Pharmacology 4 Flashcards
WHAT ARE THE S/E OF NSAIDS
gi upset
give with food and water
CLASSIFICATIONS OF SOME BARBITURATES AND HYDANTOINS
anti-seizure class
WHAT DO YOU NEED TO CHECK FOR A PATIENT THAT IS ON ANTI-CONVULSANT MEDS
check their level of the drugs (therapeutic level is very small)
too high is toxic
too low is non-therapeutic
SOME S/E OF PATIENT ON NARCOTICS
constipation - increase fluid and stool softener/laxative
respiratory distress - narcan will reverse effects of toxicity
ANTIDOTE FOR COUMADIN
vitamin k
ANTIDOTE FOR HEPARIN
protamine sulfate
HOW DO LOOP DIURETICS WORK
inhibit the reabsorption in the ascending loop of sodium chloride
EXAMPLES OF ORAL ANTI-HYPOGLYCEMIC USED TO TREAT TYPE 2 DM
glyceride
glucophage
metformin
TREATMENT FOR TYPE 1 DM
insulin - injected sub q, usually a sliding scale
WHAT LAB VALUES ARE MOST RELEVANT WHEN ADMINISTERING FUROSEMIDE
potassium
WHY ARE NARCOTICS KEPT IN DOUBLE LOCK BOXES
because of their tendency to be highly addictive
MOST COMMON CARDIAC GLYCOSIDE
digoxin
WHAT IS ANTITUSSIVE USED FOR
cough suppressant
WHAT IS EXPECTORANT USED FOR
to loosen secretions and produce mucous
EXAMPLES OF POTASSIUM SPARING DIURETIC
aldactone
spironolactone
NSAIDS WORK BLOCKING WHAT NEUROTRANSMITTERS
prostaglandins
WHAT IS ANTIDOTE FOR NARCOTIC O/D
narcan (naloxone)
WHY IS HEPARIN GIVEN IV RATHER THAN ORALLY
destroys the gastric enzymes
LEVOTHYROXINE IS GIVEN FOR
hypothyroidism
ANTIDOTE FOR TYLENOL O/D
n-acetylcysteine (mucomyst)
HOW LONG MUST YOU BE ON THYROID MEDS
for life
ADL CONSIDERATIONS FOR ASPIRIN TX AND A THROMBOCYTOPENIC
electric razor
soft toothbrush
NURSING ACTION FOR 1ST TIME ANTIBIOTIC PENICILLIN IM INJECTION
have patient wait 30 minutes for allergic reaction
WHAT ARE S/S OF ANAPHYLAXIS
confusion respiratory depression increased heart rate hives wheezing
TREATMENT FOR ANAPHYLAXIS
wheezing - epi pen
rashes - benadryl
DRUG TREATMENT FOR ANAPHYLAXIS AND RESPIRATORY DISTRESS
epinephrine
COMMON DRUG TREATMENT FOR HIVES AND ITCHING
benadryl
PROTOCOL FOR CHEST PAIN
3 doses q5m if no relief then go to emergency room
WHAT ARE THE S/E ANTI-PSYCHOTIC MEDICATION
tardive dyskinesia - abnormal movements including involuntary lip smacking, blinking, must gasp for air in order to speak, raspy voice, involuntary raising eyebrows
WHAT DO YOU ALWAYS TELL PATIENTS IF THEY ARE TAKING HERBAL MEDS
they have to tell physician to ensure that there is no interaction with course of treatment
IF GIVEN ACE INHIBITOR, YOU HOLD THE MEDS IF BP IS LESS THAN
100 systolic
IF A PATIENT IS ON LONG TERM BENZODIAZEPINE HOW DO YOU INSTRUCT THEM TO STOP USING THE DRUG
titrate them - ween them off slowly
BEST PAIN MED FOR MODERATE TO SEVERE PAIN
morphine
HOW DOES A GLYBURIDE WORK
stimulates the pancreas to produce more insulin and increases sensitivity to the receptor sites
POST ENDOSCOPIC PROCEDURE WITH ANESTHETIZED PHARYNX/LARYNX
assess ability to swallow
assess gag reflex
WHAT IS THE MOST COMMON BRONCHODILATOR
albuterol
WHEN AND WHY THE BEST TIME TO TAKE FUROSEMIDE
morning because of increase urine output
COMMON MEDICATION FOR HERPES ZOSTER
acyclovir
IF YOU HAVE A PATIENT ON SEVERAL MEDS AND NOW IS ON ANOTHER INFECTION AND IS ON SULFAMIDE
hold all medications and notify physician since allergies can develop at any given time
ONE CLASS OF MEDS THAT CAN TREAT A WIDE VARIETY OF CONDITIONS (EDEMA, HTN, GLAUCOMA)
diuretic
WHY WOULD A PATIENT BE PUT ON COUMADIN PROPHYLACTICALLY
to prevent blood clots
WHEN SHOULD YOU GIVE PAIN MEDS FOR 24 HOURS POST OP
on a regular basis before they are in pain
SOMEONE ON ANTIBIOTICS AT 6 DAYS AND FEELS BETTER WHAT SHOULD THEY DO WHEN THEY START TO FEEL BETTER
continue course of antibiotics until complete
WHAT PULSE RATE WOULD YOU HOLD PROPRANOLOL FOR
less than 60
WHAT DOES A PEAK AND TROUGH MEASURE
therapeutic dose
peak = high
trough = low
WHAT CLASS OF MEDICATION TO LIQUEFY SECRETIONS
expectorants
EFFECT OF DILANTIN AND BIRTH CONTROL TOGETHER
decreases the effectiveness of the birth control
WHAT IS THE S/S OF ASPIRIN OD (ACETYLSALICYLIC ACID)
tinnitus - ringing in the ears
PATIENT HAS TYPE 1 DM AND RECEIVED INSULIN 1 HOUR AGO WITH INCREASED HR, DIAPHORETIC, AND SYNCOPE
hypoglycemia
S/S HYPERGLYCEMIA
polydipsia polyuria flush warm polyphagia
CONTRAINDICATIONS FOR NSAIDS
Varicella in children (no aspirin)
COMMONLY USED DRUG FOR UTI
bectram
CONTRAINDICATED MEDICATION FOR ASTHMA (COPD)
Inderal (propranolol)
+TB TEST DRUGS
Isoniazid
Rifampin
Ethambutol
Pyrazinamide
WHY IS ASPIRIN CONTRAINDICATED FOR CHICKEN POX IN CHILDREN?
Could develop Reyes Syndrome
WHAT SIDE EFFECTS CAN LEAD TO SERIOUS PERMANENT PROBLEMS IN A PATIENT USING ANTIPSYCHOTIC MEDICATION?
Arrhythmia
Seizure
Death
S/S OF ANTICHOLINERGIC USE
Flush
FIRST S/S OF DIGOXIN TOXICITY
Blurred vision
WHEN TO HOLD VERAPOMIL
Hypotension
TYPES OF INSULIN AND TIME FOR ONSET
Regular - 15-30 minutes
Long acting - 60 minutes
WHAT IS THROMBOCYTOPENIA
Condition where patient is prone to bleeding, resulting from decreased platelet count.
