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LVN SEMESTER II > Pharmacology 4 > Flashcards

Pharmacology 4 Flashcards

1
Q

WHAT ARE THE S/E OF NSAIDS

A

gi upset


give with food and water

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2
Q

CLASSIFICATIONS OF SOME BARBITURATES AND HYDANTOINS

A

anti-seizure class

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3
Q

WHAT DO YOU NEED TO CHECK FOR A PATIENT THAT IS ON ANTI-CONVULSANT MEDS

A

check their level of the drugs (therapeutic level is very small)


too high is toxic

too low is non-therapeutic

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4
Q

SOME S/E OF PATIENT ON NARCOTICS

A

constipation - increase fluid and stool softener/laxative


respiratory distress - narcan will reverse effects of toxicity

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5
Q

ANTIDOTE FOR COUMADIN

A

vitamin k

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6
Q

ANTIDOTE FOR HEPARIN

A

protamine sulfate

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7
Q

HOW DO LOOP DIURETICS WORK

A

inhibit the reabsorption in the ascending loop of sodium chloride

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8
Q

EXAMPLES OF ORAL ANTI-HYPOGLYCEMIC USED TO TREAT TYPE 2 DM

A

glyceride

glucophage

metformin

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9
Q

TREATMENT FOR TYPE 1 DM

A

insulin - injected sub q, usually a sliding scale

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10
Q

WHAT LAB VALUES ARE MOST RELEVANT WHEN ADMINISTERING FUROSEMIDE

A

potassium

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11
Q

WHY ARE NARCOTICS KEPT IN DOUBLE LOCK BOXES

A

because of their tendency to be highly addictive

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12
Q

MOST COMMON CARDIAC GLYCOSIDE

A

digoxin

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13
Q

WHAT IS ANTITUSSIVE USED FOR

A

cough suppressant

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14
Q

WHAT IS EXPECTORANT USED FOR

A

to loosen secretions and produce mucous

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15
Q

EXAMPLES OF POTASSIUM SPARING DIURETIC

A

aldactone


spironolactone

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16
Q

NSAIDS WORK BLOCKING WHAT NEUROTRANSMITTERS

A

prostaglandins

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17
Q

WHAT IS ANTIDOTE FOR NARCOTIC O/D

A

narcan (naloxone)

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18
Q

WHY IS HEPARIN GIVEN IV RATHER THAN ORALLY

A

destroys the gastric enzymes

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19
Q

LEVOTHYROXINE IS GIVEN FOR

A

hypothyroidism

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20
Q

ANTIDOTE FOR TYLENOL O/D

A

n-acetylcysteine (mucomyst)

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21
Q

HOW LONG MUST YOU BE ON THYROID MEDS

A

for life

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22
Q

ADL CONSIDERATIONS FOR ASPIRIN TX AND A THROMBOCYTOPENIC

A

electric razor


soft toothbrush

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23
Q

NURSING ACTION FOR 1ST TIME ANTIBIOTIC PENICILLIN IM INJECTION

A

have patient wait 30 minutes for allergic reaction

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24
Q

WHAT ARE S/S OF ANAPHYLAXIS

A 
confusion

respiratory depression

increased heart rate

hives

wheezing
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25
Q

TREATMENT FOR ANAPHYLAXIS

A

wheezing - epi pen


rashes - benadryl

26
Q

DRUG TREATMENT FOR ANAPHYLAXIS AND RESPIRATORY DISTRESS

A

epinephrine

27
Q

COMMON DRUG TREATMENT FOR HIVES AND ITCHING

A

benadryl

28
Q

PROTOCOL FOR CHEST PAIN

A

3 doses q5m if no relief then go to emergency room

29
Q

WHAT ARE THE S/E ANTI-PSYCHOTIC MEDICATION

A

tardive dyskinesia - abnormal movements including involuntary lip smacking, blinking, must gasp for air in order to speak, raspy voice, involuntary raising eyebrows

30
Q

WHAT DO YOU ALWAYS TELL PATIENTS IF THEY ARE TAKING HERBAL MEDS

A

they have to tell physician to ensure that there is no interaction with course of treatment

31
Q

IF GIVEN ACE INHIBITOR, YOU HOLD THE MEDS IF BP IS LESS THAN

A

100 systolic

32
Q

IF A PATIENT IS ON LONG TERM BENZODIAZEPINE HOW DO YOU INSTRUCT THEM TO STOP USING THE DRUG

A

titrate them - ween them off slowly

33
Q

BEST PAIN MED FOR MODERATE TO SEVERE PAIN

A

morphine

34
Q

HOW DOES A GLYBURIDE WORK

A

stimulates the pancreas to produce more insulin and increases sensitivity to the receptor sites

35
Q

POST ENDOSCOPIC PROCEDURE WITH ANESTHETIZED PHARYNX/LARYNX

A

assess ability to swallow


assess gag reflex

36
Q

WHAT IS THE MOST COMMON BRONCHODILATOR

A

albuterol

37
Q

WHEN AND WHY THE BEST TIME TO TAKE FUROSEMIDE

A

morning because of increase urine output

38
Q

COMMON MEDICATION FOR HERPES ZOSTER

A

acyclovir

39
Q

IF YOU HAVE A PATIENT ON SEVERAL MEDS AND NOW IS ON ANOTHER INFECTION AND IS ON SULFAMIDE

A

hold all medications and notify physician since allergies can develop at any given time

40
Q

ONE CLASS OF MEDS THAT CAN TREAT A WIDE VARIETY OF CONDITIONS (EDEMA, HTN, GLAUCOMA)

A

diuretic

41
Q

WHY WOULD A PATIENT BE PUT ON COUMADIN PROPHYLACTICALLY

A

to prevent blood clots

42
Q

WHEN SHOULD YOU GIVE PAIN MEDS FOR 24 HOURS POST OP

A

on a regular basis before they are in pain

43
Q

SOMEONE ON ANTIBIOTICS AT 6 DAYS AND FEELS BETTER WHAT SHOULD THEY DO WHEN THEY START TO FEEL BETTER

A

continue course of antibiotics until complete

44
Q

WHAT PULSE RATE WOULD YOU HOLD PROPRANOLOL FOR

A

less than 60

45
Q

WHAT DOES A PEAK AND TROUGH MEASURE

A

therapeutic dose

peak = high

trough = low

46
Q

WHAT CLASS OF MEDICATION TO LIQUEFY SECRETIONS

A

expectorants

47
Q

EFFECT OF DILANTIN AND BIRTH CONTROL TOGETHER

A

decreases the effectiveness of the birth control

48
Q

WHAT IS THE S/S OF ASPIRIN OD (ACETYLSALICYLIC ACID)

A

tinnitus - ringing in the ears

49
Q

PATIENT HAS TYPE 1 DM AND RECEIVED INSULIN 1 HOUR AGO WITH INCREASED HR, DIAPHORETIC, AND SYNCOPE

A

hypoglycemia

50
Q

S/S HYPERGLYCEMIA

A 
polydipsia

polyuria

flush

warm

polyphagia
51
Q

CONTRAINDICATIONS FOR NSAIDS

A

Varicella in children (no aspirin)

52
Q

COMMONLY USED DRUG FOR UTI

A

bectram

53
Q

CONTRAINDICATED MEDICATION FOR ASTHMA (COPD)

A

Inderal (propranolol)

54
Q

+TB TEST DRUGS

A

Isoniazid
Rifampin
Ethambutol
Pyrazinamide

55
Q

WHY IS ASPIRIN CONTRAINDICATED FOR CHICKEN POX IN CHILDREN?

A

Could develop Reyes Syndrome

56
Q

WHAT SIDE EFFECTS CAN LEAD TO SERIOUS PERMANENT PROBLEMS IN A PATIENT USING ANTIPSYCHOTIC MEDICATION?

A

Arrhythmia
Seizure
Death

57
Q

S/S OF ANTICHOLINERGIC USE

A

Flush

58
Q

FIRST S/S OF DIGOXIN TOXICITY

A

Blurred vision

59
Q

WHEN TO HOLD VERAPOMIL

A

Hypotension

60
Q

TYPES OF INSULIN AND TIME FOR ONSET

A

Regular - 15-30 minutes

Long acting - 60 minutes

61
Q

WHAT IS THROMBOCYTOPENIA

A

Condition where patient is prone to bleeding, resulting from decreased platelet count.

LVN SEMESTER II (8 decks)

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