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Specifically geared in the direction of patient-care, this instant-access pocket advisor presents registered nurses with crucial, up to date info at the choice and management of 1,000 standard medications.This source is revised each year to mirror approval of recent medicines, adjustments in utilization of present medicinal drugs, and withdrawal of older ones. The 2009 variation contains 30 extra natural supplementations. equipped alphabetically via drug name.

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5%, 1%, 2. 5%; rectal susp a hundred mg/60 mL SE: minimum systemic influence NIPE: Administer after BM, insert supp blunt finish 1st, admin enema W/ pt mendacity on part and maintain for 1 h Hydrocortisone, Topical & Systemic (Cortef, Solu-Cortef) [Corticosteroid] See Steroids and Tables three & four warning: [B, –] Contra: Viral, fungal, or tubercular pores and skin lesions; critical Infxns (except septic surprise or TB meningitis) SE: Systemic: ↑ urge for food, insomnia, hyperglycemia, bruising Notes: could cause HPA axis suppression Interactions: ↑ results W/ cyclosporine, estrogens; ↑ results OF cardiac glycosides, cyclosporine; ↑ probability of GI bleed W/ NSAIDs; ↓ results W/ aminoglutethimide, antacids, barbiturates, cholestyramine, colestipol, ephedrine, phenobarbital, phenytoin, rifampin; ↓ results OF anticoagulants, hypoglycemics, insulin, INH, salicylates Labs: ↑ Glucose, ldl cholesterol; ↓ K+, Ca+ NIPE: EtOH, stay virus vaccines, abrupt D/C of drug; take w/ foodstuff; may perhaps masks S/Sxs Infxn Hydromorphone (Dilaudid) [C–II] [Narcotic Analgesic] makes use of: *Moderate/severe ache* motion: Narcotic analgesic Dose: 1–4 mg PO, IM, IV, or PR q4–6h PRN; three mg PR q6–8h PRN; ↓ w/ hepatic failure warning: [B (D if lengthy use or excessive doses close to term), ? ] ↑ breathing melancholy and CNS results CNS depressants, phenothiazines, TCA Contra: part sensitivity Disp: Tabs 2, four mg, eight mg; Liq five mg/5 mL or 1 mg/mL; inj 1, 2, four, 10 mg/mL; supp three mg SE: Sedation, dizziness, GI disillusioned Interactions: ↑ results W/ CNS depressants, phenothiazines, TCAs, EtOH, St. John's wort; ↓ results W/ nalbuphine, pentazocine Labs: ↑ Serum amylase, lipase NIPE: Take w/ meals; ↑ fluids & fiber to avoid constipation; morphine 10 mg IM = hydromorphone 1. five mg IM Hydroxocobalamin (Cyanokit) [Antidote] makes use of: *Cyanide poisoning* motion: Binds cyanide to shape unhazardous cyanocobalamin excreted in urine Dose: 70 mg/kg IV ×1, repeat ×1 PRN max 5-g unmarried dose; inf over 7. five min warning: [C, ? ] Contra: None identified Disp: package 2 2. five g vials w/ inf set SE: ↑ BP (can be serious) anaphylaxis, chest tightness, edema, urticaria, rash, chromaturia, N, HA NIPE: Inj web site Rxns Hydroxyurea (Hydrea, Droxia) [Antineoplastic/Antimetabolite] makes use of: *CML, head & neck, ovarian & colon CA, cancer, ALL, sickle phone anemia, polycythemia vera, HIV* motion: ↓ Ribonucleotide reductase Dose: (per protocol) 50–75 mg/kg for WBC >100,000 cells/mL; 20–30 mg/kg in refractory CML. HIV: 1000–1500 mg/d in unmarried or ÷ doses; ↓ in renal insuff warning: [D, –] ↑ results w/ zidovudine, zalcitabine, didanosine, stavudine, fluorouracil Contra: serious anemia, BM suppression, WBC <2500 or plt <100,000, PRG Disp: Caps 2 hundred, three hundred, four hundred, 500 mg, tabs one thousand mg SE: ↓ BM (mostly leukopenia), N/V, rashes, facial erythema, radiation remember Rxns, renal impair Interactions: ↑ possibility of pancreatitis W/ didanosine, indinavir, stavudine; ↑ BM melancholy W/ anti-neoplastic medicinal drugs or radiation remedy Labs: ↑ Serum uric acid, BUN, Cr NIPE: ↑ Fluids 10–12 glasses/d, use barrier birth control, ↑ threat OF infertility; empty caps into H2O Hydroxyzine (Atarax, Vistaril) [Antipsychotic, Sedative/ Hypnotic/Antihistamine] makes use of: *Anxiety, sedation, itching* motion: Antihistamine, antianxiety Dose: Adults.

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