Pharm Final Test Flashcards
Describe use of Baclofen…
Skeletal muscle relaxant. Used with Spine injuries, CP, MS.
Functions in GABA receptors
Discontinue Baclofen (Muscle relaxant for CP, Spine injuries) over how long period….
Why….
2 weeks
Avoid withdrawal symptoms Hallucinations, seizures, increased spacity
Do narcotic dosages need to be double checked by another RN…
Yes
When on a morphine pump PCA infusion
What special type of monitoring is needed…
CR monitor with Pulse Ox
Major SE of baclofen….
Drowsiness
Dizziness
Depresses CNS
CP child is prescribed Baclofen describe possible routes of delivery…
PO
Intrathecal
Max dose of Tylenol daily…
4 grams
Major considerations before give acetaminophen…
Liver function
Check labs
Ensure no Alcohol consumption
Acetylcysteine is used for…
Acetaminophen (Tylenol) OD
Acetylsalicylic acid
Ibuprofen
Naproxen
Ketorolac
Are which type of medication…
NSAIDS
Acetylsalicylic acid (Aspirin)
Ibuprofen
Naproxen
Ketorolac
Are all NSAIDS
Which major side effect must be monitored fir..
GI bleeding / Ulcer dec
Ketorolac (NSAID) shouldn’t be taken longer than…
5 days
Used in peds with Polyarticular Juvenile Idiopathic Arthritis
Monitor for bone marrow suppression & Bllod Cells
EDUCATE ON REPRODUCTIVE RISK IN BOTH MEN AND WOMEN
This medication is classed as a Antineoplastic, Antirheumatic, immunosuppressant…
Methotrexate
This medication can cause birth defects and double gloves are required when handling
Monitor for SS of hyperthyroidism & dev of hypothyroidism/ Enlargement of cervical lymph nodes.
Methotrexate
What are human chorionic Gonadotropin test used for…
hCG test are used to determine pregnancy
Methotrexate has potential for fetal harm if partner becomes oreggers while taking the med.
Describe instructions for both men & women using this medication…
Men: Use birth control while taking med & 3 months after
Women: Birth control during & for 6 months after.
Breastfeeding Contradicted during med and for 1 week after taking last dose
Classification: Antianemic
Epoetin alfa is a synthetic form of Erythropoietin (a hormone that stimulates the production of RBC)
It is commonly prescribed for these diseases…
CKD
CHEMOTHERAPY
HIV
Epoetin alfa medication
What is the highest level of Hemoglobin when this medication can still be given…
11g/dl
Increased hg level is Increased risk of cardiovascular events
Filgrastim
Classification….
Action….
Therapeutic effects…
Colony-Stimulating factor
Stimulation of growth of immature neutrophils & differenation active mature neutrophils
Reduction in infection due to chemotherapy
_____ is a granulocytes colony-stimulating factor that stimulates bone marrow to produc3 neutrophils
Filgrastim
Filgrastim: A granulocyte colony-stimulating factor that stimulates bone marrow to produce more neutrophils.
Monitor CBC 2X wkly
This type of pain is common…
Monitor Spleen size due to risk of splenomegaly/rupture, where to monitor…
When not to adminster…
Don’t shake vile
Bine pain common
Assess left upper quadrant for spleen enlargement
Don’t adminster 24 hrs before or after chemo
This vitamin essential for prevention of Neural Tube Defects also is required for production of RBC, DNA, RNA. Also stimulates production of RBC,WBC, Platelets….
B9 folic acid
Assure women of childbearing age are supplementing with this vitamin to prevent neural tube defects…
B9 folic acid
Vitamin B9 Folic acid is found in these types of foods…
Red meats, fish, dark green vegetable, fortified cerals
Iron ferrous Sulfate:
Therapeutic effect:
Prevents iron deficiency often found with Anemia
Adverse reactions of Iron Ferrous Sulfate…
PO: Staining of teeth
Hypotension
Nausea
Constipation/ dark diarrhea (May cause False positive in Guaic Test)
SS of Iron overdose
Early…
Late…
Stomach Pain
NVD
LATE
CYANOSIS
DROWSINESS
TACHYCARDIA
SEIZURES
When giving PO Iron what considerations to eating/full stomach does it have…
Take on empty 1hr before
2 hrs after for best absorption
Give what to increase the absorption of iron…
Vitamin C
Chelating agents to remove iron are associated with these diseases…
B- Thalassemia
Sickle Cell Disease
