Common Medications Used in Pediatrics side effects=contact provider or medical dr. Drug name Acetaminophen Albumin Indications/SE Pain/fever SE: Nausea Hypovolemic shock, burn patients, hypoalbuminemia, neonatal hyperbilirubinemia, hypotension SE: chills, HA, N/V Contraindications/DDIs Hepatic/liver impairment Coagulation abnormality, electrolyte imbalance, hypervolemia Amoxicillin Antibiotic – bacterial infections SE: diarrhea, vomiting, HA Bacterial Infections SE: diarrhea, vomiting, HA, gas, sleepy, dizziness Pain/fever SE: GI upset (take w/ food/water), N/V, bleeding Anxiety, rash, sedation, N/V SE:drowsiness, confusion, passing out, Monitor: BP/Mental status Anxiety/sedation, GI/V, SE: drowsiness, confusion, trouble sleeping, dark urine Monitor: RR, BP, HR Allergic rxn, motion sickness, insomnia SE: drowsiness Bacterial infections (E.coli, staph) SE: diarrhea Bacterial infections (resp., skin/soft tissue, genitals, sepsis, abdominal) SE: diarrhea, abdominal pain Monitor: CBC, liver/hepatic Constipation SE: stomach cramps, diarrhea Allergy/asthma, skin rash SE: restlessness, GI upset, trouble sleeping (give w/ food, in AM) Monitor: BP, Hbg Mod-Sev pain SE: constipation, dizzy, respiratory depression Monitor: RR, BP, HR, O2 Infections, prophylax. SE: N/HA Anticoagulant SE: bleeding, call if they fall Pain/fever SE: upset stomach Allergy (beta-lactam), +BC Ancef/Cefazolin Asprin Atarax/Vistaril/Hydroxyzine Ativan/lorazepam Benadryl/diphenhydramine Piperacillin/Tazobactam Clindamycin **macrolide** Colace/docusate **stool softner** Decadron/Dexmethasone Dilaudid/hydromorphone Flagyl/metronidazole Heparin Hycet/Norco/acetaminophen and hydrocodone Allergy (beta-lactam) Caution in pt w/ asthma <12 y/o – Reyes Syndrome Allergy, early pregnancy, QT interval, caution in asthma Allergy, +CNS depressant, +alcohol, +hydroxyzine +CNS depressant, +hydroxyzine Allergy (beta-lactam) +vancomycin Don’t give for >1wk +NSAID, +CNS depr., +diuretics, +Tylenol=liver probs Ibuprofen IVIG Immune Globulin Keppra/levetiracetam Lasix/furosemide Leucovorin Miralax **osmotic** Morphine Methylprednisone/solumedrol Famotidine/Pepcid MVI/Poly-vi-sol Rocephin/Ceftriaxone Toradol/Ketorolac Vancomycin **glycopeptide** Zofran/Ondansetron Zosyn/Piperacillin- Aches/pain d/t cold/flu, fever, toothache SE: GI upset, Monitor: Na+, liver/hepatic, CBC Antibodies. passive immunity hep B, varicella, rubella, measles SE: D/N/HA, dizzy, tired Seizures SE: V, dizzy/drowsiness Monitor BP Edema, heart failure, ^BP SE: ^urine output, dizzy, GI upset Monitor: I/O, K+, Used w/ methotrexate (cancer drug) to avoid SE SE: alopecia, fatigue, N/V/D, passing out Laxative; constipation SE: stomach cramps Sev-chronic pain SE: constipation, drowsiness, respiratory depression Monitor: HR, RR, BP, O2, mental status Asthma, allergy signs, rashes SE: HA, nausea GERD, heartburn, sour stomach SE: agitation, HA/D Multivitamins, growth/health SE: upset stomach, dark teeth (brush them) Sepsis, meningitis, respiratory tract infection, otitis media SE: diarrhea, dizziness Mod-sev pain SE: abdominal pain, HA/N Antibiotic, bacterial (c.diff infection) SE: dizziness, dyspnea, tinnitus Monitor: renal function, I/Os, trough levels N/V SE: constipation, HA Monitor: BP, electrolytes Severe infections SE: diarrhea Caution in asthma pt Renal impairment Give in AM +aminoglycosides, +corticosteroids, Do not give >1 wk Caution in asthma, GI obstruction Allergy (beta-lactam) Can give w/ food to help upset stomach, Otoxicity/nephrotoxicity