Anti-Anxiety Medications

Anti-Anxiety Medications

Darlene Franklin, RN MSN

Lyrics ©

To the tune “Spiderman”

Ativan, Ativan, does whatever a Valium can.

CNS gets depressed

Alcohol can cause arrest

Driving banned.

That’s it for Ativan.

Serax, Atarax, Xanax

Puts anxiety on the nix.

But when taken long term

Withdrawal causes nerves to squirm

That’s the facts—

Serax, Atarax, Xanax.

Antidepressants

Darlene Franklin, RN MSN

Lyrics ©

To the tune: “Zippity Doo Dah”

Chorus

Antidepressants brings smiles—replace sighs

SSRIs and Tricyclics these are two types

If these do not work MAOs may be tried

But take measures so that the patient won’t die.

Celexa, Prozac, Paxil, Zoloft.

No antacids for GI upset.

Or absorption you will forfeit

These are the meds we call SSRIs

Assess response and signs of suicide.

Chorus

Tricylcic meds Ela-vil, Tofranil

Pamelor, Norpramine, Sin-e-quan, Vi-vac-til

Hold MAOs so the BP won’t swell

No Ci-me-ti-dine or Syn-throid as well.

Chorus

MAOs Par-nate, Mar-plan, and Nardil.

Mixed with certain drugs and foods can the patient kill.

Teach and assess before giving the pill.

Less complications will decrease health bills

Never mix with Ci-me-ti-dine

Or with the pain med Me-per-dine

Or death and lawsuit might be seen.

Antidepressants brings smiles replace sighs.

But take measures so that the patient won’t die.

Cerebral Spinal Fluid Labs

Lyrics©

(Sing to the tune: “Three Blind Mice”)

Darlene A. Franklin, RN MSN

Cerebral Spinal Fluid---

Bacterial Meningitis

The labs that you must know

So on the test you’ll glow.

The white blood cell count and the polys go up

The protein is high and the color is YUCK!

Low glucose means this fellows down on his Luck.

Cerebral Spinal Fluid---

Bacterial Meningitis

Cerebral Spinal Fluid---

In Viral Meningitis

The labs that you must know

So on the test you’ll glow

A normal glucose and a normal protein

Or slight elevations, are commonly seen.

Some increase in White Blood Cell counts is routine

Cerebral Spinal Fluid—

In Viral Meningitis

Congested Hearts Will Fail on You

Darlene Franklin, RN MSN

Lyrics ©

To the tune: You’re Cheatin’ Heart

A failing heart, won’t let you sleep

Shortness of breath and NVD.

Cardiac output is decreased

Rales in the lungs will be increased.

Hypervolemia you’ll see

Twelve or greater on CVPs

Restrict fluids, strict I & O’s too.

Congested hearts will fail on you.

Chorus

You’ll swell and swell, the whole day through

At AM weights, you’ll gain weight too.

Lasix will help, and Dig. will too

Congested hearts, will fail on you.

S-I-A-D-H

(Syndrome of Inappropriate Antidiuretic Hormone)

Lyrics ©

(Sing to tune: BINGO)

Darlene A. Franklin, RN MSN

Chorus

S-I-A-D-H, S-I-A-D-H, S-I-A-D-H,

This hormone stops the PeePee.

Verse 1

Brain tumors, trauma, and bad bugs

A complication might be—

S-I-A-D-H, S-I-A-D-H, S-I-A-D-H,

This hormone stops the PeePee.

Verse 2

Low output, sodium; gained weight

And high S. gravity (specific gravity)

S-I-A-D-H, S-I-A-D-H, S-I-A-D-H,

This hormone stops the PeePee.

Verse 3

But, Diabetes Inspidus

The opposite you’ll see—

Pee, Pee, Give IVs—Pee Pee, Give IVs---Pee, Pee, Give IVs

Vas-o-pressin they need.

(Use Verse 4 ONLY if will note confuse with verse 2)

Verse 4

High output, sodium; pounds lost,

And low S. gravity (specific gravity)

Pee, Pee, Give IVs—Pee Pee, Give IVs---Pee, Pee, Give IVs

Vas-o-pressin they need.

Insulin Therapy

Darlene Franklin, RN MSN

Lyrics ©

To the tune: “The Farmer in the Dell”

Regular Insulin—onset is half an hour

Beware that in two hours it peaks

And then you’ll see its power.

BS may get too low

Like 80 or below

“Cold, clammy, shaky” are complaints

And thinking process slowed.

Its critical to know

Give sugar stat PO

Cause if the BS decreases more

Its to the morgue you’ll go.

Status Epilepticus Song

Lyrics ©

(To tune: Lizzy Borden)

Darlene A. Franklin, RN MSN

Status Epilepticus

A half hour seizure that won’t stop

Or between seizures won’t awake

Give these stat IV drugs, don’t wait.

First choice is Lorazepam

Which has replaced Diazepam

But taken with Cimetidine

Risk Ativan Toxicity

Remember IV Diazepam

Won’t mix with a drug in the land.

Administer Valium slowly.

Check for decreased res’pa’tory (respiratory).

If Ativan won’t work at all

Try IV Phenobarbital

But check drug texts to give safely

For imcompatabilities.

Phenotoin once was next

But’s been replaced by Cerebyx.

Can give three times faster the dose

Watch for CV collapse in host.

Status Epilepticus

A half hour seizure that won’t stop

Or between seizures won’t awake

Give these stat IV drugs, don’t wait.

Magnesium Sulfate

Darlene Franklin

Lyrics ©

Tune to “Achy Breaky Heart”

Decreased BP, Decreased Pee Pee,

These are toxic signs of Mag Sulfate.

Drop in respiratory rate, patellar reflex one there ain’t,

Give the antidote Calcium Gluconate

Diabetes Mellitus

Darlene Franklin, RN MSN

Lyrics ©

To the Tune: “Row, Row, Row Your Boat”

Hot and dry your sugar is high, insulin you need

Cold and clammy you need some candy and milk will help indeed.

Tonic Clonic Seizure Medications

Lyrics ©

(To the tune: Santa Claus Is Coming To Town)

Darlene A. Franklin, RN MSN

Chorus:

For seizure control, listen to me

Teach about meds to take faithfully.

Tell those tonic clonics goodbye.

Routine blood levels, important to know

Especially when those little kids grow

Tell those tonic clonics goodbye.

Verse 1

Dilantin and Phenobarb

Valproic Acid too

Tegretol as a second med

If one drug alone won’t do.

Chorus

Therapeutic levels, a necessity

Keep Dilantin between 10 to 20

Tell those tonic clonics goodbye

It’s good to see 15 to 40 (15-40) levels

When using the drug Phenobarbital

Tell those tonic clonics goodbye

Verse 2

Good levels for Tegretol

Will range from 4 to 12 (4-12)

If higher hold, call the MD

And toxic symptoms delve.

Verse 3

Dilantin and Phenobarb

May cause deficiencies.

Suggest more folic acid foods

And increase Vitamin D.

Verse 4

Stevens-Johnson is a bad sign

A measles like rash comes.

Stop Tegretol and Dilantin

To reduce complications.

For seizure control, listen to me

Teach about meds, and give them safely.

Tell those tonic clonics goodbye.

Lice Song

(Sung to the tune: Let’s Go Fly a Kite)

Lyrics ©

Chorus

Let’s get RID of Lice

Pediculosis isn’t nice

Let’s get RID of Lice

and send them soaring

Vacuum couch, carpet, and chairs

Wash bed linens and shampoo the hair

Oh, Let’s get RID of Lice

Verse 1

When nits are on the shafts of your hair

And you itch till you think you might swear.

Shampoo once, shampoo twice

Comb out nits, their dead lice.

This will surely suffice, and get RID of your vice.

Verse 2

When you see them roaming up there

With nits stuck to the shafts of your hair

Schools will be at their wits

till you pick out all nits.

So, boil brushes and combs

RID the lice of your homes.

Repeat Chorus

Picking your Nose Can Make You Die

Darlene Franklin, RN MSN

Lyrics ©

To the tune: Old MacDonald had a Farm

Pickin your nose can make you die—Me oh Me oh My!

Brushing your teeth can make you die—Me oh Me oh My!

When your platelets are low on chemotherapy

Hundred’ thousand or less is an emergency

Shaving your skin can make you die—Me oh Me oh My!

A high PT means its easy to bleed

So teach about Coumadin and Heparin therapies

N/C O2 can make you die—Me oh Me oh My!

With DIC you quickly bleed

Fresh Frozen Plasma is what you need

Pickin your nose can make you die—Me oh Me oh My!

SHOCK Song

Lyrics ©

To the Tune: “This Old Man”

Darlene A. Franklin, RN MSN

Hypo-vo-lemic Shock

Major hemorrhage is one cause

Or dehydrated so bad that there’s no pee.

Treat STAT this emergency.

Hypo-vo-lemic Shock

Pulse and breathing rates go up

Down go temp., pulse pressure and BP

And a drop in CVP

Hypo-vo-lemic Shock

Give IV’s and treat the cause

Blood products may also be a need

Improvements seen when there’s pee.

Septic Shock, Septic Shock

Pulse and breathing rates go up

Down go the pulse pressure and BP

But a rise in temp you’ll see.

Septic Shock, Septic Shock

Give IV’s and treat the cause

Get those cultures to the lab real quick

Then start an-ti-bi-otics.

Amphotericin B

Darlene Franklin RN MSN

Lyrics ©

To the Tune: “The Addams Family”

Verse

Am-pho-ter-i-cin B

Foe of Fun-gus, You see

But’s hard on the Kid-neys..

Am-pho-ter-i-cin B

Will kill Histoplasmosis

Coccidiomycosis,

This drug’s really ferocious..

Am-pho-ter-i-cin B

Strict I & O click finger x2

Kidney functions must knowfinger x2

ALT below 60 ((note: these are liver fx tests that also need to be watched) 

AST below 40

Keep IV a’flow. click finger x2

So watch for low K+ levels,

And Dig Toxic signs as well.

Catch problems before they swell.

Am-pho-ter-i-cin B

H2 Antagonists

Darlene Franklin RN MSN

Lyrics ©

To the Tune: “Jack and Jill”

Take when you dine

And drink no wine

If reflux at sleep

Take at Bedtime

Cimetidine
Famotidine
Nizatidine
Ranitidine

Daf:3/16/2009

RENAL Lab Song

Sing to “Ten Little Indians”

Respectfullydedicated to our American Indians who are unfortunately at risk for Diabetes, which can lead to Renal Failure. Keep your filtration rates great, my Friends!

Creatinine less than 1.5

Phosphorus less than 4.5

Potassium and Albumin less than 5

Sodium less than 1-4-5

Protein levels 6 to 8

8 to 10 C-a’s normal state

BUN 10 to 20 is a good fate (pronounce as “bun”)

Filtration Rate is Great