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201 E 1 Flashcards

1
Q

Prednisone Tx

A

Asthma

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2
Q

Prednisone Class

A

Oral Glucocorticoid

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3
Q

Prednisone AE

A

Adrenal suppression, osteoporosis, hyperglycemia, PUD

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4
Q

Prednisone Contraindications

A

Fungal infections, caution if HTN, TB, DM, CHF, Osteoporosis, impaired liver fx

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5
Q

Budesonide Tx

A

Asthma

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6
Q

Budesonide Class

A

Inhaled Glucocorticoid

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7
Q

Budesonide AE

A

*Oral Candidiasis, adrenal suppression, glaucoma, dysphoria

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8
Q

Budesonide Contraindications

A

Status Asthmaticus, acute asthma attack, susppressed immune system, TB, DM, sytemic steroid use, glaucoma, osteoporosis

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9
Q

Budesonide Nursing

A

*If taking with Beta-2 take Beta-2 first, assess for adrenal insuficiency when changing to inhalation route, take at same time everyday

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10
Q

Montelukast Tx

A

Asthma

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11
Q

Montelukast AE

A

HA, abd pain, gastroenteritis, elevated liver enzymes

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12
Q

Montelukast Contraindications

A

Caution if sever liver disease, sever asthma, tapering systemic steroids

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13
Q

Montelukast Nursing

A

Take at night a the same time, monitor respiratory status, not intended for acute attacks, May take a week or more for therapeutic effects

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14
Q

Albuterol Tx

A

Asthma

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15
Q

Albuterol Class

A

Beta 2 Androgenic Agonist

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16
Q

Albuterol AE

A

tachycardia, tremor, angioedema

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17
Q

Albuterol Contraindications

A

DM, hypersensitivity to levalbuterol

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18
Q

Pilocarpine Tx

A

Glaucoma

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19
Q

Pilocarpine AE

A

*Parasympathetic effects (HypoTN), retinal detachement, decreased visual acuity

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20
Q

Pilocarpine Contraindications

A

Caution in asthma and *bradycardia (HypoTN)

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21
Q

Pilocarpine Nursing

A

*Do not give if brown, give IV Atropine to reverse, can cause myopia, can cause systemic (cholinergic) affect

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22
Q

Pilocarpine Class

A

Cholinergic Agonist

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23
Q

Atropine Tx

A

Dilation of eye for surgery, and reversal drug for Pilocarpine toxicity

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24
Q

Atropine Class

A

Anticholinergic Agent

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25
Atropine AE
*Dry mouth, increased IOP, eyelid edema, photophobia, blurred vision *anti-cholinergic effects
26
Atropine Contra
Closed-angle Glaucoma, Down-syndrome, brain damage
27
Atropine Nursing
Causes cycoplegia (paralization & dilation of eye), pt will need sunglasses, compress lacrimal duct during admin (1-2 min)
28
Timolol Tx
Glaucoma
29
Timolol Class
Beta Blocker
30
Timolol AE
*Stinging in eye, heart block, bradycardia, bronchospasm
31
Timolol Contra
AV heart block, sinus bradycardia, cardiogenic shock, cautin if heart failure & asthma, or COPD
32
Timolol Nursing
*Can mask symptoms of hypoglycemia, DOC for Glaucoma, *apply pressure to inner canthus ( 30-60 sec), monitor for respiratory depression, *check heart rate
33
Levothyroxine Tx
Hypothyroidism
34
Levothyroxine AE
Thyrotoxicosis (chest pain, nervousness, tremors), sleeplessness, heat intollerance, diaphoresis
35
Levothyroxine Contra
Acute MI, CVD, or thyrotoxicosis
36
Levothyroxine Nursing
Give on empty stomach (1 hour before meal), give at same time everyday, monitor VS (BP of 140/80 is within range if on HTN meds), Hx weight loss, diet
37
Methimazole Tx
Hyperthyroidism
38
Methimazole AE
Agranulocytosis (depressed immune response), hypothyroidism
39
Methimazole Contra
Allergy to tioamidesm impaired liver fx, pregnancy
40
Methimazole Nursing
Monitor signs of high or low thyroid, take at same time w/ meals, taper
41
Radioactive Iodine Tx
Hyperthyroidism
42
Radioactive Iodine AE
Radiation sickness, bone marrow suppression, hypothyroid
43
Radioactive Iodine Contra
pregnancy, young children
44
Radioactive Iodine Nursing
Avoid coughing, low O2 sat, avoid prolonged intimate contact for 3 days, taken only for a few weeks
45
Insulin Aspart/Lispro (rapid-acting)
Starts 15-30 min Peak 1 hour Lasts 3-6 hours Can be mixed, can give IV
46
Humulin R [Regular Insulin] (short-acting)
Starts 30-60 min Peak 1-5 hours Lasts 6-10 hours can be mixed, can give IV
47
NPH (intermediate-acting)
``` Starts 1-2 hours Peak 6-14 hours Lasts 16-24 hours Do NOT give IV, can be mixed *cloudy appearance ```
48
Insulin Determir (Long-acting)
Can be given as intermediate, Do NOT give IV, Do NOT mix
49
Insulin Glargine (Long-acting)
Starts 1 hour No peak Lasts 24 hours Do NOT give IV, Do NOT mix
50
Sitagliptin Class
Oral Hypoglycemic
51
Sitagliptin AE
sore throat, rhinitis, upper respiratory infection, HA, hypoglycemia
52
Sitagliptin Nursing
Does not cause weight gain, expensive, can be used alone or combined with Metformin, reduces postprandial effects
53
Acarbose Class
Oral Hypoglycemic
54
Acarbose AE
Flatulence, cramps, abd distention
55
Acarbose Nursing
Take w/ first bite of meal
56
Metformin Class
Oral Hypoglycemic
57
Metformin AE
Decreased apetite, N & D, metallic taste, lactic acidosis
58
Metformin Contra
Liver or renal probblems, excessive ETOH
59
Metformin Nurising
Peak 2 hours | excreted through urine
60
Repaglinide Class
Oral Hypoglycemic
61
Repaglinide AE
hypoglycemia
62
Repaglinide Nursing
Peak 1 hours, pt needs a timely breakfast
63
Exenatide Class
Injectable Incretin Mimetic
64
Exenatide Tx
DM/Hyperglycemia
65
Exenatide AE
hypoglycemia, pancreatitis, mild weight loss, decrease renal fx
66
Exenatide Nursing
Peak 2.1 hours after Sub-Q injection Lasts 6 hours very good at lowering A1c, promotes saiety
67
General Anesthesia AE
*Malignant Hyperthermia (jaw locked, rigidity), resp & cardiac depression (must have mech airway support available), aspiration, hepatotoxicity
68
General Anesthesia D-D
*Catecholamines
69
General Anesthesia Nursing
Causes loss of ALL sensation
70
Spinal Anesthesia AE
*HA, HypoTN (treat with Trendelenburg @ 10-15 degrees), *tachydysrythmias
71
Spinal Anesthesia Nursing
Injected into cerebrospinal fluid in subarachnoid space, Reduce risk of HA by keeping pt supine for 12 hours
72
Nitrous Oxide Nursing
can cause diffusion hypoxia (treat w/ 100% humidified O2), no post-op N/V, assess respiiratory rate, TCDB, give warming blanket if needed
73
Glipizide Class
2nd Gen Sulfonylurea Hypoglycemic
74
Glipizide Tx
Diabetes/Hyperglycemia
75
Glipizide AE
SJS,
76
Glipizide Nurisng
Take 30 min before meal
77
Glipizide Contra
Type 1 DM, DKA,
78
Tiotropium Class
Anticholinergic
79
Tiotropium AE
Anticholinergic effects, increased IOP, blurred vision
80
Tiotropium Contra
Glaucoma, prostatic hypertrophy, impaired renal fx
81
Tiotropium Nursing
know any difficulty urinating, if no urine after 8 hours, seek Tx w/ another med
82
Isoniazid Tx
TB
83
Isoniazid AE
p[eripheral Neuritis, optic neuritis, hepatotoxic, Thrombocytopnea, seizures
84
Isoniazid Contra
Acute liver disease, caution in impaired renal fx, HIV, ETOH abuse
85
Rifampin Tx
TB
86
Rifampin AE
Hepatotoxic, Red-orang body secretios, flu-like sndrome, thrombocytopnea
87
Somatropin Class
Human Growth Hormone
88
Somatropin AE
Hyperglycemia, hypercalciuria (can cause stones)
89
Somatropin Contra
Severe Obesity, sleep apnea, upper airway obstruction
90
Somatropin Nursing
Should be stopped by the time of epethesial closure of long bones, can be given IM also, monitor for 3 P's
91
Desmopressin Class
ADH
92
Desmopressin AE
water intoxication, excessive vasoconstriction
93
Desmopressin Contra
CAD, pregnancy
94
Desmopressin Nurisng
Monitor for over/dehydration, monitor serum & urine electrolytes & osmolality

Pharmacology 1 (4 decks)

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