Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NURS Peds > Pharm HW 1 > Flashcards

Pharm HW 1 Flashcards

1
Q

When to push/ bolus Potassium Chloride…

A

Never, fatal Dysrhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Before hanging an insulin bag chexk…

A

If pt has urinated / Renal function I&O

Untreat3d Addison

Severe tissue trauma

K lab 3.5- 5

ECG: Tall peaked T waves, depressed ST segment, prolonged QT, Widened QRS, Loss of P wave

Magnesium level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Furosemide is this type of diuretic….

A

Loop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Onset, duration, peak IV furosemide

A

Onset 5 min

Peak 30 min

Duration 2 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Onset
Peak
Duration

Oral Furosemide

A

Onset 30 - 60 min
Peak 1 - 2 hrs
Duration 6 - 8 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Complications from administration of furosemide & aminoglycosides/ cisplatin…

A

Ototoxicity & nephrotoxicty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Allergy evaluation before giving furosemide…

A

Thiazide, sulfonamides, alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Spironolactone is classified as…

A

Potassium-sparing diuretics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Allergy contradictions to Chlorothiazide….

A

Thiazide

Sulfonamides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Chlorothiazide main SE focused on in PowerPoint…

A

Photo sensitivity

Long sleeves & sun block unless Sunburn / blisters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

ACE Inhibitors Captopril
Why monitor CBC with Differential….

A

Agranulocytosis <WBC

Neutropenia < Neutrophil count

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Captopril can cause hypokalemia….

A

False, Hyperkalemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cephalexin is this type of antibiotic…

Contradictions..

A

1st generation cephalosporin

Allergy to Penicillin- all end in suffix Cillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Oxybutynin is classified as…

A

Urinary tract Antispasmodics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Oxybutynin is contraindicated in which pts…

A

Uncontrolled angle glaucoma
Intestinal obstruction / atony
Urinary retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Examples: Albuterol (Salbutamol), Levalbuterol, Terbutaline

Examples: Salmeterol, Formoterol, Indacaterol

Which are short Acting (immediate relief) / long acting (Maintenance treatment)

A

Short Acting
Examples: Albuterol (Salbutamol), Levalbuterol, Terbutaline

Long acting
Examples: Salmeterol, Formoterol, Indacaterol

Beta-adrenergic agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Adverse reaction from a short Acting Beta-adrenergic agonist….

A

Paradoxical bronchospasm

Closure of airway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Measure _____ before and after an Albuterol treatment…

A

Peak Expiatory Flow

Forced Expiatory Volume

20
Q

Albuterol/Accuneb, Proair, Preventil

Inhaled

Onset
Peak
Duration

PO

Onset
Peak
Duration

A

Onset 5 - 15 min
Peak 60 - 90 min
Duration 3 - 6 hrs

PO

Onset 15 - 30 min
Peak 2 - 3 hrs
Duration 4 - 6 hrs or longer

21
Q

Most frequent SE with Albuterol…

A

Shaking, nervous, chest pain, tremor

22
Q

Nebulizer Albuterol flow settings…

A

6 - 10 L / min

23
Q

How long does a single 3mL treatment of Albuterol last….

A

10 minutes

24
Q

Levalbuterol

Onset
Peak
Duration

A

Onset 10 - 17 min
Peak 90 min
Duration 5 -6 hrs

25
Long acting beta-adrenergic agonist Salmeterol, Formoterol, Indacaterol 1. Cannot be combined with inhaled corticosteroids (T/F) 2. Can short Acting bronchodilators be used concurrently...
1. False. They MUST be combined with Inhaled corticosteroids 2. Yes
26
Salmeterol/ Serevent disk Inhalation only via the Diskus device (not a metered-dose inhaler). Administer every 12 hours (not for PRN use). Instruct the patient to inhale deeply and hold their breath for 10 seconds after using the inhaler. Do not shake the Diskus. Do not use a spacer with this device. Type of inhaler...
Long acting beta-adrenergic agonist Used for maintenance Used for prevention of exercise induced asthma
27
Salmeterol/ Serevent disk Used as a maintenance inhaler Used to prevent exercise induced asthma Give considerations...(5)
Inhalation only via the Diskus device (not a metered-dose inhaler). Administer every 12 hours (not for PRN use). Instruct the patient to inhale deeply and hold their breath for 10 seconds after using the inhaler. Do not shake the Diskus. Do not use a spacer with this device.
28
29
Salmeterol/Serevent disk Onset Peak Duration
Onset 10 - 25 min Peak 3 - 4hrs Duration >12 hrs
30
Salmeterol/ Serevent disk Route, disage, frequency for children >4 treating asthma
50mcg 1 puff, 2x daily, 12 hrs apart
31
Salmeterol/ Serevent disk Route, disage, frequency for children >4 preventing asthma induced bronchospasm
50 mcg 1 puff, 30 minutes before exercise, dont take additional dose for 12 hrs
32
Salmeterol/Serevent disk Dry powder / metered dose inhaler Is better known by this name...
Advair disc.
33
Anticholinergic (ipratropium / Atrovent) Is prescribed for asthma...
Yes, in combination with beta-adrenergic agonist to treat Acute asthma symptoms Rarely prescribed to peds
34
Beclomethasone, budesonide, fluticasone This type of medication...
Inhaled corticosteroids
35
36
Beclomethasone, budesonide, fluticasone Inhaled corticosteroids After use... If reduced use of short acting bronchodilator happens in pt, they may also Discontinue inhaled corticosteroids...
Rinse mouth / face (if nebulized) to reduce risk of Candida infection False, they will probably still need them
37
How do inhaled corticosteroids help one breath better...
Reduce inflammation of airways. Asthma & COPD
38
Inhaled corticosteroids Beclomethasone budesonide fluticasone Onset & Peak. Duration is unknown
Beclomethasone 1 - 3 days / 2 weeks Budesonide 1 - 2 days / 2 weeks
39
Most common SE with inhaled corticosteroids...
Throat irritation Thrush Cough HA N
40
Methylprednisolone Prednisolone Dexamethasone Hydrocortisone Tyoe of drug
Oral Corticosteroids
41
Oral corticosteroids Methylprednisolone Prednisolone Dexamethasone Hydrocortisone Chronic use in children... Administer during this time of day... How long to wean down after taking 5 day supply for asthma exacerbation....
Low growth rate Morning No need to ween down for 5 day dose
42
How to prevent GI upset with PO corticosteroids...
Take AM, w/ food, full glass water
43
Dornase alfa/ Pulmozyme Used for...
Liquidify mucos secretions to aloow for better airflow.
44
Dornase alfa/ Pulmozyme - Inhaled Have which type of effect...
Mucoluti Liquidify mucus
45
Monoclonal antibody (palivizumab/Synagis, nirsevimab/Beyfortus) Used for this disease... Adminstered how.. Use when...
Help protect babies / young children from RSV IV Before infection, doesn't help if already has RSV
46
Recommend <8 mnths recieve nirsevimab /Beyfortus....(Why) Protection how long... Palivizumab/Synagis is limited to children <24 months. That may be succepable to RSV. How often is it given...
Protect them from RSV 5 month protection Palivizumab/Synagis is limited to children <24 months Once a month
47

NURS Peds (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions