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pharmacology > physiological integrity: pharmacology > Flashcards

physiological integrity: pharmacology Flashcards

1
Q

safest blood transfusions

A

autologous
process of collection/reinfusion of own blood

eliminates incompatibility/infection

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2
Q

fentanyl manifestations

A

loss of bladder control
respiratoy depression
hypotension
sedation

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3
Q

lithium drug interactions

A

Ibuprofen
puts patient @ risk for lithium toxicity

aspirin would be better

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4
Q

venous devices

A

heparin lock
butterfly needles
hypodermic syringes

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5
Q

heparin lock

A

intermittent injection ports

used for frequent/regular heparin IV injections

allows more freedom than IV line

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6
Q

butterfly needle

A

venipuncture - giving meds/drawing blood

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7
Q

arterial line

A

measures arterial blood pressure

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8
Q

hypodermic syringes

A

used draw blood and fluid

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9
Q

blood transfusion reactions directions

A

return to blood bank (blood & tubing)

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10
Q

lactated ringers

A

isotonic fluid

more blood plasma than saline

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11
Q

lactated ringers therapeutic use

A

treats hypocolemic shock

replaces fluids/electrolytes

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12
Q

total parenteral nutrition (TPN)
dextrose 50% in water (D50W)
3% sodium chlorides (3%NaCl)

A

hypertonic solutions

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13
Q

D50W therapeutic use

A

treats hypoglycemia
administer rapidly IV bolus

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14
Q

3%NaCl therapeutic use

A

treats sever hyponatremia

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15
Q

beclomethasone teaching
inhaled corticosteroid

A

when administered intranasally

gently blow nose before administration

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16
Q

IV gentamycin adverse effects
drug class: aminoglycosides

NO

A

Nephrotoxicity - decrease urine output
Ototoxicity - tinnitus/hearing loss

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17
Q

corticosteroid application teaching

A

apply thin layer on damp skin
avoid skin folds

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18
Q

hypothyroid dose reduction requirements

A

signs of hyperthyroidism
tremors

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19
Q

warfarin lab efectiveness

A

INR used to assess effectiveness

20
Q

heparin lab effectiveness

A

partial thromboplastin used to assess effectiveness

21
Q

doxepine (TCA) teaching

A

sedation
confusion
orthostatic hypotension
weight gain

for 1st few weeks

22
Q

decongestant contraindications

a HAG cant have decongestants

A

Hypertension - narrows blood vessles
Arrythmia - increases workload of the heart
Glaucoma - increases intraocularpressure

23
Q

oral potassium teaching

A

dilute with 4 oz juice or other liquids
avoids unpleasent taste
prevents GI upset

24
Q

celsius to fahrenheight conversion

A

(C * 1.8) + 32 = F

25
Q

fahrenheight to celsius conversion

A

(F - 32) / 1.8 = C

26
Q

pancreatitis drug interactions contraindications

A

morphine sulfate

causes spasm of the pancreatic duct

27
Q

regular insulin adminstration possibilities

A

can be piggy backed to the TPN solution

28
Q

lugol solution

A

potassium iodide

take with juice - reduces bitter taste

29
Q

pyrazinamide side effects
treats TB

A

athralgia (joint pain)
hypersensitivity
myalgia (muscle pain)
hepatotoxicity
photo sensitivity
thrombocytopenia

30
Q

digoxin toxicity symptoms

A

visual disturbances
bradycardia
N/A/V

31
Q

factor VIII risks

A

hepatitis - sclera/skin yellowing

32
Q

epideral anesthesia side effects

A

hypotension

33
Q

traumatic head injury pharm contraindications

A

narcotics

narcotics decreases respirations/leads to acidosis/leads to further brain damage

rising ICP causes respiratory depression/causes acidosis/causes blood flow to brain/increases cerebral edema/increases ICP

34
Q

fluoxetine teaching

A

photosensitivity
check weight weekly
insomnia

35
Q

methergine therapeutic use

A

treats postpartem bleeding

36
Q

magnesium sulfate therapeutic use

A

prevents preterm birth
causes smooth muscle relaxation

37
Q

prostaglandins therapeutic use

A

softens cervix
induces labor

38
Q

levothyroxine teaching

A

take med on empty stomach

39
Q

layer of fat floating in bag of lipid emulsion parenteral nutrition solution

A

return to pharmacy
“cracking”

caused by
hypercalcemia
high phosphorus
poor salt albumin

40
Q

heparin antidote

A

protamine

41
Q

warfarin antidote

A

phytonadine (vitamin K)

42
Q

levadopa/cardopa teaching

A

take with food (minimizes GI effects)
causes urinary retention
monitor/report muscle twitching (indicates toxicity)

43
Q

ketoconazole teaching

A

avoid alcohol
avoid antacids
avoid sun

44
Q

sulfadiazine

A

withhold med if rash appears

45
Q

antidote to anticholinergic syndrome

A

physostigmine

pharmacology (16 decks)

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