Preceptorship meds

1. J.F.
1. InsulinLisproinj 100 units/ml vial Humalogsliddingscale.
Less than 10 mmol = 0 units@ 2100
> isa rapid-actinghumaninsulin analogusedtolowerbloodglucose.
> side effectsare: Hypoglycemia, orlow bloodsugar, is the mostcommonside effectof insulinlispro.
Symptomsof lowbloodsugarmay include headache,nausea,hunger,confusion,drowsiness,weakness,
dizziness,blurredvision,fastheartbeat,sweating,tremor,troubleconcentrating,confusion,orseizure
(convulsions).
2. Methadone Liquid10 mg/ml give 50 mg (5ml) PO BID@2100
> Anopioidissometimescalleda narcotic.Methadone isusedasa painrelieverandaspart of drug
addictiondetoxificationandmaintenance programsandisonlyavailablefromcertifiedpharmacies.
> Side effects:severeasthmaorbreathingproblems,abowel obstructioncalledparalytic ileus.
3. Gabapentin100 mg cap; 100 mg (1 cap) PO BID @ 2100
> isan anti-epilepticmedication,alsocalledananticonvulsant.Itaffectschemicalsandnervesin
the body that are involvedinthe cause of seizuresandsome typesof pain.
> impairyourthinkingorreactions,avoidtakinganantacidwithin2hours before orafteryoutake
gabapentin,Drinkingalcohol withthis medicine.
J.A.
1. Heparininj 5,000 units/0.5ml vial;5,000 units(0.5ml) SCQ12H @2100
> isan anticoagulant(bloodthinner) thatpreventsthe formationof blood clots.
> bleeding
2. Gabapentin300 mg cap; 300 mg (1 cap) POHS @ 2100
> isan anti-epilepticmedication,alsocalledananticonvulsant.Itaffectschemicalsandnervesin
the body that are involvedinthe cause of seizuresandsome typesof pain.
> impairyourthinkingorreactions,avoidtakinganantacidwithin2hours before orafteryoutake
gabapentin,Drinkingalcohol withthis medicine.
3. MelatoninSL 3 mg tab; 6 mg (2 tabs) SL daily@2000
> hasbeenusedinalternative medicine asalikelyeffective aidintreatinginsomnia(troublefalling
asleeporstayingasleep).Itisalsolikelyeffectiveintreatingsleepdisordersinpeople whoare blind.
4. Mirtazepine 15 mg tab; 15 mg (1tab) PO HS @ 2100
> isan antidepressant,Itisthoughtto positivelyaffectcommunicationbetweennervecellsinthe
central nervoussystemand/orrestore chemical balance inthe brain,usedtotreat major depressive
disorder.
> side effects:mayinclude confusion,memoryproblems,drowsiness,andfastheartrate.
5. Oxycodone 5 mg tab;5mg (1 tab) PO QID @ 2100
> isan opioidpainmedication.Anopioidissometimescalledanarcotic,usedto treatmoderate to
severe pain.
> Side effects:severeasthmaorbreathingproblems,abowel obstructioncalledparalyticileus.
6. Zopiclone 5 mgtab; 5mg (1 tab) PO HS @ 2100

2. > isused to treatsleepingproblems insomnia
> side effects:Daytime drowsiness, dizziness, lightheadedness,bittertaste, drymouth, headache or
stomachupsetmay occur the firstfewdays
H.M.
1. Acetaminophen325mg tab; 650 (2 tabs) @ 2100
> isa pain relieverandafeverreducer.
2. LithiumCarbonate 300 mg cap; 300 mg (1 cap) @ 2100
> isusedto treatmanic-depressivedisorder(bipolardisorder).Itworkstostabilize the moodandreduce
extremesinbehaviorbyrestoringthe balance of certainnatural substances(neurotransmitters)in
the brain.
3. Quetiapine 25mg tab; 25 mg (1 tab) POHS @ 2100
> isan antipsychotic.Itmayincrease the riskof deathwhenusedtotreat mental problemscausedby
dementiainelderly patients. Treatingschizophreniaorbipolardisorder.
> Constipation;dizziness;drowsiness;dry mouth;headache;increased appetite;indigestion;light-
headedness;nausea;runny orstuffy nose;sluggishness;sorethroat;stomach pain orupset;tiredness;
vomiting;weakness;weightgain.
4. Sennosides12mg tab; 24 mg (2 tabs) PO HS @ 2100
> are usedto treat constipation.Theymayalsobe usedtocleanout the intestinesbefore abowel
examination/surgery. Sennosidesare knownasstimulantlaxatives.Theyworkby keepingwaterinthe
intestines,whichcausesmovementof the intestines.
> dehydration
5. Trazodone 50 mg tab; 50 mg (1 tab) POHS @ 2100
> Trazodone isan antidepressant medicine.Itaffectschemicalsinthe brainthatmaybe unbalancedin
people with depression. Trazodoneisusedtotreat major depressive disorder.
R.B.
Schedule Medications:
1. DalteparinInjection –Anticoagulant. Dalteparinisalsousedtopreventatype of bloodclotcalleddeep
vein thrombosis (DVT), which can lead to blood clots in the lungs (pulmonary embolism).
2. Acetaminophen –referabove
PRN:
1. Bowel Protocol – referabove
2. Hydromorphone –Opioid. Treatingmoderate tosevere paininnarcotic-tolerantpatientswhorequire
larger than usual doses to provide adequate pain relief.
3. Ondansetron – referabove
Diagnosis:Confusionpainonmovement
MedHistory: MI withstent,Bloodclotdisorder
J.F.
Schedule Medication:

3. 1. Budesonide + Formeterol - Budesonide/formoterol aerosol is a corticosteroid and a long-acting beta-
agonistbronchodilatorcombination.Itworks by reducinginflammationandwideningthe airwaysinthe
lungs, which helps you breathe more easily. Patient has COPD.
2. Insulin lispro inj - Antidiabetic, rapid acting insulin, used to lower blood glucose.
3. Insulin reg 30/70 – Antidiabetic, type of premixed insulin contains a mixture of fast-
acting insulin (insulin regular) and intermediate-acting insulin (insulin NPH).
4. Lactulose solution–referabove
5. Methadone – Opioid. Methadone isusedasa painrelieverandas part of drug addictiondetoxification
and maintenance programs and is only available from certified pharmacies.
6. Tiotropium inhaler – Anticholinergic. Treating symptoms of chronic obstructive pulmonary disease
(COPD),includingbronchitisandemphysema.Tiotropiumisananticholinergicagent.Itworksbyenlarging
the airways to allow easier breathing.
7. Cyanocobalamin –referabove
8. Ferrous Sulfate - Ferrous Sulfate is an essential body mineral. Ferrous sulfate is used to treat iron
deficiency anemia (a lack of red blood cells caused by having too little iron in the body).
9. Furosemide –Loopdiuretic. Thatprevents yourbody fromabsorbingtoomuchsalt.Thisallowsthe salt
to instead be passed in your urine. Furosemide is used to treat fluid retention (edema) in people
with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome.
10. Gabapentin –Anticonvulsant. Itaffectschemicalsandnervesinthebodythatare involvedinthe cause
of seizures and some types of pain.
11. Metformin –Antidiabetic. Itisusedinpatientswith type2diabetes.Controllinghigh bloodsugarhelps
prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems.
12. Nadolol –Antiangina/Antihypertension. Nadololisabeta-blocker.Itworksbyslowingdownthe heart
and decreasingthe amountof blooditpumpsout.Thishelpstodecrease bloodpressure,helpsthe heart
pump more efficiently, and reduces the workload on the heart.
13. Spironolactone – Potassiumsparing diuretic. That prevents your body from absorbing too much salt
and keeps your potassium levels from getting too low.
PRN:
1. Acetaminophen –referabove
2. Bowel Protocol – referabove
3. Dimenhydrinate–referabove
4. Oxazepam–Antianxiety. Oxazepamisusedtotreatanxietydisordersoralcohol withdrawal symptoms.
5. Salbutamol – referabove
Diagnosis: Cellulitis right leg – right foot toes amputation (fore foot amputation) - inflammation of
subcutaneous connective tissue.
MedHistory: ETOH, DM2, LiverCirrhosis
COPD - isa lungdisease characterizedby chronic obstruction of lung airflow thatinterfereswithnormal
breathingandisnotfullyreversible.The more familiarterms'chronicbronchitis'and'emphysema'are no
longer used, but are now included within the COPD diagnosis.
Hep C positive – a form of viral hepatitis transmitted in infected blood, causing chronic liver disease.It
was formerly called non-A, non-B hepatitis.
J.A.
Schedule Medications:
1. CholestyramineResinLight –Lipidloweringagent. Usedalongwithaproperdietto lowercholesterol in
the blood. Lowering cholesterol helps decrease the risk for strokes and heart attacks.

4. 2. Heparin inj – Anticoagulant. Used to prevent blood clots from forming in people who have certain
medical conditionsorwhoare undergoingcertainmedical proceduresthatincreasethe chance thatclots
will form.
3. Lactulose Solution –referabove
4. Polyethyleneglycol –referabove
5. Aspirin – referabove
6. Atenolol – Beta blocker, antihypertension - Atenolol is used to treat angina (chest pain)
and hypertension (high blood pressure).
7. CalciumCarbonate – referabove
8. Cyanocobalamin –referabove
9. FolicAcid –VitaminB. Folicacidhelpsyourbodyproduceandmaintainnew cells,andalsohelpsprevent
changes to DNA that may lead to cancer.
10. Furosemide –referabove
11. Gabapentin – referabove
12. Melatonin– referabove
13. Mirtazepine –referabove
14. Multi Vitamins –referabove
15. Oxycodone – Opioid. Oxycodone is used to treat moderate to severe pain.
16. Pantoprazole –referabove
17. Spironolactone –referabove
18. Zopiclone – Sedative. Zopiclone is used to treat sleeping problems (insomnia).
PRN:
1. Acetaminophen –referabove
2. Bowel Protocol – referabove
3. Hydroxyzine – Sedative. Hydroxyzine is used as a sedative to treat anxiety and tension. Hydroxyzine
may alsobe usedto control nauseaand vomiting.Hydroxyzineisalsousedtotreatallergicskinreactions
such as hives or contact dermatitis.
Diagnosis:Rule out bowel obstruction
MedHistory: R/OBowel obstruction,Chroniclegulcers,Multi –L hipprecaution
Cirrhosis - is a late stage of scarring (fibrosis) of the liver caused by many forms of liver diseases and
conditions, such as hepatitis and chronic alcoholism.
H.M.
Schedule Medications:
1. Dalteparininj – referabove
2. Diclofenac – NSAID’s. Diclofenac is used to treat mild to moderate pain, or signs and symptoms
of osteoarthritis or rheumatoid arthritis.
3. Aspirin – referabove
4. Acetaminophen –referabove
5. LithiumCarbonate - Usedtotreatmanic-depressive disorder(bipolardisorder).Itworkstostabilizethe
mood and reduce extremes in behavior by restoring the balance of certain natural substances
(neurotransmitters) in the brain.
6. Quetiapine –referabove
7. Sennosides –referabove
8. Sertraline –referabove
9. Trazodone – Antidepressants. Trazodone is used to treat major depressive disorder.
10. VitaminD– referabove
PRN:

5. 1. Aluminum + Magnesium Hydroxide – Antacid. Used to treat the symptoms of too much stomach acid
such asstomachupset, heartburn,andacid indigestion.Aluminumand magnesiumantacidsworkquickly
to lower the acid in the stomach.
2. Bowel Protocol – referabove
3. Hydromorphone –referabove
4. Ondasetron – referabove
Diagnosis:Sub dural hemorrhage - isa type of hematoma, usuallyassociatedwithtraumaticbraininjury.
Blood gathers between the dura mater and the brain.
MedHistory:
CAD- happenswhenthearteriesthatsupplybloodtoheartmusclebecomehardenedandnarrowed.This
isdue to the buildupof cholesterol andothermaterial,calledplaque,ontheirinnerwalls.Thisbuildupis
calledatherosclerosis.Asitgrows,lessbloodcanflow throughthe arteries.Asa result,the heartmuscle
can't get the bloodor oxygenitneeds.Thiscan leadto chest pain(angina) or a heartattack. Most heart
attacks happen when a blood clot suddenly cuts off the hearts' blood supply, causing permanent heart
damage.
Dementia- a chronicor persistentdisorderof the mental processescausedbybraindisease orinjuryand
marked by memory disorders, personality changes, and impaired reasoning.
Bipolar - is a mental disorder with periods of depression and periods of elevated mood.
1. C.D.
> fromRCH
> ExacerbationCOPDclear
> COPD,CABG,GI bleed,GERD,smoker,bladder,anxiety,chronicbackpain
> Pupil reactive,independenttowashroom, 4ww and(oxygen1.5 room, 2 while walking)
> GCS: 15, GI: eating,GU: perbathroom,Relationship:Soninlaw doingthe finance,Precaution:MRSA
> haspuffer,antibioticuntil Nov.9
> hallucinationpsych,orientedx3,eveninglavxative,claustrophobic
> chronicafib – riboxivan,bloodwork –for kidneyfunction,livealone –home healthsupport
2. M.G.
> back pain,PICCline,IV antibiotic,morphine tablet
> Dx:Osteomyelitis;MedHx:GI bleed,IV druguse,backpain
> Cefazolinq8hrs,antibioticuntil Nov.9
ALC-FS– Familysocial,needtofindshelter
ALC-HH – Home health
ALC-CV – Convalescent,temporaryhome untiltheyfindashelter
Patient:S.H.
1. Acetaminophen –Non-opioid
2. Hydromorphone - Opioid
3. Melatonin - Sedation
4. Pregabalin - Isan anticonvulsantandneuropathicpainagent.Itisthoughttobindto certainareas in
the brainthat helpreduce seizures,nerve pain,andanxiety.

6. 5. Sennosides - Constipation
Dx: PedestrianStruck
Med: Orif bilateral knees,Asthma,drugaddict
Patient:M.M.
1. Acetaminophen –Non-opioid
Dx: Weakness,UTI
Med Hx: A-fib,TIA,HTN,dementia,CAD
Patient:C.K.
1. Lactulose Solution - Constipation
2. Gabapentin - Gabapentinisan anti-epilepticmedication,alsocalledananticonvulsant.Itaffects
chemicalsandnerves inthe bodythatare involvedinthe cause of seizuresandsome typesof pain.
Dx: AKI,liverdisease,liverCa
Med Hx: Anemia,ETOHabuse