Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

N112 > MED SHEETS > Flashcards

MED SHEETS Flashcards

1
Q

What is the generic name for Lanoxin

A

digoxin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the Trade/Brand name for digoxin

A

Lanoxin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the antidote for digoxin

A

dig immune fab

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What therapeutic class is digoxin

A

Inotropics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What pharmacologic class is digoxin

A

Glycosides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the indication for digoxin

A

HF
A. Fib
A. Flutter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What drug helps the heart pump more efficiently/effectively

A

Digoxin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Is digoxin Low or High protein binding

A

Low

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the MOA of digoxin

A

Increase:
Force of heart contractions
Cardiac output

Decrease:
Heart Rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does digoxin inhibit

A

Na+
K+
ATPase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the contraindications of digoxin

A

Low:
K
Mag

High:
Ca

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the adverse affects of digoxin?

A

Bradycardia
Arrhythmias
Thrombocytopenia (drop in platelet count)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the signs and symptoms of dig toxicity

A

Visual disturbances (halos)
Bradycardia
Anorexia
Abdominal pain
N/V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What interactions does digoxin have?

A

High fiber- lowers absorption
Give 1 hour before or 2 hours after meals
Black Licorice + Aloe (drops K)
St. John’s wort (lessens drug effects)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What do you assess for when administering digoxin

A

Serum dig level
Apical Pulse 60 secs (>60)
I & O
Daily weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What labs do you check for with digoxin

A

Ca (^)
K (v)
Mag (v)
BUN
Cr
ALT
AST
Albumin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the generic name for Lasix

A

furosemide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the Brand/Trade name for furosemide

A

Lasix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the therapeutic class for furosemide

A

Diuretics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the pharmacologic class of furosemide

A

Loop diuretics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the indication of furosemide

A

Edema (due to HF, liver/kidney disease)
Hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the MOA of furosemide

A

Lower BP
Increase excretion (H2O, Na,Cl, Ca, K, Mag)
Inhibits sodium & chloride reabsorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Is furosemide Low or High protein binding

A

HIGH
91-99%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the counter indications of furosemide

A

Diabetes
Low electrolyte
Hypotension (systolic <100)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What are the adverse effects of furosemide

A

Hypocalcemia
Erythema multiforme
Stevens-Johnson syndrome
Hypotension
Aplastic anemia
Hypokalemia
Agranulocytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What do you assess for with furosemide

A

Daily weight
I&O
BP
HR
Skin rash
Turgor
Edema
Lung sounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What vitals do you check for before administering furosemide

A

BP (systolic >100)
HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What labs do you check when administering furosemide

A

ALT
AST
BUN
Cr
Electrolytes
Albumin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What electrolytes do you check for with furosemide

A

Na
Cl
Ca
K
Mag

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What do we teach a pt taking furosemide

A

Contact HCP in case of
Rash
Muscle weakness
Cramps
Nausea
Dizziness
Tingling of extremities

Increased urination expectation
Reposition/ move slowly
Take in the AM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What is the Brand/Trade name for enoxaparin

A

Lovenox

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What is the generic name for Lovenox

A

enoxaparin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What is the therapeutic class for enoxaparin

A

Anticoagulants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What is the pharmacologic class for enoxaparin

A

Antithrombotics

35
Q

What is the MOA for enoxaparin

A

Decreasing blood clot (thrombus) formation

36
Q

What is the indication for enoxaparin

A

Prevention of DVT (Deep Vein Thrombosis)
With or without PE (Pulmonary Embolism)

37
Q

Is enoxaparin Low or High protein binding

A

Low

38
Q

What route do you administer enoxaparin

A

Subcut

39
Q

Where do you administer enoxaparin

A

Lateral abdomen
Love handles

40
Q

What are the contraindications of enoxaparin

A

Active bleeding/ ulcers
History of heparin induced thrombocytopenia

41
Q

What kind of heparin is enoxaparin

A

Low molecular weight

42
Q

What are the adverse effects of enoxaparin

A

Urinary retention
Anemia
Bleeding

43
Q

What do you assess for with enoxaparin

A

Platelets (PLT) >100,000
s/s of:
Bleeding/ Hemorrhage
Clots

44
Q

What labs do you monitor with enoxaparin

A

CBC
Platelet count
Stool (occult blood)
ALT
AST

45
Q

What interactions are associated with enoxaparin

A

Arnica
Chamomile
Clove
Garlic
Ginger
Ginko
Ginseng

46
Q

What do you teach a pt using enoxaparin

A

s/s of unusual bleeding/bruising
Dizziness
Rash
Swelling
Itchiness
Difficulty breathing

47
Q

How does enoxaparin come prepared

A

Pre-filled syringes

48
Q

What medication do you not want to use in combination with enoxaparin

A

Unfractionated heparin

49
Q

What is the antidote for enoxaparin

A

Protamine sulfate
(1mg/1mg enoxaparin)

50
Q

What are the 4 insulins

A

Regular
NPH
Aspart/Lispro
Glargine

51
Q

What is the antidote for insulin

A

Glucose
Glucagon
Epinephrine

52
Q

What is the therapeutic class of insulin

A

Antidiabetics

53
Q

What is the pharmacologic class of insulin

A

Pancreatics

54
Q

What is the indication for insulin

A

Control of hyperglycemia in pts with diabetes

55
Q

What is the MOA of insulin

A

Lower blood sugar
Control hyperglycemia

56
Q

Is insulin Low or High protein binding

A

Low

57
Q

Name insulins in order from fastest acting to slowest acting

A

Aspart/ Lispro
Regular
NPH
Glargine

58
Q

Which insulin can never be mixed

A

Glargine

59
Q

Which insulins can you mix?
Which one must be drawn up first?

A

Regular (drawn first)
NPH

60
Q

What are the contraindications of insulin

A

Hypoglycemia
Kidney/ liver impairment

61
Q

What do you assess for with insulin

A

Blood sugar level every 6 hours
s/s of Hypoglycemia
Body weight for dosing
Serum K
A1C every 3-6 months

62
Q

ONSET/ PEAK/ DURATION
Aspart/ Lispro

A

15 min
1-2 hr
3-4 hr

(15. 1234)

63
Q

ONSET/ PEAK/ DURATION
Regular

A

30-60 min
2-4 hr
5-7 hr

(30.60.24.57)

64
Q

ONSET/ PEAK/ DURATION
NPH

A

2-4 hr
4-10 hr
10-16 hr

(2-4-10-16)

65
Q

ONSET/ PEAK/ DURATION
Glargine

A

3-4 hrs
None
24 hrs

66
Q

What interactions is insulin associated with

A

Glucosamine- worsen blood glucose control
Fenugreek
Chromium
CO-QIO: may produce additive hypoglycemic effects

67
Q

What route do you give insulin

A

Subcut

68
Q

What are the adverse effects of insulin?

A

Hypoglycemia
Hypersensitivity reaction

69
Q

What is the therapeutic classification of morphine

A

Opioid analgesics

70
Q

What is the pharmacologic class of morphine

A

Opioid agonists

71
Q

What route do you administer morphine

A

IM

72
Q

What is the antidote for morphine

A

naloxone
(Narcan)

73
Q

What is the MOA of morphine

A

Decrease severity of pain

74
Q

What is the indication of morphine

A

Severe pain
MI pain
Pulmonary edema

75
Q

Is morphine Low or High protein binding

A

35%
Low-ish

76
Q

What are the contraindications of morphine

A

Significant respiratory depression
Bronchial asthma
Head trauma
Seizure disorders
GERI Risk- respiratory depression (lower dose)

77
Q

What are the adverse effects of morphine

A

Hypotension
Respiratory depression
Confusion

78
Q

What do you assess for when administering morphine

A

Pain level
RR
LOC
Risk for abuse, addiction, misuse

79
Q

What labs do you check when administering morphine

A

Plasma amylase
Lipase levels

80
Q

What interactions is morphine associated with

A

Kava-kava
Valerian
Chamomile- increases CNS depression

81
Q

What drugs are high alert!

A

All but furosemide!

Morphine
Insulin
Enoxaparin
Digoxin

82
Q

What drugs are on the BEERS list

A

Lorazepam
Ibuprophen
Meperidine
insulin
digoxin

L.I.M.I.D.

83
Q

What is the antidote for furosemide

A

NONE!
There is no antidote

84
Q

FOOD THAT MAKES URINE ALKALINE

A

ALL FRUITS ECEPTS- PRUNES, PLUMS, CRANBERRYS
ALL VEGETABLES- EXCEPT CORN
NUTS, MILK

N112 (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions