NCLEX Flashcards
Oxytocin is used to
Induce or augment labor
MMR vaccine
Prevent rubella
Etanercept is used to
Slow the progression of arthritis
Prolonged use of this med may cause Cushing’s syndrome
Methylprednisolone
Sulfa-
Sulfonamides - Antibiotics, UTIs
Sulfadiazine, Sulfamethoxazole, Sulfasoxazole
Antidote for opioids
Naloxone
-Mycin
Aminoglycosides/macrolides - Antibiotics
Erythromycin, Vancomycin, Tobramycin
Anti-platelet (used to prevent MI and CVA) SE: Bleeding and hemorrhage
Clopidogrel
Diverticulitis diet
Clear liquids to high fiber
-Profen
NSAIDs
Ibuprofen, Fenoprofen, Ketoprofen
Cef- or Ceph-
Cephalosporins - antibiotics (skin infection, resistant bacteria, meningitis, and other infections)
Cefadroxil, Cefixime, Cefalor
Cephalexin, Cephapirin, Cephradine
Smoking cessation aid (used to aid efforts to stop smoking) SE: change in appetite, unusual dreams
Varenicline
Antidote for magnesium
Calcium gluconate
This med might be used to lower serum potassium levels (DM med)
Regular insulin
Antidysrhythmic (used for A-fib, V-tach) SE: lung damage, heart failure, liver and thyroid toxicity
Amiodarone
Lipid ranges
LDL = <110 mmol/L
HDL = >40 mmol/L
Total = < 170 mmol/L
Valacyclovir is used to
Decrease symptoms of herpes zoster
A woman who has trichamoniasis infection takes
Metronidazole
Mood Stabilizer (used for BPD) SE: tremors, polyuria; Toxicity: GI upset, CNS changes, convulsions, coma, death
Lithium
Proton Pump Inhibitor (used for GERD, gastric ulcer) SE: HA, diarrhea, osteoporosis
Esomeprazole
A client who has asthma is instructed to take ____ two hours before exercising to prevent bronchospasms
Montelukast
-Terol
Bronchodilators
Albuterol, Bitolterol, Levabuterol, Pirbuterol
This med is given subcutaneously and has no peak action time (DM med)
Glargine
Antidote for lead
Succimer
Quetiapine is used to
Treat bipolar disorder
Clopidogrel is used to
Prevent an MI or stroke
-Triptan
Anti-migraines
Naratriptan, Rizatriptan
Rifa-
Antituberculars
Rifamate, Rifampin, Rifapentine, Rifater
-Actone
Potassium-Sparing Diuretics
Aldactone, Spironolactone
Piperacillin/Tazobactam is used to treat
Bacterial infections
Meloxicam may be used to
Relieve pain from OA or RA
-Azole
Antifungals
Butoconazole, Econazole, Fluconazole
Trousseau’s sign
Indicates low calcium and magnesium
Positive = the blood pressure cuff makes the hand flex forward and look like a claw
Montelukast is used to
Prevent bronchospasm
Tiotropium is used to
Treat COPD
-Vir
Antivirals
Abacavir, Zanamivir
-Sone
-Lone
Corticosteroids (anti-inflammatory and immune suppressant)
Cortisone, Dexamethasone, Prednisone
Methylprednisolone, Prednisolone
A pt who has a-fib is prescribed ____ to prevent thrombosis.
Warfarin
Antipsychotic (used for schizophrenia, acute psychosis, Tourettes) SE: neutropenia, high risk of EPS
Haloperidol
aPTT range
30-40 seconds
On heparin aPTT 1.5-2.5 times normal range
This med is used to treat C. Dif. most often
Vancomycin
Hold this med 48 hours before and after use of a contrast dye (DM med)
Metformin
Airborne precaution diseases
MTV
Measles
TB
Varicella
-Ine
Stimulants
Amphetamine, Caffeine, Terbutaline, Theophylline
-Floxacin
Fluoroquinolones - Antibiotics;
Ciprofloxacin, Levofloxacin, Gatifloxacin
Oxybutynin is used to
Prevent urinary incontinence
Hydromorphone is used for
Moderate to severe pain
- Analgesic
Insulin, rapid acting (used for type 1&2 diabetes mellitus) SE: hypoglycemia
Aspart/Lispro
-Pam
-Lam
Benzodiazepines (treat severe anxiety or insomnia, muscle spasms and seizures
Diazepam, Lorazepam
Alprazolam, Midazolam
-Triptyline
Tricyclics (antidepressants)
Amitriptyline, Nortriptyline, Protriptyline
Hemoglobin range
12 - 16 g/dL
Calci-
Calcium and Vitamin D supplements
Calciferol, Calcitriol, Ergocalciferol
-Zoline
Nasal Decongestants
Oxymetazoline, Xylometazoline
Serum creatinine range
0.6-1.2 mg/dL
-Ciclovir
Antivirals
Famciclovir, Ganciclovir, Acyclovir
Cullen’s sign
Indicates internal bleeding
Positive =a bluish color around naval
Ex: ectopic pregnancy or acute pancreatitis
Narcotic analgesic (used for chronic pain not responding to other analgesics) SE: addiction, respiratory depression
Fentanyl
Electrolyte relationships
Sodium + K = Inverse
Mag + Phos = Inverse
Ca + Phos = Inverse
K + Mag = Reciprocal
Ca + Vit D = Reciprocal
Ca + Mag = Reciprocal
Sedative-hypnotic (used for insomnia) SE: changes in behavior and mental health, sleep walking
Zolpidem
A pt who has paroxysmal supraventricular tachycardia should receive (IV dysrhythmic)
Adenosine
What should the nurse monitor with Zolpidem?
Sleep patterns
Antidote for Benzos
Flumazenil
Gout diet
Avoid purines
This med should not be taken with tadalafil
Nitroglycerin
-Setron
5-HT3 receptor blocker (anti-emetics)
Dolasetron, Granisetron, Ondansetron
What should the nurse monitor with Prednisone?
Delayed wound healing
HbA1c range
4 - 6 %
A man who has urinary hesitation and dysuria is prescribed _____ to relieve symptoms of benign prostatic hyperplasia.
Dutasteride (urinary retention med)
A pt who has muscle spasms is prescribed
Cyclobenzaprine
-Pril
Ace inhibitors
Captopril, Lisinopril, Enalapril, Quinapril
Colony stimulating factor (used for anemia from chronic kidney disease, perioperative) SE: blood clots
Epoetin
Babinski’s reflex
Normal in a baby <6 months old
The big toe dorsiflexes (or fans up and out) when the sole of the foot is stimulated
BUN range
10 - 20
Phosphorus range
3.0-4.5 mg/dL
-Ase
Thrombolytics (clot busters)
Altaplase, Eminase, Retavase, Streptokinase
Gabapentin was created for
Epilepsy
- But is often used to treat neuralgia
-Dronate
Bisphosphonates - treats osteoporosis or osteopenia (slows down bone breakdown)
Alendronate, Etidronate, Pamidronate, Risedronate
Atorvastatin is used to
Prevent heart disease
Cholinesterase inhibitor (used for mild to severe Alzheimer’s disease) SE: may decrease reaction time
Donepezil
McBurney’s sign
Indicates appendicitis
Positive = tenderness in the lower right quadrant of abdomen
Cholecystitis diet
Low fat
WBC range
5,000 - 10,000
-Lol
Beta blockers (prevents epi from doing its thing); treat angina, high BP, abnormal rhythms
Atenolol, Propranolol, Sotalol, Metoprolol
Liver Function Tests (LFTs) ranges
ALP: 40-120 u/L
ALT: 7-56 u/L
AST: 10-40 u/L
Hematocrit range
37 - 52%
ACE inhibitor (used for HTN, MI) SE: persistent cough, angioedema
Lisinopril
Valsartan is used to
Lower blood pressure
Dumping syndrome diet
Small, frequent meals
Corticosteroid (used for seasonal and perennial rhinitis) SE: nausea, dizziness, epistaxis
Fluticasone
Magnesium range
1.5-2.0 mEq/L
-Caine
Local anesthetics
Bupivacaine, Cocain, Lidocaine, Xylocaine
Parkland Burn Formula
4ml * kg * % TBSA
1/2 given over the first 8 hrs
1/2 given over the next 16 hrs
Pancreatitis diet
NPO, TPN may be used
Duloxetine is used to
Treat depression
-Azosin
Alpha blockers (prevent norepi from doings its thing)
Doxazosin, Prazosin, Terazosin
Brudzinski’s sign
For meningitis
Positive = the hips flex when the neck is flexed forward while laying supine
Phosphodiesterase inhibitor (used for erectile dysfunction) SE: flushing, erection lasting >4 hours, MI
Sildenafil
Antidote for heparin
Protamine sulfate
Nonselective Beta Blocker (used for HTN, dysrhythmias, migraine, many others) SE: bradycardia, hypotension
Propranolol
Anticonvulsant (used for neuralgia, partial seizures, fibromyalgia) SE: changes in behavior or mood, muscle twitching, confusion
Pregabalin
-Zine
Phenothiazines (antipsychotics)
Chlorpromazine, Perphenazine, Prochlorperazine
RBC range
4.5 - 5.5 million
Esomeprazole is used to
Treat GERD
Kernig’s sign
For meningitis
Positive = Pain in the hamstring muscles when extending the leg or flexing the hip
-Barbital
Barbiturates (sedative-hypnotics)
Amobarbital, Pentobarbital, Secobarbital
Calcium range
9 - 10.5 mg/dL
Methotrexate is a
DMARD = disease modifying anti-rheumatic drug (used for people with RA)
decrease pain and inflammation, reduce or prevent joint damage, and preserve the structure and function of the joints
A pt who has epilepsy takes
Phenytoin ( keep levels between 10-20 mcg/mL)
A patient taking allopurinol should decrease
Intake of purines
SSRI (used for depression, OCD, PTSD, panic attacks) SE: weight changes, drowsiness, loss of libido, hallucinations, insomnia
Sertraline
Bisphosphonate (used for osteoporosis) SE: jaw problems, pain in bones, muscles and joints
Risedronate
-Prazole
Proton pump inhibitors
Lansoprazole, Omeprazole, Pantoprazole
What should the nurse monitor with Olanzapine?
Mood (Can cause mood changes)
-Stigmine
Acetylcholinesterase Inhibitors (alzheimers/dementias, Myasthenia Gravis)
Neostigmine, Physostigmine, Pyridostigmine
What should the nurse monitor with Glipizide?
Blood glucose
-Sartan
Angiotensin-II receptor blockers (ARBs) - HF, High BP
Candesartan, Losartan, Telmisartan, Valsartan
Calcium channel blocker (used for HTN, angina, A-fib, A-flutter, SVT) SE: heart failure, peripheral edema
Diltiazem
Loop diuretic (used for renal failure and heart failure) SE: hypokalemia, ototoxicity
Furosemide
-Semide
Loop Diuretics
Furosemide, Torsemide
Pregabalin is used to
Treat neuropathy
____ may be given for antidepressant induced insomnia
Trazodone
Cort-
Corticosteroids (anti-inflammatory)
Cortisone, Hydrocortisone
What is rhabdomyolysis?
Skeletal muscle breaks down and releases a protein that damages the kidneys
(Can be fatal)
Antidote for acetaminophen
Acetylcysteine
What should the nurse monitor with Warfarin?
INR
-Statin
Most common lipid/cholesterol lowering BP meds
Rosuvastatin, Atorvastatin, Simvastatin
-Thiazide
Thiazide diuretics
Benzthiazide, Hydrochlorothiazide
Moro reflex
The baby thinks they are falling they will put arms out and then pull arms in as if they are “startled”
Antidote for digitalis
Digoxin immune fab
Antidote for warfarin
Vitamin K
Methylergonovine is used to
Treats severe bleeding of the uterus
Ex: postpartum mom with twins
-Cillin
Penicillins - Antibiotics
Amoxicillin, Penicillin, Ampicillin
Albumin range
3.5-5.5 g/dL
Platelet range
150,000 - 400,000
Glucose fasting range
70-105 mg/dL
Rhabdo s/s
Weakness
Swelling (fluid shift)
Dark urine + decreased output
Confusion
Arrythmia (electrolyte imbalance)
-Tidine
H2 receptor antagonists (anti-ulcer)
Cimetidine, Famotidine, Nizatidine, Ranitidine
____ is checked every 4-6 hours when TPN is initiated
A. WBC
B. Total lipids
C. Blood glucose
C. Blood glucose
Tramadol is used for
Pain control
- Do not take with alcohol
Statin (used to lower cholesterol and LDL and to raise HDL) SE: Rhabdomyolysis, hepatotoxicity
Atorvastatin
Atypical antipsychotic (used for schizophrenia, BPD, major depression, autism) SE: headache, agitation, EPS (low risk)
Aripiprazole
Fluoroquinolone (used for pneumonia, sinusitis, skin infection) SE: tendonitis, photosensitivity
Levofloxacin
____ is prescribed to treat heart failure
Digoxin
Chvostek’s sign
Indicates low calcium and magnesium
Positive = tap the cheek and the facial muscles twitch
INR range
.8 - 1.1
Therapeutic range = 2-3
Budesonide/formoterol is used to
Prevent acute asthma attacks
- It is inhaled
What should the nurse monitor with Digoxin?
Potassium
Anticoagulant (used for DVT prevention) SE: bleeding, neurological impairment
Enoxaparin
-Dipine
-Zem
Calcium channel blockers - treats angina and lowers bp
Amlodipine, Felodipine, Isradipine, Nifedipine
Diltiazem (Cardizem)
Antimycobacterial (used for TB, some other infections) SE: hepatotoxicity
Rifampin
Urine Specific Gravity
1.005 - 1.030
Types of prevention
Primary = Prevention
Secondary = Spot (detect)
Tertiary = Treat (manage disease)