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Selegiline (Eldepyrl) Nursing Considerations

Selegiline (Eldepyrl) Nursing Considerations

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Outline

Generic Name

Selegiline

Trade/Brand Name

Eldepryl

Indication

Treat symptoms of Parkinson’s disease
Depression
ADHD

Action

Blocks the breakdown of dopamine, increasing it’s activity

Therapeutic Class

Anti-parkinsonian
Antidepressant

Pharmacologic Class

Monoamine oxidase type B inhibitor

Nursing Considerations

Often used in conjunction with other Parkinson medications
- Levidopa-carbidopa
Do not use within 5 weeks of fluoxetine
Do not use within 14 days of
- Antidepressants
- St. John’s wort
- Methadone
- MAOIs
- Demerol
Caution
- Liver or kidney disease
- Hypertension
Monitor
- Blood pressure
- Mood and behavior
- Suicidal ideation

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Transcript

Hey guys, let’s talk about the drug Seline also known as PRI. This is an oral and transdermal medication. As you can see here by the patch, the therapeutic class of Selo, Joline how the drug works in the body is an anti Parkinsonian agent, as well as an anti antidepressant. The pharmacologic glass or its chemical effect is a monoamine oxidase inhibitor. So Cline increases the activity of dopamine by blocking its breakdown. We use this drug for the treatment of Parkinson’s disease for depression, and also off-label for ADHD. Some of the side effects that we can see with Cline are things like nausea, hallucinations, confusion, and depression.

Some of the nursing considerations for Soline. It is often used in conjunction with carbidopa levodopa, when used for Parkinson’s while on this medication monitor your patient’s blood pressure, their mood and behavior, and also monitor for any suicidal eye ideations use caution in patients with liver and kidney disease, and also patients who have hypertension do not use within 14 days of antidepressants St. John’s wart, methadone, Demerol, or Emma AIS, and do not use within five weeks of fluoxetine. Guys teach the patient to not stop taking this drug suddenly and avoid alcohol and foods high. And tyramine things like age, cheese, and dried meats. So Celine does have a black box warning in adolescence and young and adults of increased risk of suicidal thoughts and feeling. So be sure to assess for this in these patients, that’s it Forline or PRI now go out and be your best self today and as always happy nursing.

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pharmacology

Concepts Covered:

Study Plan Lessons

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Phytonadione (Vitamin K) for Newborn

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Antianxiety Meds

Magnesium Sulfate (MgSO4) Nursing Considerations

Meperidine (Demerol) Nursing Considerations

Morphine (MS Contin) Nursing Considerations

Phenobarbital (Luminal) Nursing Considerations

Pentobarbital (Nembutal) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

Meropenem (Merrem) Nursing Considerations

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Norepinephrine (Levophed) Nursing Considerations

Vasopressin (Pitressin) Nursing Considerations

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Nitroprusside (Nitropress) Nursing Considerations

Hydralazine (Apresoline) Nursing Considerations

Methylprednisolone (Solu-Medrol) Nursing Considerations

Fluticasone (Flonase) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Phenazopyridine (Pyridium) Nursing Considerations

Iodine Nursing Considerations

Oxycodone (OxyContin) Nursing Considerations

Nalbuphine (Nubain) Nursing Considerations

Methadone (Methadose) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Butorphanol (Stadol) Nursing Considerations

Oxytocin (Pitocin) Nursing Considerations

Methylergonovine (Methergine) Nursing Considerations

Terbutaline (Brethine) Nursing Considerations

Naproxen (Aleve) Nursing Considerations

Ketorolac (Toradol) Nursing Considerations

Indomethacin (Indocin) Nursing Considerations

Lithium (Lithonate) Nursing Considerations

Calcium Acetate (PhosLo) Nursing Considerations

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Glucagon (GlucaGen) Nursing Considerations

Pantoprazole (Protonix) Nursing Considerations

Omeprazole (Prilosec) Nursing Considerations

Sucralfate (Carafate) Nursing Considerations

Pancrelipase (Pancreaze) Nursing Considerations

Ondansetron (Zofran) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Loperamide (Imodium) Nursing Considerations

Lactulose (Generlac) Nursing Considerations

Mannitol (Osmitrol) Nursing Considerations

Spironolactone (Aldactone) Nursing Considerations

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Salmeterol (Serevent) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Guaifenesin (Mucinex) Nursing Considerations

Dopamine (Inotropin) Nursing Considerations

Methylphenidate (Concerta) Nursing Considerations

Olanzapine (Zyprexa) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

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Amoxicillin (Amoxil) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Levofloxacin (Levaquin) Nursing Considerations

Rifampin (Rifadin) Nursing Considerations

Nystatin (Mycostatin) Nursing Considerations

Isoniazid (Niazid) Nursing Considerations

Metronidazole (Flagyl) Nursing Considerations

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Nifedipine (Procardia) Nursing Considerations

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Lisinopril (Prinivil) Nursing Considerations

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Metoprolol (Toprol XL) Nursing Considerations

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Promethazine (Phenergan) Nursing Considerations

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Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

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Paroxetine (Paxil) Nursing Considerations

Phenytoin (Dilantin) Nursing Considerations

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Warfarin (Coumadin) Nursing Considerations

Midazolam (Versed) Nursing Considerations

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Glipizide (Glucotrol) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Gabapentin (Neurontin) Nursing Considerations

Furosemide (Lasix) Nursing Considerations

Fluoxetine (Prozac) Nursing Considerations

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Fentanyl (Duragesic) Nursing Considerations

Famotidine (Pepcid) Nursing Considerations

Escitalopram (Lexapro) Nursing Considerations

Erythromycin (Erythrocin) Nursing Considerations

Epoetin (Epogen) Nursing Considerations

Epinephrine (EpiPen) Nursing Considerations

Enoxaparin (Lovenox) Nursing Considerations

Enalapril (Vasotec) Nursing Considerations

Dobutamine (Dobutrex) Nursing Considerations

Divalproex (Depakote) Nursing Considerations

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

Diphenhydramine (Benadryl) Nursing Considerations

Diltiazem (Cardizem) Nursing Considerations

Digoxin (Lanoxin) Nursing Considerations

Diazepam (Valium) Nursing Considerations

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Clindamycin (Cleocin) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Cimetidine (Tagamet) Nursing Considerations

Chlorpromazine (Thorazine) Nursing Considerations

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Celecoxib (Celebrex) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Cefaclor (Ceclor) Nursing Considerations

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Carbamazepine (Tegretol) Nursing Considerations

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Benztropine (Cogentin) Nursing Considerations

Azithromycin (Zithromax) Nursing Considerations

Atropine (Atropen) Nursing Considerations

Atorvastatin (Lipitor) Nursing Considerations

Atenolol (Tenormin) Nursing Considerations

ASA (Aspirin) Nursing Considerations

Ampicillin (Omnipen) Nursing Considerations

Amlodipine (Norvasc) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

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Alprazolam (Xanax) Nursing Considerations

Alendronate (Fosamax) Nursing Considerations

Albuterol (Ventolin) Nursing Considerations

Adenosine (Adenocard) Nursing Considerations

Acyclovir (Zovirax) Nursing Considerations

Acetaminophen (Tylenol) Nursing Considerations

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The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

The SOCK Method – S

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IV Infusions (Solutions)

Injectable Medications

Oral Medications

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Basics of Calculations

Pharmacokinetics

Pharmacodynamics

Disease Specific Medications

Proton Pump Inhibitors

Anti-Infective – Penicillins and Cephalosporins

Parasympatholytics (Anticholinergics) Nursing Considerations

Nitro Compounds

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