MEDS Flashcards

1
Q

Morphine is what category of medication?

A

Analgesic

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2
Q

Adverse effects of Morphine (2)

A
  • respiratory depression

- constipation

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3
Q

Vancomycin is…

A

Vancocin

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4
Q

Levofloxacin is…

A

Levaquin

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5
Q

Aminoglycoside is…

A

Gentamicin

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6
Q

Vancomycin has what kind of properties?

A

Vesicant properties

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7
Q

What do you need to monitor with Levofloxacin (Levaquin)?

A

Symptoms of allergic reaction

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8
Q

Which has a longer effect, Enoxaparin (Lovenox) or Heparin?

A

Lovenox

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9
Q

What do you need to monitor with Warfarin (Coumadin)?

A

PT and INR

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10
Q

Divalproex (Depakote) black box warning

A

Hepatic failure

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11
Q

Gabapentin (Neurontin)

A

Used to treat peripheral neuropathy

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12
Q

Adverse effects of Albuterol (Proventil) (2)

A
  • tachycardia

- anxiety

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13
Q

What lab tests do you need to have for Atorvastatin (Lipitor)?

A

Liver function

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14
Q

What meds need to be tapered when discontinuing?

A
  • Labetalol (Normodyne)
  • Glucocorticosteroids
  • Psychoactive meds (Fluoxetine (Prozac))
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15
Q

With metoprolol (Lopressor) what do you need to monitor?

A

BP

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16
Q

Clonidine (Catapres) has to be calculated using…

A

Tablets

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17
Q

SR meds can’t be…

A

Crushed

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18
Q

Possible effects of first dose of ACE Inhibitor Enalapril (Vasotec)

A

Dizziness upon standing

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19
Q

If the patient is NPO can they take Metformin (Glucophage)?

A

Metformin (Glucophage) should be held

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20
Q

Caution Metformin with what condition?

A

Hepatic impairment

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21
Q

Prednisone adverse effect

A

GI Irritation

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22
Q

Glucocorticosteroids can be given with what to avoid adverse effects?

A

Food/milk

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23
Q

What lab needs to be monitored with ionated contrast media?

A

Serum creatinine

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24
Q

Reversal agent for Benzodiazepines

A

Flumazenil (Romazicon)

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25
Q

Reversal agent for opioids

A

Naloxone (Narcan)

26
Q

Antidote for heparin

A

Protamine sulfate

27
Q

Benzodiazepines and elderly

A

RISK FOR FALLS

28
Q

Lorazepam (Ativan) can have what kind of effects

A
  • respiratory depression

- CO 2 retention

29
Q

When giving Midazolam (Versed), you should have what available?

A

Flumazenil

30
Q

Max safe rate for Potassium Chloride

A

10 mEq/hr

31
Q

Calculation drops per minute

A

(Volume to be infused mL/hr) / (Drop factor constant) = gtt/min

32
Q

With heparin, monitor

A

aPTT

33
Q

Warfarin, monitor

A

PT , INR

34
Q

Monitor Liver Function Tests with..

A
  • statins
  • Divalproex (Depakote)
  • Metformin (Glucophage)
35
Q

Monitor what with ABX therapy?

A

Peaks and troughs

36
Q

Monitor what with iodinated contrast media?

A

Creatinine

37
Q

Monitor what with digoxin (Lanoxin) and furosemide (Lasix)

A

Serum electrolytes (POTASSIUM)

38
Q

Downstream occlusion message on IV pump

A

Kink in tubing or clamp may be closed

39
Q

Drop factor constant for 10 gtt/mL

A

6

40
Q

Drop factor constant for 15 gtt/mL

A

4

41
Q

Drop factor constant for 60 gtt/mL

A

1

42
Q

Post ear drop administration position

A

Remain on side for 5-10 minutes

43
Q

What must you do with every enteral feeding tube?

A

FLUSH

44
Q

What is an extravasation

A

Infiltration of vesicant fluid from IV into surrounding IV site

45
Q

Eye drop administration

A

Drop in lower conjunctival sac / 3-5 min between drops

46
Q

IM injection angle

A

72-90 degree

47
Q

What is an infiltration

A

Escape of non-vesicant fluid from IV into subq tissue

48
Q

Insulin sliding scale protocol

A
  • discouraged for lack of effective glycemic control

- greater incidence of hypoglycemia

49
Q

Intermediate acting insulin

A
  • NPH (Humilin N)
  • Lante (Humilin L)
    TAKE PC
50
Q

IV piggyback administration

A
  • clean port
  • flush line with 2-3 mL NS
  • administer med
  • flush again
51
Q

Long acting insuline

A

Glargine (Lantus) 1 hr onset

52
Q

Lorazepam (Ativan) disease interaction

A

COPD

53
Q

Meds that cause GI irritation

A

Oral potassium chloride, prednisone

54
Q

Morphine nursing care

A
  • cough and deep breathe q 2 hr
55
Q

PCA pump morphine levels

A

0.01 - 0.04 mg/kg/hr

56
Q

Rapid acting insulin name and onset

A

Humalog (Lispro) 10-15 min

57
Q

SubQ injection

A

45-90 degree angle, rotate sites to prevent fibrous tissue buildup

58
Q

Total dosage with morphine drip + resuce boluses

A

2.5 - 15 mg q 4 hrs

59
Q

What to monitor for beta blockers

A
  • BP
  • hold if systolic < 90
  • hold if HR < 50
  • taper to avoid arrhythmias, MI
60
Q

What insulin can you NOT mix with any other

A

Lantus - long acting