exam 1 drugs Flashcards
hydrocholorothiazide is a ____diuretic
thiazide
with hydrocholorothiazide, you ___ BP, pulse, and I and Os
assess
with hydrocholorothiazide, you ___ electrolytes to look for fluid loss
assess
with hydrocholorothiazide, you may get a rash if __ to sulfas
allergic
with hydrocholorothiazide, ___ HTN(esp OH) and blood studies
assess
with hydrocholorothiazide, ___ met alkalosis(drowsiness and restlessness)
assess
with hydrocholorothiazide ___ hypokalemia and confusion
assess
OH and malaise are __ of hypokalemia
s/s
fatigue and TC are __ of hypokalemia
s/s
leg cramps and weakness are __ of hypokalemia
s/s
dehydration and weakness are __ of hypokalemia
s/s
with hydrocholorothiazide, ___ pregnancy and breastfeeding…DONT USE IT
assess
hydrocholorothiazide ___edema and decreases BP
improves
hydrocholorothiazide __ is move slowly and tell of rash
teaching
hydrocholorothiazide ___ is R weakness and cramps
teaching
hydrocholorothiazide ___ is R nausea and dizzy
teaching
hydrocholorothiazide ____ is to take with food or milk
teaching
hydrocholorothiazide __ is that photosensitivity is a ADR
teaching
hydrocholorothiazide __ is BG increases and to take early in day
teaching
hydrocholorothiazide ____ is to avoid ETOH and monitor weight
teaching
hydrocholorothiazide ___ HF, cirrhosis and HTN
treats
hydrocholorothiazide has ___ of low Na, low Cl, and dehydration
ADR
hydrocholorothiazide has hypokalemia and high uric acid levels. t or f?
t
with hydrocholorothiazide , M electrolytes and watch for dysrhythmia for hypokalemia. t or f?
t
hydrocholorothiazide forms are oral and IV. ___ is given with food and bf 3pm that day
oral
hydrocholorothiazide ___ is eat K and R weakness and twitching
edu
hydrocholorothiazide___ R irregular pulse and nausea
edu
hydrocholorothiazide ___ is R gout
edu
hydrocholorothiazide C/__ are old, preg and electrolyte imbalances
P
hydrocholorothiazide _/P are renal or hepatic disorder
C
hydrocholorothiazide __ with lithium making toxicness
interacts
NSAIDS ___ the hydrocholorothiazide’s effectiveness
decrease
with furosemide, __ HF, HTN and fall risk
assess
furosemide ___ hypokalemia, hearing and met alkalosis
assesses
with furosemide, __ RR, rash and glucose
assess
with furosemide, ___ prego(dont use)
assess
with furosemide, you want to ___ edema gone(HF) and increased urine output
see
with furosemide, you want to __ decreased BP and lower Ca levels
see
with furosemide, __ abt a high K diet and to move slowly
teach
with furosemide, ___ abt R nausea, dizzy and cramps and weakness
teach
with furosemide, __ about stress relief, exercise, and diet(HF)
teach
with furosemide, ___ to take with food/milk and photosenstivity
teach
with furosemide, take it __ in day and mon cardiac health in overdose
early
furosemide __ pulm edema and HTN
treats
furosemide is ass with low Na and low Cl. t or f
true
furosemide is ass with __ K and dehydration
hypo
furosemide is ass with ototoxicity and __glycemia
hyper
furosemide has ___uric acid
high
furosemide __ are to not take other ototoxic drugs and M for BP
interventions
hearing loss, tinnitus, vertigo are signs of ____
ototoxicity
furosemide is available in __, IM or IV form
oral
give furosemide __ in day
early
give furosemide __ undiluted and slowly
IV
protect furosemide from __, store oral solution in fridge and IM/IV in room temp
light
with furosemide, __ signs of electrolyte imbalances
report
with furosemide, ___ driving til effects are known
avoid
with furosemide, __ dizziness and synope
report
with furosemide, c/_ are hepatic coma and anuria
p
with furosemide, NSAIDS can __ the diuretic effect
decrease
with furosemide, __ blocking agents prolong the effect
NM
furosemide and aminioglycosides ___ increase ototoxic risk
antibiotics
furosemide is a ___ diuretic
loop
spironolactone is a K sparing ____
diuretic
with spironolactone, ____hypokalemia(polyuria, polydispia, dysrhthymias(long U))
assess
with spironolactone, ___ hyperkalemia(weakness, fatigue, dyspnea, confusion, dysrhythmias and confusion)
assess
with spironolactone ____ k Q3 days, then 1 week, then 1 mth, then 3 mth
assess
with spironolactone, __HF daily and drowsiness and restlessness
assess
with spironolactone, ___ hydration and secondary malignancy
assess
with spironolactone, __ use if prego
dont
spironolactone is effective if ___ edema
no
with spironolactone, ___ high K foods
avoid
with spironolactone, ___ you become drowsy, ataxic, and confused
teach
with spironolactone, ___ endocrine probs and cramps
report
with spironolactone, __ diarrhea and lethargy
report
with spironolactone,___ thirst, headache, and rash
report
with spironolactone, take it in am and __ if prego
report
spironolactone ___ HTN, edema, and cirrhosis
treats
spironolactone ___ nephrotic syndrome and hypokalemia
treats
spironolactone can make you impotent if a __
man
spironolactone can be ___ with a thiazide or loop diuretic to keep normal K levels
combined
spironolactone is oral and take with food and can be __
crushed
___ palpitations and irregular pulse(hyperkalemia) ass with spironolactone
report
spironolactone ___ the hypokalemia ass with diuretics
counteracts
digoxin is a cardiac ____/inotropic
glycoside
with digoxin you ___pulse for 1 min bf giving and R BC
assess
with digoxin, M eletrolytes and have the blood level at 0.5-2.0 t or f
true
with digoxin, you __ be prego
can
with digoxin, you want to __ a decrease in HF and dysrhythmias
see
with digoxin, ___ to not go cold turkey and R depression
teach
with digoxin, __ loss of apetitite, lower stomach pain and diarrhea
report
with digoxin, ___ drowsiness and weakness
report
with digoxin, ___ vision change and rash and toxicity
report
digoxin ___ dysrhythmias, a flutter/fib
treats
digoxin ____ paroxysmal atrial TC and HF
treats
digoxin can give you dysrhythmias and increased mortality in men or women?
woman
vomit can cause hypokalemia that can lead to ____ toxicity
digoxin
take digoxin at the ___ time each day
same
dont take ____ if you have hypokalemia and hypercalemia
digoxin
herbal tea __ the digoxin toxicity
increases
with dobutamine ___ hypovolemia(if present, give cardiac glycoside)
assess
with dobutamine, ___ O2/perfusion deficit and HF
assess
dobutamine is a ____ sympathomimetic
inotropic
when giving dobutamine, do ECG mon __ and if BP increases, decrease the amt given
continuously
when giving dobutamine, correct serum __ and urine outputs
electrolytes
when giving dobutamine, ____ sulfite sensitivity which can be life threatening
assess
with dobutamine, its effective if BP and urine output increased and ___
stabilized
dobutamine ___is to R dyspnea and chest pain
teaching
dobutamine ___ is to R numb extremities, headache and IV site discomfort
teaching
dobutamine ___ CO in severe HF
increases
dobutamine __ are to mon continuously when infusing
interventions
____ dobutamine if tachydysrhythmias are seen
discontinue
dobutamine is in IV __ only and peak is seen 10 min after giving
form
BB ___ the effects of dobutamine
decrease
penicillin/amoxicillin are ____
antibacterials
penicillin ___ gram pos infections
treats
penicillin ___ UTI, ear and throat infections
treats
penicillin treats gonorrhea. t or f?
true
penicillin _____ candida albicans
causes
if a candida albicans infection, give a ___
antifungal
if IM or IV penicillin, keep pt __ min after injection
30
penicillin tablets should __ be chewed
not
penicillin drops put on __
tongue
penicillin is given at the __ of meals to increase absorption
increase
R _____ burning, itching and discharge with penicillin
vaginal
decrease the penicillin dose if renal ___
impairment
penicillin ___ contraceptive efforts
reduces
probenecid __ penicillin levels
increases
cephalexin is a antibacterial. t or f?
true
cephalexin is a cephalosporin. torf?
true
with cephalexin IV infused, you see Thrombophlebitis as a __
ADR
if rash and hives give ____
antihistamines
if anaphylaxis give __ and antihistamines
epinepherine
with cephalexin, __ for bleeding and prothrombin
monitor
with cephalexin, if you bleed give vitamin __
k
with cephalexin, infuse __
slowly
cephalexin is ___ as a capsule, tablet and oral suspension
available
take cephalexin ____ food
with
if you ___cephalexin and ETOH, you can get hypotensive and headache
combine
imipenem is a carbapenem. torf?
true
imipenem can __ a superinfection
cause
with imipenem, do AST, BUN and LDH labs. torf?
true
with imipenem, do bilirubin and cr labs. cr may ____
increase
imipenem is IM and __
IV
____ vagina and mouth discomfort with imipenem
report
C/__ for imipenem are renal impairment and seizures
P
cyclosporine increases the __ for seizures with imipenem
risk
start at
vancomycin
