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ATI Proctured BS > Meds & Shit > Flashcards

Meds & Shit Flashcards

1
Q

Nurses should not compile a list of current meds T/F?

A

FALSE - they should - check for correct dosage/frequency

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2
Q

Medication reconciliation - should nurses include medications that pt. was taking at other facility that will be discontinued prior to transport?

A

YES

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3
Q

Furosemide - causes hyperkalemia. T/F?

A

FALSE - it caused hypokalemia.

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4
Q

Lithium and furosemide - what happens?

A

Lithium toxicity - watch for tinnitus.

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5
Q

Furosemide - blocks reabsorption of sodium and chloride - T/F?

A

True

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6
Q

Why do we give furosemide?

A

Pulmonary edema from heart failure.

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7
Q

What are some side effects of furosemide? What do we do about them?

A

Dehydration, hypokalemia (K

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8
Q

Digoxin - does it cause hypo or hyper kalemia?

A

HYPO

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9
Q

What’s the safe digoxin level?

A

0.5-2.0

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10
Q

Digoxin - increases force of myocardial ___ & improves __ volume & ___ output.

A

Contraction

Improves stroke volume.

Cardiac output.

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11
Q

Digoxin - side effects = what?

A

Dysrhythmia’s, CNS effects (fatigue, weakness, vision changes), GI (Anorexia, nausea, vomiting, abdominal pain)

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12
Q

What should the K level be with digoxin?

A

3.5-5

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13
Q

In what order do we administer NPH and regular insulin?

A

Air in NPH
Air into Regular
Draw up from regular
Draw up from NPH

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14
Q

How do we administer buccal fentanyl?

A

Placed in the buccal cavity - above the rear molar, between the upper cheek and gum.

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15
Q

What’s the antidote for tylenol?

A

Acetylcysteine

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16
Q

What is the antidote for a benzo?

A

Flumazenil

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17
Q

What’s the antidote for neostigmine?

A

Atropine

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18
Q

What’s the antidote for an opioid?

A

Naloxone

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19
Q

What’s the antidote for malignant hyperthermia caused by succinylcholine?

A

Dantrolene

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20
Q

What’s the antidote for opioid ABUSE?

A

Methadone

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21
Q

What is the antidote for a fentanyl antagonist?

A

Naloxone

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22
Q

What is the antidote for digoxin?

A

Digoxin immune Fab

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23
Q

What is the antidote for penicillin?

A

Erythromycin

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24
Q

ACE Inhibitors - what are 3 side effects?

A

HYPERkalemia, hypotension, persistent cough

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25
Q

ARB’s (Sartans) - can they cause angioedema?

A

YES

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26
Q

Methotrexate - take __ or ___, but not daily.

A

1-2

It’s lethal if taken too much!

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27
Q

Methotrexate - is it safe to take for pregnant/lactating moms?

A

NO

28
Q

What are some side effects of methotrexate?

A

Bone marrow suppression, liver damage/toxicity, oral/GI ulcerations, pulmonary fibrosis

29
Q

Methotrexate - monitor for bone marrow suppression - T/f?

A

True

30
Q

Methotrexate - what tests should we perform weekly? What should we look for?

A

CBC, Hgb, HCT, Liver function tests - look for bruising!

31
Q

Methotrexate - should the patient avoid bruising, report a soar throat, and monitor for oral/GI bleeding (NO NSAIDS!)

A

Yes

32
Q

Methotrexate - decreased O2 and respiratory distress. T/F?

A

True

33
Q

Acetaminophen - No more than __g per day.

A

4000

34
Q

If you are to give 650 mg of tylenol and hydrocodone 4 hours, what should you do?

A

Call the doc - that’s a lot of tylenol!

35
Q

Phenelzine (an MAOI) cannot be given with ___ foods because it causes a hypertensive crisis.

A

Tyramine

36
Q

What are some foods that contain tyramine?

A

Smoked salmon, cheddar cheese, aged cheese, pepperoni, salami, avocados, figs, bananas, smoked fish, protein, some dietary supplements, some beers, red wine. EMPHASIS ON SMOKED SALMON AND CHEDDAR CHEESE

37
Q

Lasix can increase risk for digoxin toxicity because of hypokalemia. T/F?

A

True

38
Q

Warfarin - should we take it with food?

A

YES

39
Q

Warfarin - S/E = Liver failure? t/f?

A

True

40
Q

Warfarin - PT =

INR =

A 
PT = 18-24
INR = 2-3
41
Q

Carbamazepine - do not take with contraceptives because it does what?

A

Counter acts effect.

42
Q

Phenytoin - give it with contraceptives and warfarin?

A

NO

43
Q

Phenytoin - causes gingival hyperplasia so go to the dentist,right?

A

YES

44
Q

Carbamazepine - should it be mixed with a TCA?

A

NO

45
Q

Phenytoin - CBC, platelets, lab work, etc?

A

Yes

46
Q

Propranolol & Timolol - can they cause broncho constriction and should be avoided in asthma patients?

A

YES

47
Q

Lithium - avoid NSAID’s and fuorsemide. T/F?

A

True

48
Q

Lithium - category __ for pregnancy.

A

X - bad bad bad

49
Q

Lithium - are hand tremors a side effect?

A

Yes (possibly thirst and GI upset, but hand tremors are da big one)

50
Q

Math - remember 31 GTT and titrating at 2.5, along with 6 more units on top of their morning dose. REMEMBER

A

REMEMBER

51
Q

Diphenydramine - causes what in children? Also, should they have it before allergy testing?

A

Sedation - don’t give before testing, like a week or so!

52
Q

Salicylism - may occur with what drug?

A

ASPIRIN

53
Q

What are some signs and symptoms of salicylism? Like the BIG ONE?

A

TINNITUS

54
Q

Eplerenone and spirnolactone - are they K sparing or not?

A

YES, they are. so watch for hyperkalemia which might be palpitations, muscle twitching, weakness, parasthesia, etc.

55
Q

Spironolactone with another drug and what might be the side effects ?

A

PALPITATIONS

56
Q

Eplerenone and spirnolactone - dont’ take with amiloride or triamterene - why?

A

those are K+ sparing diuretics, you’ll have too much K+!

57
Q

When are eplerenone and spirnolactone contraindicated?

A

Potassium above 5.0, increase serum creat, and if you are prego/lactating!

58
Q

Eplerenone and spirnolactone - precautioned in children and those with liver failure, right?

A

YES

59
Q

What drugs do eplerenone and spirnolactone interact with?

A

ACE inhibitors, K+ sparing meds, and those that may cause lithium toxicity

60
Q

Cain drugs and phenytoin can increase cardiogenic shock risk - T/F?

A

TRUE

61
Q

Procainamide - increases risk of __ and __ effects.

A

CNS & Cardiac

62
Q

Procainamide - action? Implications?

A

Decreases myocardial excitability, slows conduction velocity, and may depress myocardial contractility. Because of that, it could cause asystole/arrhythmia’s/hypotension.

Take blood work!

63
Q

Antidepressants cause anticholinergic effects - what might occur because of that?

A

Orthostatic hypotension because you’re all dried up!

64
Q

Neostigmine - given for what? S/e? What do we give if shit gets too low?

A

GIven for myasthenia crisis - bradycardia can occur, so give atropine!

65
Q

Pseudoephedrine - causes systemic vasoconstriction and can cause severe hypertension. T/F?

A

True

66
Q

Steroids (sone) - don’t give with what drug r/t gi bleeding?

What does it to the immune system?

A

NSAID.

Weakens immune system.

ATI Proctured BS (4 decks)

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