Drugs and Stuff Flashcards
What does ABCT mean?
Appearance, behavior, cognition, thought process.
What does the “A” include?
Posture, movements,dress, grooming,hygiene.
What does “B” stand for.
Behavior—LOC, facial expression,speech, mood/affect.
What does the “T” stand for?
Thought processes, content, anxiety, depression, suicide.
What are the peak times for regular insulins?
Humulin R = 2-3 hours. Novolin R = 2.5-5 hours.
What are the onset times for intermediate insulins?
Humulin N = 2-4 hours. Novolin N = 90 minutes.
What are the peak times for intermediate insulins?
Humulin = 4-10 hours. Novolin N = 4-12 hours.
Name 2 long acting insulins.
Levemir (detemir) and Lantus (glargine).
What are the peak times for long acting insulins?
No peaks.
What are the onset times for long acting insulins?
Both are 1-4 hours.
What are the average onset times for the premixed group of insulins?
15-30 minutes.
What are the average duration times for the long acting insulins?
24 hours.
What are the average durations for rapid/regular and intermediate insulins?
Rapid = 3-5 hours. Regular = 4-8 hours. Intermediate = 14-24 hours.
Name 9 thing to check on the integumentary system.
Temperature, moisture, color, texture, turgor, lesions, lesions, hair (distribution, quality, quantity), nails, nodes.
What is assessed for the respiratory system?
Pattern, effort, accessory muscles, nail beds/mucosa, auscultation location, describe adventitious sounds.
What is assessed for cardio?
BP, apical, hs locations/identification, peripherals, cap refill, edema.
What is assessed for neuros?
Appearance, posture, expression, mood, speech, LOC/orientation, pupil size/reaction, motor response, coordination, sensory.
What is assessed for musculoskeletal?
Swelling, ROM and Strength-head/spine, shoulder/arm, hand, hip, knee/ankle/foot, 5- P’s.
What are the 5 P’s?
Pain, paralysis, parasthesias, pallor, and pulse.
What is assessed for gastro?
Appearance of mouth/teeth/gums/abdomen, BS-when to auscultate/identify, bowel history/pattern/status, N/V.
Pain-OPQRSTU
Onset, Precipitating factors, Quality, what Relieves, related Symptoms, Timing, what do U think.
What is Vancomycin? What are some precautions?
It is an anti-infective. Use cautiously in renal impairment.. Check trough level. < 10 for mild infection. < 20 for severe infection.
What is bactrim?
A sulfonomide, it is a combination of trimethoprim and sulfamethoxazole. Excreted mostly in the liver. Rash/fever/plebitis at IV site, hepatic.
Name some ACE inhibitors.
Vasotec (lisinopril), Capoten (captopril). Used in hypertension/after MI/HF. Cough, hypotension, taste disturbances.
What is Lopresor?
Metaprolol, a beta blocker. Used for MI, HF, ↓ BP. Fatigue, weakness, erectile dysfunction.
What is Diabeta?
Glyburide/ glipizide. A Sulfonylurea. Stimulates insulin release and insulin reception. Need some function to work. Photosensitivity/hypoglycemia.
What is Nubain?
Nalbuphine. An opiod analgesic. Caution with MAOI’s. Administer slowly (10mL/3-5 minutes) HIGH ALERT!! Double check with another!!!
What is Dilaudid?
Hydromorphone-another high alert med. Extreme caution with MAOI’s. Quit 2 weeks in advance.
What is duragesic?
A transdermal Fentanyl patch. Do not use with MAOI’s.
What are famotidine and Cimetadine?
Tagamet and Pepcid, H2 histamine blockers.↑effect of benzo’s, check for epigastric pain.
What is heparin?
Thinner. Draw aPTT 30 mins prior, short half-life, protamine sulfate, start orals 4-5 days prior to discontinuance, PTT of 1.5-2.5 times control.
What is coumadin?
Warfarin, thinner, monitor PT/INR. Vit. K.
What is Proventil HFA?
Albuterol inhaln. Rescue inhaler for asthmatics.Don’t use with MAOI’s, beta blockers may negate its effect, nervousness, tremors, restlessness, paradoxical bronchospasms.
What is Slo-Bid?
A xanthine broncho dilator (Theophylline), used for COPD. Anxiety, N/V, seizures, arrhythmia. Aminophylline is 80% theophylline. Used for long term control. Have rescue equipment ready with cardio problems. Caution with MAOI’s and beta blockers. Therapeutic level is 5-15 micrograms/mL.
What is brethine?
Terbutaline, an adrenergic broncho dilator. Nervousness, restlessness, tremors. Use cautiously with MAOI’s and beta blockers.
What is K-Dur?
A potassium chloride. Arrythmias! NV and GI problems if oral. Mental confusion. High Alert!! Never give IV push or bolus! 10 mL/hr max diluted in 100-1000 mL of LR or dextrose. < 1.5 mg/mL
What is RhoGam?
Immune globulin given to RH- women if baby is RH +. Watch for S/S of intravascular hemolysis. Back pain/chills/fever/anemia/renal insufficiency.
What is epogen?
Erythropoietin alpha. Stimulates RBC production. Seizure, HA, MI, stroke, thrombolytic events. Concurrent iron therapy.
What is Kayexelate?
Sodium polystyrene sulfonate. Used to reduce hyperkalemia. Watch for Hypokalemia and sodium retention and constipation.
What is tetracycline?
An anti infective. Watch for photo sensitivity. Monitor bowels/blood in stools.
What is Pravachol?
Pravastatin sodium, an HMG co-A reductase inhibitor (statin). Watch for cramps/heartburn/rash/rabdomylosis. Grapefruit juice.
What is Dilantin?
Phenytoin. An anticonvulsant that is also used as an anti-arrhythmic for ventricular arrythmias associated with dig use. N/V, hypotension, nystagmus, rash, check hepatic function,PO/IV only, suicidal ideations, level=10-20 mcg/mL.
What is Atropine?
An anticholinergic/anti-arrhythmic.
What is solu-medrol?
Systemic corticosteroid. Suppresses inflammation and immune response. Swells you up. hypertension,
