ATI Pharm Post Test Review Flashcards
Gentamycin
Monitor labs for creatinine
Pregabalin for fibromyalgia
Report facial swelling
Lidocaine Toxicity
Ventricular Dysrhythmia
Decreased Potassium levels with furosimide causes
Causes Weakness
depressed DTR, and not muscle rigidigity
Cholinestrase inhibitor Neostigmine for Myasthenia Gravis contraindicated
Peptic Ulcer Disease as neostigmine increases gastric acid which will cause exacerbation
Method to administer albuteril and fluticanosol
Alnuterol 1st puff
wait 1 min
Albuterol 2nd puff
Wait 5 mins
Fluticanosol then
Alcohol withdrawal treated with
Benzo - chlordiazepoxide
Naloxone for
acute opioid toxicity
Methadone for
opioid dependence
Finasteride
increases risk of impotence
Osteoporosis Ibandronate teaching
Take one tab of med on the same day each month.
Take ibandronate after waking up
Remain upright minimum 1 hr to avoid esophagitis
Hyperthyroiddism prescribed methimazole side SE
Agranulocytosis = report sore throat.
Methotexate
Risk of bleeding
Albuterol
Tachycardia, Chest Pain, Palpitations, HTN, Dysrhythmia/ Arrhythmia
Ciprofloxacin risk
Phtosensitivity
Insulin lispro prescribed with pramlintide
Monitor hypoglycemia 3 hour after administration
Osteoporosis med action
take on empty stomach
food interfers with absorptio of med
take 1st thing in the morning and take it with water not milk to increase absorption
alosteron ?
decrease frequency of defecation
Alosterone is used to treat IBS with diarrhea to decrease urge and frequency of diarrhea
Nitrofurantoin
Lower UTI infections
Ganciclovir is an antiviral
for immune problems like cytomegalovirus infections
Amphotericin B
Antifungal med - system fungal infecton
Hyperlipedemia colesevelam monitor for
Constipation
Bethanechol
Tx for non-obstructive urinary retention, given postop and postpartum to relax spincter muscle
Leuprolide
Increase calcium intake - as leuprolide causes bone loss.
Leuprolide is a prostrate cancer drug
Tajin Methyldopa side effect
HTN - can cause dizziness is pt. teaching
Type 2 diabetes taking exenatide
take it before food.
discard the open diabetes injector pen in 30 days
Vancomycin
infuse over 60 mins to decrease risk of hypotension, facial flushing - redman’s syndrome avoid
Client with CAD do not take
Sumatriptan for headache as it causes coronary vasospasm
Azithromycin
Antibiotic for respiratory track infection, skin infection, otitis media.
Azithromycin used as a substitue for penicillin
Pt. has system fungal infection from IV amphoteric B deoxycholate
Administer diphenhydramine for reaction.
Simvastatin - Statin drug adverse effect
Hepatotoxicity. Check liver function test like ALT
Hydroxychloroquine can cause
retinal damage - can lead to blindness
Nevirapine???
Rash adverse effect SJS
Acetazolamide
Sulfa-based medication…check for client having sulfa allergy
Citalopram an SSRI causes adverse effect
Prolonged QT interval
Caridac Dysrhythmias
Torsades de pointe
Filgrastine
WBC or neutrophil production
Open angle glucoma learn
Brimonidine?
Acyclovir - antiviral med
Herpes zoster, influenza
Overload of fluid can be seen as
rales
Folic acid
increases blood cells
Neutrophil range
ANC between 2,500 and 6,000
Benzonatate
Antiintussive med
Avoid driving as it causes sedation
It is not an expotrant
Prostrate cancer Leuprolide MOA
decreases production of testosterone
HIV Med ritonavir and zidovudine take
take together to prevent resistance
Nitro
stored @ room temp in original containe.
Keep away from heat/moisture/ air
Take nitro 5-10 mins before exercise to prevent angine.
Nitro effect last upto 30-60 mins
Nitro pathc
for 14 hours
When you wake up put the nitro patch
Terazosin
HTN, BPH
Lactic Acid range
less than 2 mmol/L
What does a lactic acid of 2.2 mean?
Lactate is the most widely used marker of tissue hypoperfusion in patients with severe sepsis.
With Li report
Sodium level of 130…range is 135-145
Specific gravity 1.005 - 1.030
Raloxifene for osteoporosis
Raloxifene is an estrogen receptor
for treatment of osteoporosis postmenopausal and protect against breast cancer
Check pregnancy status
Teratogenic
For neuropathy in diabetes type 2 what is prescribed?
Lorsartan
A1C med = Gilpizide= sitagliptin
check blood sugar
Ginger
Ginger may increase the risk of bleeding. Talk to your doctor before taking ginger if you take blood thinners, such as warfarin (Coumadin), clopidogrel (Plavix), or aspirin. Diabetes medications: Ginger may lower blood sugar.
echinacea
he most common side effects of echinacea are digestive tract symptoms, such as nausea or stomach pain.
Rashes
PT
PT results is: 11 to 13.5 second
Activated Clotting Time range
ACT is 70-120 se
PTT range
less than 70 (46-70)
Plt range
150,000 to 450,000 platelets
Ramelteon
Ramelteon (Rozerem) is a medication approved by the FDA to treat insomnia. Non-habit forming sleep-aid
Buccal med
To give a drug buccally, insert it between the patient’s cheek and gum (as shown below). Tell him to close his mouth and hold the tablet against his cheek until it’s absorbed. One benefit of this approach is that you can remove what’s left of a tablet from the patient’s mouth if he has an adverse reaction.
Exenatide
Exenatide is used to treat type 2 diabetes mellitus. The statements made by patient that would indicate understanding using exenatide:
Monitor blood sugar levels before and after meals, and at bedtime to avoid hypoglycemia.
Inject exenatide as soon as it is prepared, and never inject exenatide insulin in the same place as other insulin at the same time.
Take exenatide injector one hour before antibiotics or birth control pill.
If a dose of exenatide is missed do not double up on the doses or take it right after, instead go back to the regular dosing schedule of this drug.
Store the exenatide auto injector pen with med after opening in the refrigerator, and dispose of the injector pen with or without med in 30 days.
Niroglycerine transdermal patch pt. teaching
Place the patch on a hairless area of skin, and roate site when applying new patch.
Pt. should be medication free between 10-12 hours daily.
The pt. should wash their hands before and after applying the nitro patch.
Remove old patch, wash skin with soap and water. Dry thoroughly before applying another one.
Remove the patch at nigh to reduce the risk of developing tolerance to nitroglycerin.
Leuprolide is chemotherapy drug that treats prostrate cancer
Leuprolide can cause bone and muscle mass loss. Pt. should take calcium, vit.D supllement, and increase bone mass with weight bearing exercises.
