Barium Swallow - Targets more GRAM +

- Remove jewelry before procedure since it will - Cefaclor, Cefuroxime, Cefprozil, Cefonicid,
affect the visualization Ceforanide
- Give laxative as ordered (senna leaves, 3. 3RD GENERATION
lactulose (30cc ODHS, given to comatose px - Broad spectrum antibiotic
and px who has liver problems to prevent - Targets BOTH GRAM (+) and (-) bacteria
accumulation of ammonia in the brain- - Cefixime, Cefotaxamine, Ceftriaxone
HEPATIC ENCEPHALITIS), dulcolax) 4. 4th GERATION
- For PSEUDOMONAS INFECTION
Melanosis Coli - Cefipime, Cefpirome
- Darkening of colon due to senna intake (px 5. 5th GENERATION
taking senna become dependent to it) - For MYTHYCELLIN RESISTANCE
- Stool turns back to normal once intake is STAPHYLOCOCCUS AUREUS (MRSA)
stopped - Ceftaroline, Ceftobiprole
Valsalva *VANCOMYCIN- drug of choice for MRSA
- Contraindicated to stroke patients since it *LINEZOLIN- vancomycin resistant and MRSA infection
raises their BP and may cause death
- Stroke patients are given laxatives to aide in B. MACROLIDES
easing bowel movement. - Azithromycin
ANTIHYPERTENSIVES C. AMINOGLYCOSIDE
1. A – ANGIOTENSIN II RECEPTOR BLOCKER - Erythromycin
- Drugs ending in –ARTAN #SYNERGISM
- Losartan, Valsartan, Telmisartan, Irbesartan, - When 2 drugs are mixed together
Candesartan - Example:
2. A – ANGIOTENSIN CONVERTING ENZYME Pip + Taz
- Drugs ending in –PRIL (Piptaz – antibiotic, Tazobactam-
- Lisinopril, Captopril, Benazipril, Perindopril betalactamase inhibitor)
3. B – BETA BLOCKER Ampi + Sul
- Drugs ending in –OLOL ( Ampicillin- antibiotic, Sulbactam- beta
- Atenolol, metoprolol, labetalol, propanolol lactamase inhibitor
- Contraindicated to px who have respiratory D. FLOROQUINOLONES
problems because it blocks the Beta 2 - Px taking this drug is prohibited to do
receptors which is responsible for strenuous activities since this drug cause
bronchodilation weakening to the tendons and the muscles.
4. C- CALCIUM CHANNEL BLOCKER ORAL TB MEDICATIONS
- Drugs ending in –DIPINE, except verapamil 1. R- RIFAMPICIN
- and diltiazem - Causes orange discoloration of urine and skin
- amlodipine, nifedipine, nicardipine - Hepatotoxic and nephrotoxic
- Contraindicated for GERD 2. I- ISONIAZID
5. D- DIURETIC - Hepatotoxic and nephrotoxic
- FUROSEMIDE (loop diuretic,K WASTING) 3. P- PYROZINAMIDE
- SPINOROLACTONE (K SPARING, Aldactone) - Hepatotoxic and nephrotoxic
- HYDROCHLOROTHIAZIDE- thiazide diuretic 4. E- ETHAMBUTOL
- OSMOTIC DIURETIC- mannitol - Causes color blindness
ANTIBIOTIC 5. S- STREPTOMYCIN
A. CEPHALOSPHORINS - Ototoxicity (tinnitus)
1. 1ST GENERATION - Only drug that is administered through IM
- Targets GRAM + Bacteria VERTIGO
- Cefazolin, Cephalothin, Cephapirin, - Cinnazirine, betahistine, mclorine
Cephalexin, cephadroxil MUSCLE RELAXANT
2. 2nd GENERATION - Given before intubation
1. MIDAZOLAM (Short Acting) - Common causes are alcoholism and gallstone
2. DIAZEPAM (Long Actine)
VALIUM OVERDOSE
- Antidote in FLOUMAZENIL
NSAIDS 4 CLASSES OF INSULIN
- Naproxen, ibuprofen, acetyl salicylic acid *pancreas secretes insulin and glucagon
(ASA) 1. SHORT ACTING
- Causes gastritis - Regular Insulin (May R) (only medication that
HISTAMINE can be administered through IV)
- Causes weight gain 2. RAPID ACTING
ANALGESIC - Lispro (Mabilis)
1. COX1- ibuprofen, mefenamic ( bothe are 3. LONG ACTING
gastric irritants)(taken with meals) - Glargine
2. COX2- causes lesser gastritis 4. INTERMEDIATE
3. COX3- for headache (paracetamol) - Only medication that is cloudy
OPIOD ANALGESIC
- Monitor RR since drug causes respiratory NEUROHYPOPHYSIS
depressioin - ADH, Vasopressin
- Fentanyl, atrophine (can be given to px with ADENOHYPOPHYSIS
glaucoma), tramadol - Anterior
NALAXONE SIADH
- Antidote for opioid overdose - Limit fluid intake
- NATLTREXONE and METHADONE - Transpheroidal hypophysectomy
- Watch for CSF (produced by choroid plexus)
SUCR”AL”FATE- S/E is constipation because it contains leakage
ALUMINUM
POST THYROIDECTOMY
- Check for CHVOSTEK SIGN by tapping face
(CN7-control facial nerve) to determine if px
has HYPOCALCEMIA
- Check TROSSEAU SIGN (Carpopedal Spasm)
#Recurrent Laryngeal Nerve (RLQ)
- Px may lose voice if damaged
DIVERTICULAR DISEASE
- Px needs HIGH FIBER DIET 9HFD)
- PSYLLUM is given (Bulk forming Stool)
APPENDICITIS
- DX ( CBS stat and Wall Abdominal Ultrsound
(WAB UTZ)
- Appendix is in a RETROCECCAL POSITION
( nakatago sa Cecum)
- If appendix burst, WBC count increases to
>20000 WBC Count
EXPLORATORY LAPAROSCOPY
- Continuous washing until water runs clear- if
not, may cause Peritonitis
- S/E is RIGID ABDOMEN
LIVER BIOPSY
- Position px in right side then add towel
- Ask px to hold breath
PANCREATITIS