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Module 2 > Medication Review > Flashcards

Medication Review Flashcards

1
Q

Anticoagulants prevent

A

DVT

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2
Q

Anticoagulants examples

A

Enoxaparin, Lovenox

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3
Q

How to administer anticoagulants

A

90º angle
In love handles with skin bunched

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4
Q

What to monitor for anticoagulants

A

For bleeding (can bleed easily)
Platelet count (150,000–450,000)

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5
Q

HIT

A

Heparin induced Thrombocytopenia

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6
Q

Heparin induced thrombocytopenia

A

Fatal immune mediated disorder characterized by reduced platelets (less than 100,000) & paradoxical increase in thrombotic events

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7
Q

Heparin induced thrombocytopenia is caused by

A

Development of antibodies against heparin

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8
Q

Treatment for heparin induced thrombocytopenia

A

Stop heparin

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9
Q

Diuretics block—

A

Sodium and chloride reabsorption

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10
Q

There are __ classes of diuretics

A

4

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11
Q

Loop diuretics example

A

Furosemide (Lasix)
MOST POTENT

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12
Q

Loop diuretics adverse effects

A

Hypokalemia, dehydration, hypotension, ototoxcity

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13
Q

For diuretics you must monitor

A

I&O: weigh daily, monitor BP (orthostatic hypotension)
Electrolytes (K+, Na+, Mg+, renal fxn (BUN, Creatinine))

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14
Q

Thiazide diuretics

A

Hydroclorothiazide (HCTZ)

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15
Q

Thiazide monitors

A

Electrolytes and blood glucose levels in diabetic

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16
Q

Osmotic diuretics

A

Mannitol
Diuresis without K+ loss

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17
Q

K+ sparing

A

Spironolactone

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18
Q

analgesic

A

Opioids

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19
Q

Morphine— monitor what?

A

Bowel habits!!
Respiratory rate
Level of consciousness
Abuse and dependency

20
Q

Opioids can cause someone to become

A

Very constipated, give stool softener

21
Q

Opioids can cause respiratory

A

Depression
Count breaths before admin to establish base line

22
Q

Make sure pt _______ _____ __________ before getting out of bed when taking opioids

A

Calls for help

23
Q

Ace inhibitors examples

A

“Prils”
Lisinopril
Monopril
Quinapril
Ramipril

24
Q

Ace inhibitors are used for

A

Hypertension, heart failure, MI

25
Q

Ace inhibitors adverse effects

A

Cough
Angioedema- rare!
Hyperkalemia
Monitor renal status (BUN, Creatinine)

26
Q

Beta blockers are used for

A

Dysrhythmias, angina, migraines, stage fright, anxiety

27
Q

Beta blockers adverse effects

A

Bradycardia
Bronchoconstriction
Masks signs of hypoglycemia

28
Q

Bradycardia with beta blockers

A

Check manual radial pulse/ apical pulse
HOLD if HR less than 60

29
Q

What can happen if beta blockers are abruptly stopped after long term use?

A

Angina pain and ventricular dysrhythmias can occur

30
Q

Which patients should not take beta blockers and why?

A

COPD and asthma pts due to bronchoconstrictions
Metoprolol can be used

31
Q

Calcium channel blockers regulates

A

Calcium ions into cells

32
Q

Calcium channel blockers play a critical role in

A

Function of vascular smooth muscle and the heart

33
Q

Adverse effects of calcium channel blockers

A

Swelling of limbs
(Use diuretic to decrease swelling)

34
Q

Avoid _____________ with calcium channel blockers

A

Grapefruit

35
Q

3 classes of calcium channel blockers

A

Dihydropyridines — amlodipine
Phenylalkylamine — verapamil — VSM/heart
Benzothiazepine — diltiazem — VSM/heart

36
Q

Calcium channel blockers end in _____ a lot of the time

A

“Pine”

37
Q

Gastrointestinal drugs are

A

Proton pump inhibitors “azole”

38
Q

Most common side effects for gastrointestinal drugs (PPI)

A

Headache and diarrhea

39
Q

Omeprazole (Prilosec)

A

1st ppi available

40
Q

Pantoprazole (Protonix)

A

IVP!! Reconstitute in 10 mL sterile saline or water

41
Q

Administer pantoprazole (Protonix)

A

Over 2-4 minutes

42
Q

Pantoprazole (Protonix) is the only PPI in ____ form

A

IV

43
Q

Proton pump inhibitors suppress

A

Gastric acid secretion
(GERD, gastric and duodenal ulcers)

44
Q

Gastrointestinal drugs (PPI) should be taken

A

Short term

45
Q

If gastrointestinal drugs (PPI) are taken long term, pt is at risk for

A

Pneumonia
Fractures
Thrombocytopenia
Low magnesium

Module 2 (15 decks)

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