· Cards must be handwritten, legible, and on ruled index cards. · · The following information must be on the Drug Card for Each Drug: · Generic and Trade /Brand Names ( American Ony ) · Classifications: · Therapeutic · Pharmacological · Indications/Uses · Contraindications · Adverse reactions by all systems · Safe dosage range · 3 nursing implications · Action Propylthiouracil Methimazole Glucotrol Prandin Avandia Januvia Invokana Tiamiconolone Cymbalta Zyban
Drug Card – Example
Generic and Trade/Brand Names:
1. Propylthiouracil (PTU)
2. Methimazole (Tapazole)
3. Glucotrol (Glipizide)
4. Prandin (Repaglinide)
5. Avandia (Rosiglitazone)
6. Januvia (Sitagliptin)
7. Invokana (Canagliflozin)
8. Tiamiconolone (Kenalog)
9. Cymbalta (Duloxetine)
10. Zyban (Bupropion)
Classifications:
1. Propylthiouracil (PTU):
– Therapeutic Classification: Antithyroid agent
– Pharmacological Classification: Thioamide
2. Methimazole (Tapazole):
– Therapeutic Classification: Antithyroid agent
– Pharmacological Classification: Thioamide
3. Glucotrol (Glipizide):
– Therapeutic Classification: Antidiabetic agent (Sulfonylurea)
– Pharmacological Classification: Hypoglycemic agent (Insulin secretagogue)
4. Prandin (Repaglinide):
– Therapeutic Classification: Antidiabetic agent (Meglitinide)
– Pharmacological Classification: Hypoglycemic agent (Insulin secretagogue)
5. Avandia (Rosiglitazone):
– Therapeutic Classification: Antidiabetic agent (Thiazolidinedione)
– Pharmacological Classification: Antidiabetic agent (Peroxisome proliferator-activated receptor agonist)
6. Januvia (Sitagliptin):
– Therapeutic Classification: Antidiabetic agent (Dipeptidyl peptidase-4 inhibitor)
– Pharmacological Classification: Antidiabetic agent
7. Invokana (Canagliflozin):
– Therapeutic Classification: Antidiabetic agent (Sodium glucose co-transporter 2 inhibitor)
– Pharmacological Classification: Antidiabetic agent
8. Tiamiconolone (Kenalog):
– Therapeutic Classification: Topical corticosteroid (Intermediate potency)
– Pharmacological Classification: Glucocorticoid
9. Cymbalta (Duloxetine):
– Therapeutic Classification: Selective serotonin and norepinephrine reuptake inhibitor (SNRI) antidepressant
– Pharmacological Classification: Antidepressant
10. Zyban (Bupropion):
– Therapeutic Classification: Antidepressant (Smoking cessation aid)
– Pharmacological Classification: Aminoketone
Indications/Uses:
1. Propylthiouracil (PTU): Used for the treatment of hyperthyroidism, including Graves’ disease.
2. Methimazole (Tapazole): Used for the treatment of hyperthyroidism, including Graves’ disease.
3. Glucotrol (Glipizide): Used to control blood sugar levels in patients with type 2 diabetes.
4. Prandin (Repaglinide): Used to control blood sugar levels in patients with type 2 diabetes.
5. Avandia (Rosiglitazone): Used to control blood sugar levels in patients with type 2 diabetes.
6. Januvia (Sitagliptin): Used to control blood sugar levels in patients with type 2 diabetes.
7. Invokana (Canagliflozin): Used to control blood sugar levels in patients with type 2 diabetes.
8. Tiamiconolone (Kenalog): Used to treat various skin conditions, such as eczema and psoriasis.
9. Cymbalta (Duloxetine): Used to treat major depressive disorder, generalized anxiety disorder, fibromyalgia, and chronic musculoskeletal pain.
10. Zyban (Bupropion): Used as an aid in smoking cessation.
Contraindications:
1. Propylthiouracil (PTU):
– Hypersensitivity to PTU or any component of the formulation.
– Severe liver disease.
2. Methimazole (Tapazole):
– Hypersensitivity to methimazole or any component of the formulation.
– Severe liver disease.
– Pregnancy and lactation (avoid use during these times).
3. Glucotrol (Glipizide):
– Hypersensitivity to glipizide or any component of the formulation.
– Diabetic ketoacidosis.
– Type 1 diabetes.
4. Prandin (Repaglinide):
– Hypersensitivity to repaglinide or any component of the formulation.
– Diabetic ketoacidosis.
– Type 1 diabetes.
5. Avandia (Rosiglitazone):
– Hypersensitivity to rosiglitazone or any component of the formulation.
– History of heart failure or active heart disease.
6. Januvia (Sitagliptin):
– Hypersensitivity to sitagliptin or any component of the formulation.
7. Invokana (Canagliflozin):
– Hypersensitivity to canagliflozin or any component of the formulation.
– Severe renal impairment (eGFR less than 30 ml/min/1.73 m²).
– End-stage renal disease or on dialysis.
– Diabetic ketoacidosis.
8. Tiamiconolone (Kenalog):
– Hypersensitivity to tiamcinolone or any component of the formulation.
– Viral, fungal, or tuberculous skin infections.
9. Cymbalta (Duloxetine):
– Hypersensitivity to duloxetine or any component of the formulation.
– Use of monoamine oxidase inhibitors (MAOIs) within the past 14 days.
– Uncontrolled narrow-angle glaucoma.
10. Zyban (Bupropion):
– Hypersensitivity to bupropion or any component of the formulation.
– Seizure disorder.
– Current or previous diagnosis of anorexia nervosa or bulimia nervosa.
– Use of monoamine oxidase inhibitors (MAOIs) within the past 14 days.
Adverse Reactions by All Systems:
1. Propylthiouracil (PTU):
– Endocrine system: Hypothyroidism.
– Dermatological: Rash, pruritus.
– Gastrointestinal: Nausea, vomiting.
2. Methimazole (Tapazole):
– Endocrine system: Hypothyroidism.
– Dermatological: Rash, pruritus.
– Gastrointestinal: Nausea, vomiting.
3. Glucotrol (Glipizide):
– Gastrointestinal: Nausea, diarrhea, constipation.
– Hematologic: Hemolytic anemia, thrombocytopenia.
4. Prandin (Repaglinide):
– Gastrointestinal: Nausea, diarrhea, constipation.
– Hematologic: Hemolytic anemia, thrombocytopenia.
5. Avandia (Rosiglitazone):
– Gastrointestinal: Nausea, diarrhea, constipation.
– Cardiovascular: Edema, congestive heart failure.
6. Januvia (Sitagliptin):
– Gastrointestinal: Nausea, diarrhea, constipation.
– Dermatological: Rash, pruritus.
7. Invokana (Canagliflozin):
– Genitourinary: Urinary tract infections, genital mycotic infections.
– Gastrointestinal: Nausea, diarrhea.
8. Tiamiconolone (Kenalog):
– Dermatological: Rash, itching, burning, irritation, dryness.
– Local: Atrophy, striae, miliaria, pruritus.
9. Cymbalta (Duloxetine):
– Gastrointestinal: Nausea, dry mouth, constipation.
– Neurological: Dizziness, somnolence.
10. Zyban (Bupropion):
– Neurological: Headache, insomnia.
– Gastrointestinal: Dry mouth, nausea.
Safe Dosage Range: