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Fundamentals > Med Cards: WEEK 7 > Flashcards

Med Cards: WEEK 7 Flashcards

1
Q

Atorvastatin

A

lipid-lowering agents (statin)

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2
Q

Atorvastatin: Expected pharmacological action

A

inhibits an enzyme which is responsible for catalyzing, an early stage in synthesis of cholesterol

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3
Q

Atorvastatin: therapeutic use

A

lowering of total and LDL cholesterol and triglycerides. Slightly increase the HDL cholesterol

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4
Q

Atorvastatin: Complications

A

arrhythmias, hypoglycemia, hepatic failure, hepatitis, pancreatitis, rectal hemmorrhage, rhabdomyolysis, anaphylaxis, flu-like symptoms, rash, abdominal pain, constipation, gas, confusion, leg cramps

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5
Q

Medication Administration: Atorvastatin

A

PO, can take with or without food

adults: 10-20 mg ONCE daily initially then increased according to lipid level. maintenance at 10-80 ONCE daily

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6
Q

Atorvastatin: Contraindications

A

active hepatic disease, breastfeeding, hypersensitivity to atorvastatin or its components, pregnancy, unexplained persistent rise in serum transaminase level, alcoholism

not recommended to kids under the age of 8

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7
Q

Atorvastatin: Interactions

A

grapefruit juice can cause adverse reactions.

oral contraceptives and digoxin

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8
Q

Atorvastatin: evaluation of medication effectiveness

A

decrease in LDL and total cholesterol levels

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9
Q

Atorvastatin: Nursing interventions

A

monitor liver functions prior as clinically indicated

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10
Q

Atorvastatin: Client Education

A

advise client to not drink alcohol, have low cholesterol diet, get good exercise, and notify PCP of legs and ABD cramps

stop taking if pregnant

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11
Q

Lisinopril

A

ACE Inhibitor

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12
Q

Lisinopril: Expected pharmacological action

A

lower blood pressure by inhibiting conversion of angiotensin to angiotensin ll

basically, to treat hypertension

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13
Q

Lisinopril: Medication administration

A

PO

adult: 5 mg initially (if taking diuertic) and 10 mg (if not taking diuretic) ONCE daily

maintenance: 20-40 mg ONCE daily

max: 80 mg ONCE daily

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14
Q

Lisinopril: Therapeutic Use

A

antihypertensive and heart failure

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15
Q

Lisinopril: Interactions

A

NSAIDS: decrease antihypertensive medications
also, lithium, K+ salts, herbal and K+ supplements, pain and inflammation drugs, other antihypertensives, insulin

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16
Q

Lisinopril: Complications

A

arrhythmias, hypotension, MI, acute renal failure, pulmonary embolism, HYPERKALEMIA, hyponatremia, cough, orthostatic hypotension, edema, rash, drowsiness, weakness

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17
Q

Lisinopril: Contraindications

A

diabetes, history of angioedema, hypersensitivity to lisinopril, other ACE inhibitors, hypotension

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18
Q

Lisinopril: Evaluation of Medication Effectiveness

A

Blood pressure will return to normal limits

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19
Q

Lisinopril: Nursing interventions

A

monitor BP for 2 hrs after start of treatment

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20
Q

Lisinopril: Client education

A

get up/change slowly
take as directed
avoid K+ diet

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21
Q

Omeprazole

A

proton pump inhibitor (PPI), antiulcer agent

22
Q

Omeprazole: Expected pharmacological action

A

binds to an enzyme on gastric pH, preventing hydrogen ions into the gastric lumen

23
Q

Omeprazole: Therapeutic Use

A

decrease symptoms of GERD
healing of duodenal ulcers

24
Q

Omeprazole: Complications

A

dizziness, fatigue, headache, chest pain, hypertension, peripheral edema, rash, vitamin B12 deficiency, hypoglycemia, c-diff associated diarrhea, anaphylaxis, hyperkalemia

25
Q

Omeprazole: Medication Administration

A

PO

adults: 20 mg ONCE daily

26
Q

Omeprazole: Contraindications/Precautions

A

contraindicated for clients who are hypersensitivity to this medication and those who are taking rilpivirine

caution: those with COPD, risk of pneumonia, liver dysfunction, pregnancy

27
Q

Omeprazole: Interactions

A

Alcohol, ASA, NSAIDS, smoking, caffeine, and foods that cause gastric distress

28
Q

Omeprazole: Evaluation of medication effectiveness

A

decrease abdominal pain, gastric irritation, and or bleeding. ulcer healing should show improvement on X-ray

29
Q

Omeprazole: Nursing Interventions

A

assess for any abdominal pain, blood in stool, emesis, gastric aspirate

any cramps, fevers, diarrhea, blood stools: notify PCP because sign of C-diff

30
Q

Omeprazole: Client education

A

avoid NSAIDs/aspirin

notify PCP if any abdominal pain/blood in stool, emesis

31
Q

Ibuprofen

A

NSAID (non-steroidal anti-inflammatory drug)

32
Q

Ibuprofen: Expected Pharmacological action

A

to relieve moderate to severe pain as an adjunct to opioid analgesics

inhibits prostaglandin synthesis

33
Q

Ibuprofen: Theraputic use

A

decrease pain and inflammation

reduction of fever

34
Q

Ibuprofen: Complications

A

dizzy, headache, seizures, fluid retention, hypotension, heart failure, constipation, anorexia, elevated liver enzymes, ulceration, hepatitis, MI, renal failure

35
Q

Ibuprofen: Medication administration

A

PO, IV

usual: 1.2 to 3.1 g daily; max: 3.2 grams daily

admin with food or just after eating

36
Q

Ibuprofen: Contraindications/Precautions

A

angioedema, asthma, surgery, rhinthus, bronchospasms, nasal polyps

37
Q

Ibuprofen: Interactions

A

ACE inhibitors, ARBs, beta-blockers, aspirin, cyclosporine, diuretics, lithium, alcohol use, methotrexate, heparin, oral anticoagulation, pemetrexed

38
Q

Ibuprofen: Evaluation of Medication Effectiveness

A

pain, fever, and inflammation are reduced

39
Q

Ibuprofen: Nursing Interventions

A

be aware of CVT events
monitory patient for MI and stroke
assess for asthma, urticaria, and rhithus

40
Q

Ibuprofen: Client education

A

take with food and with water

avoid alcohol, corticosteroids, and aspirin

report flu-like symptoms

avoid taking 2 NSAIDs at the same time

41
Q

Acetaminophen

A

NSAID, nonopioid analgesics/antipyretics

42
Q

Acetaminophen: Expected Pharmacological Action

A

slow down production of the prostaglandins of CNS

43
Q

Acetaminophen: Therapeutic Use

A

analgesic (will relieve pain)

antipyretic (fever reduction)

44
Q

Acetaminophen: Complications

A

acute toxicity of the liver, nausea and vomiting, sweat, abdominal pain which can lead to hepatic failure, coma, death

45
Q

Acetaminophen: Contraindications

A

cautiously to clients who say they consume more than 3 alcoholic beverages per day (metabolism thing) thuse increasing risk of bleeding

46
Q

Acetaminophen: Interations

A

alcohol, increased bleeding with warfarin, drugs with epinephrine

47
Q

Acetaminophen: Evaluation of Medication Effectiveness

A

relief of mild to moderate pain, fever reducted

48
Q

Acetaminophen: Medication Administration

A

PO, rectal

adults: 640-650 mg PRN q 4-6 hours
max: 3,250 mg (4 doses) in 24 hrs

49
Q

Acetaminophen: Nursing Interventions

A

monitor for:
signs of renal failure
WBC count
liver function

50
Q

Acetaminophen: Client Education

A

make sure client watches for urine color, skin color, abdominal pain, bleeding (gums), or bruising

51
Q

What medicine to give if someone is having toxicity from acetaminophen?

A

Acetylcysteine

Fundamentals (20 decks)

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