Nobles Debby
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22/11/2023
What's
Your
Favorite
Fruits ✌️
26/10/2023
🩺💉💊❤️
What are things you love about nurse's 👌
04/09/2023
This is caused by the effects of HARD DRUGS 💉🤕
31/08/2023
Letting your self no your worth must be your priorities ❤️❤️❤️
31/08/2023
May whatever you desire come to pass before this year runs up👌👌👌
31/08/2023
10Top DRUGS
1. ACETAMINOPHEN (Tylenol)
• EFFECTS:
✓ Analgesic (mild to moderate pain)
✓ Antipyretic
• NO anti-inflammatory action NO platelet action
• THERAPEUTIC LEVEL: 10 – 30 mg/dL
• ANTIDOTE: Acetlycysteine (Mucomyst)
• ADVERSE EFFECTS: hepatotoxic
2. AMINOGLYCOSIDES
• STREPTOMYCIN/ GENTAMYCIN
• Obtain Peak and trough level o Peak level – 30 minutes after taking the drug o Trough level – 30 minutes before the next dose
• Adverse effects:
✓ Neurotoxic
✓ Ototoxic → therapeutic to Meniere’s disease to relieve from vertigo (but this is the last resort because it will lead to permanent deafness)
✓ Nephrotoxic → Monitor BUN
3. ANESTHESIA
• Epidural anesthesia → Spinal headache
• Spinal anesthesia → Hypotension
4. ANTICOAGULANTS AND THROMBOLYTICS
WARFARIN SODIUM (Coumadin) HEPARIN
(Hepalean)
Action Blocks prothrombin synthesis Blocks conversionof prothrombin to thrombin
Onset 2 to 5 days 30 seconds to 1 minute
Use • Thrombosis and embolism
• Atrial fibrillation with embolization
• Adjunct in treatment of coronary occlusion • Thrombosis and embolism
• Prevention of clotting in heparin lock sets, blood samples and during dialysis
• Treatment of disseminated intravascular coagulation
Route Oral SQ, IV
(DO NOT give IM, may lead to hematoma and pain)
Expressed in Milligrams Units
Antidote Vitamin K/ Phytonadione (AquaMEPHYTON) Protamine sulfate
Laboratory Test Prothrombin time (PT)
Normal value:11 to 13 seconds Partial Thromboplastin Time (PTT)
Normal value: 60 to 70 seconds; 2 to 2.5 times the control
Activated Partial thromboplastin time (APTT)
Normal value: 30 to 45 seconds; 1.5 to 2 times the control
Usage Long term therapy Short term therapy
Effect Slow Quick
• Coumadin and Heparin CAN BE GIVEN together
• WHAT ARE THE DRUGS THAT ENHANCE THE EFFECTS OF ANTICOAGULANTS?
4A – Aspirin, Antihistamines, Alcohol, Antibiotics
5G – Ginseng, Garlic, Ginger, Ginko biloba, Guia
30/08/2023
Do you know that 🙄
If high blood pressure is not controlled with life style 🌸 changes na medications it can lead to serious health problems including cardiovascular diseases (such as heart disease ND stroke) vascular dementia,eye problems ND kidney diseases etc
20/08/2023
The best way for a pregnant woman to stay safe and healthy is weekly seeing of her doctor 🩺💉💊 eating adequate balance meals ND regular taken of routine drugs which is essential it helps the mother ND the foetus in the uterus 💪kick well