Phoenix College Block III
Common Med-Surg Pharmacology
Memory Check List
IV Push Medications
*Make note of the trade/generic names of all medications
Medication
Therapeutic
Class
Actions/
Indications
Side Effects
Furosemide (IVP)
Antihypertensio -Inhibit Na+ and
n
water reabsorption
from the loop of
Henle and distal
renal tubule. So
K+, Mg+, Ca2+
may also excreted.
-Watch for K+
level
Morphine (IVP)
Opioid
Lopressor (IVP)
Antihypertensiv -Treatment of
es
HTN
Beta-blocker
-Block stimulation
of B1-adrenergic
receptors
-Bradycardia
5mg
-Depression
-Congestive Heart
Failure
-Pulmonary edema
Famotidine (IVP)
-Histamine H2
receptor
antagonists
-Antiulcer
agent
-Hallucination
-Arrhythmias
-Nausea
-Decrease
electrolytes
-Hypotension
-Increase urinate
-Dehydration
-Ototoxicity
-Treatment of
-Respiratory
moderate pain or
depression
severe pain
-Binds to opiate
receptors in the
CNS. Alters the
perception of an
response to painful
stimuli, while
producing
generalized CNS
depression.
-Treatment of
ulcer and GERD
-(IV)Prevention
and treatment of
upper GI bleed.
-Inhibit the action
of histamine at the
H2-receptor site
located primary in
gastric parietal
cells, resulting in
Rate of
Administration
-PO
-IV/IM
20mg q12hr,
diluted and given
over 2 mins
inhibition of
gastric acid
secretion
hydromorphone
(IVP)
Opioid
-Treatment of
-Respiratory
moderate pain or
depression
severe pain
-Binds to opiate
receptors in the
CNS. Alters the
perception of an
response to painful
stimuli, while
producing
generalized CNS
depression.
1.5 – 2 mg,
q3-4hr
Phenergan (IVP)
Antihistamins,
Phenothiazine
antiemetics
-Changing the
actions of
chemicals in your
brain.
Promethazine also
acts as an
antihistamine. It
blocks the effects
of the naturally
occurring
chemical
histamine in your
body.
- Treat allergy
symptoms such as
itching, runny
nose, sneezing,
itchy or watery
eyes, hives, and
itchy skin rashes.
-Ringing in your
ears
-Dry mouth
25mg/min
Narcan (IVP)
Antidote for
Opioid
-Reversal of CNS
depression and
respiratory
depression due to
overdose
-Competitively
blocks the effects
of opioids
-HTN
-Hypotension
-Ventricular
fibrillation
0.02-2mg
q 2-3mins
Metoclopramide
(IVP)
Antiemetic/gast
ric stimulant
-Prevention of
emesis related to
chemotherapy and
surgery
-Block dopamine
receptors in the
chemoreceptor
trigger zone of
CNS
-Bone marrow
suppression
-Drowsiness
10-15mg 30 min
before meals and
at bedtime
Insulin, regular
(IVP)
Antidiabetic
agent
Lower blood
glucose by
stimulating
glucose uptake in
skeletal muscle
and fat
-Hypoglycemia
IV/0.1unit/kg/hr
continuous
infusions
Insulin, regular
(IVP)
Antidiabetic
agent
Lower blood
glucose by
stimulating
glucose uptake in
skeletal muscle
and fat
-Hypoglycemia
IV/0.1unit/kg/hr
continuous
infusions
Zofran (IVP)
Antiemetic
-Prevent of N/V
-Block the effects
of serotonin at
receptor sites
-HA
-Dizzy
-Fatigue
-Constipation
-Diarrhea
0.15mg/kg
Diphenhydramine
(IVP)
Antihistamines
- Competes with
histamine for H1receptor sites.
-Seizure,
50mg/ml
Thrombocytopenia
,
IV Piggyback Medications
Medication
Therapeutic Class
Actions/
Indications
Side Effects
Cefazolin (IVPB)
Antibiotics
Inhibits cell-wall
- anorexia
synthesis,
-Diarrhea
promoting osmotic
instability; usually
bactericidal.
Rate of
Administration
2 g/10 mL in 0.9%
NSS
Ceftriaxone
(IVPB) 3rd
generation
Anti-infective
-Treatment of
infections
-Bind to the
bacterial cell wall
membrane,
causing cell death
-Seizure
-Rash
1-2 g, q12-24hr
Ciprofloxacin
(IVPB)
Antibiotics
- Inhibits bacterial
DNA synthesis,
mainly by
blocking DNA
gyrase;
bactericidal.
-Seizure
-HA
-Restleness
200 mg/20 mL
Cefepime (IVPB)
4th generation
Anti-infective
-Treatment of
infections
-Bind to the
bacterial cell wall
membrane,
causing cell death
-Seizure
-Rash
1-2 g, q12-24hr
Levofloxacin
(IVPB)
Antibiotics
-Inhibits bacterial
DNA gyrase and
prevents DNA
replication,
transcription,
repair, and
recombination in
susceptible
bacteria
-Dizziness
-HA
-Insomnia
Infusion
(premixed): 250
mg in 50 mL D5W
Piperacillin/
Tazobactim
(IVPB)
Antibiotics
-Treatment of
infections
-Bind to the
bacterial cell wall
membrane,
causing cell death
- Seizure,
Pseudomembrano
us colitis
3.375 g q 6hr
Vancomycin
(IVPB)
Antibiotics
Treatment of
potentially lifethreatening
infections when
less toxic antiinfectives are
contraindicated
-Ototoxicity
-Hypotension
500mg q 6hr
Metronidazole
(IVPB)
Antiprotozoals
Direct-acting
-Seizure
trichomonacide
-HA
and amebicide that
works inside and
outside the
intestines
500 mg/100 mL
Linezolid (IVPB)
Antibiotics
Prevents bacterial
protein synthesis
by interfering with
DNA translation
in the ribosomes
-Headache
-Dizziness
-Insomnia
2 mg/mL
Meropenum
(IVPB)
Antibiotics
-Inhibits cell-wall
synthesis in
bacteria. Readily
penetrates cell
wall of most
gram-positive and
gram-negative
bacteria to reach
penicillin-binding
protein targets.
-Apnea
-HA
Powder for
injection: 500 mg
or 1 g
Daptomycin
(IVPB)
Antibiotics
Bactericidal; binds -Confusion
to and depolarizes -Dizziness
susceptible
-Cardiac Failure
bacterial
membranes to
inhibit protein,
DNA, and RNA
synthesis.
Powder for IV
infusion: 350-mg
vial