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Pharmacology > ATI Meds > Flashcards

ATI Meds Flashcards

1
Q

Amphotericin B drug class and side effects

A

Antifungal
Nephrotoxicity
Hypokalemia
Hypotension
Diarrhea

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2
Q

Metoclopramide action and contraindication

A

Increase gastric motility
**Contraindicated in intestinal obstruction

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3
Q

Terbutaline drug class and side effect

A

Beta Adrenergic receptor agonist (bronchodilator)
S.e.: tachycardia

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4
Q

Drug of choice for acute gout attack

A

Colchicine

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5
Q

Drug of choice for chronic tophaceous gout

A

Allopurinol

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6
Q

Phenazopyridine used for

A

Urinary tract analgesic
Urine turn reddish-orange

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7
Q

Vincristine Sulfate use and side effects

A

Antineoplastic
Neurotoxicity
Alopecia
Stomatitis
Constipation

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8
Q

Desmopressin drug class
When used
Side effects

A

Antidiuretic and vasopressor hormone
Used in diabetes insipidus
S.e: water intoxication (headache)

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9
Q

Calcitonin-salmon indication and side effects
how to adm it?

A

Long term use for post menopausal osteoporosis
S.e: nose irritation
depress the side arms to activate the pump

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10
Q

Acetylcysteine drug class
pt teaching

A

Mucolytic
Drug can be stored in fridge for 96h
It might turn purple, it ok
*cough before begin treatment

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11
Q

Hydroxychloroquine drug class and side effect

A

Antimalarial
Treat Rheumatoid Arthritis

S.e: retinopathy

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12
Q

Misoprostol use and contraindications

A

This medication is used to prevent stomach ulcers while you take NSAIDs
Cervical ripening
Contraindications: previous C-section
**dont take while pregnant if not trying to induce labor

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13
Q

What not to have with a statin?

A

Grapefruit

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14
Q

How often should use estradiol cream for vaginal atrophy?

A

1 to 3 days per week

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15
Q

What to avoid when having fentanyl?

A

Grapefruit

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16
Q

Creatinine clearance normal range

A

100-150mL/min
decrease means renal impairment

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17
Q

Baclofen drug class and side effects
pt teaching

A

Muscle relaxant
S.e.: urinary retention, constipation,
physical dependence (NOT addiction)
**dont stop taking it suddenly
** move position slowly (due to hypotension)

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18
Q

INR therapeutic range

A

2-3

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19
Q

Acarbose how to take adverse effect

A

*With food 3 times a day
*diarrhea

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20
Q

What High INR causes?

A

Bleeding

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21
Q

Brompheniramine drug class and side effect

A

Antihistamines
S.e.: *dry mouth, nausea, dizziness and confusion

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22
Q

Phenytoin normal range
adverse effect
what happens if stop abruptly?

A

**10-20
**dysrhythmia
**seizures if stop it abruptly

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23
Q

How to take isoniazid? Contraindications

A

Empty stomach
Hepatotoxic

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24
Q

Zileuton drug class And side effect

A

Leukotriene modifier
S.e.: hepatotoxic

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25
Q

Herb used to treat menopausal symptoms (hot flashes)

A

Black cohosh

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26
Q

Selegiline drug class and side effect

A

Antidepressant (MAO inhibitor)
Drowsiness (from serotonin syndrome)

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27
Q

Does the MMR vaccine contain live virus?

A

Yes

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28
Q

Does the dTap vaccine contain a live virus?

A

No

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29
Q

Alosetron use/side and adverse effects/ contraindications. What to do before giving it?

A

Use: IBS
Side/adv effects: tachydysrhythmia, severe constipation and obstruction (that’s why pt has to sign an agreement before taking it)

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30
Q

What to do before and after giving a patient a patient-controled-analgesia

A

Have another nurse check the amount of medication before giving it to the patient.

And then check vitals every 1or 2 hours for the first 12 hours and then every 2 or 4 hours

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31
Q

Clozapine drug class and adverse effect

A

Antipsychotic (schizophrenia)
**tachypnea and tachycardia

Agranulocytosis (including low neutrophils),
**fever
Dyslipidemia, hyperglycemia, myocarditis

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32
Q

Morphine
When does respiratory depression is notice? When does the drug peak? Rate of administration

A

Respiratory depression is noted in 7 minutes.

The drug peaks in 20 minutes.

A bolus should be given over 4-5 minutes.

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33
Q

Who should not take a combination oral contraceptive?

A

Someone with history of liver disease

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34
Q

Oxytocin goal.
How often contractions should be and last

A

Contractions every 2-3 minutes lasting from 45 to 60 seconds

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35
Q

What to do when hanging an IV med that is incompatible with another IV med that is being given?

A

Stop infusion (clamp it)

Choose a port that is nearest to the patient

Flush the tubing with 10mL before and after the med administration

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36
Q

How to take sucralfate?
How long is the treatment?
What does it do?

A

1 hour before meals and at bedtime

treatment last 4 to 8 weeks

**Take at least 30 min apart from antiacids **

You can crush it (its a large tablet)

forms a gel like barrier to Protect gastric ulcers

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37
Q

Statin that can be taken with grapefruit (usually statins cannot be taken with it)

A

Pravastatin

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38
Q

When should statins be taken?

A

At night.
Synthesis of cholesterol increases at night

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39
Q

Interleukin 2 Deus class and adverse effects

A

biologic response modifier (BRM) immunotherapy in câncer

A.e.: capillary leak syndrome and acute pulmonary edema

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40
Q

Meperidine drug class and dosage

A

Opioid
50mg every 3 to 4 hours
not to exceed 600mg

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41
Q

Zolpidem drug class and adverse effect

A

Sedative-Hypnotic - GABA-Receptor Modulators

Dizziness

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42
Q

Gentamicin side effects
peak time

A

Nephrotoxicity (proteinuria)
Hypokalemia (not hypoglycemia)
impaired hearing
apnea at high doses
***1h after IM injection
30 min after IV infusion

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43
Q

Budesonide drug class

A

corticosteroids

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44
Q

Cycloplegia

A

Blurred vision

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45
Q

Tobramycin normal range

A

5-10mcg/ml
adm the medication if within level

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46
Q

Hydrochlorothiazide treat….
adverse effect

A

diabetes insipidus
muscle weakness

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47
Q

Dantrolene drug class and contraindication

A

skeletal muscle relaxant
**contraindication: hx of liver disease (its hepatotoxic)

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48
Q

Sumatriptan drug class and contraindication
expected adverse effect

A

Migraine Therapy - Selective Serotonin Agonists 5-HT(1)

**contraindicated in heart disease (because it causes vasoconstriction and coronary vasospasm)
**a.e.: chest pressure

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49
Q

Dinoprostone drug class
how is it adm?
how long it last?
pt teaching

A

Cervical Ripening Agents - Prostaglandin Analogs

vaginal pouch

***lie on your back for at least 2 hours after insertion

last for 12 h

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50
Q

Carbamazepine drug class
How to take it?
pt teaching

A

Anticonvulsant -
with food
dont change dose w/o contacting provider
**decrease effectiviness of oral contraceptives

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51
Q

Levodopa drug class
pt teaching

A

anti parkinson’s
a full therapeutic effect might take months

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52
Q

Varicella vaccine not for ppl with alergy to?

A

gelatin

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53
Q

Influenza vaccine not for ppl with allergy to?

A

eggs

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54
Q

Ezetimibe drug class
adverse effect

A

Antihyperlipidemic - Selective Cholesterol Absorption Inhibitor
**hepatotoxic

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55
Q

Heparin what pump to use when giving it IV

A

electronic pump to avoid change in rate of infusion

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56
Q

Levonorgestrel IUD adverse effect

A

amenorrhea
**spotting between menses

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57
Q

Adverse effect allopurinol
What sx prompts you to stop taking it?

A

kidney injury (take lots of fluids)
fever (stop taking it)

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58
Q

contraindication to receiving a vaccine now

A

**moderate illness

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59
Q

ceftriaxone drug class
contraindication

A

cephalosporin antibiotic
allergy to penicillin

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60
Q

Linezolid drug class
adverse effect

A

antibiotic
neuropathy (*paresthesia)

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61
Q

Memantine drug class
contraindication

A

Alzheimer’s Disease Therapy - NMDA Receptor Antagonists
ppl with renal problems (since it is excreted through the kidneys)

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62
Q

Oral contraceptive
sign that the pt is experiencing low estrogen in the OC?

A

spotting

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63
Q

pegloticase drug class
when prescribed?
route?
pt teaching

A

Hyperuricemia Therapy - Urate-Oxidase Enzyme-Type
when allopurinol didnt work
IV
**take an nsaid if you experience a flare up

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64
Q

Omeprazole drug class
when to take and for how long

A

Proton Pump Inhibitors (PPIs)
**before breakfast
no more than 1 to 2 months

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65
Q

Ergotamine use
adverse effect
contraindication

A

for migraines
**physical dependence
c: pregnancy

66
Q

Spironolactone adverse effect

A

*Gynecomastia
hirsutism
impotence
irregular cycles

67
Q

Phenelzine
pt teaching. what to avoid.

A

Antidepressant - MAO Inhibitor Nonselective and Irreversible-Types A, B
foods with tyramine (luncheon meat and cheese, smoked salmon, pepperoni)

68
Q

Glucocorticoids side effects

A

hyperglycemia
**osteoporosis
**peptic ulcer
risk of gi bleed if taken with NSAID

69
Q

Theophylline side effects

A

**tremors (CNS stimulant)
diarrhea
tachycardia

70
Q

Cyclosporin and tacrolimus drug class
consideration

A

immunosuppressive
do not take it together

71
Q

estrogen + progestin use in menopausal woman. why?

A

treat urogenital atrophy

72
Q

fluticasone long term side effects

A

adrenal insufficiency (anorexia and weakness)

73
Q

Which benzo use for alcohol withdrawal?

A

Chlordiazepoxide

74
Q

amlodipine drug class and side effects

A

Calcium Channel Blockers - Dihydropyridines
*dizziness
*palpitations
*edema

75
Q

When give morphine PO when ambulating a pt?

A

60 to 90 minutes prior

76
Q

etonogestrel
route
what reduces it’s effects?

A

Contraceptive Implant - Progestin
subdermal
**st. john’s wort

77
Q

etanercept drug class
what should the nurse review prior administration?

A

DMARD - Anti-inflammatory (for RA)
TB test (pt is at risk for infections)

78
Q

depot medroxyprogesterone acetate when to take after giving birth?

A

**after 6 weeks if breastfeeding or
5 days post partum if not breastfeeding

79
Q

feverfew used for…..?

A

migraines.
it’s an herb

80
Q

enteric coated meds benefits

A

Less GI effects

81
Q

sertraline and St. John’s wort

A

do not take tham together

82
Q

med reconciliation

A

provide the pt and next provider with a list of meds the pt will take after the discharge

83
Q

long acting insulin nursing consideration

A

do not mix it with other insulins

84
Q

bethanecol drug class

A

Urinary Retention Therapy - Parasympathomimetic Agents

85
Q

How to store insulin
open
unopen

A

**unopen: fridge up to the exp. date
open: room temp. up to 1 month from expiration date

86
Q

TSH normal range

A

0.3-5 (high in hypothyroidism)

87
Q

estradiol patch where to apply it?

A

abdomen

88
Q

Doxycycline drug class
side effect

A

Tetracycline Antibiotics
** photosensitivity

89
Q

valproic acid drug class
side effects

A

Bipolar Therapy Agents - Anticonvulsant
**hepatotoxic and
**alter coagulation

90
Q

chlorpromazine drug class and adverse effect

A

antipsychotic
a.e.: tardive dyskinesia (involuntary tongue movement
orthostatic hypotensio

91
Q

warfarin therapeutic range

A

2-3

92
Q

chronic use of salicylates cause?

A

hearing loss

93
Q

hydrocortisone pt teaching

A

carry supply of pills and single use injectable for when you need more (stress)

94
Q

When to take calcium when taking Levothyroxine, too?

A

Take calcium 4 hours after Levothyroxine

95
Q

What to give a pt with a new diagnosis of RA?

A

NSAID (celecoxib)

96
Q

28 days cycle oral contraceptive pt teaching

A

you can miss up to 7 pills with little risk as long as you have been taken the pills regularly for the past 3 weeks

97
Q

easiest asthma med delivery method for pt with arthritis

A

DPI

98
Q

Brimonidine drug class and expected effect

A

alpha adrenergic agonists.
decreased intraocular pressure

99
Q

Kawasaki syndrome treatment with intravenous immuneglobulin and MMR vaccine

A

take the vaccine 3 months after treatment with the globulins

100
Q

how to reduce prednisone side effect?

A

take it in alternate days

101
Q

what med to give to a pt in Afib?

A

diltiazem

102
Q

clomiphene expected effect

A

follicular enlargement and conversion to corpus luteum after ovulation

103
Q

Amitriptyline drug class and what test to perform before giving it]
when to take it?

A

tricyclic antidepressants
*EKG
*before bed (due to sedation)
*orthostatic BP

104
Q

omeprazolene adverse effect

A

diarrhea

105
Q

Dobutamine drug class and expected effect

A

inotropic agent
increased cardiac outpu

106
Q

propranolol and albuterol interaction type

A

detrimental inhibitory interaction

107
Q

tizanidine drug class
adverse effect

A

skeletal muscle relaxants.
a.e: hepatotoxic

108
Q

mucolytic agent adverse effect

A

bronchospasm

109
Q

Methotrexate adverseeffect

A

thrombocytopenia

110
Q

disulfiram used for?
pt teaching

A

used for alcohol abuse
teach pt to check even skin care products for the presence of alcohol

111
Q

risk factor for vitamin D deficiency

A

obesity

112
Q

lamotrigine drug class
priority adverse effect

A

anticonvulsant
**rash (steven Johnson’s syndrome)

113
Q

Rotavirus vaccine contraindication

A

history of intussusception

114
Q

donepezil drug class
when to take

A

cholinesterase inhibitors (for alzheimers)
**late evening, before bed

115
Q

bleomycin drug class
adverse effect

A

cytotoxic chemotherapy
severe lung injury

116
Q

What to take when experiencing tardive dyskenesia due to Chlorpromazine administration?

A

amantadine (antidyskinetic medicine)
used in parkinson

117
Q

pioglitazone drug class
pt teaching

A

thiazolidinediones (increase insulin sensitivity)
*can be taken when using insulin

118
Q

PO morphine peak

A

60-90 minutes

119
Q

Spinal anesthesia adverse effect

A

hypotension

120
Q

lithium pt teaching

A

can develop lithium toxicity if pt has diarrhea or vomiting

121
Q

diphenoxylate atropine drug class

A

antimotility drug class

122
Q

scopolamine drug class
how to use

A

antimuscarinics (motion sickness)
*apply patch behind ear

123
Q

what to avoid when taking sirolimus?

A

grapefruit

124
Q

qt interval medication adverse effect

A

bradycardia

125
Q

insulin infusion pump teaching

A

use a short duration insulin

126
Q

This medication increases the risk of asthma related death

A

salmeterol

127
Q

Omalizumab mechanism of action

A

it reduces IgE on mast cells

128
Q

nitroprusside nursing consideration

A

regulate the infusion rate according to the pt’s weight

129
Q

Patient controlled anesthesia action

A

keep opioid levels steady

130
Q

IM Needle length for an obese pt?

A

1.5 in

131
Q

medication used in cardioversion

A

diltiazem

132
Q

what to do before giving iron dextran?

A

adm a small test dose before giving the full dose (because of risk of anaphylatics)

133
Q

imipenem drug class
adverse effect

A

carbapenem antibiotics
seizures

134
Q

agonist medication action

A

binds to receptors and mimic regulatory molecules

135
Q

lidocaine patch how to use

A

apply to intact skin

136
Q

PTT reference range

A

60-80

137
Q

sulfasalazine drug class
what to check prior the administraton?

A

anti-inflammatory
CBC (due to bone marrow suppression)

138
Q

AST normal range

A

10-40

139
Q

Cyclosporin adverse effect

A

high blood pressure

140
Q

prednisone adverse effect

A

gastric ulcer

141
Q

famotidine pt teaching

A

med is less effective for smokers

142
Q

cefotetan drug class and adverse effect

A

antibiotic
a.e.: bleeding (it affects vit K levels)

143
Q

fluoxetine when can you see the benefits?

A

within a few days

144
Q

hydroxyzine adverse effect

A

antihistamine
dry mouth

145
Q

varenicline drug class
adverse effect

A

smoking cessation aid
mood changes

146
Q

zidovudine drug class
priority adverse effect

A

anti retroviral
reduced hemoglobin

147
Q

fexofenadine drug classnursing considerations

A

antihistamine
for ppl over 12 yo
** kids 7yp shouldnt take the standard dose

148
Q

What not to take with opioids?

A

whatever depresses respirations
**lorazepam (benzo)

149
Q

growth hormone facts

A

***given SQ
child grow 1-2 inches
therapy lasts 4-6 years
adm 6-7 times per week

150
Q

telavancin drug class
adverse effect

A

antibiotic
pruritus

151
Q

interferon adverse effect

A

body aches

152
Q

tetracycline pt teaching

A

limit dairy

153
Q

Chenodiol drug class
nursing consideration

A

Gallstone Solubilizing Agents.
** check liver function test (hepatotoxic)

154
Q

medication used to determine the presence of adrenal insufficiency

A

cosyntropin

155
Q

ticarcillim-clavulanate what to check before giving it

A

penicillin
BUN and creatinine (med is excreted by kidneys0

156
Q

?what to report when taking metformin

A

myalgia (sign of lactic acidosis)

157
Q

sodium phosphate adverse effect

A

laxative
electrolytes imbalance

158
Q

why give epinephrine with lidocaine?

A

*to delay systemic absorption of lidocaine
epinephrine decreases local blood flow (through vasoconstriction), which delays systemic absorption

159
Q

doxazosin drug class
adverse effect

A

alpha blocker - anti HTN
hypotensio

160
Q

erythromycin adverse effect

A

diarrhea

161
Q

tiotropium adverse effects

A

dry mouth

Pharmacology (1 decks)

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