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Pharmacology (Spring 2019) > Final - 2 Nursing Considerations/Routes/Antidotes > Flashcards

Final - 2 Nursing Considerations/Routes/Antidotes Flashcards

1
Q

is nitroprusside therapy long or short

A

short (limited to 72 hrs due to cyanate)

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2
Q

when do you want to be cautious with heparin

A

peripartum period

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3
Q

every _____ works differently, so if one doesn’t work, you can try a different _____ (unlike other drugs where you don’t give the same class if one doesn’t work)

A

SSRI

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4
Q

which diuretic do you NOT want to eat K+ rich foods

A

sprionolactone = may result in hyperkalemia

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5
Q

what to monitor with mannitol

A

LOC (decrease LOC is you’re increasing the ICP)

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6
Q

what to monitor for with aminocaproic acid

A
  • CPK (rhabdomyolysis)

- urine output & color (formation of clots in renal pelvis or ureters)

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7
Q

when to take amitriptyline

A

at bedtime (because it causes huge sedation)

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8
Q

antidote for heparin

A

protamine sulfate

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9
Q

no _____ with SSRI

A

grapefruit

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10
Q

nursing considerations for streptokinase

A
  • no recent strep infection (6 months)

- if repeat, use different -ase (pt. develops antibodies)

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11
Q

overdose on risperidone =

A

gastric lavage & cardiovascular function maintenance

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12
Q

nursing consideration for quetiapine

A

baseline & 6 month eye check ups must be completed

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13
Q

nursing consideration for bupropion

A

HIGH RISK OF MED ERROR: due to med dosing in immediate, extended, & sustained release

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14
Q

overdose on lithium carbonate =

A

maintain airway & possible dialysis

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15
Q

antidote for phenylephrine

A

atropine

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16
Q

which drug do you want to check prolactin levels

A

risperidone

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17
Q

what do you do if you start to get extravasation with epinephrine

A

stop infusion & aspirate med out

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18
Q

can you given heparin with pregnancy

A

yes, does not cross BBB & is not secreted in breast milk

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19
Q

antidote for SSRI

A

gastric lavage or activated charcoal

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20
Q

how to dose enoxaparin

A

based on wt

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21
Q

antidote for extravasation

A

vasodilator phentalomine

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22
Q

nursing consideration for SSRI

A

taper off slowly (abruptly = withdrawal)

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23
Q

administer phenytoin (fast, slow)

A

slow to prevent circulatory collapse

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24
Q

how long can abciximab last

A

up to 10 days

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25
Q

which drug:

- awakening and complete recovery of memory occurs in about 2 hrs (won’t remember everything) (up to 6 hrs in elderly)

A

midazolam

26
Q

low dose dopamine =

A

vasodilation

27
Q

how slowly to push furosemid

A

3-5 minutes (ringing in ears = push even slower)

28
Q

correct _____ before starting desvenlaxafine

A

HTN

29
Q

What supplements do you want to give with furosemide

A

K+ supplements or K riders

30
Q

nursing considerations for hydralazine

A
  1. discontinue slowly (rebound HTN)

- monitor HR (because baro-receptor reflex & tachycardia)

31
Q

nursing consideration for propofol

A

unused portions must be discarded (high bacterial growth)

32
Q

nursing considerations for nalaxone

A
  1. monitor resp. status & ensure resuscitation equipment is available
  2. be prepared: reverse both toxic & therapeutic effects of opioids = any pain that was being treated with opioids will return
33
Q

Nursing considerations for phenylephrine

A
  • don’t give to children < 2

- DO NOT give within 21 days of MAOIs = cause hypertensive crisis

34
Q

no _____ with aripiprazole

A

grapefruit

35
Q

nursing considerations for hydromorphone

A
  1. be super careful with dosing (10x morphine)
  2. BBW: watch for high potency formulation, potential for abuse & misuse, life-threatening resp. depression, neonatal withdrawal syndrome
36
Q

half life of enoxaparin is _____ than heparin

A

2-4x longer = poking less

37
Q

when to give alteplase

A
  • within 6 hrs of MI

- within 3 hrs of thrombotic stoke

38
Q

4 advantages of morphine sulfate

A
  1. no upper end dose limit
  2. pt’s develop tolerance to all adverse effects except constipation
  3. available in extended release form
  4. may be used to relieve SOB associated with end-stage cancer, HF, & pulmonary edema
39
Q

what to monitor with heparin

A

aPTT

40
Q

What to do before administering milrinon

A

correct electrolyte imbalances (avoid further dysrhythmias)

41
Q

which antiplatelet may platelet transfusion be beneficial

A

abciximab

42
Q

atypical antidepressants

A

taper slowly

43
Q

high doses of mannitol =

A

open BBB bringing water with it = increases ICP

44
Q

overdose on phenytoin =

A

gastric lavage & activated charcoal

45
Q

avoid prolonged _____ exposure when on furosemide

A

sun

46
Q

giving fentanyl to pt’s who are opioid naive =

A

severe/fatal resp. depression

47
Q

how to administer flumazenil

A

rapid IV

48
Q

therapeutic serum level of phenytoin

A

10-20 mcg/mL (administer an IV benzo c or before admin.)

49
Q

how quickly does furosemide work

A

QUICKLY! Could only be 5 minutes before they start urinating a ton (get ready) = potential dehydration

50
Q

why would furosemide pt’s be a high falls risk

A

because they gotta pee all the time

51
Q

how to administer dobutamine

A

only IV (drip because half-life is 2 minutes)

52
Q

normal aPTT

A

60-80

53
Q

T/F: lithium carbonat has a long half-life, so it doesn’t need to be taken often

A

FALSE!!! it has a short half-life = must be taken several times per day

54
Q

high dose dopamine =

A

vasoconstriction

55
Q

nursing consideration for venlaxafine

A
  • safety not established in children under 18
56
Q

nursing consideration for morphine suflate

A

NEVER WITHDRAWAL ABRUPTLY

57
Q

what to treat before administering nitroglycerin

A

dehydration & hypovolemia

58
Q

nursing considerations of diazepam

A
  • do not administer within 14 days of MAOI (hypertensive crisis)
  • increases phenytoin levels
59
Q

how to administer enoxaparin

A

injection in abdomen

60
Q

Which drug:

- emergence rapid: once you stop giving them med they wake up immediately (will remember everything)

A

propofol

61
Q

nursing considerations for phenytoin

A
  1. known teratogen
  2. ween off
  3. strictly adhere to med schedule/brand

Pharmacology (Spring 2019) (8 decks)

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