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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
ARB's (Sartans) - can they cause angioedema?
YES
26
Methotrexate - take __ or ___, but not daily.
1-2 It's lethal if taken too much!
27
Methotrexate - is it safe to take for pregnant/lactating moms?
NO
28
What are some side effects of methotrexate?
Bone marrow suppression, liver damage/toxicity, oral/GI ulcerations, pulmonary fibrosis
29
Methotrexate - monitor for bone marrow suppression - T/f?
True
30
Methotrexate - what tests should we perform weekly? What should we look for?
CBC, Hgb, HCT, Liver function tests - look for bruising!
31
Methotrexate - should the patient avoid bruising, report a soar throat, and monitor for oral/GI bleeding (NO NSAIDS!)
Yes
32
Methotrexate - decreased O2 and respiratory distress. T/F?
True
33
Acetaminophen - No more than __g per day.
4000
34
If you are to give 650 mg of tylenol and hydrocodone 4 hours, what should you do?
Call the doc - that's a lot of tylenol!
35
Phenelzine (an MAOI) cannot be given with ___ foods because it causes a hypertensive crisis.
Tyramine
36
What are some foods that contain tyramine?
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
Lasix can increase risk for digoxin toxicity because of hypokalemia. T/F?
True
38
Warfarin - should we take it with food?
YES
39
Warfarin - S/E = Liver failure? t/f?
True
40
Warfarin - PT = | INR =
``` PT = 18-24 INR = 2-3 ```
41
Carbamazepine - do not take with contraceptives because it does what?
Counter acts effect.
42
Phenytoin - give it with contraceptives and warfarin?
NO
43
Phenytoin - causes gingival hyperplasia so go to the dentist,right?
YES
44
Carbamazepine - should it be mixed with a TCA?
NO
45
Phenytoin - CBC, platelets, lab work, etc?
Yes
46
Propranolol & Timolol - can they cause broncho constriction and should be avoided in asthma patients?
YES
47
Lithium - avoid NSAID's and fuorsemide. T/F?
True
48
Lithium - category __ for pregnancy.
X - bad bad bad
49
Lithium - are hand tremors a side effect?
Yes (possibly thirst and GI upset, but hand tremors are da big one)
50
Math - remember 31 GTT and titrating at 2.5, along with 6 more units on top of their morning dose. REMEMBER
REMEMBER
51
Diphenydramine - causes what in children? Also, should they have it before allergy testing?
Sedation - don't give before testing, like a week or so!
52
Salicylism - may occur with what drug?
ASPIRIN
53
What are some signs and symptoms of salicylism? Like the BIG ONE?
TINNITUS
54
Eplerenone and spirnolactone - are they K sparing or not?
YES, they are. so watch for hyperkalemia which might be palpitations, muscle twitching, weakness, parasthesia, etc.
55
Spironolactone with another drug and what might be the side effects ?
PALPITATIONS
56
Eplerenone and spirnolactone - dont' take with amiloride or triamterene - why?
those are K+ sparing diuretics, you'll have too much K+!
57
When are eplerenone and spirnolactone contraindicated?
Potassium above 5.0, increase serum creat, and if you are prego/lactating!
58
Eplerenone and spirnolactone - precautioned in children and those with liver failure, right?
YES
59
What drugs do eplerenone and spirnolactone interact with?
ACE inhibitors, K+ sparing meds, and those that may cause lithium toxicity
60
Cain drugs and phenytoin can increase cardiogenic shock risk - T/F?
TRUE
61
Procainamide - increases risk of __ and __ effects.
CNS & Cardiac
62
Procainamide - action? Implications?
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
Antidepressants cause anticholinergic effects - what might occur because of that?
Orthostatic hypotension because you're all dried up!
64
Neostigmine - given for what? S/e? What do we give if shit gets too low?
GIven for myasthenia crisis - bradycardia can occur, so give atropine!
65
Pseudoephedrine - causes systemic vasoconstriction and can cause severe hypertension. T/F?
True
66
Steroids (sone) - don't give with what drug r/t gi bleeding? What does it to the immune system?
NSAID. Weakens immune system.

ATI Proctured BS (4 decks)

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