med comp. Flashcards

1
Q

what is the therapeutic and pharmacologic class for albumin?

A

T: volume expander
P: blood product, colloid

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2
Q

what are some common side effects of albumin?

A

fluid overload, hyper/hypotension, increased salivation, flushing

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3
Q

what is the adverse effect of albumin?

A

pulmonary edema

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4
Q

what should be assessed before administration of albumin?

A

HGB/HCT, vascular overload, sodium, venous pressure

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5
Q

what patients should we use albumin cautiously with?

A

hepatic or renal disease

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6
Q

allopurinol therapeutic and pharmacologic class

A

T: anti-gout, antihyperuricemic
P: xanthine oxidase inhibitor

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7
Q

what SE can allopurinol cause if used IV

A

heart failure

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8
Q

what labs need to be monitored for allopurinol?

A

glucose, Hgb/Hct, BUN, creatinine, live function, uric acid

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9
Q

what should be avoided while taking allopurinol

A

alcohol

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10
Q

what type of patients is allopurinol used for

A

gout, nephropathy, chemo

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11
Q

what are the therapeutic and pharmacologic class for alteplase?

A

T: thrombolytic
P: plasminogen activator

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12
Q

when should we assess for bleeding with alteplase

A

q 15 min for the first hour then q hour

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13
Q

therapeutic class for amiodarone

A

antiarrhythmic (class 3)

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14
Q

what are some SE of amiodarone?

A

ARD, CHF, worsening arrhythmias

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15
Q

what needs to be assessed with amiodarone?

A

I/O, electrolytes, liver, ECG, angina

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16
Q

what is something uncommon amiodarone causes

A

blue skin discoloration

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17
Q

increase warfarin and digoxin levels

A

amiodarone

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18
Q

therapeutic and pharmacologic class for apixaban

A

T: anticoagulant agent
P: factor Xa inhibitor

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19
Q

what is apixaban used for

A

reduce risk of stroke and blood clots associated with AFib

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20
Q

atorvastatin therapeutic and pharmacologic class

A

T: lipid-lowering agent
P: HMG-CoA reductase inhibitor

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21
Q

what levels may increase with atropine

A

alkaline phosphatase and bilirubin

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22
Q

atropine therapeutic and pharmacologic class

A

T: antiarrhythmic
P: anticholinergic, antimuscarinics

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23
Q

side effects of atropine

A

ANTICHOLINERGIC +dilated pupils

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24
Q

therapeutic and pharmacologic for carvedilol

A

T: antihypertensive
P: beta blocker

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25
Q

SE of carvedilol

A

fatigue, bronchospasm, wheezing, HYPERglycemia

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26
Q

adverse reaction of carvedilol

A

bradycardia, HF, pulmonary edema, anaphylaxis

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27
Q

therapeutic and pharmacologic class of dobutamine

A

T: inotropic
P: adrenergic

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28
Q

SE of dobutamine

A

premature ventricular contractions, angina, hypersensitivity

29
Q

where must dobutamine be administered

A

large vein or central line

30
Q

what is dobutamine used for

A

to increase cardiac output without increasing heart rate

31
Q

what are the therapeutic and pharmacologic class of epinephrine

A

T: antiasthmatic, bronchodilator, vasopressor
P: adrenergic

32
Q

SE of epinephrine

A

nervousness, restlessness, arrhythmias, hypertension, hyperglycemia, tachycardia, wheezing

33
Q

what needs assessed with epinephrine

A

volume, glucose, serum lactic acid, potassium, rebound bronchospasm, chest pain

34
Q

therapeutic and pharmacologic class for epoetin

A

T: antianemic
P: hormone

35
Q

SE of epoetin

A

MI, CHF, hypertension

36
Q

what needs assessed with epoetin

A

renal: urinalysis, protein, BUN, creatinine, ferritin, transferrin (monthly)

37
Q

therapeutic and pharmacologic for fluticasone + salmeterol

A

flu-
T: antiasthmatic, anti-inflammatory
P: corticosteroid
Sal-
T: bronchodilator
P: adrenergic

38
Q

se of fluticasone + salmeterol

A

hoarseness, trembling, hypokalemia, hyperglycemia

39
Q

what needs monitored with fluticasone + salmeterol

A

children growth rate

40
Q

therapeutic and pharmacologic for ipratropium bromide + albuterol

A

T: allergy, cold/cough, bronchodilator
P: anticholinergic

41
Q

what allergy needs assessed for ipratropium

A

belladonna and atropine

42
Q

therapeutic and pharmacologic for levofloxacin

A

T: anti-infective
P: fluoroquinolones

43
Q

se of levofloxacin

A

pseudomembranous colitis, arrhythmias, tendonitis, tendon rupture

44
Q

True or False, levofloxacin can be given to children under 18

A

FALSE

45
Q

what does epoetin produce

A

RBC

46
Q

fluticasone + salmeterol patients are at a risk of what

A

thrush

47
Q

mannitol therapeutic and pharm

A

T: diuretic
P: osmotic diuretic

48
Q

se of mannitol

A

transient volume expansion

49
Q

meropenem classes

A

T: anti-infective
P: carbopenem

50
Q

se of meropenem

A

seizures, watery diarrhea, unusual bleeding

51
Q

what allergies need assessed before meropenem can be given

A

penicillin/cephalosporin

52
Q

biggest concern with meropenem

A

diarrhea

53
Q

T/P for methotrexate

A

T: antineoplastics, antirheumatic (DMARD), immunosuppressant
P: antimetabolites
pregnancy category X

54
Q

se of methotrexate

A

diarrhea, stomatitis, leukopenia, thrombocytopenia, neuropathy

55
Q

adverse reaction of methotrexate

A

pulmonary fibrosis, hepatotoxicity, steven-johnson, aplastic anemia

56
Q

what should nurses advise patients about when taking methotrexate

A

causes teratogenic effect

57
Q

montelukast T/P

A

T: allergy, cold, cough, bronchodilator
P: leukotriene

58
Q

SE of montelukast

A

anxiety, depression, suicidal thoughts

59
Q

T of norepinephrine

A

T: vasopressor

60
Q

what is norepinephrine used for

A

improve bp and cardiac output in cases of severe hypotension and shock

61
Q

what can be given
to prevent norepinephrine necrosis/tissue sloughing

A

phentolamine

62
Q

tetracycline T/P

A

T: anti-infective
P: tertracycline

63
Q

SE/AR of tetracycline

A

SE: vestibular reaction/photosensitivity
AR: hepatotoxicity, pseudomembranous colitis, steven-johnson

64
Q

what should be avoided when taking tetracycline

A

dairy

65
Q

Who should not take tetracycline

A

children under 8 and pregnant

66
Q

tiotropium T/P

A

T: bronchodilator
P: anticholinergic

67
Q

SE of tiortopium

A

dry mouth, paradoxical bronchospasm, angioedema

68
Q

where does tiotropium need stored

A

blister pack and do not expose to air

69
Q

what is tiotropium used for

A

longterm management of bronchospasm due to COPD