GENERIC: albumin

TRADE: (none)

A: IV, give ALONE, assess VS before & after, give antihist. and tylenol before, chk VS q 5m for 1st 15m

T: ↑ Blood vol.

A:allergic rxn, anaphylactic rxn, sepsis, fever

T: s/sx rxn

GENERIC: alteplase

TRADE: Activase

All Thromolytics:

A: IV

T: dissolve DVT, MI, other clots

A: bleeding tendencies - skin, urine, stool, oral, injection sites, dysrhythmias

T: reg. VS & lab chks for PTT/PT, avoid sports, food w/Vit K, ASA

GENERIC: aminocaproic acid

TRADE: Amicar

(Antidote for streptokinase)

Hemostatic

A: IV or PO

T: ↓ bleeding (often post-op), counteract anticoags.

A: generally mild

Contraindicated in pts. w/dissem. clotting or renal impairment

GENERIC: amiodarone

TRADE: Cordarone

A: PO or IV, check apical, hold if <60, chk BP

T: regular HR, rhythm, no s/sx CHF

A: dysrhythmia, ch in BP, n/v/d/A

T:monitor BP, rpt SOB, CP

GENERIC: aspirin

TRADE: ASA

A: oral

T: no or less DVT, MI

A: bleeding tendencies - skin, urine, stool, oral

T: reg. lab chks, avoid sports, food c Vit K, ASA

GENERIC: atenolol

TRADE: Tenormin

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, bradycardia, dizzy, weak, headache, bronchospasms. T: change pos. slow

GENERIC: atorvastatin

TRADE: Lipitor

A: Space apart, take c food, hs

T: improved blood values

A: N/V/D/C/flatus, cramps, hepatotoxicity, mm pain

T: take c food, avoid sun, liver fn tests

GENERIC: captopril

TRADE: Capoten

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, arrythmias, dizzy, weak, headache.

T: change pos. slow

GENERIC: chlorothiazide

TRADE: Diuril

A: early in day, oral or IV for quick T: dec weight, BP, swelling, lung congestion

A: dehydration, electrolyte issues, hyPER blood products (glycol, etc), ototoxic (loops)

T: labs, wt, BP, diet report HR, rhythm changes, wt gain

GENERIC: cholestyramine

TRADE: Questran

A: Space apart, take c food, hs

T: improved blood values

A: N/V/D/C/flatus, cramps, hepatotoxicity, mm pain

T: take c food, avoid sun, liver fn tests

GENERIC: clonidine

TRADE: Catapres

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, arrythmias, dizzy, weak, headache, first dose syncope.

T: change pos. slow

GENERIC: clopidogrel

TRADE: Plavix

A: oral

T: no or less DVT, MI

A: bleeding tendencies - skin, urine, stool, oral

T: reg. lab chks, avoid sports, food c Vit K, ASA

GENERIC: cyanocobalamin

TRADE: Crystamine

A: SQ/IM due to pernicious anemia/PO/Nasal

T: ck labs: dec SOB, weakness, good skin color

A: diarrhea, hypokalemia

T: good diet, labs neuro sx could be perm. If stopped

GENERIC: digoxin

TRADE: Lanoxin

A: check apical, hold if <60, chk BP, chk electrolytes (predispose to dig toxicity - hypokalemia, hypomagnesemia, hypercalcimia)

T: regular HR, rhythm, no s/sx CHF A: dysrhythmia, ch in BP (red CO),n/v/d/A

T:monitor BP, rpt SOB, CP

GENERIC: diltiazem

TRADE: Cardizem

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, bradycardia, dizzy, weak, headache.

T: change pos. slowly

GENERIC: doxazosin

TRADE: Cardura

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, arrythmias, dizzy, weak, headache.

T: change pos. slow

GENERIC: enalapril

TRADE: Vasotec

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, arrythmias, dizzy, weak, headache, chronic cough; hyperkalemia.

T: change pos. slow

GENERIC: epoetin alfa

TRADE: Epogen, Procrit

A: SQ/IV 3x/wk

T: ck labs: dec SOB, weakness, good skin color

A:headache, N/V/D, edema, HTN

T: good diet, labs, monitor BP

GENERIC: ezetimibe

TRADE: Zetia

A: Space apart except with statins, take c food, hs

T: improved blood values

A: N/V/D/C/flatus, cramps, hepatotoxicity, mm pain

T: take c food, avoid sun, liver fn tests

GENERIC: ferrous sulfate

TRADE: Feosol

A: PO daily

T: ck labs: dec SOB, weakness, good skin color

A: N/V/C, dark stools

T:dark stool, take with vit C, Fiber

GENERIC: filgrastim

TRADE: Neupogen

A: SQ, IV avoid 24 B/A chemo

T: labs - inc WBC (neutrophils), less infect, cure infect

A: flu like sx, bone pain, tachycardia

T: infection control, pain mgt w/NSAIDS

GENERIC: folic acid

TRADE: (none)

A: PO/IM/SQ/IV daily

T: ck labs: dec SOB, weakness, good skin color

A: minimal

T:no special teaching

GENERIC: furosemide

TRADE: Lasix

A: early in day, oral or IV for quick T: dec weight, BP, swelling, lung congestion

A: dehydration, electrolyte issues, hyPER blood products (glycol, etc), ototoxic (loops)

,T: labs, wt, BP, diet report HR, rhythm changes, wt gain

GENERIC: gemfibrozil

TRADE: Lopid

A: Space apart, take without food, hs

T: improved blood values

A: N/V/D/C/flatus, cramps, hepatotoxicity, mm pain

T: take c food, avoid sun, liver fn tests

GENERIC: heparin

TRADE: Heplock

(antidote = protamine sulfate)

A: Parenteral-IV - quick act, short half life; SQ for maint.

T: 1.5-2.5 clot time, PTT test

A: bleeding tendencies - skin, urine, stool, oral

T: reg. lab chks, avoid sports, food c Vit K, ASA

GENERIC: hydralazine

TRADE: Apresoline

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, arrythmias, dizzy, weak, headache.

T: change pos. slowly

GENERIC: hydrochlorothiazide

TRADE: HydroDIURIL

A: early in day, oral or IV for quick T: dec weight, BP, swelling, lung congestion

A: dehydration, electrolyte issues, hyPER blood products (glycol, etc), ototoxic (loops)

T: labs, wt, BP, diet report HR, rhythm changes, wt gain

GENERIC: isosorbide dinitrate

TRADE: Isordil

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, tachycardia, dizzy, weak, headache, peripheral edema.

T: change pos. slow

GENERIC: lidocaine

TRADE: Xylocaine

A: check apical, hold if <60, chk BP T: regular HR, rhythm, no s/sx CHF A: dysrhythmia, ch in BP (red CO),n/v/d/A

T:monitor BP, rpt SOB, CP

GENERIC: lisinopril

TRADE: Prinivil, Zestril

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, arrythmias, dizzy, weak, headache.

T: change pos. slow

GENERIC: losartan

TRADE: Cozaar

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, arrythmias, dizzy, weak, headache.

T: change pos. slow

GENERIC: mannitol

TRADE: Osmitrol

A: early in day, oral or IV for quick T: dec weight, BP, swelling, lung congestion

A: dehydration, electrolyte issues, hyPER blood products (glycol, etc), ototoxic (loops)

T: labs, wt, BP, diet report HR, rhythm changes, wt gain

GENERIC: metoprolol

TRADE: Lopressor

A: before, have pt sit or lie down, check vitals and pain.    

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, bradycardia, dizzy, weak, headache.

T: change pos. slow

GENERIC: nifedipine

TRADE: Procardia

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, bradycardia, dizzy, weak, headache.

T: change pos. slowly

GENERIC: nitroglycerin

TRADE: Nitrostat, Nitro-Bid, Nitro-Dur

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, tachycardia, dizzy, weak, headache, peripheral edema.

T: change pos. slow

GENERIC: normal serum albumin

TRADE: Albuminar, Albutein, Buminate, Plasbumin

A: give ALONE, asses VS before&after, give antihist and tylenol before, chk VS q 5 for 1st 15

T: improv. Blood counts

A:allergic rxn, anaphylactic rxn, sepsis, fever T: s/sx rxn

GENERIC: oprelvekin

TRADE: Interleukin 11

A: SQ only, avoid 24h B/A chemo T: inc platelets, dec bleeding and bleeding time

A: edema, dyspnea, tachycardia

T: bleeding safety, report weight gain, bleeding (urine stool)

GENERIC: procainamide

TRADE: Procan, Procanbid, Pronestyl

A: check apical, hold if <60, chk BP T: regular HR, rhythm, no s/sx CHF A: dysrhythmia, ch in BP (red CO),n/v/d/A

T:monitor BP, rpt SOB, CP

GENERIC: propranolol

TRADE: Inderal

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, bradycardia, dizzy, weak, headache.

T: change pos. slowly

GENERIC: protamine sulfate

TRADE: (none)

(antidote for Heparin)

A: parenteral

T: no or less DVT, MI

A: bleeding tendencies - skin, urine, stool, oral

T: reg. lab chks, avoid sports, food c Vit K, ASA

GENERIC: reteplase

TRADE: Retavase

GENERIC: sodium nitroprusside

TRADE: (none)

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, arrythmias, dizzy, weak, headache.

T: change pos. slow

GENERIC: spironolactone

TRADE: Aldactone

A: early in day, oral or IV for quick T: dec weight, BP, swelling, lung congestion

A: dehydration, electrolyte issues, hyPER blood products (glycol, etc), ototoxic (loops)

T: labs, wt, BP, diet report HR, rhythm changes, wt gain

GENERIC: streptokinase

TRADE: Streptase

(antidote = aminocaproic acid)

GENERIC: verapamil

TRADE: Calan

A: before, have pt sit or lie down, check vitals and pain.

T: Acute pain relieved, activity tolerance improved.

A: Hypotension, bradycardia, dizzy, weak, headache.

T: change pos. slow

GENERIC: vitamin K

TRADE: Phytonadione

(antidote for Warfarin)

A: parenteral

T: no or less DVT, MI

A: bleeding tendencies - skin, urine, stool, oral

T: reg. lab chks, avoid sports, food c Vit K, ASA

GENERIC: warfarin

TRADE: Coumadin

(antidote = vitamin K)

A: oral 3-5 days to work

T: 1.5-2.5 clot time, PT&INR test

A: bleeding tendencies - skin, urine, stool, oral

T: reg. lab chks, avoid sports, food c Vit K, ASA