Med admin checkoff drugs Flashcards
1
Q
acetaminophen (oral), drug type and uses
A
Analgesic & Antipyretic
- Reduce mild to moderate pain or fever
- Arthritis
2
Q
Acetaminophen Adverse Reactions and Side Effects
A
- Hepatotoxicity
- Renal failure
- Constipation
- Nausea/Vomiting
- Hypo- Hypertension
- Toxic epidermal necrolysis
- Stevens-Johnson syndrome
- Acute Generalized exanthematous pustulosis
- Nausea/Vomiting
3
Q
Acetaminophen Contraindications
A
- Acetaminophen hypersensitivity
- severe hepatic disease
- actve renal disease
- alcoholism
4
Q
Acetaminophen - Max dosages
A
4000mg per day
1000mg per dose
5
Q
Acetaminophen Nursing Implications
A
- Malnourishment or alchonolism - higher risk for hepatotoxicity
- Prolonged use increases risk for renal effects.
- Do not exceed rec. dose of either acetaminophin and salicylates
- Increased serum bilirubin, LDH, AST, ALT and prothrombin time may indicate hepatotoxicity.
6
Q
Lisinopril type, uses/indications
A
antihypertensives (ACE inhibitor)
- Hypertension
- Management of HF
- Reduction of risk of death or development of HF following MI
7
Q
Lisinopril Contraindications
A
- Hypersensitivity to ACE inhibitors
- Use cautiously with renal impairment, hepatic impairment, hypovolemia, hyponatremia, concurrent diabetic therapy
8
Q
Lisinopril Adverse Reactions and Side Effects
A
- Hyperkalemia
- Hypotension
- Taste disturbance
- Agranulocytosis
- Angioedema
- renal disfunction/failure
- constipation
- cough
- nausea/ vomiting
- diarrhea
- dizziness
- weakness
9
Q
Lisinopril Max Dosages
A
Max daily dose 80mg/d
Dose of 2.5mg is indicated as initial therapy with renal failure
10
Q
Lisinophril Nursing Implications
A
- Monitor BP and pulse frequently
- Assess patient for signs of angioedema (dyspnea, facial swelling)
- HF - monitor for fluid overload (edema, rales/crackles, dyspnea, weight gain, jugular venous distension)
- Discontinue use if pt is hypokalemic or hypotensive
11
Q
Ciprofloxacin Type and Uses
A
Antibacterial
- UTI
- lower respiratory infection
- bone infection
- joint infections
- skin infections
- soft-tisssue infection
- Gynecological Infection
*
12
Q
Ciprofloxacin Contraindications
A
- Hypersensitivity
- History of myasthenia gravis (may worsen muscle weakness and breathing)
13
Q
Ciprofloxacin Adverse and Side Effects
A
- Elevated intracranial pressure
- seizures
- dizziness
- headache
- insomnia
- Torsade de pointes
- anaphylaxis
- stevens-johnson syndrome
- hepatotoxicity
- pseudomembranous colitis
- nauzea
- diarrhea
- hyperglycemia, hypoglycemia
- peripheral neuropathy
14
Q
Ciprofloxacin Nursing Implications
A
- Observe for signs and symptoms of anaphylaxis
- keep epinephrine and antihistamine on hand
- Monitor bowel function. Diarrhea, abdominal cramping, fever and bloody stools are signs of pseudomembranous colitis
- Assess for rash during therapy as sign of Stevens-Johnson syndrome. Discontinue therapy if severe or accompanied with fever, general malaise, fatigue, muscle or joint aches, blisters, oral lesions, conjunctivitis, hepatitis or eosinophilia.
15
Q
Ciprofloxacin max dosage
A
400 mg/mL
