Adverse Effects

Question 1

Symptoms of Hepatoxicity

Answer 1

^Nausea

^Vomiting

^Jaundice

^{dark urine}

^{abdominal discomfort}

^anorexia

Question 2

NEPHROTOXICITY

^{–types of medication known to cause it..?}

^{–NURSING ACTIONS…?}

Answer 2

MEDICATIONS known to cause it:

^{–antimicrobials}

^–NSAIDS

NURSING ACTIONS:

^{-Monitor blood creatinine & BUN}

^{-Monitor peak/trough levels}

Question 3

ANGIOEDEMA

1. What is it?
2. What meds often cause it?
3. NURSING ACTIONS?

Answer 3

1. WHAT IS IT?
   
   1. ^{Severe allergic reaction that affects deep tissues, blood vessels, skin, subcutaneous tissue, mucous membranes}
      
      1. ^{lips, face, oropharynx, neck}
2. Meds that often cause it?
   
   1. ^NSAIDs
   2. ^{ACE Inhibitors (ends in ‘pril’)}
3. NURSING ACTIONS:
   
   1. ^{Figure out medications patient is taking}
   2. ^{Apply oxygen}
   3. ^{Alleviate anxiety}
   4. ^{IF laryngeal edema w/Stridor}
      
      1. ^{maintain airway with intubation or tracheostomy}

Question 4

ANAPHYLAXIS

(AKA: Allergic Asthma)

**symptoms?

**NURSING ACTIONS?

Answer 4

1. Symptoms​
   
   1. ^Anxiety
   2. ^Weakness
   3. ^{Generalized itching/hives}
   4. ^{Erythema and Angioedema of head/neck}
   5. ^{Crackles/ wheezing}
   6. ^{feeling of lump in throat}
   7. ^hoarseness
   8. ^stridor
   9. ^{RESPIRATORY FAILURE}
      
      1. ^hypoxemia
      2. ^hypotension
      3. ^tachycardia
2. NURSING ACTIONS
   
   1. PREVENTION:
      
      1. ^{PT should wear bracelet & have EPI pen}
   2. Stop medication-notify RAPID RESPONSE TEAM
   3. Establish Airway
      
      1. ^{Administer Bronchodilator PRN}
   4. Administer Epinephrine IM or IV (every 5-15 minutes)
      
      1. ^{to Constrict blood vessels}
      2. ^{improve cardiac contraction}
      3. ^{promote bronchodilation}
   5. Administer Diphenhydramine
   6. Administer O2 & obtain ABG
   7. Administer Corticosteroids for late recurrence
   8. Monitor Hemodynamics
      
      1. ^{Watch for Fluid overload from too rapid of IV fluid infusion and pulmonary status}

Question 5

EXTRAPYRAMIDAL

SYMPTOMS (EPS)

1. ​What is it?
2. Time to develop?
3. what Medications cause this?
4. TREATMENT

Answer 5

1. A group of abnormal body movements
   
   1. ^{Involuntary fine-motor tremors}
   2. ^rigidity
   3. ^{uncontrollable restlessness}
   4. ^{acute dystonias}
2. Time to develop
   
   1. ^{hours to months a}
3. What medications cause this?
   
   1. ^{Antipsychotics}
4. TREATMENT
   
   1. ^{anticholinergic medications}

Question 6

IMMUNOSUPPRESSION

1. ) What is it?
2. ) NURSING ACTIONS

Answer 6

1. What is it?
   
   1. ^{Decreased of absent immune response}
2. NURSING ACTIONS:
   
   1. Monitor clients taking immunosuppressants (glucocorticoids)
      
      1. ^{They mask manifestations of infections (fever)}
      2. ^{Monitor for delayed wound healing}
      3. ^{Monitor for subtle manifestations of infection (sore throat)}
   2. Client Education:
      
      1. ^{Avoid contact with anyone who has a communicable disease}

Question 7

MEDICATION & FOOD INTERACTION

Consuming foods with ___________ while taking

monoamine Oxidase Inhibitors (MAOIs) can lead to a hypertensive crisis

Answer 7

TYRAMINE

^{-found in aged/fermented foods as with Cheese and processed meats}

Question 8

MEDICATION & FOOD INTERACTION

____________ can decrease the therapeutic effects of warfarin and place clients at risk for developing blood clots

Answer 8

VITAMIN K

Question 9

MEDICATION & FOOD INTERACTION

______ can interact with a chelating agent (MILK)

and form an insoluble, unabsorbable compound.

Answer 9

TETRACYCLINE

^{*Instruct patient not to take tetracycline within}

^{2 hours of consuming dairy products}