NCLEX Drug Stduy Guide Flashcards

1
Q

Anti infectives

A

Treat infections

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2
Q

Antihypertensives

A

Lower blood pressure

Increase blood flow to the myocardium

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3
Q

Antidiarrheals

A

Decrease gastric motility

Reduce water content in the intestinal tract

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4
Q

Diurectics

A

Decrease water and sodium absorption in the kidney

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5
Q

Loop diuretics

A

Decrease absorption of sodium and water in the Loop of Henley

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6
Q

Potassium sparing diuretics

A

Inhibit antidiuretic hormone

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7
Q

Antacids

A

Reduce hydrochloric acid in the stomach

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8
Q

Common side effect of calcium aluminum based antacids

A

Constipation

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9
Q

Common side effect of magnesium based antacid

A

Diarrhea

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10
Q

Antipyretic

A

Reduce fever

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11
Q

Antihistamines

A

Block the release of histamines in allergic reactions

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12
Q

Common side effect of antihistamines

A

Dry mouth
Drowsiness
Sedation

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13
Q

Bronchodilators

A

Dilate large air passages

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14
Q

Bronchodilators commonly prescribed to treat

A

Asthma

Chronic obstructive lung disease

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15
Q

Common side effect of bronchodilators

A

Tachycardia

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16
Q

Laxatives

A

Promote the passage of stool

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17
Q

Types of laxatives

A
Stool softeners
Cathartic
Fiber
Lubricants 
Stimulants
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18
Q

Anticoagulants

A

Prevent clot formation by decreasing vitamin K levels and blocking the clotting chain
Preventing platelet aggregation

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19
Q

Anti anemic

A

Increase factors necessary for red blood cell production

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20
Q

Examples of anti anemic

A

B12
Iron
Epogen (erythropoetin)

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21
Q

Narcotics/analgesics

A

Relieve moderate to severe pain

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22
Q

Examples of narcotics/analgesics

A

Opioids (morphine, codeine)
Synthetic opioids (meperidine)
NSAIDs (ketorolac)

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23
Q

Anticonvulsants

A

Management of seizure disorder

Treatment of bipolar disorder

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24
Q

Examples of anticonvulsants

A

Lorazepam (Ativan)
Phenobarbital
Phenytoin (Dilantin)

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25
Q

Anticholinergics

A

Decrease oral secretion (cause mucous membranes to become dry)

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26
Q

Examples of anticholinergics

A

Atropine

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27
Q

Mydriatics

A

Dilate the pupils

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28
Q

Mydriatics treat

A

Cataracts

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29
Q

Miotics

A

Constrict the pupils

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30
Q

Example of miotics

A

Pilocarpine HCI

31
Q

Miotics treat

A

Glaucoma

32
Q

Abbreviations for time released drugs

A
Dur-duration
SR-sustained release
CR-continuous release
SA-sustained action
Contin-continuous action
LA-long acting
33
Q

Time released drugs

A

Should not be crushed or opened

34
Q

Enteric coated tablets

A

Prevents absorption in Upper GI tract

Slower absorption

35
Q

Spansules

A

Capsules containing time released beads that are slowly released

36
Q

If patient unable to swallow time released preparation

A

Notify physician to obtain an alternative preparation

37
Q

Seven rights of administering medication

A

Right client (ask client to state name and check id band)

Right route (check order for route of administration)

Right drug (check order for both generic and trade name)

Right amount (calculate correct dosage for adults and children)

Right time (administer medication 30 minutes before or after assigned time)

Right documentation (to prevent duplication of drug administration)

Right to refuse treatment (patients have the right to refuse medication or treatment)

38
Q

Angiotensin converting enzyme (ACE) inhibitors

A

Antihypertensives (treat both primary and secondary hypertension)

39
Q

Examples of Angiotensin converting enzyme (ACE) inhibitors

A
Benazepril (Lotensin)
Lisinopril (Zestril)
Captopril (Capoten)
Enalapril (Vasotec)
Fosinopril (Monopril)
Moexipril (Univas)
Quinapril (Acupril)
Ramipril (Alsace)
40
Q

Pril

A

Angiotensin converting enzyme (ACE) inhibitors

41
Q

Angiotensin converting enzyme (ACE) inhibitors side effects

A

Hypotension
Hacking cough
Nausea/vomiting
Respiratory symptoms

42
Q

Angiotensin converting enzyme (ACE) inhibitors nursing considerations

A

Monitor vital signs frequently
Monitor WBC count
Monitor electrolyte levels

43
Q

Angiotensin converting enzyme (ACE) inhibitors action

A

Inhibiting the conversion of angiotensin I to angiotensin II

44
Q

Beta adrenergics blockers

A

Lower blood pressure, pulse rate and cardiac output

45
Q

Beta adrenergic blockers treat

A

Migraine headaches
Vascular headaches
Glaucoma
Prevent myocardial infarctions

46
Q

Beta adrenergic blockers action

A

Blocking the sympathetic vasomotor response

47
Q

Olol

A

Beta adrenergic blockers/beta blockers

48
Q

Examples of beta adrenergic blockers/beta blockers

A

Acebutolol (Monitan, Rhotral, Sectral)
Atenolol (Tenormin, Apo-Atenol, Nova-Atenol)
Esmolol (Brevibloc)
Propanolol (Inderal)
Carvedilol(Corey) note does not end olol but I’ll

49
Q

Beta adrenergic blockers/beta blockers side effects

A
Orthostatic hypotension 
Bradycardia 
Nausea/vomiting 
Diarrhea 
Congestive heart failure 
Blood dyscrasias
50
Q

Beta adrenergic blockers/beta blockers nursing considerations

A

Monitor changes in lab valves that indicate nephrotic symptoms (protein, BUN, creatinine)
Monitor BP, heart rate and rhythm
Monitor for edema
Teach patient to: rise slowly
report bradycardia, dizziness, confusion, depression, fever
taper off the medication

51
Q

Aminoglycosides

A

Anti infectives

52
Q

Aminoglycosides action

A

Interfere with protein synthesis of the bacteria,causing the bacteria to die

53
Q

Cin/mycin

A

Aminoglycosides/anti infectives

54
Q

Examples of aminoglycosides/anti infectives

A
Gentamicin (Garamycin, Alcomicin, Genoptic)
Kanamycin (Kantrex)
Streptomycin (Streptomycin)
Tobramycin (Tobrex, Nebcin)
Amikacin (Amikin)
55
Q

Aminoglycosides/anti infectives side effects

A
Ototoxicity
Nephrotoxicity
Seizures 
Blood dyscrasias
Hypotension 
Rash
56
Q

Aminoglycosides/anti infectives nursing considerations

A
Obtain history of allergies 
Monitor IO
Monitor vital signs during IV infusion
Maintain patent IV site
Monitor for therapeutic levels 
Monitor for signs of nephrotoxicity
Monitor for signs of ototoxicity
Teach patient to report any changes in urinary elimination 
Monitor peak trough levels
57
Q

Peak trough levels

A

Determine therapeutic dosage by blood test levels (done 30-60 mins after the 3rd or 4th IV/IM dose and 30 mins before the next dose)

58
Q

Aminoglycosides/anti infectives treat

A

Super infections - Methicillin resistant staphylococcus aureus (MRSA)

59
Q

Methicillin resistant staphylococcus aureus (MRSA) symptoms

A
Fever 
Malaise 
Redness 
Pain 
Swelling 
Perineal itching 
Diarrhea 
Stomatitis 
Cough
60
Q

Benzodiazepines

A

Anticonvulsants/antianxiety

61
Q

Pam, pate, lam/azo, aze

A

Benzodiazepines/anticonvulsants/antianxiety

62
Q

Benzodiazepines action

A

Sedative-hypnotic, anticonvulsants, antianxiety

63
Q

Examples of benzodiazepines/anticonvulsants/antianxiety

A
Clonazepam (Klonopin)
Diazepam (Valium)
Chlordiazepoxide (Librium)
Lorazepam (Ativan)
Flurazepam (Dalmane)
64
Q

Benzodiazepines/anticonvulsants/antianxiety side effects

A

Drowsiness, lethargy, depression
Ataxia (loss of full control of body movements)
Restlessness, slurred speech
Bradycardia, hypotension
Diplopia (double vision)
Nystagmus (rapid involuntary eye movements)
Nausea/ vomiting
Constipation, incontinence, urinary retention
Respiratory depression, rash
Urticaria (rash of round red welts, intense itching with swelling caused by allergic reaction, typically to specific foods)

65
Q

Benzodiazepines/anticonvulsants/antianxiety nursing considerations

A

Monitor respirations
Monitor liver, kidney, bone marrow function
Monitor for signs of chemical abuse

66
Q

Phenothiazines

A

Antipsychotic/antiemetic(nausea/vomiting)/neuroleptic

67
Q

Zine

A

Phenothiazines/antipsychotic/antiemetic/neuroleptic

68
Q

Phenothiazines action

A

Antiemetic

Tranquilizer

69
Q

Examples of phenothiazines/antipsychotic/antiemetic

A
Chlorpromazine (Thorazine)
Prochlorperazine (Compazine)
Trifluoperazine (Stelazine)
Promethazine (Phenergan)
Hydroxyzine (Vistaril)
Fluphenazine (Prolixin)
70
Q

Phenothiazines/antipsychotic/antiemetic side effects

A
Extrapyramidal effects (drug induced movement disorder that include acute and tardive symptoms)
Drowsiness, sedation 
Orthostatic hypotension 
Dry mouth
Agranulocytosis 
Photosensitivity
Neuroleptic malignant syndrome
71
Q

Glucocorticoids

A

Anti inflammatory, anti allergenic, anti stress, immunosuppressant

72
Q

Glucocorticoids action

A

Decrease the inflammatory response to allergies and inflammatory diseases
Decrease the possibility of organ transplant rejection

73
Q

Sone/cort

A

Glucocorticoids