Pharmacology Flashcards
Mineralocorticoids are responsible for the balance of what?
fluid and electrolytes
What type of insulin is used in a subq insulin pump?
Short acting insulins such as regular, lispro, aspart or glulisine
If administering telavancin parentally, what should the nurse be monitoring the patient for?
pruritus-this can occur when the medication is infused to rapidly
How should a patient take Alendronate sodium?
With a full glass of water on an empty stomach to decrease the risk of esophagitis, and sit or stand for at least 30 minutes
What type of medication is Infliximab?
A tumor necrosis factor antibody medication, which has immunosuppressive properties
What are the current guideline for a patient with RA to being taking methotrexate?
Within three months of initial diagnosis to prevent or delay joint degeneration
What type of drug is Celecoxib?
An NSAID
The Rotavirus vaccine is contraindicated in infants with what?
Intusseption
What is the treatment for IV infiltration?
Stop infusion
Remove peripheral catheters
apply cold compress
elevate extremity
insert new catheter in opposite extremity
What is the treatment for IV extravasation?
Stop infusion
Discontinue Administration
Aspirate drug if possible
Apply cold compress
Document condition of site
What is the treatment for phelbitis/thrombophlebitis?
Stop infusion
Remove Peripheral IV cath
Apply Heat compress
Insert new catheter in opposite extremity
What is the treatment for a hematoma from an IV infusion?
Remove IV cath
Apply light pressure if bleeding
Monitor for signs of phlebitis and treat
What is the treatment for a catheter embolus?
Immediately apply tourniquet high on extremity to limit venous flow
Prepare for removal under x-ray
How often do you monitor blood glucose for a patient undergoing TPN administration?
Every 4-6 hours
How often do you change TPN fluid and tubing?
Every 24 hours
If TPN administration is temporarily unavailable, what is the next course of action?
Administer Dextrose 10% in water to prevent hypoglycemia
Acetaminophen
Antidote/Reversal Agents?
Toxic Drug Levels?
Acetylcysteine
Toxic Drug Levels <250mcg/mL
Antidote/Reversal Agents:
Benzodiazapine
Flumazenil
Antidote/Reversal Agents:
Curcare
Edrophonium
Antidote/Reversal Agents:
Digitalis
Digoxin immune FAB
Antidote/Reversal Agents:
Ethylene Posioning
Fomepizole
Antidote/Reversal Agents:
Heparin/Enoxaparin
Protamine Sulfate
Antidote/Reversal Agents:
Iron
Deferoxamine
Antidote/Reversal Agents:
Magnesium Sulfate
Calcium Gluconate 10%
Antidote/Reversal Agents:
Warfarin
Phytonadione (vitamin K)
Aminophylline
Therapeutic Drug Levels?
Toxic Drug levels?
10-20 mcg/mL Therapeutic
>20 mcg/mL