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NUR 221 > MED COMP :( > Flashcards

MED COMP :( Flashcards

1
Q

T: Antispasticity agent, skeletal muscle relaxants

A

baclofen

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2
Q

SE: coordination difficulties, hyperglycemia, hypersensitivity, ataxia, weakness, seizures

A

baclofen

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3
Q

NI:
-Assess muscle spasticity
-increased serum glucose, alkaline phosphatase, AST & ALT
-Take with food or milk
-(IT) use titran

A

baclofen

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4
Q

action: inhibits reflexes at the spinal level and decreases muscle spasticity

A

baclofen

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5
Q

this drug can be used for cerebral palsy, MS, or traumatic brain injuries

A

baclofen

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6
Q

T: antiparkinson agent
P: dopamine agent

A

carbidopa/levodopa

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7
Q

SE: darkening of urine/swear, involuntary movement, dry mouth

A

carbidopa/levodopa

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8
Q

NI:
-“on-off phenomenon”
-assess BP
-increases blood glucose
-monitor liver, kidney function, & CBC
-assess toxicity (facial grimacing, protrusion of tongue)

A

carbidopa/levodopa

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9
Q

what med should you teach your clients…
- eat after taking to avoid gastric irritation
-have good oral hygiene
-avoid vitamin B, iron, & protein

A

carbidopa/levodopa

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10
Q

action: converts to dopamine in CNS, where it serves as a neurotransmitter

A

carbidopa/levodopa

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11
Q

T: antiplatelet agent
P: platelet aggregation

A

clopidogrel

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12
Q

what are the SE of clopidogrel

A

cough, chest pain, bleeding, neutropenia, thrombocytopenia

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13
Q

NI:
-assess symptoms of a MI, stroke, PVD
-Monitor CBC with bleeding time
-increased: bilirubin, liver enzymes, cholesterol, uric acid levels

A

clopidogrel

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14
Q

CT:
-notify HCP of other medications/herbal products

A

clopidogrel

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15
Q

action: inhibits platelet aggregation by irreversibly inhibiting the binding of ATP to platelet receptors

A

clopidogrel

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16
Q

what can clopidogrel be used for?

A

reduction of atherosclerotic events

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17
Q

T: antiarrhythmic, inotropic
P: digitalis glycoside

A

digoxin

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18
Q

SE: arrhythmias, bradycardia, anorexia

A

digoxin

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19
Q

NI:
-take pulse 1 full minute before administering (<60-HCP)
-i/o, weight
-assess for edema
-lung sounds

A

digoxin

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20
Q

CT: if miss a dose you must take within 12 hours or not at all

A

digoxin

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21
Q

action: increase force of myocardial contraction and prolongs refractory period of the AV node

A

digoxin

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22
Q

what can digoxin be used for?

A

tachyarrhythmias
CHF

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23
Q

T: antianginal, antiarrhythmic, antihypertensive
P: calcium channel blockers

A

diltiazem

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24
Q

SE: dizziness, edema, headache, bradycardia, hypotension, palpitations

A

diltiazem

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25
Q

NI:
-i/o, weight
-pulse
-ECG
-edema
-lung sounds
-BP

A

diltiazem

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26
Q

action: inhibits transport of calcium into myocardial & vascular smooth muscle cells which will inhibit excitation and contraction

A

diltiazem

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27
Q

T: anti Alzheimer agent
P:cholinergic

A

donepezil

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28
Q

SE: n/v, GI bleeding, syncope, HYPO/HYPERtension, diarrhea, bradycardia, diaphoreses

A

donepezil

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29
Q

NI:
-cognitive function
-heart rate and rhythm
-notify HCP of drug before going under anesthesia

A

donepezil

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30
Q

CT:
-This drug may take weeks to work
-diarrhea may last 1-3 days

A

donepezil

31
Q

action: inhibits acetylcholinesterase thus improving cholinergic function by making more acetylcholine available

A

donepezil

32
Q

T: anticoagulant
P:antithombotic

A

enoxaparin

33
Q

low molecular weight heparin

A

enoxaparin

34
Q

SE: anemia, (LOCALIZED) erythema, hematoma, pain, ecchymosis

A

enoxaparin

35
Q

enoxaparin antidote?

A

protamine sulfate

36
Q

NI:
-monitor CBC, Platelets, stool, HCT

A

enoxaparin

37
Q

when should the HCP discontinue enoxaparin?

A

<100,00 platelet count

38
Q

action: inhibits clot formation

A

enoxaparin

39
Q

AI:
-Do NOT expel air bubble

A

enoxaparin

40
Q

T: lipid-lowering agent
P: fabric acid deviate

A

fenofibrate

41
Q

SE: muscle pain, cholelithiasis, and pancreatitis

A

fenofibrate

42
Q

NI:
-monitor lipid, AST, ALT, HGB, HCT, WBC
-assess for cholelithiasis

A

fenofibrate

43
Q

what are the client teachings for fenofibrate

A

-eat a low triglyceride diet
-encourage follow up labs

44
Q

action: inhibits triglyceride synthesis

A

fenofibrate

45
Q

what is fenofibrate used for

A

decreasing LDL, total cholesterol, and triglycerides

46
Q

when should a PT not take enoxaparin

A

when the PT has hypersensitivity to sulfates, benzyl, alcohol, or pork

47
Q

what is the T & P of heaparin

A

anticoagulant
antithrombotic

48
Q

What should the nurse assess when giving a PT heparin

A

bleeding, bruising, platelet, PTT, HCT

49
Q

action: prevent the conversion of prothrombin to thrombin

A

heparin

50
Q

what is the normal APTT of heparin

A

20-35 seconds

51
Q

what is the therapeutic of heparin

A

1.5-2.5 the control

52
Q

what specific med should you stop taking 5-7 days before surgery

A

clopidogrel

53
Q

T: hormones
P: thyroid preparation

A

levothyroxine

54
Q

what med could cause these side effects…
insomnia, irritability, nervousness cardiovascular collapse, arrhythmias, tachycardia, weight loss

A

levothyroxine

55
Q

what needs assessed when using levothyroxine

A

-tachyarrhythmias & chest pain
-Monitor thyroid function test
-OVER DOSE (hyperthyroidism: tachycardia, chest pain, diaphoresis, etc.) ^ same as the SE

56
Q

what is the most important CT when prescribing levothyroxine

A

checking pulse before giving (must be over 100)

57
Q

should you take levothyroxine on a full or empty stomach

A

empty

58
Q

action: replacement or supplement to endogenous thyroid hormone

A

levothyroxine

59
Q

what is levothyroxine used for

A

thyroid cancer

60
Q

what is the therapeutic class of metoclopramide

A

antiemetic

61
Q

what is the #1 thing to look for when giving metoclopramide

A

extrapyramidal effects
(involuntary movements, facial grimacing, trembling of hands)

62
Q

what must the client know when taking metoclopramide

A

NO driving
avoid CNS depressants

63
Q

action: blocks dopamine in chemo receptor trigger zone in CNS

A

metoclopramide

64
Q

T: anti-infective, antiprotozoal

A

metronidazole

65
Q

SE: seizures, anorexia, headache

A

metronidazole

66
Q

what should the nurse assess/obtain when giving metronidazole?

A

assess infection
assess neurological function
obtain specimen

67
Q

action: disrupts DNA protein synthesis in susceptible organisms

A

metronidazole

67
Q
A
67
Q

what bacteria does metronidazole work best for

A

anaerobic and gut

67
Q
A
68
Q
A
68
Q
A
68
Q
A

NUR 221 (2 decks)

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