Drugs (exam 1)
Renal:
Immunosuppressants:
- Methotrexate (Trexall)
oLowers immune system and ALL
cells.
oPts need to be on neutropenic
precautions
oRisk for infection
Diuretics
- Loop diuretics
oFurosemide
oBumetanide
oHydrochlorothiazide
Loss of potassium
Watch BP
Orthostatic
hypotension
Potassium wasting,
watch electrolytes
Digoxin toxicity (.5-2)
oKayexalate
Uses sodium to bind to
potassium in the
intestines to be exreted
in feces
Causes GI to absorb
sodium which
promotes the excretion
of potassium
Should see 10-15
DIARRHEA poops or
else its not working
right
Can cause hypokalemia
- Potassium sparing
oSpironolactone
Watch for hyperkalemia
Antibiotics
oHeld before dialysis
oWatch out for signs of
anyphylaxis such as hives,
angioedema (lip swelling),
wheezing and respiratory
distress. STOP IMMEDIATELY.
oCAN cause diarrhea that turns
into C-diff
- Cephtriaxone (Rocephin)
- Cephazolin (ancef)
- Bactrim
oSulfa med
oAsk about allergies to shellfish
oUPPER UTI
- Vancomycin
oBIG GUNS
oIt is a vesicant
oIs toxic to oto (ear) and renal
oCan cause red man syndrome
(pruritic erythematous –
redness of skin with itch)
- Pyridium
oFor pain:
oTurns urine orange/red
oStop taking when burning
subsides
- Levofloxacin (Levaquin)
oBroad spectrum
oBIG GUN
oTendonitis (tendon pain)
oCan rupture tendons (bone to
muscle)
Antispasmodics
- Stops bladder spams for person peeing
all the time (urge)
- Anticholinergic: dry mouth, xerostomia,
dry eyes, constipation. Urinary
retention, angioedema. Works on
parasympathetic.
Oxybutynin
oProstate to not have to feel
urge to pee all the time
