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1
Q

Increased Magnesium (toxicity)

A

Everything goes down

Decreased HR
Decreased RR
Decrease urine output
Absent reflexes
Altered LOC

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2
Q

Magnesium antidote

A

Calcium gluconate

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3
Q

Decreased Magnesium

A

Everything goes up

Hypertension
Hyperreflexia
Tachycardia

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4
Q

Hypomagnesemia can cause:

A

Polymorphic Ventricular Tachycardia

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5
Q

Magnesium is dangerous to what organ:

A

Kidneys

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6
Q

What lab values do you monitor when administering Coumadin?

A

PT
INR

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7
Q

What lab value do you monitor when administering heparin?

A

aPTT every 4 hours
Platelets

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8
Q

Antidote for heparin?

A

Protamine sulfate

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9
Q

Antidote for warfarin?

A

Vitamin K

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10
Q

What do you monitor when administering steroids?

A

Glucose

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11
Q

What supplements do you take when you’re on glucocorticoids?

A

Calcium

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12
Q

Why do you take calcium supplements while on glucocorticoids medications?

A

Prevent osteoporosis and risk fractures

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13
Q

Adverse effect of morphine

A

Bladder distention
Urinary retention

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14
Q

Osteoporosis medications:

A

Alendronate
Risedronate
Biphosphate
Raloxifene

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15
Q

Risedronate client teaching when to take medication:

A

Take medication with FULL cup of water on EMPTY stomach

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16
Q

Risedronate - report if experiencing:

A

Jaw pain
Blurred vision
Dysphagia

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17
Q

Raloxifene contraindicated for:

A

Patients with deep vein thrombosis

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18
Q

Raloxifene adverse reaction:

A

Sudden onset of dyspnea

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19
Q

After taking osteoporosis medications, it is important to:

A

Sit up for at least 30 minutes
Prevent esophageal obstruction

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20
Q

Take iron pills with _____ to facilitate absorption

A

Orange juice

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21
Q

After taking ferrous gluconate client teaching

A

Sit up for 15 minutes after administration

22
Q

Risperidone: what symptom do you report?

A

Visual disturbances

23
Q

Clozapine

A

Antipsychotics

24
Q

Clozapine look out for:

A

Sore throat
Vaginal yeast infection

25
Q

When do you not give clozapine?

A

WBC < 3,000

26
Q

Dantrolene

A

Muscle relaxant

27
Q

Lithium toxicity signs

A

Increased thirst
Vomiting
Diarrhea
Tremors

28
Q

Levothyroxine toxicity

A

Tremors
Anxiety

29
Q

Gentamicin (antibiotic)
Monitor:

A

Creatinine

30
Q

Nephrotoxicity

A

Watch out for proteinuria

31
Q

Gentamicin side effects

A

Ringing of the ears
Dizziness

32
Q

Statins: monitor -

A

Liver enzymes

33
Q

Epoetin Alfa what do you monitor? And why?

A

Monitor BP
CAUSES HYPERTENSION

35
Q

Soft diet examples

A

Oatmeal
Apple sauce

36
Q

Vancomycin adverse effect

A

Hearing loss

36
Q

Full liquid diets examples

A

Grape juice
Ice cream

37
Q

Soybeans are complete

38
Q

Lithium toxicity: report

A

Slurred speech

39
Q

What drug may mask the effects of hypoglycemia?

A

Propranolol

40
Q

Calcium channel blockers are contraindicated for clients with:

A

Heart failure
Heart block
Bradycardia

41
Q

Do not consume ________ with calcium channel blockers.

A

Grapefruit

42
Q

Propranolol contraindications for

A

AV block
Sinus bradycardia

43
Q

What agent treats HIV infections

A

Antiretroviral

44
Q

Saw Palmetto purpose

A

Prevents benign prostatic hypertrophy

45
Q

Saw Palmetto increases

A

Bleeding risk with anticoagulants
** DC before surgery

46
Q

Valerian root treats

A

Insomnia
Migraines
Menstrual cramps

47
Q

While on valerian root,

A

Avoid driving & long term use

48
Q

St John’s wort treats

A

Depression
Seasonal affective disorder
Anxiety

49
Q

St John Worts interacts with:

A

Digoxin
Warfarin
Oral contraceptives
Antidepressants

50
Q

Ginger root treats

A

Relieves vertigo and nausea

Pharm (7 decks)

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