Pharm Exam 3 study guide Flashcards
Disulfiram use:
alcohol use disorder
Disulfiram GI effects if someone drinks:
-if someone drinks on this it causes acetaldehyde, leading to nausea, vomiting and headache
Tasmulosin adverse effects:
headache, hypotension, dizzy, ejaculatory dysfunction
IV magnesium sulfate use:
-prevents seizures in patients with pre-eclampsia
-stimulate labor
-VS increase BP leading to seizure
IV magnesium sulfate adverse effects:
respiratory depression, hypotension, muscle weakness, decreased deep tendon reflexes
Prioroity to monitor for adverse effects of IV magnesium sulfate:
respiratory rate, deep tendon reflexes, urine output and LOC
Oral contraceptive medication interactions
rifiampin, antocovulsants (clonazepam, clobazam, carbamazepine), St.johns worts
Who is contraindicated to use Oral Contraceptives :
history of thromboembolic disorders, estrogen-sensitive cancers and liver disease
Patient education for OC:
take daily at the same time, use backup contraception if needed, report any symptoms of blood clots
Sumatriptan adverse effects
chest pain, dizziness and serotonin syndrome, numbess/tingling
Sumatriptan patient education:
report chest pain and avoid combining SSRIs for depression and SNRIs
Misoprostol (ABORTION) adverse effects:
cramping, bleeding, nausea, diarrhea, and potential risk of uterine cancer. INCOMPLETE TISSUE
Betamethasone use in pre-term labor:
fetal lung maturity
Finasteride adverse effects
decreased libido, reduced ejaculate volume and gynecomastia
*teratogenic- should not be handled by pregnant people
Methadone use:
opioid use disorder
Glyburide use :
manages blood glucose levels in type 2 diabetes
how does glyburide work?
stimulates insulin secretion from functioning pancreatic cells
sildenafil use
Treat erectile dysfunction
hows does sildenafil works?
vasodilation
sildenafil interacts with what kind of meds
nitrates and beta blockers because the risk for hypertension and MI
vasopressin adverse effects:
water intoxication, hypertension, cardiac complications
vasopressin therapeutic effectiveness
increase bp and decrease urine ouput in diabetes insipidus
-decrease urine output, increase urine osmolity
Assessments to monitor adverse effects of vasopressin:
vital signs, urine output, and electrolyte levels
allopurinol patient education:
take with food and plenty of fluids, report any rash, fever or signs of liver/kidney issues. avoid alcohol and monitor uric acid
cushings disease dietary reccomendations
increase calcium and vitamin d, decrease sodium
adrenal insuffienceny treatment
administer insulin and dextrose to move into the cells
what is opiods given for
relieves moderate to severe pain
how does opiods work?
binds to mu-opiod receptors in the brain to produce analgesia and sedation
who shouldnt get opiods?
pregnancy, respiratory conditions or head injuries
use with caution with opioids?
older adults, patients with hepatic and renal impairment
opioid drug interactions
CNS depressants increase the risk of sedation and respiratory depression
opioid adverse effects
respiratory depression, constipation, sedation and urinary retention
opioid reversal agent
naloxone
naloxone considerations
may require repeat dosing. monitor for withdrawl symptoms and recurrence of sedation
administration considerations the nurse should know for opioid use:
monitor vital signs , withhold if respiratory rate is below 12
nursing interventions for a patient taking opiods
assess sedation level, monitor bowel and bladder function, assist with ambulation
Corticosteroids given for?
to prevent organ rejection during organ transplant
Glyburide
-sulfa allergy
-stimulates insulin release from pancreas
metformin
decrease glucose in liver
