comp Flashcards
type of prevention that prevent the initial occurence of the disease
educaion
prenatial
imunizations
primary prevention
type of prevention where early detection of the disease
screening
diseasre surveilence
secondary prevention
maximizes a patients recovery after a disease, injury or illness has occured
OT
rehabilitation
physical therapy
support groups
tertiary prevention
end of life care
symptom management
comfort care
hospice
symptom management while recieving treatment of disease
pallative care
sever dyspnea
fever
shock
muscle aches
can be a bioterrorism manifestations of
anthrax
anthrax treatment
IV ciprofloxacin exposed or high risk of exposure
facial rash that moves downward
high fever
headache
vomiting
can be a bioterrorism manifestations of
smallpox
with judiasm what 2 things can not be eaten together
meat and dairy
pork and shellfish prohibited
in muslim culture what two foods cannot be eaten
pork
shellfish
alcohol
in huduism what two foods cannot be eaten
beef
pork
therapeutic drug monitoring that reflects a drugs highest concentration
peak
therapeutic drug monitoring that reflects the lowest concentration or residual level and are usually obtained 15 minutes prior to administration of next dose
trough
4 interventions for IV infiltration
- sweling around site
- edema
- coolness
- damp feeling
stop the infusion
apply cold compress
elevate extremity
insert new catheter into opposite extremity
4 interventions for IV extravasation
stop the infusion
aspirate drug if possble
apply cold compress
document condition
4 interventions for IV phlebitis
- redness
- pain
- warmth
stop infusion
remove IV
apply warm compress
insert new catherter in opposite exrtremity
antidote / reversal agent for acetaminophen
acetylcysteine
antidote / reversal agent for benzodiazapines
flumazenil
antidote / reversal agent for cyanide poisoning
methylene blue
antidote / reversal agent for digitalis
digoxin immune FAB
antidote / reversal agent for heparin & enoxaparin
protamine sulfate
antidote / reversal agent for IRON
defroxamine
antidote / reversal agent for lead
succimer
antidote / reversal agent for narcotics
naloxone
antidote / reversal agent for warfarin
phytonadione (vitamin K)
therapeutic drug levels for lithium
0.4 - 1.4
therapeutic drug levels for mag sulfate
4-8
therapeutic drug levels for phenytoin
10-20
therapeutic drug levels for digoxin
0.8-2
vancomycin trough levels
15-20
3 things to remeber with TPN
verify with 2nd RN
no meds through TPN
change tubing every 24 hours
if you run out of TPN or is delayed use _____
10%- 20% dextrose in water
ace inhibitors & ARBS can be used for what 4 things
hypertension
heart failure
MI
diabetic neuropathy
Angioedema
Cough - persistant
Elevated K
hypotension
are all common adverse effects with what type of drugs
ace inhibitors
(PRILL )
captopril
lisinoprol
are examples of
ace inhibitors
take zem pine to the mill
ZEM PINE MIL
diltiazem
amlodipine
verapanmil
are all examples of
calcium channel blockers
calcium channel blockers can be used for what 2 things
angina
hypertension
with calcium channel blockers do no consume
grapefruit juice
3 common adverse effects with calcium channel blockers
peripheral edema
consitpation
dysrthymias
do not administer nonselective beta blokers to clients who have
1.
2.
3.
(propranolol, nadolol, labetalol)
asthma
bronchospasms
heart failure
vasodilators are used for
hypertensive crisis
nitroprusside
hydralazine
enalaprilat
are all xamples of
vasodilators
hypotension cyanide toxicity thiocyanate poisoning dizziness headache
are all side effects of
vasodilators
(green, yellow or white halos )
blurred vision
nausea
vomiging
are all side effects of
digoxin
hold digoxin if heart rate is less than ___ bpm
assess apical pulse for ___ min prior to administration
bpm
1 min
digoxin is used to treat what 2 things
heart failure
a fib
with digoxin encourage foods high in
potassium
nitroglycerin is used to treat
angina
chest pain
with nitroglycerin, do not give to clients if
they are taking _______ meds
they have a _____ injury
erectile dysfunction med
head injury
with nitroglycerin
rest and take tablet, if pain is not relieved in ___ mins call 911 and take a second tablet
may use up to ___ tabs taken _____ mins apart
5 mins
3 tabs , 5 min apart
used to convert SVT to sinus rhythm
may cause:
- flushing
- nausea
- bronchospasms
adenosine
used for:
v fib
unstable vtach
may cause:
- bradycardia
- cardiogenic shock
- pulmonary disorders
amiodarone
used for :
bradycardia
known exposure to chemical nerve agent
may cause:
- dry mouth
- blurred vision
- urinary retention
- constipation
atropine
do not administer statin medications with
grapefruit juice
3 common adverse effects with statin medications
atorvastatin, lovastatin, etc.
hepatotoxiciy
muscle aches
rhabdomyolysis
patients should take statin medication _____
low ____ , high ____ diet
in the evening
low fat / high fiber diet
type of beta 2 adrenergic medication that
short acting: onset 5-15 min
treatment: acute bronchospasm
albuterol
type of beta 2 adrenergic medication that
long acting: onset 10-20 min, duration: 12 hours
long term conrrol of asthma
salmeterol
what are 3 expected side effecs of beta 2 adrenergics such as albuterol
tachycardia
tremors
palpitations
when mixing beta 2 adrenergic (albuterol) with a glucocorticoid (beclomethasone) which shoujld be taken first
beta 2
wait 5 min
glucococorticoid
