Medications

Question 1

⬆️ serum glucose
Toxicity= muscle twitching, facial
Grimacing, spasmodic eye rolling exaggerated profusion of tongue
Do not double doses
High protein meals impair Absorption
Large amounts of. b6 and iron may interfere

Answer 1

Nursing implications

Question 2

Anti-multiple sclerosis agent
Contraindications: suicide, depression, seizure
Adverse rxn: seizures, depression,headache insomnia, Incoordination rigors, neutropenia
Assess for depression during therapy
Advise for flu like symptoms at cause spontaneous abortion

Answer 2

Interferon beta

Question 3

Glucocorticoid steroids
Management of cerebral edema
Contraindicated: active infection, adrenal suppression
Adverse rxn: depression euphoria, ICP, personality changes, hypertension, hyperglycemia, fluid retention hypokalemia, weight gain, osteoporosis, secular necrosis of joints, effects with NSAIDS

Answer 3

Dexamesthasone

Question 4

Adrenal insufficiency: hypotension, weight loss, weaknees, N/V, anorexia, lethargy, confusion, restlessness
Assess for ulcerative colitis, diarrhea, fever, Leukocytosis
Adminster in am
Entourage patient in diet high protein, calcium, and potassium. Low sodium, carbs

Answer 4

Dexamesthasone

Question 5

Antispasticity agent,
Mild sclerosis, trigeminal neuralgia
Inhibits reflexes at the spinal level, bowel and bladder function may also be improved
Contraindicated: may decrease seizure threshold
Discontinue over 2 wks or more

Answer 5

Baclofen

Question 6

Antiparkinson agent
Dopamine- relief of tremor and rigidity
Contraindicated in angle closure glaucoma, malignant melanoma, products with tartrazine, phenylalanine or aspartame
Adverse rxs: anxiety, psych problems, gambling & sexual urges, blurred mydriasis, N/V, darkening of urine/sweat, hemolytic anemia, leukopenia

Answer 6

Carbidopa- levodopa

Question 7

is used to treat muscle weakness in people with myasthenia gravis and to combat the effects of curariform drug toxicity
Contraindicated: mechanical intestinal or urinary obstruction and should be used with caution in patients with bronchial asthma
Sweating
Diarrhea
Nausea
Vomiting
Abdominal cramps
Increased salivation
Tearing
Increased bronchial secretions
Constricted pupils
Facial flushing due to vasodilation
Erectile dysfunction
Monitor vital signs frequently, especially respiratory rate.

Answer 7

Pyridostigmine