Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Drug Cards > PharmTest2 > Flashcards

PharmTest2 Flashcards

1
Q

Epinepherine

Adrenalin

A

Vasopressor/Adrenergic

Treats: Bronchospasm, Acute asthma attack, to restore cardiac rhythm in cardiac arrest, SHOCK

Contraindications: Closed Glaucoma, active labor

Nursing: Monitor cardio closely, schedule around meals. Monitor estravation of vein

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

Phenylephrine

A

Alpha-1 agonist

Treats: Vascular failure in shock, HYPOtension, dilates pupil, constricts blood vessel

Contraindication: closed angle glaucoma, Vtac

AE: Reflex bradycardia, blurred vision

Nursing: PUPIL DIILATION

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

Dopamine

Intropin

A

Adrenergic non-selective agonist

Treats: renal and cardiac SHOCK; ^ CO, renal perfusion, BP

Contra: Vfib, tachycardia

Effects: Increased heart rate, positive inotropic action, increased AV conduction

Adverse Rx: dysthythmia, N/V, tacycarida, angina, palpitation, hypotension, vasoconstriction

Nursing: Monitor cardiac functions

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

Fenoldopam

A

Dopaminergic Agonist

Treats: Severe hypertension, renal protection when giving IV dye, VASODILATION. DROPS BLOOD PRESSURE

Effects: vasodialation to renal, coronary, mesenteric, peripheral arteries,

Adverse: angina, dysrhythmia

Drug-drug: Beta blocker

Nursing note: CLOSE MONITOR, titrate slowly

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

Prazosin

Minipress

A

Adrenergic Antagonist- Alpha blocker

Treats: CHF, HTN, Raynauld syndrome, PTSD

Effects: Lowers BP

Nursing consideration: orthostatic hypotension (First dose syncope. NO OTC

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

Metoprolol

lopressor

A

Beta-Blocker

Treats: HTN, angina, irregular cardiac rhythms

Effects: decreased cardiac output and BP. Slows contraction

Contraindication: severe bradycardia, cardiogenic shock, airway disease

Nursing Indications: check BP/pulse before administer, do not suddenly stop. Drug masks hypoglycemia

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

Propranolol

Inderal

A

Beta-Blocker- similar to Metoprolol.

Treats: HTN, angina, decreases risk of death after MI

Adverse reactions: bradycardia, heart failure, bronchospasm

Nursing: Do not quit suddenly, drug masks hypoglycemia,

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

acetylcysteine

Mucomyst

A

Mucolytic

Treats: abnormally thick mucous, Tylenol toxicity

Adverse reactions: Bronchospasm, angeoedema,

Nursing: Give within 24 hours of tylenol OD. Bad smell

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

Albuterol

Proventil/Ventolin

A

Bronchodialator/Adrenergic: Beta2 agonist

Treats: Prevents and treats bronchospasm

Adverse RX: Bronchospasm [paradoxical reaction], hypokalemia, termors,

Nursing: Wait 2 min between inhalations, 5 min between different inhalers. RESCUE INHALER

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

Ipratroprium

atrovent

A

Bronchodialator/Anticholinergic:Antagonizing acetylcholine at muscarinic receptors

Treats: Bronchospasm, Rhinorrhea

Adverse effects: Bronchospasm, flulike symptoms, temporary eye blurring

Contraindications: Caution in closed angle glaucoma

Nursing: NOT rescue. Give daily

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

pilocarpine

Akarpine

A

Cholinergic Agonist

Treats: Dry mouth, dry eye, salivary gland, Open/close angle glaucoma (More effective draining)

Action: increases salivary gland action

Adverse Effects **, drug induced visual disturbances,

Contraindication: Asthma, Bronchospasm, Retinal disease

Nursing: Do not give with high-fat meal, eye exam before giving. Antidote: atropine

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

Nicotine

ProStep

A

Smoking cessation

Contraindication: Post MI, dysrhythmia, angina

AE: Vasculitis,

Nursing: do not smoke

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

Neostigmine

Prostigmin

A

Cholinoceptor

Tx: Myasthenia Gravis

Contraindication: GI obstruction, Urinary obstruction,

AE: Cholerginic Crisis, Cardiac arrest

Nursing: Antidote- Atropine

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

atropine

Atropine-sulfate

A

Antiarrhythmic- Anticholergenic

Treats: Bradyarrythmia, poisoning (anticholineresterase, mushrooms), Reduction of secretions (salivary, bronchial), give during CPR, CHOLERGINIC CRISIS

Adverse Reactions: Bradycardia(rebound), dry mouth, blurred vision, urinary retention

Contraindication: acute angle closure glaucoma, obstructive GI/GU, tachycardia, asthma, MI, Myasthenia gravis

Nursing: Oral hygiene, blurred vision

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

Isoflurane

Forane

A

Inhalation Anesthetic

Induces and maintains anesthesia

Adverse Reaction: hypotension, hypothermia, respiratory depression

Contraindications: Pregnancy, Increased ICP

Nursing: Keep environmental stimulus to a minimum. Fatties have issues- lipid soluble. Keep pt warm

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

Propofol

Diprivan

A

Parenteral Anesthetic

Uses: induction and maintenance of anesthesia and sedation. FAST onset

Contraindication: cautious use with sz disorder, vasuclar disease, ICP, pregnancy, lactation. Allergy to soybean oil, gycerol, egg

Adverse: involuntary movements

Interactions: benzos, cns depressants

Nursing: Low-stimulus environment, reassure patient, No preservatives

17
Q

lidocane

Xylocaine

A

Local Anesthetic- Reversible nerve blockade (infiltration anesthesia, regional block, nerve block)

Adverse effects: urticaria, angeioedema, bronchospasm,

Interactions: Anti-hypertensives, MAOIs, opiate agonists

Nursing: Do not give lidocaine and adrenaline in fingers/toes because that shit will fall off

18
Q

lorazepam

Ativan

A

CNS Depressant- Benzo, GABA

Uses- anxiety disorder, insomnia, epilepsy, ETOH withdrawal

Contraindication- glacoma, Pregnancy, psychosis, children under 6 mo

Adverse: drowsiness, ataxia, bradycardia, PARADOX

Nursing: assess for suicidal ideations, taper up and down, give throughout day

19
Q

phenytoin

Dilantan

A

Anti-convulsant

Use: control partial and generalized seizures

Function: Binds to Na channels, keeping the channel closed longer, and preventing excessive firing of the cell

Contraindication: bradycardia, heartblock, PREGNANCY

Adverse: CNS reactions, nystagmus, ataxia, GINGIVAL HYPERPLASIA

Nursing: assess levels, GIVE SLOWLY IV- SUICIDE, titrate up and down. Use condoms

20
Q

ethosuximide

Zarontin

A

Anticonvulsant

Use: Absense/petit mal seizure (Tiny sucky seizures)

Inhibits influx of calcium ions

Contraindications: Severe liver or kidney disease. Preg cat C

Adverse reactions: Drowsiness, dizziness, Joint pain, rash

Nursing: monitor levels, RASH, taper dose, assess CBC, UA, LFT

21
Q

Morphine

MS contin

A

Narcotic Analgesic: Schedule II

Use: Severe pain: Mu, kappa, delta receptors

Contraindications: renal, or hepatic impairment, respiratory depression, pregnancy, GI obstuction, ICP

Nursing: Increased fall risk

22
Q

Codeine

A

Narcotic Analgesic

Use: Mild-moderate pain, antitussive

Contraindications: not given with other narcotics,

Patient: assess breathing before giving, increased fall risk

23
Q

pentazoine

Talwin

A

Nartotic agonist-antagonist

Contraindication: pts with dependency; hepatic, pulmonary disease. High abuse tendency

Adverse effects: respiratory and circular depression

Nursing: avoid alcohol and CNS depressants while taking drug

24
Q

naloxone

Narcan

A

Opiod Antagonist

Function: displaces opiod analgesics form their receptor sites, reversing the effect.

Route: IM, IV, SC- IV effects within 2 min

Abrupt reversal leads to: N/v sweating, tachycardia, incrased BP, tremors, severe pain

25
Q

acetylsalicic acid

Aspirin

A

NSAID

Pharmotherapeutic: Tx mild-moderate pain, prevent platelet aggregation, antipyretic, antiinflammatory. Irreversibly inhibits cyclooxygenase (COX)

Kinetics: Absorbed in stomach, small intestine, protein bound

Contraindications: peptic ulcer disease, bleeding disorders, ill children, anticoagulants, renal/hepatic disease

Adverse rx: GI distress

Nursing: Give with milk/food. Use uncoated for CV. DO NOT GIVE TO KIDS WITH FLU SYMPTOMS. (Rye syndrome)

26
Q

ibuprofen

Motrin, advil

A

NSAID

Pharmacotherapeutics: arthritis, pain, dysmennorrhea, migraine, fever; COX inhibitor

Contraindications: GI Bleeding/ulcer, pregnancy, caution with heart/hepatic/kidney disease

Adverse Effects: GI upset, bleeding, liver/kidney damage, ^ risk CVA and MI

Nursing: monitor pts for signs of MI and Stroke. Give with milk,

27
Q

acetaminophen

Tylenol

A

Non-Narcotic analgesic

NOT NSAID

Pharmacotherapeutics: tx fever, mild pain

Pharmacodynamics: inhibits prostaglandin synthesis in the CNS

Contraindications: hepatic disease, hypovolemia, alcoholism

Adverse effects: hepatic, renal toxicity, rash

Nursing: Drug of choice for infants and children with flu symptoms, Overdose potentally fatal

28
Q

Sumatriptan

Imitrex

A

Selective serotonin receptor agonist

Therapeutics: headache and cluster headache

Kinetics: orally, intranasally, subcutaneously

Contraindications: CAD, ischemic artery disease, angina, diabetes PREGNANCY

Adverse effects: Coronary artery vasospasm, dysrhythmia MI,

Interactions: SSRI, MAOI

Nursing: confirm dx of type of headache; administer drug as soon as headache begins

29
Q

Norcuran/Succinylcholine

A

Muscle Relaxant

Give with anethesia to relax skeletal muscles or facilitate ventilation or intubation

Depolarization

Adverse: Prolonged paralysis, increased occular pressure

30
Q

Cholerginic Crisis

A 
increased sweating, 
salivation, 
bronchial
flaccid paralysis,
 respiratory failure secretions

excess of acetylcholine

31
Q

Myasthenic Crisis

A

Exacerbation of Myasthenia Gravis, in which the respiratory muscles fail

32
Q

Cholerginic Agnonists

A

Salivation

Bradycardia
Dilation of blood vessels
Constriction of the bronchioles
Increased activity of the GI tract
Constriction of the pupils
Increased tone and contraction of the bladder muscles

Drug Cards (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions