Drugs and Stuff Flashcards
imipramine
Antidepressant and nerve pain medication
Naloxone
narcotic antidote
Disulfiram
Alcoholism medication
Pyrazinamide
treats TB
Removing PPE 4 steps:
- Gloves
- Eyes
- Gown
- Mask
Doxepin HCL
antidepressant
watch for excitability and tremors
What diet for carbidopa-levodopa?
low protein
Meningitis should be in private room/droplet precautions until __
24 hrs after initiation of effective therapy
Sucralfate
short-term treatment for duodenal ulcer
A client receives packed RBCs. Several minutes after infusion is started, client reports nausea and low back pain. It’s most important for nurse to take which action?
obtain urine specimen
3 main lab values for nutritional assessment
HGB, HCT, albumin
What diet for constipation, large bowel disorders?
High-roughage, high fiber
Imipramine
Tricyclic antidepressant
Methimazole
antithyroid agent
Metformin should be held for ___hours prior to tomography with contrast media
48
No thrombolytic therapy if
trauma within last 2 months or significant head injury within past 3 months
Atenolol
beta blocker
used to treat HTN and angina
30 large squares on EKG = ___ seconds
6 seconds
With or without meals: acyclovir
with
PKU diet:
Lofenalac
low-protein for kids
Cytoprotective agents (Sucralfate) should be given when in relation to meals?
1 hr before
If client is having trouble breathing because trach tube has been dislodged, initial action is to
extend clients neck
then: call for help place supine check breath sounds use hemostat to open airway
If a client is getting a cardiac cath in their femoral artery/vein, which pulses do you check?
pedal
check the pulse that’s distal to the puncture site
What kind of pain med is ok for hemophilia A patients?
Percocet (oxy w/acetaminophen)
Codeine phosphate for school age kids
With or without meals: sucralfate
without (or before/after)
separate 2 hours with digoxin
Eye drops: OU means to put in ___
both eyes
what is the drug of choice for Tic douloureaux/trigeminal neuralgia?
carbamezapine
2 main early signs of hypovolemic shock:
cool, clammy skin
tachypnea
After amputation, expose residual limb to air daily and inspect skin daily – only elevate for
first 24 hours
Acute kidney injury, priority is to check
urine specific gravity
anterior fontanel closes at
18 months
If PN is running low and new solution not readily available, what do you use?
10% dextrose and water
Levothyroxine
hormone to treat hypothyroidism
take in morning to prevent insomnia
Should a woman bottle feeding newborn do warm showers?
no
NO grapefruit juice
Statins
Calcium channel blockers (nifedipine, verapamil, amlodipine)
Eye drops: OD means to put in the ___
right eye
Risperidone
antipsychotic
No aspirin for
kids, clients with concussion, pregnancy, GERD/ulcer people
Normal ESR range =
0-20mm/hr
If pH is low and PaCO2 is high =
respiratory acidosis
Flail chest: affected side goes __ with inspiration and ___ with expiration
down with I
up with E
opposite of normal
When is chickenpox contagious?
1 day before eruption of lesions until 6 days after rash disappears
Isolation until all vesicles are crusted
NO ASPIRIN
Phenelzine sulfate
MAO inhibitor
High bicarb (HCO3), high ph =
metabolic alkalosis (prolonged vomiting)
Phenelzine
MAOI
What diet for HTN, heart failure, cirrhosis
sodium restricted (no milk!)
Droplet precautions
private room
maintain separation of 3 feet
Wear mask
Door can be open
“Spiderman”
S: sepsis, scarlet fever, strep P: pertussis, pneumonia I: influenza D: Diphtheria E: epiglottis (croup) R: Rubella M: mumps and meningitis AN: Adenovirus
Flu vaccine can be started at ___ months
6
cranial nerve VI
abducens (lateral movement of eyes)
If chest tube becomes dislodged from client, apply
tented dressing on one side
Isotonic fluids:
LR or NS
When do you give Sucralfate in relation to meals?
1 hour before or 2 hours after
What diet for acute or chronic kidney disease?
low protein
low potassium
low sodium
1 cause of chronic kidney disease
HTN
Hypertonic fluids
D5NS
D5LR
D51/2NS
Always start blood transfusion with
normal saline
Cisplatin
antineoplastic
With or without meals: beta blockers
with
EDT 20-35 years (young adulthood)
intimacy vs. isolation
With or without meals: tetracycline
without (or before/after)
cranial nerve V
trigeminal (jaw movement and sensation on face – pin and cotton ball)
Heart sound landmark: Pulmonic
2nd ICS, left sternal border
If pH is high and PaCO2 is low =
respiratory alkalosis (hyperventilating like asthma attack)
Morning or bedtime? levothyroxine, liothyronine
morning
EDT 6-12 years (school age)
industry vs. inferiority
Initial rate of PN infusion should be ___mL/hr then gradually increased to ___mL/hr
50
100-105
Cromolyn sodium
bronchodilator
Nuchel rigidity and photophobia = ___ precautions
droplet precautions
Which information is essential for nurse to gather before administering IV potassium supplement to 85 y/o?
adequacy of urine output
What blood type is universal donor?
O
terbutaline
leukotriene-receptor blocker (works as bronchodilator)
With or without meals: estrogen
without (or before/after)
For client with tracheostomy and on humidified oxygen, suction should be set at
80-120 mm hg
Morning or bedtime? cyclosporine
morning
Heart sound landmark: Mitral
5th ICS, left mid-clavicular line
Hypotonic fluids:
0.45% saline or D5W
Sequence for physical assessment (4 steps) - everywhere except abdomen
- Inspection
- Palpation
- Percussion
- Auscultation
Morning or bedtime? alendronate, risedronate, ibandronate
morning
cranial nerve VII
facial
Morning or bedtime? prenatal vitamins
bedtime
Paracentesis – need what tool?
BP cuff
Which inhaler do you use first: bronchodilator or steroid?
bronchodilator BEFORE steroid
Aminophylline
leukotriene-receptor blocker (works as bronchodilator)
EDT 1-3 years (toddler)
autonomy vs shame/doubt
Didanosine
antiviral
1 L fluid = __ kg = __ lbs
1 kg, 2.2 lbs
In Buck’s traction, weight should
hang freely at all times
Stage 3 of labor
birth to delivery of placenta
With or without meals: cipro
without (or before/after)
Stage 1 of labor
beginning of labor to full dilation (10cm)
IPV (inactivated polio) immunization schedule - 4 doses
2 months
4 months
6-18 months
4-6 years
Hepatitis diet
low fat
high calorie, carbs, protein
What diet for atherosclerosis, cystic fibrosis?
low-fat, cholesterol restricted
CF: high protein
high calorie
What diuretic is the only one that’s potassium sparing?
spironolactone
cranial nerve X
vagus (swallowing, speaking)
Use what kind of precautions for Hep A?
standard and contact
Where is the radial pulse palpated?
Along the thumb side of the inner wrist
fluid volume overload (3)
cool skin
resp crackles
pulse 86 and bounding
2 main signs of cardiovascular fluid overload
rales and tachycardia
With or without meals: diuretics
with
rifampin
antibiotic
Enlapril
ace inhibitor
remember the first dose of ace inhibitors increases risk of orthostatic hypotension, so no diuretics (i.e. furosemide) in combination
Radioactive iodine
antithyroid agent
Sertraline
SSRI
Hep A is contagious until
1 week after clinical symptoms arise
Allopurinol
inhibits production of uric acid
Fundal height at 20 weeks
at umbilicus or 20 cm
Effects of aminophylline include (5)
nervousness nausea dizziness tachycardia seizures
Station: negative numbers are __, positive numbers are ___ ischial spine (0)
negative means ABOVE ischial spine
positive means BELOW ischial spine
2 main symptoms of aspirin OD:
tinnitus and GI distress
Acyclovir
antiviral used to treat herpes
Early signs of lithium toxicity
- fine motor tremors
- N/V
- diarrhea
With or without meals: morphine sulfate
without (or before/after)
wet-to-dry dressing 5 steps:
- free dressing
- dry skin surrounding wound
- moisten clean gauze and wring out excess liquid
- apply wet gauze as single layer
- apply dry dressings
Chlorpromazine
Antipsychotic
Propylthiouracil
antithyroid agent
Digoxin therapeutic level
0.5-2.0
Prednisone/glucocorticoids/steroids affects (7)
- Osteoporosis
- Hypokalemia
- Hypernatremia
- Fluid retention
- Hyperglycemia and glycosuria
- Increased risk of cataracts and glaucoma
- Depressed immune response but not low WBC
Right-sided heart failure 3 main symptoms
- Dependent edema
- Distended jugular veins
- Weight gain
Diuretics S/E (5)
dizziness orthostatic hypotension leukopenia hypokalemia (except spironolactone) thirst, dry mouth
PN tolerance is assessed by what 2 metrics?
urine output and blood glucose levels
Morning or bedtime? prazosin, doxazosin
bedtime
Morning or bedtime? oral steroids
morning
Glipizide
Antidiabetic
for type 2
Aminophylline
xanthine bronchodilator
Total recommended weight gain for pregnancy
24-28 lbs
With or without meals: ace inhibitors (captopril)
without (or before/after)
Short-acting (regular) insulin onset and peak
Onset: 30-60 minutes
Peak: 1-5 hours
cranial nerve XII
hypoglossal (tongue movements)
3 main symptoms of heat stroke
- Hypotension
- Tachypnea
- Tachycardia
Elevated ASO titer indicates
glomerulonephritis
Antacids should be given when in relation to meals?
1 hour before or 1 hour after
Gerd patients should sleep on
left side with hob elevated 12 inches
Rotavirus immunization schedule - 2 doses
2 months
4 months
After 20 weeks, fundal height rises from umbilicus ___ cm/week until 36 weeks
1 cm
Fluvoxamine
SSRI
treats OCD
cranial nerve XI
spinal accessory (rotation of head, shoulders)
Lithium therapeutic level
1.0-1.5
Sign that salem sump tube (NG) is functioning effectively
hissing sound from blue lumen tube
propranolol hydrochloride
beta-blocker
tx tremors, angina, HTN
BUN of 35 and serum creatinine of 2.5 indicate
chronic kidney disease
When caring for client over 65, most reliable sign of infection is
tachypnea
(and tachycardia and confusion) – not fever
with IV potassium, do not give more than ___ mEq/L into peripheral IV. and always do what first?
no more than 40
cardiac monitor first
Disseminated herpes zoster requires what precautions?
airborne and contact
Amitryptyline
Tricyclic antidepressant
most likely symptom of Hep A in children:
anorexia
Heart sound landmark: Erb’s point
3rd ICS, left sternal border
Famotidine
tx duodenal ulcer
Early sign of increased ICP is
diminished LOC
Trazodone
Heterocyclic antidepressant
HIV positive patient can sometimes show ___ reaction to Mantoux test
false-negative
Ethacrynic acid
Loop diuretic
Isocarboxazid
MAOI
Long-acting insulin (glargine) onset and peak
Onset: 3-4 hours
No peak, lasts 24 hrs
Trifluoperazine
antipsychotic
Sulindac
NSAID (anti-inflammatory)
Cholecystitis, cholelithiasis
inflammation of gall bladder
formation of gall stones
Morning or bedtime? ADHD (methylphenidate, dextroamphenatmine)
morning
APGAR 5 categories, 2 points each:
HR Color Muscle tone Respiratory effort Reflex irritability
Butorphanol tartrate
narcotic pain relief (similar to morphine)
Fundal height at 12-14 weeks
above symphysis
cranial nerve IX
glossopharyngeal (swallowing and taste)
With or without meals: ferrous sulfate/iron dextran
without (or before/after)
Take with OJ (3)
furosemide and digoxin
iron supplements
prenatal vitamins
Heart sound landmark: Aortic
2nd ICS, right sternal border
During transitional phase of labor, if umbilical cord becomes prolapsed, it’s most important to put client in what position?
supine with foot of bed elevated
Sodium polystyrene sulfonate
given to treat hyperkalemia
Stage 2 of labor
complete dilation to birth
Heparin antidote
protamine sulfate
Morning or bedtime? imipramine
morning
Magnesium sulfate
treats preeclampsia
Lugol’s solution
antithyroid agent
Morning or bedtime? SSRIs
morning
With or without meals: cephalosporins
with
Pentamidine isethionate
antiprotozoal agent to prevent/treat a certain kind of pneumonia common in AIDS patients
Montelukast sodium
bronchodilator
With or without meals: penicillin
without (or before/after)
With or without meals: antithyroid agents (PKU, metrimazole)
with
Sodium and lithium
Need to maintain adequate levels of sodium – do not restrict sodium
Clozapine
Antipsychotic
___ is best indication of pain relief
nonverbal cues
Where is the femoral pulse palpated?
Below the inguinal ligament, midway between symphysis pubis and anterosuperior iliac spine
What blood type is universal recipient?
AB
Liver disease diet (high AST and ALT)
increased carbs, low protein, low sodium
Prednisone
steroid
should be increased before surgery
Renal impairment symptoms (6)
Elevated bun and creatinine Oliguria Edema Fatigue Altered electrolytes Decreased HCT
With or without meals: oral steroids (prednisone, fludrocortisone)
with
Superficial partial thickness burns
pink to red, painful
pneumothorax
think tachypnea –> rapid respirations
Morning or bedtime? glargine (lantus)
bedtime
Priority nursing action for patient with cushion’s:
prevent fluid overload
2 Early effects of dig toxicity are
nausea and vomiting
What diet for burns, infection, hyperthyroidism?
high protein diet
EDT 35-65 years (middle adulthood)
generatively vs stagnation
Iron dextran
tx iron-deficiency anemia
Oxycodone is contraindicated for patient with ___
bleeding disorders
If watery diarrhea after 7 days of antibiotic therapy, think
c. diff
Which is a higher priority in blood transfusion reactions: hemolytic or allergic/sensitivity
hemolytic
vomiting***
With or without meals: anti platelets (clopidogrel, plavix, aspirin, dipyridamole)
with
Chlorothiazide
thiazide diuretic
Contact precautions
Gloves and gown when entering, and take off before leaving room
Private room
“Mrs. Wee”
M: MRSA/multidrug resistant organism
R: RSV
S: Scabies
W: wound infections
E: Enteric (C. diff)
E: Eye infection - conjunctivitis
PPIs like Omeprazole, Lansoprazole should be given when?
bedtime
MMR + Varicella immunization schedule - 2 doses
12-15 months
4-6 years
Clomiphene citrate
induces ovulation
With or without meals: gemfibrozil
without (or before/after)
Furosemide
diuretic
Hydroxyzine
antihistamine
Heart sound landmark: Tricuspid
5th ICS, left sternal border
HPV and Meningococcal vaccines start at ___ years
11-12
What is the drug of choice for anaphylactic shock?
epinephrine
Deep full thickness burns
black, painless
After surgery, you should notify the provider if the patient is unable to void within ___ hours
8
Dexamethasone
steroid
Eye drops: OS means to put in the ___
left eye
Probenecid
prevents reoccurrence of gouty arthritis
Uric acid reducer
For a cuffed tracheostomy, cuff pressure should always be LESS THAN ___mm Hg
20
Airborne precautions
Private room
negative air pressure
Keep door closed
N-95 mask
“My chick hez TB”
Measles
Chickenpox (Varicella)
Herpes Zoster (shingles)
TB
How often should you change the PN tubing and filter?
Every 24 hours
Clonidine
centrally acting alpha-adrenergic used to treat HTN
What does cortisol do?
converts proteins and fat into glucose
anti-inflammatory agent
Nifedipine
calcium channel blocker (for HTN)
posterior fontanel closes at
6-8 month
Mannitol
osmotic diuretic
For Alzheimer’s patient, remember what 3 things
safety
orientation
stimulation
Olanzapine
Antipsychotic
cranial nerve IV
trochlear (downward and inward movement of eyes)
gentamicin toxicity
decreased hearing and vertigo
After surgery, Clients should be NPO until
gag relex or bowel sounds have returned
Beclomethasone
steroid
Client develops v fib and has no pulse or respirations. CPR is initiated. After unsuccessful defib attempts, which med should nurse deliver?
epinephrine
duodenal ulcer pain happens when? what’s the impact of food?
2-3 hours after meal
nighttime
food intake relieves pain
EDT 12-20 years (adolescence)
identity vs. role diffusion
Rapid acting insulin onset and peak
Onset: 5-15 min
Peak: 1-2 hours
Stage 4 of labor
first 4 hours after delivery of placenta
____ is priority for client in sickle cell crisis
hydration
Surgery-related infection will typically occur ___ days postop
3-5
Morning or bedtime? tamsulosin, tetrazosin
bedtime
EDT Birth-1 yr (infancy)
trust vs mistrust
Headaches in spinal cord injury =
autonomic dysreflexia = elevate HOB all the way to sitting
Hep B immunization schedule - 3 doses
Birth
1-2 months
6-18 months
Colchicine
treats acute attack of gout
Deep partial thickness burns
red to white, BLISTERS, painful
ipratropium
leukotriene-receptor blocker (works as bronchodilator)
Point of maximal impulse for heart
5th ICS left midclavicular line
Morning or bedtime? diuretics
morning
EDT 3-6 years (preschool)
initiative vs. guilt
MAOI must be discontinued __ days prior to surgery/general anesthesia
10
Digoxin
Cardiac glycoside
Antiarrhythmic and blood pressure support
COPD exacerbation and aminophylline should not be given
propranolol
Low bicarb (HCO3), low ph =
metabolic acidosis (DKA, diarrhea)
Tranylcypromine
MAOI
After liver biopsy, patient will lie on
RIGHT
What diet for GERD?
low-residue (low fat, non-acidic)
Ranitidine hydrochloride
short-term treatment for duodenal and gastric ulcers
Lidocaine
antiarrhytmic
Patients on levodopa should be on what kind of diet?
Low protein
cranial nerve VIII
acoustic (hearing and balance)
Isoniazid
Antibiotic for TB
Sequence for abdominal physical assessment (4 steps)
- Inspection
- Auscultation
- Percussion
- Palpation
With or without meals: insulin
without (or before/after)
Acetylcysteine
bronchodilator
gastric ulcer pain happens when? what’s the impact of food?
30 min to 1 hour after meal or when fasting
food does NOT help
vomiting gives relief
Metoclopramide hydrochloride
tx nausea of chemotherapy
stimulates motility of upper gastro tract
Walker, crutches, cane – how do you go up and down stairs? How many inches in front? Elbows at what degree?
up with the good, down with the bad,
8-10 inches in front,
elbows at 20-30 degrees
Full thickness burns
Charred, white, waxy, PAINLESS
Fluoxetine
SSRI
treat depressive/anxiety disorders
With or without meals: sulfonamides
with
physiologic vs pathologic jaundice
physiologic: after 24 hours, peaks at 72 hours, no TX necessary
pathologic: onset within the first 24 hours, phototherapy
Glomerulonephritis occurs ___ days after beta hemolytic strep throat (or after impetigo). What kind of diet?
21
high calorie, low protein diet
What treats metabolic acidosis?
sodium bicarb
Hypothyroidism (myxedema) treatment is effective if what?
mental processes are improved
remember the disease causes slowed mental functioning
Paroxetine
SSRI
If redness and tenderness at IV site
remove IV and start warm soaks
With or without meals: bromocriptine
with
Captopril
ACE inhibitor
treats HTN and heart failure
Intermediate acting insulin (NPH) onset and peak
Onset: 1-2 hours
Peak: 6-12 hours
Buproprion
Heterocyclic antidepressant
Addison’s 3 main signs:
muscle cramps, fatigue, hypotension
tetany, low calcium
Naegele rule:
add 7 days to first day of LMP then subtract 3 months
Potassium iodine
antithyroid agent
Early findings of hypoxemia:
tachycardia and restlessness
narcotic withdrawal looks like
flu
Verapamil
calcium channel blocker
treats HTN, angina, SVT
assess heart rate first
Carbamazepine
Anticonvulsant and mood stabiliser
tegretol
Phenotyin
anticonvulsant
With or without meals: cimetidine and ranitidine
with
DTaP immunization schedule - 5 doses
2 months 4 months 6 months 15-18 months 4-6 years
Indomethacin
NSAID
Warfarin antidote
vitamin k
Citalopram
SSRI
Antidote for magnesium sulfate
calcium gluconate
best time to take rantidine
sleep
Promethazine hydrochloride
tx n/v from surgery, allergic reactions (antihistamine), sedation
Can losartan and hydrocholorthiazide be taken with food or without food?
yes, either
Client diagnosed in stage I chronic kidney disease. Expect client to make which statement?
I urinate more at night
5 signs of HTN crisis:
Headache Sweating Palpitations Stiff neck Seizures
Constant bubbling in the water-seal chamber of a chest tube means
there’s an air leak
Aluminum hydroxide
antacid
Are cold compresses appropriate for sickle cell patient?
no
Cimetidine
Antacid and antihistamine
Diphenhydramine
antihistamine (benadryl)
