Medications :: essays research papers

StreptokinaseThrombolytic, 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 allow bust clots from head to toe giving biggest risk of BLEEDING.Aminophylline/TheoDur Adrenergic bronciodilators, stop aminophylline levels bc at that place is I fine line between theraputic and toxic. thrive pupils so dont give to closed angle glaucoma. leave behind make you nervous jittery, decrease caffeine in their diet.HeparinAnticoagulant, admonisher dose with PTT, fanny be given sub-q or IV. N perpetually ever IM because it will make the muscle bleed. 1 drug when a mortal has a DVT, must have drug double checked with some other nurse before giving. SE bleeding. Antidote is prodomyicin sulfate.Morphine Opiate agonist, narcotic anodyne that all narcotics are based upon (prototype) non-ceiling drug, so keep on giving, shew dos e for more pain. Used for acute pain such as post surgery and burn pain. But it is also good in severe chronic 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 central nervous system depressant so need to avoid other CNS depressants (alcohol), can cause resp depression. Do not give is resp are 12 or to a lower place. Double check resp in hr (inj)DigoxinLanoxin, cardiotonic glycoside. Slows provided strengthens the mallbeat, often give a loading dose to get the heart were it is supposed to be and then back off and give a chief(prenominal)tanence dose. Usual dose 0.25 mg. always check an apical before giving, if below 60 hold the med and call dr. biggest problem is in older patients where there glomerular filtration rate decreases, they end up with accumulation of this drug, because their ADME is decreased as well as their glomerular filtration. Have a apical quiver of like 40MarplanMAO inhibitor, used as antidepressant, main concern is a diet that is low in fermented things (beer, cheese) can book them into a hypertensive state.NitroglycerinCoronary vasodilator, used to treat angina, comes in a sublingual tablet to be used in an attack, can us one 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 gloomful tight container (disenigrates when exposed to air, moisture, or light), come in a play med, called nitrobid.