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Pharmacology class > Med admin Lab > Flashcards

Med admin Lab Flashcards

1
Q

Aluminum and magnesium hydroxide with simethicone (mylanta): Action

A

Neutralizes gastric acid on content

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2
Q

Aluminum and magnesium hydroxide with simethicone (mylanta): Classification

A

Antacid

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3
Q

Aluminum and magnesium hydroxide with simethicone (mylanta): Why is pt taking it

A

GERD

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4
Q

Aluminum and magnesium hydroxide with simethicone (mylanta): Assessments

A

Epigastric pain; heart burn; changes in stool

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5
Q

Aluminum and magnesium hydroxide with simethicone (mylanta): Lab assessments

A

Magnesium levels (s/s of hypermagnesemia- depressed or loss of deep tendon reflexes, shallow slow respirations, and low blood pressure

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6
Q

Aluminum and magnesium hydroxide with simethicone (mylanta): Special implications

A

give either 1 hour after or 2 hours before other medications

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7
Q

Aluminum and magnesium hydroxide with simethicone (mylanta): follow-up assessment

A

Heart burn, epigastric pain, and s/s of hypermagnesemia

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8
Q

Digoxin: Action

A

Increases the force of myocardial contraction, slows the heart rate, prolongs the refractory period of the AV node

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9
Q

Digoxin: Classification

A

Anti-arrhythmic; Inotropic; Digitalis Glycoside

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10
Q

Digoxin: Why is pt taking it

A

Chronic Heart Failure

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11
Q

Digoxin: Assessments

A

Dig level (0.8-2.0ng/dL) hold if >2; apical pulse for one full minute, hold if <60 BPM; and the potassium level (3.5-5) (hypokalemia leads to dig toxicity). Contact prescriber if you hold dose

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12
Q

Digoxin: Follow-up assessments

A

Common side effects (bradycardia); S/s of dig tox( N/V/D, bradycardia, yellow-green halo visual disturbances)

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13
Q

Furosemide: Action

A

Inhibits the reabsorption of sodium and chloride in the loop of hence and distal renal tubule

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14
Q

Furosemide: Classification

A

loop-diuretic

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15
Q

Furosemide: Why is pt taking it

A

CHF and fluid volume overload

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16
Q

Furosemide: Assessments

A

Potassium level, can decrease; Promotes loss of K, Mg, Cl, and Ca; Assess BP

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17
Q

Furosemide: Special implications

A

Increase K in diet to decrease chance of hypokalemia

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18
Q

Furosemide: Follow-up assessments

A

I/O and daily weight; Monitor for s/s of low K, Ca, Mg, and Cl

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19
Q

Heparin: Action

A

Potentiates the inhibitory effect of anti-thrombin on factor Xa and thrombin; prevents formation of thrombus

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20
Q

Heparin: Classification

A

Anti-coagulant

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21
Q

Heparin: Why is the pt taking it

A

To prevent DVT (DVT Prophylaxis)

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22
Q

Heparin: Assessments

A

Platelet count (hold if <100,000); aPTT(1.5-2 times the control); signs of bleeding

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23
Q

Heparin: Special implications

A

Second nurse check to double check the dose and labs

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24
Q

Heparin: Antidote

A

Protamine Sulfate

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25
Q

Heparin: Follow-up assessments

A

Signs of blood clots( Swelling of calf, redness and pain); common side effects of bleeding, anemia, and thrombocytopenia; monitor injection sites for hematoma

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26
Q

Insulin: Action

A

Lowers blood sugar by stimulating glucose uptake in skeletal muscles and fats

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27
Q

Insulin: Classification

A

Insulins; anti diabetics

28
Q

Insulin: Why is pt taking it

A

History of diabetes

29
Q

Insulin: Special implications

A

when mixing: air cloudy, air clear, draw clear, draw cloudy. be careful not to draw up too much or you will have to start over

30
Q

Insulin: Assessments

A

Type of insulin and amount pt normally takes; Blood glucose (60-100mg/dL0 and hgb A1c

31
Q

Insulin: follow-up assessments

A

blood glucose and hgb A1c

32
Q

Iron dextran: Action

A

an essential mineral for hemoglobin production

33
Q

Iron dextran: classification

A

iron supplement

34
Q

Iron dextran: why is pt taking it

A

pt has mild anemia Hemoglobin (11.8) and hematocrit(34)

35
Q

Iron dextran: Assessments

A

assess the hemoglobin and hematocrit

36
Q

Iron dextran: special implications

A

Medication is given Z-track method in a big muscle

37
Q

Iron dextran: follow-up assessments

A

asses the injection site for discomfort

38
Q

TB test: why

A

pt has a past of illicit drug use with possible exposure to TB

39
Q

TB test: given

A

Intradermal injection at 10-15 degree angle; don’t scratch or apply lotion in area

40
Q

TB test:

A

TB follow up in 48-72 hours to have test read, and document date TB test is to be read

41
Q

Morphine: Action

A

Binds to the opiate receptors in the CNS, alters the perception of painful stimuli

42
Q

Morphine: Classification

A

Opioid Agonist

43
Q

Morphine: Why is pt taking it

A

pt’s history and physical states that he has lower back pain and the plan is to order morphine IM

44
Q

Morphine: Assessment

A

Pain level, location, and quality, blood pressure (if systolic <100, hold), respiration rate (if less than 10, hold) bowel function/ pattern, level of conciousness

45
Q

Morphine: special implications

A

Set bed alarm and place the call light in reach and instruct the patient to call for assistance

46
Q

Morphine: Antidote

A

Naloxone

47
Q

Morphine: Follow-up assessments

A

pain level to see if it has decrease, common side effects such as constipation, sedation, hypotension, and respiratory depression

48
Q

Aspirin: Action

A

Inhibits Prostaglandins (cox-1 and cox-2); Inhibits hypothalamic heat-regulation center

49
Q

Aspirin: Classification

A

Anti-inflammatory, NSAID salicylates; antiplatelet; analgesic; antipyretic

50
Q

Aspirin: why is pt taking it

A

Depending on dose either for pain in back or to help prevent DVT

51
Q

Aspirin: Assessment

A

History of GI ulcers or bleeds, liver disease, drug history for interactions( oral anti diabetics, anticoagulants, or other NSAIDs), pain level/location, history of asthma

52
Q

Hydrochlorothiazide: Action

A

on the renal distal tubules, promoting sodium, chloride, potassium, and water excretion

53
Q

Hydrochlorothiazide: Classification

A

Thiazide diuretic

54
Q

Hydrochlorothiazide: why is pt taking this

A

CHF edema and fluid volume overload

55
Q

Hydrochlorothiazide: special indications

A

Drug interaction with Digoxin (hypokalemia)

56
Q

Hydrochlorothiazide: Assessments

A

VS; Weight; urine output; labs (electrolytes, glucose, uric acid), edema, drug hx

57
Q

Hydrochlorothiazide: Follow-up Assessments

A

BP and edema decreased; lab normal ranges; side effects and adverse reactions

58
Q

Spironolactone: Action

A

Acts primarily in the collecting duct renal tubules and late distal tubules to promote sodium and water excretion and potassium retention

59
Q

Spironolactone: Classification

A

Potassium-sparing diuretic

60
Q

Spironolactone: why is pt taking this

A

CHF Edema and FVO

61
Q

Spironolactone: Assessments

A

if pt is taking potassium supplement or salt substitute; VS, electrolytes, weight, urine output

62
Q

Spironolactone: Follow-up assessments

A

edema decreased; potassium levels

63
Q

Metaprolol: action

A

Blocks stimulation of beta 1 receptors

64
Q

Metaprolol: classification

A

antihypertensive; beta-adrenergic blocker

65
Q

Metaprolol: Assessments

A

VS, AST, ALT, BUN, Creatinine

Pharmacology class (3 decks)

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