medication Flashcards

1
Q

medication delivery

A
prescribing
	transcribing
	dispensing
	administering
	monitoring
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2
Q

1/3 of med errors in

A

administration phase

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3
Q

-dipine

A

Ca+ Channel Blocker

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4
Q

-afil

A

Erectile dysfunction

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5
Q

-caine

A

Anesthetics

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6
Q

-pril

A

ACE inhibitor

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7
Q

-pam, -lam

A

Benzodiazepine

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8
Q

-statin

A

Antilipidemic

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9
Q

-asone, -solone

A

Corticosteroid

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10
Q

-olol

A

Beta blocker

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11
Q

-cillin

A

Penicillin

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12
Q

-ide

A

Oral hypoglycemic

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13
Q

-prazole

A

Protein pump inhibitor

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14
Q

-vir

A

Antiviralq=

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15
Q

-ase

A

Thrombolytic

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16
Q

-azine

A

Antiemetic

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17
Q

-phylline

A

Bronchodilator

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18
Q

-arin

A

Anticoagulant

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19
Q

-tidine

A

Anitulcer

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20
Q

-zine

A

Antihistamine

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21
Q

-cycline

A

Antibiotic

22
Q

-mycin

A

Aminoglycoside

23
Q

-floxacin

A

Antibiotic

24
Q

-tyline

A

Tricyclic antidepressants

25
Q

-pram, ine

A

SSRIs

26
Q

Cardiac Glycosides

A

Used in the treatment of patients with cardiac failure or ineffective pumping mechanism of the hear muscle.

27
Q

side effects of cardiac glyxosides

A

Digoxin toxicity
GI effects
CNS effects
blurred vision, yellow-green or white halos, diplopia

28
Q

antianginial medications

A

The use of organic nitrates, beta adrenergic-blocking agents, and calcium channel blockers to treat pain related to imbalances between myocardial oxygen supply and demand.

Side effects:
Headache
Orthostatic hypotension
Reflex tachycardia

29
Q

Antidysrhythmic Agents

A

Complex agents with multiple mechanisms of action. Classified according to their effects on the electrical conduction system of the heart
Class I, II, III, IV

Side effects/adverse effects
- Toxicity

30
Q

antacids

A

Neutralize gastric acid and inactive pepsin

Used for peptic ulcer disease

31
Q

GERD

A
Aluminum hydroxide (Amphojel)
- May cause constipation, hypophosphatemia

Milk of Magnesia
- May cause diarrhea, renal impairment, hypermagnesemia

Sodium bicarbonate
- May cause constimation

32
Q

Antacids pt. education

A
  • Do not give to patients with GI perforation or obstruction
  • Patients with renal impairment should only use aluminum-based preparations
  • Other meds should be taken 1 hour before or after antacids
  • May require repeated doses up to 7 times a day
    - 1 hour and 3 hour after meals and at bedtime
33
Q

proton pump inhibitors

A

Prevent or block selected receptors within the stomach

Used for Gastric and peptic ulcers

34
Q

proton pump inhibitors

A
  • Low incidence of diarrhea, nausea, and vomiting
  • Can increase the risk for fractures, pneumonia, and acid rebound
  • Do not crush, chew, or break tablets
  • Notify provider for signs of GI bleeding
  • Teach patient to take medication as scheduled
35
Q

histamine 2 receptor antagonists

A

Ranitidine (Zantac)

Cimetidine (Tagamet)
- Increases risk of infection, use with caution with COPD

Nizatidine (Axid)

Famotidine (Pepcid)

36
Q

histamine 2 receptor antagonists

A

Side effects include decreased libido/impotence
Lethargy, depression, confusion
Teach patient to modify diet as prescribed

37
Q

mucosal protectants and what is it for and administration

A

Adheres to injured gastric ulcers upon contact with gastric acids, protective action for up to 6 hours, has no systemic effects

  • Used with gastric and duodenal ulcers
  • GERD

Administer on an empty stomach 1 hour before meals
Do not give within 30 min of antacids.
Sucralfate (Carafate)

38
Q

antiemetics

A

Multiple classifications of medications that affect the Gi tract or the “vomiting” center of the brain to reduce nausea/vomiting

  • Postoperative
  • Chemotherapy
  • N/V associated with disease process
39
Q

types of antiemetics

A
  • Promethazine (Phenergan)
    May cause anticholinergic effects, potentiates when given with narcotics
  • Metoclopramide (Reglan)
    +May cause drowsiness, anticholinergic effects, tardive dyskinesia, restlessness
    +Teach patient about rapid GI emptying

Ondansetron (Zofran)

Scopolamine

May cause blurred vision, sedation, anticholinergic effects

40
Q

types of antidiarrheals

A

Lomotil
Imodium
Increase risk megacolon for patients with IBS

41
Q

stool softeners pt. education

A
  • Contraindicated with impaction, bowel obstruction, acute surgical abdomen
  • Monitor for laxitave use/abuse

Provide adequate fluid intake to avoid obstruction

  • Metamucil
  • Colace
  • Dulcolax
  • Milk of Mag
42
Q

types of loop

A

Furosemide (Lasix)

Bumetanide (Bumex)

43
Q

types of thiazide

A

Hydrochlorothiazide (Hydrodiuril)

Chlorothiazide (Diuril)

44
Q

types of potassium sparing

A

Spironolactone (Aldactone)

Triameterene (Dyrenium)

45
Q

Adverse Effects

Loop and thiazide diuretics

A
Hypovolemia
Ototoxicity
Hypokalemia
Hyponatremia
Hyperglycemia
Digoxin toxicity
Lithium toxicity
46
Q

potassium sparing diuretics adverse effects

A

Hyperkalemia

Endocrine effects

47
Q

Antispasmodic actions to decrease muscle spasms and contractions

A
Oxybutynin (Ditropan)
Tolterodine (Detrol)
Darifenacin (Enablex)
Solifenacin (Vesicare)
Trospium (Sanctura)
Fesoterodine (Toviaz)
48
Q

Bisphosphonates: what they do and meds

A
  • Decrease the number and action of osteoporosis
  • Alendronate (Fosamax): daily or weekly
  • Risedronate (Actonel): daily, weekly, monthly
  • Ibandronate (Boniva): monthly or every 3 months
  • Zoledronic acid (Reclast, Zometa): IV annually
49
Q

Antirheumatics

A

Provide symptomatic relief and delay in disease progression by inhibiting or modulating inflammatory process

  • Methotrexate (Theumatrex)
  • Hydroxychloroquine (Plaquenil)
  • Etanercept (Enbrel)
  • Infliximab (Remicade)
  • Adalimumab (Humira)
50
Q

Glucocorticoids

A

Provide symptomatic relief of inflammation and pain
Prednisone
Prednisolone

51
Q

glucocorticoids side effects

A
Risk of infection
Osteoporosis
Adrenal suppression
Fluid retention
GI discomfort
Hyperglycemia
Hypokalemia
52
Q

glucocorticoids pt. education

A
  • Do not skip doses!
  • Monitor blood pressure
  • Monitor Fluid and Electrolytes
  • Monitor weight
  • Monitor for signs of bleeding, GI discomfort
  • Teach patient to take calcium supplements and maintain vitamin D levels.