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PHARM - A > General Pharm Stuff > Flashcards

General Pharm Stuff Flashcards

1
Q

6 rights of med administration

A

client
drug
dose
route
time
documentation

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2
Q

Average time for drawing peak levels

A

Oral —- 1 to 2 hours
IM ——- 1 hour
IV ——– 1/2 hour (30 min)

Trough levels drawn w/in 15 minutes prior to admin of next dose

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3
Q

Infiltration - Treatment

A

Prevention:
use smallest catheter, stabilize port, access blood return

Treatment:
stop infusion, remove cath, COLD COMPRESS, elevate, new cath in opposite extremity

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4
Q

Extravasation - Treatment

A

Prevention:
know vesicant potential

Treatment:
stop infusion, discontinue administration set, aspirate if possible, COLD COMPRESS, document condition of site

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5
Q

Phlebitis - Treatment

A

Prevention:
rotate sites every 72-96 hours, aseptic technique

Treatment:
stop infusion, remove cath, HEAT COMPRESS, new cath in opposite extremity

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6
Q

Catheter Embolus - Treatment

A

Prevention – do NOT reinsert stylet needle into catheter

Treatment:
Tourniquet - apply immediately high on extremity, prep for removal under xray

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7
Q

Air Embolism - Central Line - Treatment

A

Prevention:
- have client lie flat when changing set/connectors, ask them to perform Valsava maneuver

Treatment:
Trendelenburg on left lateral side, apply oxygen

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8
Q

PICC Line - remember to check this before & after insertion

A

EKG

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9
Q

Key TPN Nursing Actions

A
  1. Verify Rx & solution w/ 2nd RN prior to admin
  2. Admin w/ infusion pump only
  3. Change tubing & fluid Q 24 hrs
  4. Monitor daily weight, I/O, fluid balance, signs of infection
  5. Blood glucose checks Q 4-6 hrs
  6. Dressing changes - gauze Q 2 days, transparent Q 7 days (or per policy)
  7. If TPN solution unavailable, admin dextrose 10% in water (to prevent hypoglycemia)
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10
Q

Acetaminophen - ANTIDOTE

A

acetylcysteine

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11
Q

Benzodiazepine - ANTIDOTE

A

flumazenil

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12
Q

Curare - ANTIDOTE

A

edrophonium

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13
Q

Cyanide - ANTIDOTE

A

methylene blue

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14
Q

Digitalis/Digoxin - ANTIDOTE

A

digoxin immune fab

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15
Q

ethylene poisoning - ANTIDOTE

A

fomepizole

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16
Q

Heparin/Enoxaparin - ANTIDOTE

A

protamine sulfate

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17
Q

Iron - ANTIDOTE

A

deferoxamine

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18
Q

Lead - ANTIDOTE

A

succimer

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19
Q

Mg Sulfate - ANTIDOTE

A

calcium gluconate

20
Q

Narcotics/Opioids - ANTIDOTE

A

naloxone

21
Q

Warfarin - ANTIDOTE

A

phytonadione/vitamin K

22
Q

What drug class goes with the suffix - dipine

A

CCB —- amlodipine, nicardipine

23
Q

What drug class goes with the suffix - afil

A

erectile dysfunction — sildenafil

24
Q

What drug class goes with the suffix - caine

A

Anesthetics — lidocaine

25
Q

What drug class goes with the suffix - pril

A

ACE Inhibitors — lisinopril, catopril

26
Q

What drug class goes with the suffix - pam, - lam

A

Benzo’s —- lorazepam, midazolam

27
Q

What drug class goes with the suffix - statin

A

Antilipidemic —– atorvastatin

28
Q

What drug class goes with the suffix - asone, - solone

A

Corticosteroids —- betamethasone, prednisolone

29
Q

What drug class goes with the suffix - olol

A

BB — metoprolol

30
Q

What drug class goes with the suffix - cillin

A

Penicillins —- amoxicillin

31
Q

What drug class goes with the suffix - ide

A

Oral Hypoglycemic — glyburide

32
Q

What drug class goes with the suffix - prazole

A

Proton Pump Inhibitor (PPI) — omeprazole

33
Q

What drug class goes with the suffix - vir

A

Antiviral — acyclovir

34
Q

What drug class goes with the suffix - azine

A

Antiemetic — prochlorperazine

(also seen in a lot of antipsychotic drugs)

34
Q

What drug class goes with the suffix - ase

A

Thrombolytic — atelplase

35
Q

What drug class goes with the suffix -phylline

A

bronchodilators/methylxanthines — theophylline

36
Q

What drug class goes with the suffix - arin

A

Anticoagulant — heparin

37
Q

What drug class goes with the suffix - dine

A

Antiulcer — famotidine

38
Q

What drug class goes with the suffix - mycin

A

Antibiotic
aminoglycoside — gentamicin, neomycin,
macrolides — erythromycin, azithromycin

39
Q

What drug class goes with the suffix - cycline

A

Antibiotic — tetracyclines — doxycycline

40
Q

What drug class goes with the suffix - floxacin

A

Antibiotic — fluoroquinolones – ciprofloxacin

41
Q

What drug class goes with the suffix - tyline -ipramine

A

Tricyclic Antidepressants (TCAs) — amitriptyline, imipramine, clomipramine, amoxapine

42
Q

What drug class goes with the suffix - pram, -ine

A

SSRIs – citalopram, sertraline, fluoxetine, paroxetine

43
Q

What drug class goes with the suffix - azole

A

Antifungal — ketoconazole, fluconazole
Antiprotozoal — metronidazole

44
Q

What drug class goes with the suffix - faxine

A

SNRI - venlafaxine, duloxetine, levomilnacipran

PHARM - A (2 decks)

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