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Nursing 211/213 > first med quiz > Flashcards

first med quiz Flashcards

1
Q

what is adalimumab’s therapeutic and pharmacologic classification?

A

T: antirheumatic
P: DMARDs, immunomodulator

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2
Q

what med required TB testing before and during therapy?

A

adalimumab

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3
Q

What med cannot be used for children under the age of 4?

A

adalimumab

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4
Q

what are important client teachings of adalimumab?

A

store in fridge
rotate injection sites (thigh/abdomen)
avoid live vaccines

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5
Q

which drugs action is: binds to TNF-alpha to decrease inflammation and decrease ESR levels?

A

adalimumab

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6
Q

what are the classifications of amlodipine?

A

T: antihypertensive
P: calcium channel blocker

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7
Q

which drugs action is: inhibits the transport of calcium into myocardial and vascular smooth muscle cells which will inhibit excitation and contraction?

A

amlodipine

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8
Q

ceftriaxone classifications

A

T: anti-infective
F: third generation cephalosporins

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9
Q

what is an important side effect to monitor when a patient is prescribed ceftriaxone

A

diarrhea associated with clostridum difficile

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10
Q

important nursing implications of ceftriaxone

A

assess for allergy to cephalosporins or penicillin
monitor AST, ALT, BUN, bilirubin, & creatinine

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11
Q

what drugs action is: binds to bacterial cell wall membranes, causing death. active against both gram + and gram -

A

ceftriaxone

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12
Q

classifications of cephalexin

A

T: anti-infective
P: first-generation cephalosporins

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13
Q

what drug’s action is: to bind to bacterial wall membrane, causing death. Active only against gram +

A

cephalexin

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14
Q

classifications of ciprofloxacin

A

T: anti-infective
P: fluoroquinolone

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15
Q

which drug has the side effects of pseudomembranous colitis, photosensitivity, and tendonitis

A

ciprofloxacin

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16
Q

important nursing implications of ciprofloxacin

A

do not crush or chew
obtain specimen for culture and sensitivity
monitor liver labs

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17
Q

will iron or zinc decreases or increase the absorption of ciprofloxacin?

A

decrease
and iron/zinc must be taken 2 hours before or after

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18
Q

what drugs actions is: inhibits bacterial DNA synthesis by inhibiting DNA gyrase broad-spectrum antibiotic against gram + pathogens

A

ciprofloxacin

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19
Q

classifications of famotidine

A

T: anti-ulcer
P: histamine H2 antagonists

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20
Q

which drug has the side effect of confusion?

A

famotidine

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21
Q

what drug has the action of: inhibits the action of histamine at the H2 receptor site? Results in decreased gastric acid secretion

A

famotidine

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22
Q

fluconazole classification

A

T: antifungal

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23
Q

what drugs action is: inhibits synthesis of fungal sterols, a necessary component of the cell membrane

A

fluconazole

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24
Q

do not exceed ____ mg/hr when infusing fluconazole

A

200

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25
Q

what are the classifications of glyburide?

A

T: antidiabetic
P: sulfonylurea

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26
Q

how can glyburide be administered?

A

PO

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27
Q

side effects of glyburide

A

photosensitivity, aplastic anemia, pancytopenia

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28
Q

should you still take glyburide if you are not able to eat?

A

NO

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29
Q

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?

A

glyburide

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30
Q

asses for what allergy when giving glyburide

A

sulfonamides

31
Q

classification of insulin glargine

A

LONG LASTING
T: anti-diabetic
P: pancreatic

32
Q

how can insulin glargine be administered?

A

SubQ

33
Q

which drugs have these side effects: hypoglycemia, anaphylaxis, lipodystrophy, pruritus, erythema, swelling

A

inulin glargine, insulin lispro, and insulin regular

34
Q

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.

A

inulin glargine, insulin lispro, and insulin regular

35
Q

insulin glargine onset, peak, duration

A

O: 3-4 hours
P: none
D: 24 hours

36
Q

insulin lispro classification

A

RAPID ACTING
T: anti-diabetic, hormones
P: pancreatic

37
Q

how can inulin lispro be administered?

A

SubQ (injection or infusion pump)

38
Q

how often should you check blood sugars when using insulin?

A

every 6 hours

39
Q

onset, peak, and duration of insulin lispro.

A

O: 10-20 minutes
P: 1-3 hours (adults) 30-90 min. (children)
D: 3-5 hours

40
Q

insulin regular classifications

A

SHORT ACTING
T: anti-diabetic hromone
P: pancreatic

41
Q

how can insulin regular be administered?

A

SubQ (injection or infusion pump)
IV

42
Q

insulin regular onset, peak, and duration. OF SubQ & IV

A

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

43
Q

what are the classifications of metformin?

A

T: anti-diabetic
P: biguanide

44
Q

how is metformin administered?

A

PO

45
Q

what are some specific side effects of metformin?

A

unpleasant metallic taste
decrease in B12 levels

46
Q

what is the peak, duration, and onset of metformin

A

O: unknown
P: unknown
D: 12 hours

47
Q

omeprazole classifications

A

T: anti-ulcer agent
P: proton-pump inhibitors

48
Q

how can omeprazole be administered

A

PO

49
Q

what drug has the action of: decreasing hepatic glucose production; decreasing intestinal glucose absorption, increasing sensitivity to insulin

A

metformin

50
Q

what drug has the action of: preventing the final transport of hydrogen into the stomach, diminishing stomach acid

A

omeprazole

51
Q

what are the classifications of sitagliptin

A

T: anti-diabetic
P: enzyme inhibitor

52
Q

how is sitagliptin administered

A

PO

53
Q

what drug is known to have the side effect of upper respiratory infection

A

sitagliptin

54
Q

sitagliptin can be used with which other drugs?

A

metformin, thiazolidinediones and sulfonylurea

55
Q

what are is the onset, peak, and duration of sitagliptin

A

O: rapid
P: 1-4 hours
D: 24 hours

56
Q

what are the classification of vancomycin

A

T: anti-infective

57
Q

how can vancomycin administered

A

PO, IV

58
Q

which drug has the side effects of: ototoxicity, nephrotoxicity, phlebitis, superinfection, red-man syndrome, rash

A

vancomycin

59
Q

why do you need to monitor the IV site when using vancomycin

A

it is irritating to the tissue and cause necrosis

60
Q

what are the signs of nephrotoxicity

A

cloudy, pale, or pink urine

61
Q

how long should vancomycin infusions run

A

over an hour, if the dose is >1g then over 90min.-1hr.

62
Q

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

A

sitagliptin

63
Q

what drug has the action of: binds to the bacterial cell walls, resulting in cell death

A

vancomycin

64
Q

what drug is active against gram + pathogens, staph, and MRSA

A

vancomycin

65
Q

what lab do you watch when taking vancomycin

A

creatinine serum

66
Q

what drug do you need to monitor 48 hours after?

A

metformin

67
Q

what is the number 1 symptom to monitor that can be life threatening

A

respiratory depression

68
Q

what are the side effects of adalimumab

A

reaction at site, agranulocytosis, risk of sepsis

69
Q

what drug may increase the risk of bleeding with warfarin

A

ceftriaxone

70
Q

which medication may cause black tarry stools

A

famotidine

71
Q

which med has the side effect pale stools and dark urine

A

fluconazole

72
Q

which side effect do you not expect when giving a patient opioids

A

tachycardia

73
Q

what needs monitored when a patient is taking potassium

A

labs

Nursing 211/213 (5 decks)

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