Lecture Flashcards

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
When do you not give clozapine?
WBC < 3,000
26
Dantrolene
Muscle relaxant
27
Lithium toxicity signs
Increased thirst Vomiting Diarrhea Tremors
28
Levothyroxine toxicity
Tremors Anxiety
29
Gentamicin (antibiotic) Monitor:
Creatinine
30
Nephrotoxicity
Watch out for proteinuria
31
Gentamicin side effects
Ringing of the ears Dizziness
32
Statins: monitor -
Liver enzymes
33
Epoetin Alfa what do you monitor? And why?
Monitor BP CAUSES HYPERTENSION
35
Soft diet examples
Oatmeal Apple sauce
36
Vancomycin adverse effect
Hearing loss
36
Full liquid diets examples
Grape juice Ice cream
37
Soybeans are complete
Proteins
38
Lithium toxicity: report
Slurred speech
39
What drug may mask the effects of hypoglycemia?
Propranolol
40
Calcium channel blockers are contraindicated for clients with:
Heart failure Heart block Bradycardia
41
Do not consume ________ with calcium channel blockers.
Grapefruit
42
Propranolol contraindications for
AV block Sinus bradycardia
43
What agent treats HIV infections
Antiretroviral
44
Saw Palmetto purpose
Prevents benign prostatic hypertrophy
45
Saw Palmetto increases
Bleeding risk with anticoagulants ** DC before surgery
46
Valerian root treats
Insomnia Migraines Menstrual cramps
47
While on valerian root,
Avoid driving & long term use
48
St John’s wort treats
Depression Seasonal affective disorder Anxiety
49
St John Worts interacts with:
Digoxin Warfarin Oral contraceptives Antidepressants
50
Ginger root treats
Relieves vertigo and nausea
51