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NCLEX > DRUUUUUUGS > Flashcards

DRUUUUUUGS Flashcards

1
Q

Toxicities: Cholinergics vs Anticholinergics

A

Cholinergics = “SLUDGE”
= Salivation, Lacrimation, Urination, Diaphoresis, GI distress, Emesis

Anticholinergics - think about normal fxs but excessive
= Increased IOP** + blindness, Urinary retention, Flushed skin, Altered LOC**

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2
Q

Antidote to Benzodiazepine

A

Flumazenil

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3
Q

Antidote to Barbituates

A

Activated charcoal, NaHCO3, Megimide

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4
Q

Antidote to opioids

A

Naloxone

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5
Q

Anticonvulsant toxicities

A

Nausea, Nystagmus, Ataxia

  • Barbituates
  • Benzos
  • Phenytoins
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6
Q

Serotonin agonists like SumaTRIPTAN - contraindications?

A

Drug is for migraines

DO NOT GIVE to pts with uncontrolled HTN / CAD because it constricts cranial BVs

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7
Q

Ibuprofen + kids

A

Never give to kids UNDER 6 MONTHS

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8
Q

Antidote of Digoxin

A

Digibind

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9
Q

Tx Bradycardia

A

Atropine

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10
Q

Tx SVT

A

Adenosine

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11
Q

Thrombolytic therapy

A

Must be given within 4.5 hrs of Stoke Sxs onset!

Contraindications
= Active bleed/Hemorrhage
= Recent brain/spine surgery
= Low platelets or High INR/PT
= Uncontrollable HTN (>185/110)

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12
Q

Seldenafil and the other “-fils”
- Contraindications?

A

“-fils” for BPH/Erectile dysfunction - VASODILATORY effect
S/e = Blue discoloration of vision + Priapism (painful erection for > 6 hrs)

DO NOT TAKE WITH:
= Alpha Adrenergic antagonists (“-zosin”)
= Angina (within 24-48 hrs of Nitrate)

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13
Q

2 drugs that helps with BPH + their fxs

A
  1. Alpha receptor blockers (TamsulOSIN, DoxazOSIN) - relaxes prostate muscle + bladder neck
    = orthostatic hypotension
  2. Alpha Reductase inhibitor (FINASTRIDE) - reduces prostate size (hormonally)
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14
Q

What decreases the effectiveness of birth control pills/oral contraceptives?

A

Abx, Anticonvulsants, Antivirals

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15
Q

Clomiphene

A

Reproductive drug - Stimulates ovulation in infertile females

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16
Q

Biphosphonates
- Considerations of admin?

A

For Osteoporosis (decreases bone resorption/breakdown)

  • Take on empty stomach / 30 minutes before other drugs
  • Full glass of water
  • Upright for 30 mins to help w/ absorption + minimize esophageal irritation
17
Q

Metronidazole

A

Abx for Trichomoniasis + Bacterial vaginosis

Expected s/e = dark urine

18
Q

Magnesium Sulfate

A

= Neuro protection for premature babies (Cerebral palsy)
= Seizure prophylaxis in PREECLAMPSIA mothers

19
Q

Lithium
- Therapeutic/Toxic levels
- Toxic Sxs
- What to do?

A

Mood stabilizer (Mania, with Valproic acid)
Therapeutic level = 0.8-1.2
Toxic = over 2 + tremors

NO low Na intake

NCLEX (19 decks)

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