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