators, watch aminophylline levels bc at that place is I fine line between theraputic and toxic. Dilate pupils so outweart afford to closed angle glaucoma. Will bring up you loathsome jittery, decrease caffeine in their diet.Heparin     Anticoagulant, monitor pane of glass with PTT, force out be given sub-q or IV. Never ever IM be nonplus it will make the muscle bleed. 1 drug when a person has a DVT, essential have drug double checked with another nurse in the beginning giving. SE bleeding. Antidote is prodomyicin sulfate.Morphine      O piate agonist, narcotic analgesic that all narcotics argon based upon (prototype) non-ceiling drug, so keep on giving, raise dose for more than pain. Used for acute pain such as post performance and burn pain. But it is also good in severe invete tempo pain, such as pain from cancer. Comes in tablets (rare), liquid, injectable form, and a PCA pump form. Usual dose 10-12 mg q 2-4 hrs. biggest problem= it is a CNS tranquillizing so need to avoid other CNS depressants (alcohol), can cause resp depression. Do not give is resp are 12 or below. copy check resp in hr (inj)Digoxin     Lanoxin, cardiotonic glycoside. Slows but strengthens the heartbeat, often give a loading dose to get the heart were it is supposed to be and then back off and give a maintanence dose. Usual dose 0.25 mg. always check an apical before giving, if below 60 curtail the med and call dr. biggest problem is in older patients where there glomerular filtration rate decreases, they end up wit h accumulation of this drug, because their ADME is decreased as well as their glomerular filtration. Have a apical pulse of like 40Marplan     MAO inhibitor, used as antidepressant, main concern is a diet that is low in fermented things (beer, cheese) can throw them into a hypertensive state.Nitroglycerin     Coronary vasodilator, used to treat angina, comes in a sublingual tablet to be used in an attack, can us atomic number 53 every five minutes up to 15 minutes, or 3 doses before calling 911. need to replace the bottle every 3 to 6 months, keep in a dark tight container (disenigrates when unfastened to air, moisture, or light), come in a bid med, called nitrobid.