first med quiz Flashcards
what is adalimumab’s therapeutic and pharmacologic classification?
T: antirheumatic
P: DMARDs, immunomodulator
what med required TB testing before and during therapy?
adalimumab
What med cannot be used for children under the age of 4?
adalimumab
what are important client teachings of adalimumab?
store in fridge
rotate injection sites (thigh/abdomen)
avoid live vaccines
which drugs action is: binds to TNF-alpha to decrease inflammation and decrease ESR levels?
adalimumab
what are the classifications of amlodipine?
T: antihypertensive
P: calcium channel blocker
which drugs action is: inhibits the transport of calcium into myocardial and vascular smooth muscle cells which will inhibit excitation and contraction?
amlodipine
ceftriaxone classifications
T: anti-infective
F: third generation cephalosporins
what is an important side effect to monitor when a patient is prescribed ceftriaxone
diarrhea associated with clostridum difficile
important nursing implications of ceftriaxone
assess for allergy to cephalosporins or penicillin
monitor AST, ALT, BUN, bilirubin, & creatinine
what drugs action is: binds to bacterial cell wall membranes, causing death. active against both gram + and gram -
ceftriaxone
classifications of cephalexin
T: anti-infective
P: first-generation cephalosporins
what drug’s action is: to bind to bacterial wall membrane, causing death. Active only against gram +
cephalexin
classifications of ciprofloxacin
T: anti-infective
P: fluoroquinolone
which drug has the side effects of pseudomembranous colitis, photosensitivity, and tendonitis
ciprofloxacin
important nursing implications of ciprofloxacin
do not crush or chew
obtain specimen for culture and sensitivity
monitor liver labs
will iron or zinc decreases or increase the absorption of ciprofloxacin?
decrease
and iron/zinc must be taken 2 hours before or after
what drugs actions is: inhibits bacterial DNA synthesis by inhibiting DNA gyrase broad-spectrum antibiotic against gram + pathogens
ciprofloxacin
classifications of famotidine
T: anti-ulcer
P: histamine H2 antagonists
which drug has the side effect of confusion?
famotidine
what drug has the action of: inhibits the action of histamine at the H2 receptor site? Results in decreased gastric acid secretion
famotidine
fluconazole classification
T: antifungal
what drugs action is: inhibits synthesis of fungal sterols, a necessary component of the cell membrane
fluconazole
do not exceed ____ mg/hr when infusing fluconazole
200
what are the classifications of glyburide?
T: antidiabetic
P: sulfonylurea
how can glyburide be administered?
PO
side effects of glyburide
photosensitivity, aplastic anemia, pancytopenia
should you still take glyburide if you are not able to eat?
NO
what drug has this action: decrease blood glucose- stimulate the release of insulin from the pancreas and increase the sensitivity to insulin at receptor sites?
glyburide
asses for what allergy when giving glyburide
sulfonamides
classification of insulin glargine
LONG LASTING
T: anti-diabetic
P: pancreatic
how can insulin glargine be administered?
SubQ
which drugs have these side effects: hypoglycemia, anaphylaxis, lipodystrophy, pruritus, erythema, swelling
inulin glargine, insulin lispro, and insulin regular
what drugs have the action of: decreasing blood glucose by stimulating glucose uptake in skeletal muscle and fat, inhibiting hepatic glucose production, inhibiting lipolysis and proteolysis, enhance synthesis.
inulin glargine, insulin lispro, and insulin regular
insulin glargine onset, peak, duration
O: 3-4 hours
P: none
D: 24 hours
insulin lispro classification
RAPID ACTING
T: anti-diabetic, hormones
P: pancreatic
how can inulin lispro be administered?
SubQ (injection or infusion pump)
how often should you check blood sugars when using insulin?
every 6 hours
onset, peak, and duration of insulin lispro.
O: 10-20 minutes
P: 1-3 hours (adults) 30-90 min. (children)
D: 3-5 hours
insulin regular classifications
SHORT ACTING
T: anti-diabetic hromone
P: pancreatic
how can insulin regular be administered?
SubQ (injection or infusion pump)
IV
insulin regular onset, peak, and duration. OF SubQ & IV
SubQ: O: 30-60 min. P: 2-4 hours D:5-7 hours
IV: O: 10-30 min. P: 15-30 min. D: 30-60 minutes
what are the classifications of metformin?
T: anti-diabetic
P: biguanide
how is metformin administered?
PO
what are some specific side effects of metformin?
unpleasant metallic taste
decrease in B12 levels
what is the peak, duration, and onset of metformin
O: unknown
P: unknown
D: 12 hours
omeprazole classifications
T: anti-ulcer agent
P: proton-pump inhibitors
how can omeprazole be administered
PO
what drug has the action of: decreasing hepatic glucose production; decreasing intestinal glucose absorption, increasing sensitivity to insulin
metformin
what drug has the action of: preventing the final transport of hydrogen into the stomach, diminishing stomach acid
omeprazole
what are the classifications of sitagliptin
T: anti-diabetic
P: enzyme inhibitor
how is sitagliptin administered
PO
what drug is known to have the side effect of upper respiratory infection
sitagliptin
sitagliptin can be used with which other drugs?
metformin, thiazolidinediones and sulfonylurea
what are is the onset, peak, and duration of sitagliptin
O: rapid
P: 1-4 hours
D: 24 hours
what are the classification of vancomycin
T: anti-infective
how can vancomycin administered
PO, IV
which drug has the side effects of: ototoxicity, nephrotoxicity, phlebitis, superinfection, red-man syndrome, rash
vancomycin
why do you need to monitor the IV site when using vancomycin
it is irritating to the tissue and cause necrosis
what are the signs of nephrotoxicity
cloudy, pale, or pink urine
how long should vancomycin infusions run
over an hour, if the dose is >1g then over 90min.-1hr.
what drug has the action of: increase levels of active incretin hormones- incretin hormones are released by intestine throughout the day and are involved in glucose homeostasis
sitagliptin
what drug has the action of: binds to the bacterial cell walls, resulting in cell death
vancomycin
what drug is active against gram + pathogens, staph, and MRSA
vancomycin
what lab do you watch when taking vancomycin
creatinine serum
what drug do you need to monitor 48 hours after?
metformin
what is the number 1 symptom to monitor that can be life threatening
respiratory depression
what are the side effects of adalimumab
reaction at site, agranulocytosis, risk of sepsis
what drug may increase the risk of bleeding with warfarin
ceftriaxone
which medication may cause black tarry stools
famotidine
which med has the side effect pale stools and dark urine
fluconazole
which side effect do you not expect when giving a patient opioids
tachycardia
what needs monitored when a patient is taking potassium
labs
