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MED SHEETS Flashcards

1
Q

What is the generic name for Lanoxin

A

digoxin

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2
Q

What is the Trade/Brand name for digoxin

A

Lanoxin

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3
Q

What is the antidote for digoxin

A

dig immune fab

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4
Q

What therapeutic class is digoxin

A

Inotropics

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5
Q

What pharmacologic class is digoxin

A

Glycosides

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6
Q

What is the indication for digoxin

A

HF
A. Fib
A. Flutter

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7
Q

What drug helps the heart pump more efficiently/effectively

A

Digoxin

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8
Q

Is digoxin Low or High protein binding

A

Low

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9
Q

What is the MOA of digoxin

A

Increase:
Force of heart contractions
Cardiac output

Decrease:
Heart Rate

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10
Q

What does digoxin inhibit

A

Na+
K+
ATPase

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11
Q

What are the contraindications of digoxin

A

Low:
K
Mag

High:
Ca

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12
Q

What are the adverse affects of digoxin?

A

Bradycardia
Arrhythmias
Thrombocytopenia (drop in platelet count)

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13
Q

What are the signs and symptoms of dig toxicity

A

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

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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)

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15
Q

What do you assess for when administering digoxin

A

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

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16
Q

What labs do you check for with digoxin

A

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

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17
Q

What is the generic name for Lasix

A

furosemide

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18
Q

What is the Brand/Trade name for furosemide

A

Lasix

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19
Q

What is the therapeutic class for furosemide

A

Diuretics

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20
Q

What is the pharmacologic class of furosemide

A

Loop diuretics

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21
Q

What is the indication of furosemide

A

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

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22
Q

What is the MOA of furosemide

A

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

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23
Q

Is furosemide Low or High protein binding

A

HIGH
91-99%

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24
Q

What are the counter indications of furosemide

A

Diabetes
Low electrolyte
Hypotension (systolic <100)

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25
Q

What are the adverse effects of furosemide

A

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

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26
Q

What do you assess for with furosemide

A

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

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27
Q

What vitals do you check for before administering furosemide

A

BP (systolic >100)
HR

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28
Q

What labs do you check when administering furosemide

A

ALT
AST
BUN
Cr
Electrolytes
Albumin

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29
Q

What electrolytes do you check for with furosemide

A

Na
Cl
Ca
K
Mag

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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

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31
Q

What is the Brand/Trade name for enoxaparin

A

Lovenox

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32
Q

What is the generic name for Lovenox

A

enoxaparin

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33
Q

What is the therapeutic class for enoxaparin

A

Anticoagulants

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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

38
Q

What route do you administer enoxaparin

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

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

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

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

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)

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