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Med surg 2 > Medication Cards: 1-15 > Flashcards

Medication Cards: 1-15 Flashcards

1
Q

What is the classification of adalimumab

A

antirheumatic, NSAID

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2
Q

What is the route of adalimumab

A

Subcutaneously

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3
Q

What is the side effects of adalimumab

A

reaction to injection site, agranulocytosis (dangerously low number of granulocytes) , sepsis

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4
Q

What are the nursing implications of adalimumab

A

A TB test must be done before and during drug therapy
do not give to children under the age of 4

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5
Q

What are the client teachings for adalimumab

A

must be refrigerated
change injections sites each time (thigh and abdomen)

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6
Q

What is the action of adalimumab

A

binds to TNF- alpha

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7
Q

What is the classification of amlodipine

A

antihypertensive

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8
Q

What is the route of amlopidipine

A

PO

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9
Q

What are the side effects of amlopidipine

A

bradycardia, hypotension, flushing

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10
Q

What are the nursing implications of amlodipine

A

Closely watch: blood pressure, pulse, edema, weight, I/o, lung sounds

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11
Q

What are the client teachings for amlodipine

A

Assist with ambulation may cause orthostatic hypotension
educate on other htn interventions (low sodium diet, stress, mobility)

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12
Q

What is the action of amlodipine

A

transports calcium to myocardial

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13
Q

What is additional information for amlodipine

A

treats hypertension and angina

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14
Q

What is the classification for ceftriaxone

A

anti infective

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15
Q

What is the route for ceftriaxone

A

IM, IV

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16
Q

What are side effects of ceftriaxone

A

pancreatitis, renal failure, stevens johnson syndrome, seizures, super infection

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17
Q

What are nursing implications for ceftriaxone

A

allergy to drug, anaphylaxis or rash, AST/ ALT labs, BUN/ creatinine, bilirubin, bleeding with warfin

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18
Q

What are some client teachings for ceftriaxone

A

contact provider if rash, fever or diarrhea occur

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19
Q

What is the action of ceftriaxone

A

attaches to cell wall and causes cell death

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20
Q

What is additional information for ceftriaxone

A

hyperbilirubin and jaundice (in children) may occur

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21
Q

what is the classification for cephalexin

A

anti- infective

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22
Q

What is the route for cephalexin

A

PO

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23
Q

What are side effects of cephalexin

A

nausea, vomiting, diarrhea, rash

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24
Q

what are nursing implications for cephalexin

A

assess for allergy of penicillin or cephalosporins
assess for signs of anaphylaxis or rash
assess bowel function

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25
Q

What are some client teachings of cephalexin

A

complete entire prescription

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26
Q

What is the action of cephalexin

A

binds to bacterial cell wall membrane causing cell death. gram- positive cocci, not active against MRSA

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27
Q

what is the classification of ciprofloxacin

A

anti- infective

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28
Q

what is the route for ciprofloxacin

A

po, iv

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29
Q

what is the side effects of ciprofloxacin

A

acute psychosis, hepatotoxicity, tendonitis, pseudomembranous colitis, venous irritation

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30
Q

What are some nursing implications of ciprofloxcin

A

monitor liver labs (AST/ ALT)
administer IV over 60 minutes in a large vein
obtain specimens for culture and sensitivity prior to administration or first dose of antibiotic
do not crush or chew

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31
Q

What are some client teachings of ciprofloxcin

A

monitor bowel function
do not crush or chew
maintain fluid intake of at least 1500-2000 ml/ day
use sunscreen when outdoors, the start of through 5 days after therapy
complete entire prescription

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32
Q

What is the action of ciprofloxcin

A

inhibits bacterial DNA synthesis by inhibiting DNA gyrase

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33
Q

What is the classification of famotidine

A

anti ulcer

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34
Q

what is the route of famotidine

A

PO, IV

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35
Q

What are some side effects of famotidine

A

confusion

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36
Q

What are some nursing implications of famotidine

A

assess for epigastric and abdominal pain
adminster iv rate of 10 mg/ minute

37
Q

what are some client teachings of famotidine

A

report black tarry stool
encourage client to quit smoking as it interferes with action of medication
take full course of treatment

38
Q

What is the action of famotidine

A

inhibits the action of histamine at the H2 receptor site

39
Q

What is additional information for famotidine

A

iv doses are to be given over at least 15-30 minutes

40
Q

What is the classification of fluconazole

A

anti fungal

41
Q

what is the route of fluconazole

A

po

42
Q

What are side effects of fluconazole

A

hepatotoxicity, stevens johnson syndrome, diarrhea, dizziness, rash, headache

43
Q

what are some nursing implications of fluconazole

A

monitor renal and liver labs

44
Q

what are some client teachings of fluconazole

A

report any symptoms of liver dysfunction (jaundice, dark urine, pale stool, anorexia, nausea)

45
Q

what is the action of fluconazole

A

inhibits synthesis of fungal sterols

46
Q

what is additional information for fluconazole

A

iv must be infused between 1-2 hours

47
Q

what is the classification of glyburide

A

anti diabetic

48
Q

what is the route for glyburide

A

po

49
Q

what are some side effects of glyburide

A

hypoglycemia, aplastic anemia, photosensitivity, pancytopenia

50
Q

what are some nursing implications of glyburide

A

wear sunscreen
must have some pancreatic function

51
Q

what are some client teachings for glyburide

A

assess for signs and symptoms of hypoglycemia and hyperglycemia
instruct patient on healthy diet, exercise, and medication to also help manage diabetes
avoid alcohol
monitor blood sugar and ketones

52
Q

what is the action of glyburide

A

decreases blood glucose by increasing the sensitivity to insulin at receptor sites

53
Q

what is additional information for glyburide

A

assess for allergy to sulfonamides
monitor CBC: may increase AST, LDH, BUN, creatine

54
Q

what is the classification of insulin glargine, insulin lispro, and insulin regular

A

antidiabetic hormone

55
Q

what is the route of insulin glargine, insulin lispro, and insulin regular

A

subq

56
Q

what are side effects of insulin glargine, insulin lispro, and insulin regular

A

hypoglycemia, anaphylaxis, lipodystrophy, pruritus, erythema, swelling

57
Q

what are nursing implications of insulin glargine, insulin lispro, and insulin regular

A

control hyperglycemia with type one or type two diabetes

58
Q

what are some clients teachings with insulin glargine, insulin lispro, and insulin regular

A

check blood sugar every 6 hours
watch for signs and symptoms of hyperglycemia and hypoglycemia

59
Q

what is the action of insulin glargine, insulin lispro, and insulin regular

A

stimulating glucose uptake in skeletal muscle and fat

60
Q

what is some additional information for insulin glargine

A

high alert medication
do not mix with other insulin
onset: 3-4 hours, peak: none, duration: 24 hours

61
Q

what is some additional information for insulin lispro

A

onset: 10-20 minutes; peak: 1-3 hours (adults); duration: 3-5 hours

62
Q

what is some additional information for insulin regular

A

onset: 30-60 minutes; peak: 2-4 hours; duration: 5-7 hours

63
Q

what is the classification of metformin

A

antidiabetic hormone

64
Q

what is the route of metformin

A

po

65
Q

what are the side effects of metformin

A

hypoglycemia, abdominal bloating, diarrhea, nausea, vomiting, decreased b12 levels

66
Q

what are client teachings with metformin

A

monitor blood glucose
risk for lactic acidosis
report gastrointestinal symptoms
take with meal to minimize gi effects

67
Q

what are some nursing implications with metformin

A

monitor b12 levels
assess renal function
monitor blood glucose

68
Q

what is the action of metformin

A

decrease hepatic glucose production

69
Q

what is additional information for metformin

A

hold during stress, trauma, surgeries
eliminated almost entirely by kidney
duration: 12 hours

70
Q

what is the classification of omeprazole

A

anti ucler

71
Q

what is the route for omeprazole

A

po

72
Q

what are the side effects of omeprazole

A

abdominal pain

73
Q

what are some nursing implications of omeprazole

A

assess for epigastric and abdominal pain
administer on an empty stomach

74
Q

what are some client teachings for omeprazole

A

do not crush or chew
take before meals
avoid alcohol, and nsaids

75
Q

what is the action of omeprazole

A

prevents the final transport of hydrogen into the stomach

76
Q

what is the classification of sitagliptin

A

antidiabetic

77
Q

what is the route of sitagliptin

A

po

78
Q

what are the side effects of sitagliptin

A

upper respiratory infections, rash, urticaria, pancreatitis

79
Q

what are the nursing implications of sitagliptin

A

may be used alone or combination with metformin
monitor blood glucose and Hgb A1C

80
Q

what are the client teachings of sitagliptin

A

increase levels of active incretin hormones

81
Q

what is additional information for sitagliptin

A

may be administered without regard to food
renal impairment requires lower dose
onset: rapid; peak: 1-4 hours; duration: 24 hours

82
Q

what is the classification of vancomycin

A

anti infective

83
Q

what is the route for vancomycin

A

po, iv

84
Q

what is the side effects of vancomycin

A

ototoxicity, nephrotoxicity, phlebitis, suprainfection, red man syndrome, rash

85
Q

what are the nursing implications for vancomycin

A

causes necrosis
use large vein, and switch site frequently
monitor outputs and watch for pale pink urine
monitor bun and creatinine levels
monitor blood pressure during infusion
monitor for red man syndrome
infusion should run over 1 hour

86
Q

what are some client teachings for vancomycin

A

report signs of hypersensitivity, tinnitus, vertigo, or hearing loss

87
Q

what is the action of vancomycin

A

binds to bacterial cell wall, resulting in cell death

88
Q

what is some additional information for vancomycin

A

active against gram- positive pathogens, including MRSA

Med surg 2 (6 decks)

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