Meds & Shit - Part Trois

Question 1

A patient is taking zyrtec (cetirizine)…might might they have as a side effect?

Answer 1

Drowsiness

Question 2

Prednisone - diabetic should increase amount of daily Humulin NPH insulin. T/F?

Answer 2

TRUE

Question 3

A client is receiving bethanecol (urecholine) - the nurse realizes that the actin of the drug is to treat what?

Answer 3

Urinary retention.

Question 4

What are some possible adverse effects of morphine?

Answer 4

Constipation, respiratory depression/urinary retention, sedation, orthostatis HOTN, cough suppression

Question 5

Methotrexate - what are we most concerned about?

Answer 5

Bone marrow suppression.

Question 6

Nurse should hold cephalosporin for patients with an allergy. T/F?

Answer 6

True

Question 7

More education needed when the patient says they will use morphine FOR SEVERE pain - why?

Answer 7

We want to stay ahead of the pain.

Question 8

Allergy testing - should avoid benadryl 14 days before testing. T/F?

Answer 8

TRUE

Question 9

When taking warfarin, avoid high amounts of cabbage of broccoli. T/F?

Answer 9

TRUE

Question 10

Acyclovir - helps prevent herpes breakouts. T/F?

Answer 10

True

Question 11

PTT - 70 for heparin. T/F?

Answer 11

True

Question 12

Patient is taking heparin for pulmonary embolism - what should we monitor for?

Answer 12

crackles in the lungs!

Question 13

UC - contraindication for acetaminophen?

Answer 13

YES

Question 14

Nitro - store in dark area at room temp?

Answer 14

YES

Question 15

Diabetic medication - watch for excessive saliva?

Answer 15

YES

Question 16

Desmopression - what does it decrease?

Answer 16

Decreases urine?

Question 17

For a question about arthroplasty, take the __ out of the syringe. T/F?

Answer 17

True

Question 18

Older lady with fentanyl patch and she has bad pain - what should she pain?

Answer 18

Hydrocodone

Question 19

Statins - should watch for muscle aches and pains. T/F?

Answer 19

TRUE

Question 20

Albuterol-inhaled short acting

Formoterol, salmeterol-inhaled long acting.

Terbutaline-oral - long acting.

T/F?

Answer 20

True

Question 21

What are some adverse effects of asthma meds?

Answer 21

Tachycardia, angina, tremors, etc.

Question 22

Beta-blockers - do we give with asthma meds?

Answer 22

YES

Question 23

Beclomethasone - inahled or oral?

Prednisone - inhaled or oral?

Answer 23

Bec = inhaled.

Pred = oral.

Question 24

what is the action of a glucocorticoid for asthma?

Answer 24

Prevent inflammation, suppress airway mucus production and promote responsiveness of beta2 receptors in the bronchial tree

Question 25

Anaphylactic reaction - epi, bronchiodiolators, antihistamine, provide respiratory support, inform provider?

Answer 25

YES

Question 26

Digoxin - can it cause hypokalemia?

Answer 26

Yes (watch for nausea, vomiting, weakness)

Question 27

Quinidine - increases risk of digoxin toxicity. T/f?

Answer 27

TRUE

Question 28

Should a patient take digoxin at the same time each day AND observe for signs of digoxin toxicity?

Answer 28

YES & YES. Signs = fatigue, weakness, vision changes, GI effects.

Question 29

What are some tricyclic antidepressants?

Answer 29

Amitryptiline, imipramine, doxepin, nortriptyline, amoxapine, trimipramine

Question 30

What are TCA's used for?

Answer 30

Depression, depressive episodes of bipolar disorder, neuropathic pain, fibromyalgia, anxiety, insomnia

Question 31

Orthostatic hypotension - side effect of TCA?

Answer 31

YES

Question 32

TCA - can they have anticholinergic effects like blurred vision, dry mouth, etc?

Answer 32

YEs

Question 33

TCA - photophobia doesn't happen. T/F? Void before taking? Constipation risk?

Answer 33

FALSE, it does -wear sunglasses. YEs - it can cause anticholinergic effects/retains your pee. Constipation risk for sure!

Question 34

TCA - take when?

Answer 34

At bedtime r/t risk of sedation.

Question 35

TCA - toxicity s/s?

Answer 35

Dysrhythmia's, mental confusion, agitation, seizure, coma, death, monitor vitals, baseline ECG, notify provider if toxicity is present, decreased seizure threshold

Question 36

TCA - concurrent use with MAOI's and St John's worth leads to what?

Answer 36

Serotonin syndrome.

Question 37

TCA - avoid alcohol, antihistamine's, and anticholinergic's - t/f?

Answer 37

TRUE

Question 38

Levothyroxine - can increase the anticoagulant effects of warfarin by breaking down vitamin K. T/f?

Answer 38

true

Question 39

What are some drugs for irritable bowel?

Answer 39

Alosetron, Lubiprostone

Question 40

Heparin - APT normal level + __ to __ seconds, PT = __ - __ seconds, INR =

Answer 40

``` 60-80 = apt 18-24 = PT INR = 2-3 ```

Question 41

What's the antidote for HEPARIN?

Answer 41

Protamine

Question 42

Fursemide - what kind of diruetic is it?

Answer 42

High ceiling, so it blocks reabsorption of soidum and chloride to prevent reabsorption of water so you pee a TON

Question 43

What are some side effects of furosemide?

Answer 43

dehydration, hyponatremia, hypochloremia, hypotension, ototixicity (avoid gentamicin!!!), hypokalemia, hyperglycemia, hyperuricemia, decreased ca/mag levels

Question 44

What are some CNS stimulants for children?

Answer 44

Methylphenidate, dexmethylpehnidate, dextroamphetamine, amphetamine mixture, lisdexametamine

Question 45

CNS stimulants for kids - these meds increase levels of what? WHat are they used for?

Answer 45

increase NE, serotonin, dopamine - used for ADHD/conduct disorder.

Question 46

What are some S/e of CNS stimulants? Give when?

Answer 46

CNS stimulation (insomnia/restlessness) so give after 4pm!!!!!!

Question 47

CNS stimulants - should we monitor for weight and compare to baseline?

Answer 47

YES

Question 48

CNS stimulants - monitor vitals/ECG and observe for effects that aren't good. T/F?

Answer 48

True

Question 49

CNS stimulants - what should we do if the patient is hallucinating?

Answer 49

D/C med and report it

Question 50

CNS stimulants - do we stop them suddenly?

Answer 50

NO

Question 51

Hypersensitivity skin reaction - should we remove CNS patch and notify doctor?

Answer 51

YES