Condensed Flashcards

1
Q

Indications for methadone

A

heroine withdrawal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Indication for disulferam

A

remaining sobriety of alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

6 rights of med administration

A

patient, dose, time, route, drug, documentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Medication reconciliations can be used to prevent

A

drug interactions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

We should identify patients using

A

two identifiers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Normal magnesium levels

A

1.5-2.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Nursing interventions for magnesium sulfate

A

assess DTR (absence = toxicity) and administer calcium gluconate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is ferrous sulfate

A

iron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Ferrous sulfate patient teaching

A

take liquid iron through straw and rinse mouth, take with vitamin C. avoid coffee, dairy, tea, antacids. Dark stools are normal. Increase fiber fluids and exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How to recognize beta blockers

A

-olol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Mechanism of actions

A

block beta 1 (heart) and/or 2 (lung) receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Indications for beta blockes

A

HTN, tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Nursing Considerations

A

monitor HR and hold if less than 50. HR can block signs of hyperglycemia. Monitor for SI and sexual dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Those on any antihypertensive drugs are at risk of ?

A

rebound hypertension, orthostatic hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How to recognize benzodiazepines

A

lam and pam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Indications for benzodiazepines

A

generalized anxiety disorder, panic disorder, seizures (status epilepticus), induce sedation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Side effects of benzodiazepines

A

REM rebound hangover

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

adverse effects of benzodiazepines

A

toxicity, withdrawal symptoms, paradoxical response, anterograde amnesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Withdrawal symptoms of benzodiazepine s

A

MATH IS TIDY
muscle twitches, anxiety, tachycardia, HTN, insomnia, seizures, tremors, irritability, diaphoresis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Nursing considerations for benzodiazepines

A

flumazenil is antidote, monitor LOC, medication reconciliation (opioid risk)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Patient teaching

A

taper off, avoid alcohol CNS depressants opioids, take at night, avoid grapefruit juice, do not take more than 7-10 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Non-benzodiazepines

A

zolpidem, zaleplon, the other one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Indications for zolpidem

A

acute insomnia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What drug is a hydanoitn

A

phenytoin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Indication for phenytoin

A

seizures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Adverse effects of phenytoin

A

gingival hyperplasia, osteomalacia, stevens-johnson, blood dyscrasias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Patient teaching for phenytoins

A

take at same time each day, avoid OTC meds and herbs, increase vitamin D and calcium, good oral hygeine and frequent dental visits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Carbamazepine indications

A

seizures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

therapeutic drug level for carbamazepine

A

4-12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Adverse effects of carbamazepine

A

blood dyscrasias, SI, hepatotoxicity, stevens johnson

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

bbw with carbamazepine

A

heart failure, fluid overload, blood dyscrasias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

nursing considerations for carbamazepine

A

CBC, SI, serum drug levels. edema and lung sounds. EKG. LFT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Donepezil indications

A

alzheimers and dementia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Nursing considerations for donepezil

A

ask orientation (person, place, time) to evaluate effectiveness…… can also cause cholinergic crisis so keep atropine and crash cart near

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Indications for carbidopa levodopa

A

parkinsons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Patient teaching for carbidopa levodopa

A

avoid protein but take with food. maintain good oral hygiene. dark urine is normal. avoid multivitamins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Indication for neostigmine

A

myasathenia gravis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Side effect of neostigmine

A

sludges, muscarinic stimulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

adverse effect of neostigmine

A

cholinergic crisis, myasthenic crisis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

s/s of cholinergic crisis

A

SLUDGES, bradycardia, dyspnea, meiosis (pupil constriction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

antidote for cholinergic crisis

A

atropinewhat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

what drug can be used to determine cholinergic crisis or myasthenic crisis

A

edrophonium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What are the central acting muscle relaxants

A

baclofen, cyclobenzapine, dantrolene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Inidctions for central acting muscle relaxants

A

muscle spasms / strain or sprain of muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Evaluation for central acting muscle relaxants

A

decreased pain or increased ROM = effectiveness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What are the neuromuscular blocking drugs

A

vancuronium, pancuronium, succinylcholine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Adverse effect of neuromuscular blocking drug

A

malignant hyperthermia (rigid muscles, high fever, tachycardia, diaphoresis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Treatment of malignant hyperthermia

A

dantrolene (O2 @ 100, stop administration, cooling blankets)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

What drugs are typical antipsychotics

A

chlorpromazine, haloperidol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Indications for antipsychotics

A

schizophrenia, aggressive patients, drug induced psychosis, manic states

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Adverse effects of typical antipsychotics

A

neuroleptic malignant syndrome, acute dystonia, tardive dyskinesia, akathisia, parkinsonism (these are extrapyramidal symptoms)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

symptoms of neuroleptic malignant syndrome

A

rigid muscles, BP fluctuations, diaphoresis, tachycardia, sudden high grade fever, altered LOC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

what symptom of typical antipsychotics has spasms of tongue, neck, and back

A

acute dystonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Atypical antipsychotic drugs

A

clonzapine, olanzapine, respiridone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Side and adverse effects of atypical antipsychotics

A

DAW HADES
diabetes, anticholinergic, weight gain, hypercholesterolemia, agitation, dizziness elevated prolactin, sexual dysfunction (hypotension) (can cause extrapyramidal symptoms but not as much)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Patient teaching of atypical antipsychotics

A

report s/s of diabetes mellitus (3 P’s), report gynecomastia, galactorrhea, seizures, abnormal movements. anticholinergic teaching. hypotensive teaching.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Adverse effects of benzodiazepines (again)

A

withdrawal, paradoxical response, anterograde amnesia, CNS and respiratory depression, sedation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

Patient teaching for benzodiazepines

A

BIG ONE IS TAPER DOSE (prevents withdrawal)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

what drugs are SSRIs

A

fluoxetine, paroxetine, citalopram, escitalopram, fluvoxamine or something idk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

Indications for SSRIs

A

major depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

Adverse effects of SSRIs

A

big one is sexual dysfunction (causes adherence), SEROTONIN SYNDROME, hyponatremia, withdrawal. increase SI during dosages changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

Symptoms of serotonin syndrome

A

confusion, agitation, fever, tremors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

Nursing considerations for SSRI’s

A

assess for masked signs of sexual dysfunction, do not drink grapefruit juice, contraindicated with MAOIs and TCAs, pregnancy category c (paroxetine is d)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

What drugs are MAOIs

A

phenelzine, isocarboxid, seligiline, tranylcypromine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

Indications for MAOIs

A

neurotic or atypical depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

Interactions for MAOIs

A

tyramine foods (aged cheese, aged meats, yogurt, fermented beer and wine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

What drugs are TCAs

A

amitriptyline, nortriptyline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

Side and adverse effects of TCAs

A

okay hear me out… think TRIPping makes you sad…. and you trip with your toes….

SAD TOASS
sedation, anticholinergic, decreased seizure threshold, toxicity, orthostatic hypotension, arrhythmias, sexual dysfunction, sweating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

Lithium indications

A

bipolar disorder, mood fluctuations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

Advanced lithium toxicity symptoms (2-2.5)

A

hypotension –> seizure–> coma–> death. tinnitus, ataxia, involuntary extremity movements, polyuria, blurred vision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

Patient teaching for lithium

A

increase fluids (1.5 L) cause dehydration increases risk of lithium toxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

What are nsaids

A

ibuprofen, naproxen, ketorolac, indomethacin, diclofenac, meloxicam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

Adverse effects of NSAIDs

A

nephrotoxicity, hepatotoxicity, gi bleeding,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

Nurisng interventions

A

monitor s/s of bleeding, LFT, RFT, avoid alcohol and G herbs. Take with food and water/milk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

Indications for aspirin

A

to prevent MI (81 mg baby aspirin) and for pain management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

Drug interactions for aspirin

A

warfarin , avoid g herbs , alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

Adverse effects

A

nephrotoxicity, bleeding, salicylism, reyes syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
78
Q

tinnitus while taking aspirin can mean

A

salicylism (also headache, dizziness, sweating, fainitng, AMS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
79
Q

What is reye’s syndrome

A

when child with virus takes aspirin (liver damage, hypoglycemia, cns effects)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
80
Q

Antigout medications

A

allopurinol, cholchicine, probenecid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
81
Q

Nursing interventions and patient teaching

A

increase fluids, avoid purine foods (scallops, red meat, red wine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
82
Q

Methotrexate indications

A

slow progression of RA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
83
Q

Contraindications for methotrexate

A

live virus vaccines, infection, pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
84
Q

What drugs are opioid agonsits

A

morphine, fetanyl, codeine, oxycodone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
85
Q

Adverse effect of opioid agonist

A

constipation can become adverse, urinary rention, sedaiton, RESPIRATORY DEPRESSION, pupillary constriction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
86
Q

What drug is opioid antagonist

A

naloxone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
87
Q

when to give naloxone

A

client too sedated, respirations less than 10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
88
Q

How to recognize cephalosporins and penicillins

A

-cef , -cillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
89
Q

Indications for cefs and cillins

A

infection (bacterialP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
90
Q

general adverse reactions and treatment of cephalosporins and penicillins

A

mild allergic reaction (rash pruritus hives.. treat with diphenhydramine) advances allergic reaction (angioedema.. treat with epinephrine) superinfections of vagina, mouth, and stomatitis

91
Q

Nursing interventions for abx

A

get C&S before administering abx, monitor for s/s of allergic reaction, monitor for s/s of superinfection, LFT,RFT, cephalosporins monitor for bleeding, increase fluids, take with food

92
Q

antibiotics decrease the effectiveness of? what should nurses teach

A

oral contraceptives ; backup method of birth control

93
Q

Side and adverse effects of vancomycin

A

redman syndrome, thrombophlebitis, ototoxicity, nephrotoxicity, stevens johnson syndrome

94
Q

Nursing interventions for vancomycin

A

monitor s/s of stevens johnson and redman syndrome. monitor RFTs and iv site. Monitor serum peak and trough levels. infuse over 60 minutes

95
Q

How to recognize flourquinolones

A

-oxacin

96
Q

Indications of ciprofloxacin

A

infection

97
Q

Adverse effects of flourquinolones

A

achilles tendon rupture, arthropathy

98
Q

What drug is aminoglycoside

A

gentamicin

99
Q

when to take peak and trough levels of gentamicin

A

30 minutes after infusion finishes (peak), 30 mins b4 next dose (for trough)

100
Q

Indications for INH

A

tuberculosis

101
Q

Side and adverse effects of INH

A

neuropathy, hepatoxicity

102
Q

Nursing interventions / patient teaching for INH

A

avoid foods high in tyramine (aged cheese and meats) , take b6 and pyridoxine, avoid alcohol (Cus liver) and monitor LFTs

103
Q

acyclovir indications

A

herpes simplex type 1 and varicella zoster (viruses)

104
Q

fluconazole indications

A

vag yeast infections (systemic or superficial mycoses)

105
Q

Indications for tamoxifen

A

stop the spread of breasat cancer cells

106
Q

adverse effects of tamoxife

A

blood clots/ pulmonary embolism, hypercalcemia

107
Q

Indication for epoetin alfa

A

low RBC, CKD anemia, HIV/AIDS, chemo

108
Q

Adverse effects of epoetin alfa

A

hypertension, headache

109
Q

Indications for oprelvekin

A

low platelet count (thromBOcytopenia)

110
Q

Evaluating effectiveness for oprelvekin

A

platelets greater than 50,000

111
Q

What drugs are decongestants

A

phenelephrine, pseudophedrine, oxymetazoline, nafazoline, tetrahydrolazine

112
Q

Side effects of decongestants

A

tremors, tachycardia, nervousness, anxiety, restlessness

113
Q

adverse effects of decongestants

A

htn, palpitations, arrhythmias, convulsions, delusions, hallucinations

114
Q

Contraindications of decongestants

A

HTN, glaucoma, hypothyroidism, cardiac issues (take caution if you have diabetes)

115
Q

what drugs are methylxanthines

A

theophylline, aminophylline

116
Q

Indications for methylxanthines

A

asthma and bronchospasm

117
Q

drug interactions for methylxanthines

A

smoking will decrease effectiveness, caffeine will increase side effects

118
Q

What drug is a mucolytic

A

acetylcysteine

119
Q

patient teaching for acetylcysteine

A

smells like rotten eggs (does not mean its bad)

120
Q

What drugs are beta 2 agonists

A

short acting: albuterol, levalbuterol, pirbuterol

121
Q

Indications for short acting

A

treat acute asthma attack, prevent exercise induced asthma

122
Q

Long acting beta agonists

A

treat asthma and COPD

123
Q

Short vs long acting bronchodilators

A

short acting should only be used 2-3 times a week, long acting can be used every day

124
Q

adverse effects of bronchodilators

A

palpitations, angina, tachycardia

125
Q

patient teaching for bronchodilators

A

use a spacer, take it before corticosteroids, tolerance can occur, side effects diminish over time, avoid caffeine

126
Q

How to recognize corticosteroids

A

end in -sone and triamcinolone

127
Q

Indications for inhaled corticosteroids

A

COPD and asthma

128
Q

Patient teaching for inhaled corticosteroids

A

clean mouth and inhaler after, use a spacer, use after albuterol,

129
Q

Cardiac glycosides drug

A

digoxin

130
Q

indications for digoxin

A

afib, atrial flutter, heart failure

131
Q

side / adverse effects

A

cardio: bradycardia CNS: yellow green halos, diplopia GI: anorexia, NV

132
Q

Nursing interventions for digoxin

A

monitor apical pulse for a full minute, hold if <60

133
Q

antidote for digoxin

A

digoxin immune fab

134
Q

what lab value can increase risk of digoxin toxicity

A

hypokalemia

135
Q

What drugs are nitrates

A

have nitrate somewhere in there

136
Q

Indications for nitrates

A

chest pain

137
Q

patient teaching regarding patch

A

take it off at night to prevent tolerance (nitrate free period) rotate sites

138
Q

Side and adverse effects of nitrates:

A

tolerance, headache, hypotension, weak, syncope

139
Q

contraindicaitons for nitrates

A

PDE5 inhibitors (can cause fatal hypotension)

140
Q

What are the potassium sparing diuretics

A

amiloride, spironolactone, eplerenone, triamterene

141
Q

Indications for potassium sparing

A

HTN, CHF, hypokalemia

142
Q

Side and adverse effects of potassium sparing

A

hyperkalemia, androgen effects, gynecomastia, dizziness, hypotension

143
Q

Nursing interventions of potassium

A

monitor potassium levels

144
Q

what drug is thiazide

A

hydrochlorothiazide

145
Q

Evaluation for thiazide diuretic

A

decreased SOB, edema, hypertension, HF

146
Q

what drug is loop diuretic

A

furosemide

147
Q

Indications:

A

acute HF, hypertension, edema

148
Q

Patient teaching

A

eat foods high in potassium, potassium salt substitutes (need to avoid sodium), hypotensive teaching

149
Q

Evaluating effectiveness for loop diuretic

A

decreasaed edema, htn, SOB, hf

150
Q

How to recognize calcium channel blockers

A

-dipine, verapamil, diltiazem

151
Q

indications for CCB

A

hypertension

152
Q

Adverse effects of CCB

A

peripheral edema, bradycardia

153
Q

Patient teaching for calcium channel blockers

A

avoid grapefruit juice and statins, report s/s of edema, monitor heart rate, taper dose because of rebound hypertension

154
Q

Nursing considerations for CCB

A

statins should be avoided, monitor EKG, VS, HR. Monitor edema

155
Q

Indications for clonidine

A

hypertension

156
Q

patient teaching for clonidine

A

leave patch on for 7 days

157
Q

how to recognize ACE inhibitors

A

-pril

158
Q

Indications for ace inhibitors

A

hypertension

159
Q

Side effect of ace inhibitors

A

persistent dry cough

160
Q

Adverse effects of ACE inhibitors

A

hyperkalemia

161
Q

Patient teaching for ACE inhibitors

A

avoid k+ foods, BP, change positions slowly, improve diet and increase exercise

162
Q

Cultural considerations for ACE inhibitors

A

not used as monotherapy in African Americans ?

163
Q

What does warfarin treat

A

blood clots? DVT, PE idek

164
Q

Warfarin Labs and ranges

A

PT: 18-24 sec INR: 2-3 , 3-4.5 if mechanical heart valve

165
Q

Interactions for warfarin

A

highly protein bound, g herbs, aspirin, pregnancy category X

166
Q

patient teaching for warfarin

A

use soft bristled toothbrush and electric razor. Avoid G herbs. wear medic alert ID. use backup method of birth control

167
Q

Nursing considerations for warfarin

A

monitor s/s of bleeding, monitor labs, LFTs

168
Q

Warfarin antidote

A

vitamin K

169
Q

What does heparin treat

A

DVT

170
Q

Labs and therapeutic levels for heparin

A

ptt: 120-140
aPTT: 60-80

171
Q

Interactions with heparin

A

other anticoagulants, antiplatelets

172
Q

Antidote for heparin

A

promatine sulfate

173
Q

HMG-CoA reductase inhibitors

A

-statins

174
Q

Baseline labs for statins

A

creatinine kinase, cholesterol 150-200, LDL<100 HDL>60

175
Q

Nursing interventions for statins

A

monitor for muscle pain, creatinine kinase, cholesterol levels, LFTs, advise patients for yearly eye exams

176
Q

Side and adverse effects of Statins

A

H M G C oa Reductase Inhibitors
hepatotoxicity, myopathy, gi upset, rhabdomyolysis, cataracts

177
Q

What drug is the surfactant laxative

A

docusate sodium

178
Q

indications for surfactant laxatives

A

reduce straining from constipation

179
Q

Mechansim of action docusate sodium

A

reduce surface tension of the stool by increasing water and electrolytes in the stool

180
Q

Lacutlose indications

A

hepatic encephalopathy (reduce ammonia levels)

181
Q

Indications for sucralfate

A

ulcer

182
Q

mechanism of action for sucralfate

A

coats the ulcer and mucosal lining

183
Q

evaluation of sucralfate

A

abdominal pain subsides

184
Q

Misoprostol indications

A

NSAID induced ulcer

185
Q

Mechanism of action for misoprostol

A

secretion of bicarbonate and inhibit release of stomach aid

186
Q

Evaluation of effectiveness for misoprostol

A

reduced abdominal pain

187
Q

What are the different types of antacids

A

magnesium, aluminum, sodium bicarbonate, calcium

188
Q

Patient teaching for antacids

A

take it 1 or 2 hours before or after other drugs

189
Q

H2 receptor blocker drugs

A

famotidine, cametidine

190
Q

Patient teaching for H2 receptor blockers

A

smoking decreases effectiveness, avoid NSAIDs and antacids ?

191
Q

Interactions for famotidine and cametidine

A

smoking decreases effectiveness and alcohol/NSAIDs can increase risk of bleeding

192
Q

How to recognize proton pump inhibitors

A

-prazole (omeprazole)

193
Q

Indications for proton pump inhibitors

A

GERD and acid reflux

194
Q

Adverse effects of PPIs

A

osteoporosis, pneumonia, rebound hypersecretion, hepatoxicity, HYPOMAGnesemia

195
Q

what drugs are antithyroid drugs

A

propylthiouracil, methimazoleEva

196
Q

Evaluation of antithyroid drugs

A

hyperthyroidism symptoms decrease, euthyroid state (0.5-4.2)

197
Q

Levothyroxine indicaiont

A

hypothyroidism

198
Q

Patient teaching for levothyroxine

A

take one hour before breakfast on empty stomach and take four hours before vitamins and other meds

199
Q

Indication for glucocorticoids

A

adrenal insufficiency and addisons disease

200
Q

Adverse effects of glucocorticioids

A

hyperglycemia, infection, osteoporosis, cushings syndrome, peptic ulcer disease, myopathy

201
Q

Patient teaching for glucocorticoids

A

take caution if you are diabetic, monitor for infections, increase calcium and vitamin D, report cushings syndrome symptoms

202
Q

Biphosphonates

A

-dronate

203
Q

Indications of biphosphonates

A

osteoporosis

204
Q

Adverse effects of biphosphonates

A

osteonecrosis of the jaw, esophagitis

205
Q

Patient teaching

A

sit up for 30 minutes after taking, do not take if you have difficulty swallowing, avoid dental work

206
Q

Sulfonylureas

A

start with gly end with ide

207
Q

Indicaitons

A

type 2 dm

208
Q

adverse effects of sulfonulureas

A

hypoglycemia

209
Q

nurisng considerations and patient teachign

A

take it with food, make sure they have meal tray

210
Q

glucagon indications

A

unconscious from hypoglycemia

211
Q

Metformin indications

A

type 2 dm

212
Q

side and adverse effects

A

please be weight loss

213
Q

Insulin mixing

A

inject air into NPH, air into clear, draw clear, draw cloudy

214
Q

rapid insulins (aspart, glulisine, lispro)

A

15-30, 30-2.5, 3-6

215
Q

short acting insulin (regular)

A

30-1hr, 1-5 hours, 6-10

216
Q

intermediate (NPH and Humulin N)

A

1-2 h , 6-14, 16-24

217
Q

Long acting (glargine , determir)

A

70 mins, no peak, 18-24

218
Q

oxybutynin indicaitons

A

overactive bladder

219
Q

Contraindicaitons of oxybutynin

A

glaucoma, urinary retention (think BPH), GI/gu obstruction, paralytic ileus

220
Q

Bethanechol indicaitons

A

urinary retention not caused by obstruction

221
Q

side and adverse effect of bethachol

A

SLUDGES, bradycardia, dyspnea, miosis, hypotension, bronchoconstriction

222
Q

PDE5 inhibitors

A

slidenafil, tadalafil

223
Q

contraindciation of PDE5 inhibitors

A

nitrates (fatal hypotension)

224
Q

what can be used to prevent toxicity in older adult

A

start low and go slow