cell division Flashcards
asthma to a patient who starts talking crazy
this is a idiosyncratic reaction
two meds given and the pt experiences a rash
this is a drug interaction
why does the phsyician look at your blood after taking a drug
he is looking at the therapeutic level
what is the half life of a drug
the amount of the drug in the system at a given time
what do you need to know before mixing a drug
the compatibility
percutaneous
through the skin
parenteral
Any route that is not through the digestive system
if you do not understand a prescription call the
doctor (not the patient)
body surface area
is the best calculation for pediatric dosage calculations
intravenous
Fastest absorption rate
intramuscular
Remember z track method
which medication is the fastest absorption
iv
which medication is the slowest absorption
oral
if a pt cannot take a medication orally they can take the med.
rectally (get a new order)
what has to be written in a prn order
prn
if a pt has a medication that they want to dispose of
they need to read the bottle(or pamphlet)
alpha 1 receptors
heart
alpha 2 receptors
lungs
beta 1 receptor
(heart) blood pressure
beta 2 receptor
relieves constriction
beta blocker’s can cause
severe bronchoconstriction
it is important to screen for what when you need to administer a anticholinergic? (causes HIGH blood pressure)
glaucoma
with a beta blocker what vital signs do we want to look at? (metoprolol)
blood pressure
if you give a pt a medication and they feel dizzy what do you do?
take THEIR BLOOD PRESSURE( think simple)
in older adults their _____ is top priority because of confusion
safety
if a nuirs egives a medication and it interferes with their respiratory
stop the med and contact the providor
lithium was most commonly given for
bipolar disorder
if you give any medication for anxiety to a pt the most common side effects are
drowsiness and dizziness
Dilantin toxicity
uncontrollable eye movements, staggering gait, and coma
common side effects of dilantin(phenytoin)
drowsiness, trouble sleeping, or nervousness
a medication that refers to the patient stating “I will stop the med once i feel better”
this patient needs education
no carbs in what diet?
ketogenic
serious adverse effects of decongestive
restlessness, agitation, and nervousness
when should you give antihistamines?
an hour before need
the pt did not take their allergy medication
give an antihistamine
what is the most common expectorant otc
guinasin(robutussin)
what is sodium chloride and why do we give it to a patient who has emphysema
they need fluid and fluid thins out the mucous
pt has asthma medication and feels short of breath. What is this?
abnormal reaction so document it
before giving an anticholinergic bronchodilator what do you make sure the pt doesn’t have
glaucoma
what is in our lungs that remove foreign substances
cillia
to assess whether a respiratory drug is working
auscultate
if a pt has a respiratory issue they should not
drink coffee
candiasis(thrush)
antifungal (nistatin)
medication to treat gastric reflux and diabetic gastroparesis
Regalin (metoclopramide)
what is the medication for an ulcer
give sucralfate an hour before they eat
what organism can be responsible for an ulcer
h.pylori
what medications treats motion sickness
Dramamine and sclopermids
why give a pt regalin after surgery
to help with post op nausea and sickness
when a patient is vomiting what symptoms do we observe
sweating, paleness, and tachycardia
why do we use benzodiazepines for nausea like cancer patients
relaxes and relieves anxiety
what is one of the herbal remedies for a pregnate women with nausea
ginger
for an older adult the laxative of choice is
fiber (Metamucil)
stool softener is used to stop a patient from what?
straining when defecating
patient says they go to the bathroom all the time how do you know they are impacted?
hypoactive bowl sounds or abdomen is distended
what is another word for stimulate?
irritate (look for this word in the answer)
what is the osmotic laxative?
(MiraLAX) pulls water in
what do osmotic laxatives do? (miralax)
it draws water in
at what reading for blood sugar would you administer glucagon?
below 50
how to draw up regualr insulin
clear before cloudy
how to draw up nph(cloudy)
clear before cloudy
what tells you a patients glycemic control?
A1c
what medication masks signs and symptoms of hypoglycemia?
beta adrenergic blockers mask it
what’s important to tell someone taking metformin?
the contrast dye( with metformin is too harsh on kidneys)
what condition happens if you don’t treat hypothyroidism?
cretinisim
a type 1 diabetic should
never decrease insulin( most likely going to increase the insulin)
what is one medication that almost always increases blood sugar
steroid
mineral corticoid treatment treats what disease?
Addison’s disease
how should a nurse allow a patient to receive their fluids in a day ?
half the volume goes towards their meals
what do we look for when we monitor vitals signs after giving a patient steroids?
look for an infection like fever and look for heart rate
what is the name of the medication given for UTI?
pyridium(phen-)
what is the most common organism that causes UTI?
e.coli
if you take pyridium look for
urine and sclera may change color
why do we give people with spinal cord injuries with baclofen
this medication targets the spinal cord and treats the muscle spasms
if i give a patient suxacolen what is priority? (sucks to be in pain)
the patients pain. The patient isnt asleep so they need a neuromuscular blocker
if i give a patient a neuromuscular blocking agent. What is a sign that they are suffering from respiratory distress?
early s/s are restlessness and anxiety
what happens if the patient gets tetracycline(antibiotic) with a neuromuscular blocker
its going to potentiate the actions of the neuromuscular blocker
lasix and the concern with toxicity. What organ should be concerned
kidney
what is the other med for tb?
isoniazid
what do we call tinnitus and dizziness after taking a pain med
ototoxicity (aspirin and )
what is the medical term for kidney damage from
nephrotoxicity
what are the the ways we excrete medication?
pee, poop, sweat, and breathing
the patient takes a medication. The nurse should report an increase of what?
an increase of the symptoms that are being treated
the percentage of carbs a diabetic should have?
45%-60%
what are the types of meds given for acid reflux
proton pump inhibiters and h2 agonists are to reduce acid production
patients that have to take diabetic meds(and do not have diabetes)
a pt on steroids(CF or COPD) and pt’s with Cushing syndrome
what is PUD?
peptic ulcer disease (h.pylori makes it develop, genetics, and smoking)
if a pt takes an inhaler how long do they hold there breath?
10 seconds
skeletal muscle are not controlled by the
autonomic nervous system
who defines the care of the practicing of care
state board OF NURSING —>federal law
JAKO regulates
the hospital
what can cause digoxin toxicity in an older adult?
long half life and the kidney’s
