Final Review

Question 1

propofol (Dipravan) nursing interventions

Answer 1

Education: Pain/Burning on Injection / Can Cause Green Urine

Monitor BP/RR/Airway (Must Vent)

Question 2

baclofen (Lioresal) contraindications

Answer 2

Renal impairment

Question 3

baclofen (Lioresal) pt. education

Answer 3

Do not stop abruptly

Fall Risk

Question 4

amphetamine (Adderall) contraindications

Answer 4

Severe, uncontrolled hypertension

Glaucoma

Question 5

amphetamine (Adderall) adverse effects

Answer 5

Tachycardia, Hypertension, Anxiety, Insomnia, Loss of Appetite, Et. Loss, toxic dysrrhythmia
Weight loss in children

Question 6

amphetamine (Adderall) pt. education

Answer 6

Don’t stop abruptly, drug holiday, take first thing in the morning (not after 4p)

Question 7

carbidopa/levodopa pt. education

Answer 7

Can take up to 6-9 mos to see results
On-Off/Wearing-off phenomenon
Avoid high protein meals
Darkened sweat/urine
Constipation
Can activate malignant melanoma

Question 8

acetaminophen contraindications

Answer 8

Liver Disease, Children, Alcohol

Question 9

acetaminophen adverse effects

Answer 9

Hepatotoxicity
Hypertension
Toxicity = NVD, Abd. Discomfort, Sweating

Question 10

What kind of medication is haloperidol (Haldol) and chlorpromazine (Thorazine)?

Answer 10

Conventional Antipsychotic

Question 11

Summary of amitriptyline (Elavil)

Answer 11

Tricyclic antidepressant
Interacts with MAOIs
Very lethal overdose

Question 12

Risk of IV acyclovir (Zovirax)

Answer 12

nephrotoxicity

Question 13

List of and how to manage adverse effects of amphotericine B (Fungizone)

Answer 13

Pretreat with tylenol, antihistimine, antiemetics
Use a large vein and ensure patency
Slow infusion if there is a reaction
Monitor for nephrotoxicity

Question 14

summary of rifampin (Rifadin) and isoniazid (INH)

Answer 14

DRESS
B6 Def. -> peripheral neuropathy
orange/brown bodily fluids
hepatotoxicy
change contraceptive

Question 15

summary of gentamicin

Answer 15

Nephro/Ototoxicity
Can be yellow fluid into IV - never cloudy
Trough level ~1, 2+ = toxic
Solo lumen

Question 16

summary of vancomycin (Vancocin)

Answer 16

Trough 15-20
Nephro/ototoxicity
Red Man Syndrome

Question 17

Summary of metronidazole (Flagyl)

Answer 17

Antiparasitic
No Alcohol & Lithium - EXTREMELY SICK WITH OTOH
Solo IV

Question 18

Summary of captopril (Capoten)

Answer 18

Dry, non-productive cough
Interacts with: Aliskiren, antacids, ARBs, lithium, NSAIDs
Monitor Potassium intake / K+ Sparing diuretics

Question 19

Summary of valproic acid (Depakote)

Answer 19

Seizure med
Therapeutic level 50-100
Monitor for pancreatitis, blood dyscrasia, cbc, platelet, liver, renal labs

Question 20

Summary of phenytoin (Dilantin)

Answer 20

Therapeutic range 10-20
Toxic = losing control of coordination (ataxia), excessive drowsiness to the point of sedation and blurred/double vision.

Question 21

summary of carbamazepine (Tegretol)

Answer 21

Contra in pregnancy
Store in dry place
Anorexia and Appetite changes = toxicity
Blood dyscrasias
Therapeutic range = 4-12
DRESS, Arrhythmia, suicidal ideation, renal/hepatic impairment

Question 22

education for donepezil (Aricept)

Answer 22

Does not cure alzheimers
Take at bedtime
Contact provider if HR < 60
Monitor GI Bleeds

Question 23

Summary of sumatriptan (Imitex)

Answer 23

Treats Migraines
Serotonin Syndrome
Vasoconstrictor - bad for CAD/PAD, MI, Stroke