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KAPLAN PHARM > DRUGS COPY COPY > Flashcards

DRUGS COPY COPY Flashcards

1
Q

MORPHINE SULFATE

CI
adverse effects

A

OPIOID
orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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2
Q

CODEINE

A

OPIOID
orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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3
Q

METHADONE

A

OPIOID
orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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4
Q

HYDROMORPHONE

A

OPIOID
orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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5
Q

OXYCODONE AND ACETAMINOPHEN

A

OPIOID
work in periphery, while narcotics work in CNS

orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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6
Q

OXYCODONE AND ASPIRIN

A

OPIOD
work in periphery, while narcotics work in CNS

orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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7
Q

HYDROCODONE/ACETAMINOPHEN

A

OPIOID

orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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8
Q

phenytoin sodium

adverse effects
nursing care
client education

A

anticonvulsant
AE: lethargy, GI upset, Gingival hypertropghy
Nursing Care: never mix with any other intravenous medication or dextrose
Client education: take with water, red/brown urine and discoloraiton of sweat may occur, alcohol increases serum levels

do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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9
Q

phenobarbital

A

anticonvulsant
*nystagmus may indicate early toxicity**
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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10
Q

primidone

A

anticonvulsant
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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11
Q

magnesium sulfate

A

anticonvulsant
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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12
Q

valproic acid

adverse reax
client education

A

PROLONGED BLEEDING TIME- monitor drug levels
client education: take after meals, do not break tablets,
anticonvulsant

do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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13
Q

carbamazepine

adverse effects
nursing considerations
client education

A

anticonvulsant

AE: myelosupression, rash

nursing consideration: I&O, supervise ambulation, monitor CBC

take with meals, wear protective clothing

regular anticonvulsant info:
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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14
Q

ethosuximide

A

anticonvulsant
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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15
Q

gabapentin

A

anticonvulsant
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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16
Q

lamotrigine

A

STEVEN JOHNSONS SYNDROME- RASH
ATAXIA

anticonvulsant
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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17
Q

TOPIROAMATE

A

ATAXIA

anticonvulsant
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

18
Q

LITHIUM**

A 
hypothyroidism
hyponatremia
weigh client
at risk for dehydration
monitor liver, renal, electrolytes
diuretics increase reabsorption --> liver toxicity
19
Q

NITROFURANTOIN

A 
UTI MEDICATION
GIVE W/ FOOD
PERIPHERAL NEUROPATHY
INCREASE FLUIDS-- renal toxicity
IF DIARRHEA-- WILL STOP AFTER TX
REPORT PULMONARY PROBLEMS TO HCP TO DECREASE DAMAGE TO LUNGS****
ASSESS PULMONARY FUNCTION
20
Q

PHENAZOPYRIDINE

A

UTI MEDICATION
VERTIGO
URINE WILL BE BRIGHT ORANGE
DISCOLORATION OF SCLERA- REMOVE CONTACTS

21
Q

LISPRO

ONSET
PEAK
duration
TIME OF ADVERSE REAX

A

RAPID ACTING eat 5-15 min before injection
15-30 MIN onset ACTION
PEAK= 30 min - 2.5 HRS
duration: 4 hrs

MIDMORNING

22
Q

ASPART

ONSET
PEAK
duration
TIME OF ADVERSE REAX

A

RAPID ACTING EAT 5-15 MIN AFTER INJECTION

ONSET = 15-30 MIN
PEAK 1-3 HOURS
duration 3-5 hrs

23
Q

GLULISINE

A

RAPID ACTING
EAT 5-15 MIN AFTER INJECTION

onset 10-15 min
peak 1-1.5 hours
duration 3-5 hours

24
Q

REGULAR INSULIN

A

SHORT ACTINGEAT 20-30 MIN AFTER INJECTION

25
Q

NPH INSULIN

A

INTERMEDIATE ACTING

26
Q

INSULIN DETEMIR

A

INTERMEDIATE ACTING

27
Q

GLARGINE

A

LONG ACTING
ONSET 1 HR
GIVEN AT BEDTIME, CANNOT BE MIXED WITH OTHER INSULINS, MAINTAINS BLOOD GLUCOSE LEVELS REGARDLESS OF MEALS

28
Q

ISONIAZID

A 
ANTITUBERCULOSIS
DEC EFFECTIVNESS OF ORAL CONTRACEPTIVES
HEPATOTOXICITY,
VISUAL CHANGES
SEIZURES
PERIPHERAL NEUROPATHY
29
Q

ETHAMBUTOL

A 
ANTITUBERCULOSIS
DEC EFFECTIVNESS OF ORAL CONTRACEPTIVES
HEPATOTOXICITY,
VISUAL CHANGES
SEIZURES
PERIPHERAL NEUROPATHY
30
Q

RIFAMPIN

A

ANTITUBERCULOSIS
***ORANGE TEARS, SALIVA, URINE, CONTACT LENSES STAINED ORANGE
WARFARIN INTERACTION

DEC EFFECTIVNESS OF ORAL CONTRACEPTIVES
HEPATOTOXICITY,
VISUAL CHANGES
SEIZURES
PERIPHERAL NEUROPATHY
31
Q

cholestyramine

A

ANTILIPEMIC MEDICATIONS

if reports muscle aches– stop!

32
Q

colestipol

A

ANTILIPEMIC MEDICATIONS

if reports muscle aches– stop!

33
Q

nicotinic acid

A

ANTILIPEMIC MEDICATIONS

if reports muscle aches– stop!

34
Q

niacin

A

ANTILIPEMIC MEDICATIONS

if reports muscle aches– stop!

35
Q

folic acid like fenofibrate, gemfibrozil

A

ANTILIPEMIC MEDICATIONS

if reports muscle aches– stop!

36
Q

maintenance dose of digoxin

serum levels

A

0.25-0.5 mg
serum levels- .5-2 nanograms/ml
numbers flipped

37
Q

chlorodiazeoxide

A

benzo antianxiety longer acting

38
Q

disulfram use

A

used to maintain alcoholic sobriety

39
Q

colchicine

A

antigout
bone marrow supression

antigout- GI upset, avoid sardines, organ meats, peas, lentils, (anything that would create more uric acid)
cataracts
increase fluids
bone marrow supression
uric acid builds up in kidney- check kidney
takes several weeks to work

40
Q

probenecid

A

allergy to sulfa
skin rash

antigout- GI upset
increase fluids
avoid sardines, organ meats, peas, lentils, (anything that would create more uric acid)
cataracts
bone marrow supression
uric acid builds up in kidney- check kidney
takes several weeks to work

41
Q

allopurinol

A

asprin inactivates drug

antigout- GI upset
increase fluids
avoid sardines, organ meats, peas, lentils, (anything that would create more uric acid)
cataracts
bone marrow supression
uric acid builds up in kidney- check kidney
takes several weeks to work

KAPLAN PHARM (6 decks)

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