MEd quiz 4 Flashcards
1
Q
Tetanus Vaccine
A
- Given to prevent lockjaw for patients with open wound or laceration
- mild retractions, low fever, drowsiness, anorexia, pain/swelling at site, give w tylenol
- ask pt. if they have had a previous reaction
2
Q
Silver Nitrate
A
- antimicrobial agent on wounds in 0.5% solution
- worry about electrolyte imbalances (hyponatremia, hypokalemia, hypochloremia)
- must apply wet dressing and reapply every 2hrs
3
Q
Silver Sulfadiazine (Silvadene)
A
- bactericidal activity against gram positive/negative bacteria and yeast
- may cause transient leukopenia
- will adhere to partial thickness burns and look like eschar needs to be washed with normal saline
4
Q
Mafenide acetate (Sulfamylon)
A
- penetrates burn eschar better then Silvadene
- increases risk for metabolic acidosis in renal impairment, compensated by hyperventilation in most pts.
- monitor for hyperventilation
5
Q
Midazolam (Versed)
A
- binds to receptrs at several sites in the CNS
- decreased respiratory rate/apnea
- used for sedation/anesthesia
- pay attention to respiratory rate
6
Q
Fentanyl (Sublimaze)
A
- narcotic used to treat pain
- resp. depression, hypotension, nausea, vomiting, constipation
- used for analgesia and sedation
- monitor for respiratory depression
6
Q
Epinephrine (Adrenalin)
A
- treats anaphylactic reaction
- tachycardia, increased BP
- may interact with metoprolol
7
Q
Naloxone hydrochloride (Narcan)
A
- narcotic antagonist reverses overdose
- increased unconsciousness, jerking movements, irregular breathing, irritability, irregular HR
- get vitals, short half life, may cause withdrawal of narcotics
8
Q
Flumazenil (Romazicon)
A
- benzo reversal agent
- seizures, hypoventilation
- used cautiously when pt. has a head injury
- monitor for hypoventilation
9
Q
N-acetylcystine (Mucomyst)
A
- prevent liver damage from Tylenol OD
- abdominal pain, black tarry stools, N/V
- can be given NGT or mixed with cola “rotten egg” smell
10
Q
Synthroid or Levothyroid
A
- chemical form of T4
- fever, hot flashes, heat sensitivity, sweating, headache, nervousness, irritability, nausea
- 1st line therapy for hypothyroidism
11
Q
Propylthiouracil (PTU)
A
- blocks synthesis/production of hormones (conversion of T3 to T4)
- rash, N/V, agranulocytosis, SLE
- monitor cardiac parameters
- observe for conversion to hyPOthyroidsm
- must be given PO
12
Q
Sodium Iodide
A
- inhibits synthesis of thyroid hormone
- edema, hemorrhage, GI upset
- given 1hr after PTU or methimazole
13
Q
Potassium Iodide
A
- surpresses release of thyroid hormone
- GI upset, rash, enlarged salivary glands
- discontinue for rash
- watch for signs of toxic iodinism
14
Q
Saturated solution of potassium iodide (SSKI)
A
- suppresses release of thyroid hormone
- N/V, stomach ache, diarrhea, metallic taste in mouth, fever, headache, acne
- mix with juice or milk
- give with straw to prevent staining of teeth
