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Community RN Drug and assessment Test > Drugs and Stuff > Flashcards

Drugs and Stuff Flashcards

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NCLEX-RN® flashcards
1
Q

What does ABCT mean?

A

Appearance, behavior, cognition, thought process.

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2
Q

What does the “A” include?

A

Posture, movements,dress, grooming,hygiene.

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3
Q

What does “B” stand for.

A

Behavior—LOC, facial expression,speech, mood/affect.

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4
Q

What does the “T” stand for?

A

Thought processes, content, anxiety, depression, suicide.

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5
Q

What are the peak times for regular insulins?

A

Humulin R = 2-3 hours. Novolin R = 2.5-5 hours.

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6
Q

What are the onset times for intermediate insulins?

A

Humulin N = 2-4 hours. Novolin N = 90 minutes.

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7
Q

What are the peak times for intermediate insulins?

A

Humulin = 4-10 hours. Novolin N = 4-12 hours.

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8
Q

Name 2 long acting insulins.

A

Levemir (detemir) and Lantus (glargine).

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9
Q

What are the peak times for long acting insulins?

A

No peaks.

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10
Q

What are the onset times for long acting insulins?

A

Both are 1-4 hours.

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11
Q

What are the average onset times for the premixed group of insulins?

A

15-30 minutes.

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12
Q

What are the average duration times for the long acting insulins?

A

24 hours.

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13
Q

What are the average durations for rapid/regular and intermediate insulins?

A

Rapid = 3-5 hours. Regular = 4-8 hours. Intermediate = 14-24 hours.

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14
Q

Name 9 thing to check on the integumentary system.

A

Temperature, moisture, color, texture, turgor, lesions, lesions, hair (distribution, quality, quantity), nails, nodes.

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15
Q

What is assessed for the respiratory system?

A

Pattern, effort, accessory muscles, nail beds/mucosa, auscultation location, describe adventitious sounds.

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16
Q

What is assessed for cardio?

A

BP, apical, hs locations/identification, peripherals, cap refill, edema.

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17
Q

What is assessed for neuros?

A

Appearance, posture, expression, mood, speech, LOC/orientation, pupil size/reaction, motor response, coordination, sensory.

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18
Q

What is assessed for musculoskeletal?

A

Swelling, ROM and Strength-head/spine, shoulder/arm, hand, hip, knee/ankle/foot, 5- P’s.

19
Q

What are the 5 P’s?

A

Pain, paralysis, parasthesias, pallor, and pulse.

20
Q

What is assessed for gastro?

A

Appearance of mouth/teeth/gums/abdomen, BS-when to auscultate/identify, bowel history/pattern/status, N/V.

21
Q

Pain-OPQRSTU

A

Onset, Precipitating factors, Quality, what Relieves, related Symptoms, Timing, what do U think.

22
Q

What is Vancomycin? What are some precautions?

A

It is an anti-infective. Use cautiously in renal impairment.. Check trough level. < 10 for mild infection. < 20 for severe infection.

23
Q

What is bactrim?

A

A sulfonomide, it is a combination of trimethoprim and sulfamethoxazole. Excreted mostly in the liver. Rash/fever/plebitis at IV site, hepatic.

24
Q

Name some ACE inhibitors.

A

Vasotec (lisinopril), Capoten (captopril). Used in hypertension/after MI/HF. Cough, hypotension, taste disturbances.

25
Q

What is Lopresor?

A

Metaprolol, a beta blocker. Used for MI, HF, ↓ BP. Fatigue, weakness, erectile dysfunction.

26
Q

What is Diabeta?

A

Glyburide/ glipizide. A Sulfonylurea. Stimulates insulin release and insulin reception. Need some function to work. Photosensitivity/hypoglycemia.

27
Q

What is Nubain?

A

Nalbuphine. An opiod analgesic. Caution with MAOI’s. Administer slowly (10mL/3-5 minutes) HIGH ALERT!! Double check with another!!!

28
Q

What is Dilaudid?

A

Hydromorphone-another high alert med. Extreme caution with MAOI’s. Quit 2 weeks in advance.

29
Q

What is duragesic?

A

A transdermal Fentanyl patch. Do not use with MAOI’s.

30
Q

What are famotidine and Cimetadine?

A

Tagamet and Pepcid, H2 histamine blockers.↑effect of benzo’s, check for epigastric pain.

31
Q

What is heparin?

A

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.

32
Q

What is coumadin?

A

Warfarin, thinner, monitor PT/INR. Vit. K.

33
Q

What is Proventil HFA?

A

Albuterol inhaln. Rescue inhaler for asthmatics.Don’t use with MAOI’s, beta blockers may negate its effect, nervousness, tremors, restlessness, paradoxical bronchospasms.

34
Q

What is Slo-Bid?

A

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.

35
Q

What is brethine?

A

Terbutaline, an adrenergic broncho dilator. Nervousness, restlessness, tremors. Use cautiously with MAOI’s and beta blockers.

36
Q

What is K-Dur?

A

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

37
Q

What is RhoGam?

A

Immune globulin given to RH- women if baby is RH +. Watch for S/S of intravascular hemolysis. Back pain/chills/fever/anemia/renal insufficiency.

38
Q

What is epogen?

A

Erythropoietin alpha. Stimulates RBC production. Seizure, HA, MI, stroke, thrombolytic events. Concurrent iron therapy.

39
Q

What is Kayexelate?

A

Sodium polystyrene sulfonate. Used to reduce hyperkalemia. Watch for Hypokalemia and sodium retention and constipation.

40
Q

What is tetracycline?

A

An anti infective. Watch for photo sensitivity. Monitor bowels/blood in stools.

41
Q

What is Pravachol?

A

Pravastatin sodium, an HMG co-A reductase inhibitor (statin). Watch for cramps/heartburn/rash/rabdomylosis. Grapefruit juice.

42
Q

What is Dilantin?

A

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.

43
Q

What is Atropine?

A

An anticholinergic/anti-arrhythmic.

44
Q

What is solu-medrol?

A

Systemic corticosteroid. Suppresses inflammation and immune response. Swells you up. hypertension,

Community RN Drug and assessment Test (1 decks)

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