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

Final - Nursing Considerations/Routes/Antidotes Flashcards

1
Q

amantadine and renal impairment

A

renal impaired = lower dose

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2
Q

what to check for with vincristine

A
  1. reflexes & parasthesias

2. extravasation = warm compresses & hyaluronidase

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3
Q

what to monitor for rifampin

A

CBC (anemia)

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4
Q

How to administer lispro (humalog)

A
  • DO NOT GIVE IV
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5
Q

can you mix lantus (glargine)

A

no!

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6
Q

When do you want to administer NPH

A

30 min. before first meal of day

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7
Q

what to monitor for isoniazide

A

AST & ALT

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8
Q

which antidiabetic do you wan to carry a supply of readily available sugar-quick acting carbs

A

regular

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9
Q

route for amphotericin B

A

large vessel & IV

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10
Q

mix ceftriaxone with _____ because it hurs

A

lidocaine

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11
Q

which antidiabetic is often used in pumps

A

lispro

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12
Q

normal AST

A

10-40

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13
Q

Epoetin alfa:

  1. lowest dose possible to reduce risk of…
    - watch for s/s stroke = thrombolytic events more common in…
A
  1. tumor progression

2. older adults

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14
Q

what is nadir for doxorubicin

A

7 days

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15
Q

Nursing consideration for glucagon

A

*Do NOT SHAKE (gently roll)

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16
Q

Colloid IV Solutions:

- give before _____, prevents _____ _____

A

give before surgery, prevents blood clots

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17
Q

normal ALT

A

7-56

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18
Q

nursing consideration for potassium iodide

A
  • give within 3 hrs of radiation exposure
  • not a one dose fits all, do know different preparations
  • monitor ht & wt. in children usuing long term for growth & dev. checks
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19
Q

verapamil:

- notify physician for pulse < ____ or systolic < _____

A
  • pulse < 60, systolic < 90
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20
Q

what to monitor for cefazolin

A

kidneys = BUN, creatinine

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21
Q

Decreased signs of _____ indicate therapeutic level has been reached with desmopressin

A

dehydration

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22
Q

Can filgrastin be given at the same time with chemotherapy

A

NO!! lithium may release neutrophils and increase effect

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23
Q

how to infuse amphotericin and why

A

slowly! Because of severe hypotension & K+

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24
Q

how to administer glargine

A

SQ only!!!!!

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25
Q

ECG changes for amniodarone

A
  • PR: increases
  • QRS: widens
  • QT: prolongs
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26
Q

all _____ _____ can be given together, so if one doesn’t work, try another one

A

uterine stimulants

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27
Q

nursing considerations for oseltamivir

A
  1. start within 48 hrs

2. don’t give until 2 weeks after live attenuated flu vaccine (nasal mist)

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28
Q

Nursing consideration for hydrocortisone

A
  • ween off!!

- educate on decreased immune system = attenuated vaccines

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29
Q

when to take cyclosporine

A
  1. at same time every day
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30
Q

goal of romiplostim

A

get platelet count above 50,000

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31
Q

nursing consideration for tamoxifen

A

wear gloves!!!!

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32
Q

do you want to take efavirenz with or without food

A

without on empty stomach

- high-fat meals increase absorption = toxicity

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33
Q

antidote for doxorubicin

A

dexrazoxane (monitor ECG)

34
Q

_____ is not a sugar, it is a compound to break down glycogen

A

glucagon

35
Q

what do you want to monitor with lopinavir with ritonavir

A

BS (diabetes)

36
Q

What to give with hydrocortisone to prevent osetoporosis

A

vit. D

37
Q

is amphotericin long or short term therapy

A

long-term

38
Q

Give route & duration for Aspart

A
  • SQ: 15 min

- Duration: 3-5 hrs

39
Q

nursing consideration for cyclosporine

A

NO GRAPEFRUIT

- lab monitoring crucial, including serum drug level

40
Q

Diltiazem:

- severe formulation: be careful c _____

A

administration

41
Q

amphotericin B effects _____

A

ergosterol

42
Q

make sure _____ if not too low below administering nifedipine

A

BP

43
Q

calcium channel blockers

A
  • no grapefruit
44
Q

normal serum magnesium level

A

4-8

45
Q

give route & duration for regular insulin

A
  • IV: 150 min
  • SQ: 30-60 min
  • Duration: 6-10 hrs
46
Q

when do administer lantus

A
  • 30 min. before first meal of day

- at same time each day

47
Q

do you take isoniazide with or without food

A

with

48
Q

methylergonovine is strictly for…

A

post-partum

49
Q

nursing consideration for efavirenz

A
  1. 1-2 reliable forms of birth control

2. resistance if HUGE with this one

50
Q

where to administer D50W

A

in large vein

51
Q

what to monitor for amphotericin

A

monitor labs all day = CBC

52
Q

Lantus:

- no defined peak = maintenance of steady blood levels = < risk of _____

A

hypoglycemia

53
Q

BLACK BOX cyclosporine

A

infection malignancy

54
Q

Filgrastin:

Neutropenic _____ + _____ ANC = GO TO ER

A

fever

low

55
Q

what does metformin to to vancomycin

A

increase risk of lactic acidosis

56
Q

Give route & duration for NPH

A
  • slower onset than regular

- Duration: 18-24 hrs

57
Q

who can have oseltamivir

A

only pt’s 12+

58
Q

Give route & duration for Lispro

A
  • SQ: 15-20 min

- Duration: 5 or less hrs

59
Q

_____ crystalloid solution is rarely used. Why?

A

hypertonic

- high risk for shrinking brain cells

60
Q

absolutely no _____ with amnidoarone

A

grapefruit

61
Q

what route is best for misoprostol

A

rectal

62
Q

route for romiplostim

A

SQ, PO

63
Q

do you want to take metronidazole before or after a meal

A

before, take on empty stomach

64
Q

what to monitor for wth regular insulin

A

hypokalemia

65
Q

only use vancomycin if…

A

other things are not working

66
Q

perk to levofloxacin

A

once a day dosing

- know baseline cardiac rhythm

67
Q

nursing consideration for ciprofloxacin

A

no high impact sports because of risk of tendon rupture

68
Q

methylergonovine route is IM is not actively _____

A

hemorrhaging

69
Q

Herpes: they have that virus in their body forever (_____ in 50% of infants who get it - lives in _____ _____)

A

fatal

nerve ganglia

70
Q

what to monitor for aminoglycosides

A

BUN & creatinine

71
Q
  • supine position during IV administration due to severe hypotension
  • Terminate if QRS widens more than 50%
  • report excessive bruising or bleeding
  • discontinue at first sign of blood dyscrasias
A

procainamide

72
Q
  • start IV bolus then go to drip

- careful to use the correct _____ formulation

A

lidocaine

73
Q

what to monitor when taking magnesium sulfate

A

reflexes

74
Q

antidote for isoniazide

A

pyridoxine (vit. B6)

75
Q

antidote for methotrexate

A

levoleucovorin = decreased toxic effects (rescue from MTX toxicity)

***can be fatal if not given in correct dose at correct time during methotrexate therapy

76
Q

When do you want to administer Aspart (novolog)

A

5-10 min. before melas

77
Q
  • agranulocytes more frequently > 40 yrs
A

methimazole

78
Q

what to administer for torsades

A

magnesium

79
Q

with vincristine: most common problems is with people giving intrathecally instead of _____

A

IV

80
Q

which antidiabetic meds is 1xday dosing

A

glargine

81
Q

which medication can you give ice packs with

A

doxorubicin

82
Q

carbapenems have to be given every _____ hrs

A

6

Pharmacology (Spring 2019) (8 decks)

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