Final Review Flashcards
propofol (Dipravan) nursing interventions
Education: Pain/Burning on Injection / Can Cause Green Urine
Monitor BP/RR/Airway (Must Vent)
baclofen (Lioresal) contraindications
Renal impairment
baclofen (Lioresal) pt. education
Do not stop abruptly
Fall Risk
amphetamine (Adderall) contraindications
Severe, uncontrolled hypertension
Glaucoma
amphetamine (Adderall) adverse effects
Tachycardia, Hypertension, Anxiety, Insomnia, Loss of Appetite, Et. Loss, toxic dysrrhythmia
Weight loss in children
amphetamine (Adderall) pt. education
Don’t stop abruptly, drug holiday, take first thing in the morning (not after 4p)
carbidopa/levodopa pt. education
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
acetaminophen contraindications
Liver Disease, Children, Alcohol
acetaminophen adverse effects
Hepatotoxicity
Hypertension
Toxicity = NVD, Abd. Discomfort, Sweating
What kind of medication is haloperidol (Haldol) and chlorpromazine (Thorazine)?
Conventional Antipsychotic
Summary of amitriptyline (Elavil)
Tricyclic antidepressant
Interacts with MAOIs
Very lethal overdose
Risk of IV acyclovir (Zovirax)
nephrotoxicity
List of and how to manage adverse effects of amphotericine B (Fungizone)
Pretreat with tylenol, antihistimine, antiemetics
Use a large vein and ensure patency
Slow infusion if there is a reaction
Monitor for nephrotoxicity
summary of rifampin (Rifadin) and isoniazid (INH)
DRESS B6 Def. -> peripheral neuropathy orange/brown bodily fluids hepatotoxicy change contraceptive
summary of gentamicin
Nephro/Ototoxicity
Can be yellow fluid into IV - never cloudy
Trough level ~1, 2+ = toxic
Solo lumen
summary of vancomycin (Vancocin)
Trough 15-20
Nephro/ototoxicity
Red Man Syndrome
Summary of metronidazole (Flagyl)
Antiparasitic
No Alcohol & Lithium - EXTREMELY SICK WITH OTOH
Solo IV
Summary of captopril (Capoten)
Dry, non-productive cough
Interacts with: Aliskiren, antacids, ARBs, lithium, NSAIDs
Monitor Potassium intake / K+ Sparing diuretics
Summary of valproic acid (Depakote)
Seizure med
Therapeutic level 50-100
Monitor for pancreatitis, blood dyscrasia, cbc, platelet, liver, renal labs
Summary of phenytoin (Dilantin)
Therapeutic range 10-20
Toxic = losing control of coordination (ataxia), excessive drowsiness to the point of sedation and blurred/double vision.
summary of carbamazepine (Tegretol)
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
education for donepezil (Aricept)
Does not cure alzheimers
Take at bedtime
Contact provider if HR < 60
Monitor GI Bleeds
Summary of sumatriptan (Imitex)
Treats Migraines
Serotonin Syndrome
Vasoconstrictor - bad for CAD/PAD, MI, Stroke
