side effects only

Question 1

amiodarone: side effects

Answer 1

antiarrhythmic - contains high levels of iodine and may affect thyroid function

Question 2

rx iodine (potassium iodine/SSKI, Lugol’s solution): side effects

Answer 2

reduces size and vascularity of thyroid - stains teeth so give in milk or juice with straw

Question 3

thiazides: side effects

Answer 3

retain calcium

Question 4

steroids - ADD

Answer 4

decrease Ca by excreting it through GI tract

Question 5

alcohol: side effects

Answer 5

suppresses ADH and is hypertonic

Question 6

digoxin toxicity

Answer 6

early: anorexia, nausea, vomiting
late: arrhythmias (AV block, PVC), brady, visual disturbances

K+ trouble! hypokalemia + digoxin = toxicity!

Question 7

morphine toxicity

Answer 7

pin point pupils

RR less than 13/min

Question 8

morphine side effects

Answer 8

sedation
hypotension
nausea, vomiting
urinary retention
physical dependence

check pupils & respirations

Question 9

neostigmine nursing considerations

Answer 9

cholinergic agonist (myasthenia gravis)
nausea, vomiting, abd cramps
respiratory depression
bronchoconstriction
hypotension, bradycardia

nursing: monitor vitals, atropine IM available, potentiates morphine

Question 10

anti-psychotics side effects

Answer 10

extrapyramidal
anticholinergic
tardive dyskinesia

MORE

Question 11

acute alcohol withdrawal s/s

Answer 11

lethargy
hangover
agranulocytosis

Question 12

benzodiazepine side effects (VERIFY)

Answer 12

antianxiolytic
drowsiness
ataxia
cardiovascular collapse

Question 13

lithium side effects

Answer 13

dizziness
headache
impaired vision
fine hand tremors
reversible leukocytosis

nursing considerations: monitor blood levels frequently, encourage 2500-3000 mL drink daily

Question 14

akathisia

Answer 14

restlessness, unable to sit still

Question 15

ataxia

Answer 15

loss of muscle control during voluntary movements

Question 16

calcium channel blocker: side effects

Answer 16

lightheadedness
headache
hypotension
hypokalemia

nursing responsibilities: monitor BP, K levels

Question 17

phenytoin (anticonvulsant/antiarrhythmic) side effects

Answer 17

thrombocytopenia
leukopenia
v fib
drowsiness
ataxia
nystagmus
diplopia
gingival hyperplasia
toxic hepatitis
red-brown, pink discoloration

nursing: with meals to minimize gi upset, oral hygiene, never mix with other drugs

Question 18

levothyroxine: patient should report s/s

Answer 18

chest pain
palpitations
sweating
nervousness
shortness of breath

Question 19

levothyroxine: side effects

Answer 19

nervousness
tremors
insomnia
tachycardia
palpitations
dysrhythmias
angina

Question 20

aminoglycoside side effects

Answer 20

ototoxicity, nephrotoxicity

nursing: check hearing, renal function, encourage fluids, offer small frequent meals (suppresses intestinal bacteria)

Question 21

coumadine side effects

Answer 21

hemorrhage
rash
fever
(excessive)

Question 22

coumadine: antidote

Answer 22

vitamin k (phytonadione/Mephyton)

Question 23

MAOI side effects

Answer 23

HAHA

htn/htn crisis
anticholinergic side effects
hepatocellular jaundice
arrhythmia, anorexia

Question 24

neuroleptic malignant syndrome

Answer 24

potentially fatal, may occur at any time during neuroleptic (antipsychotic) med therapy

rare; commonly occurs at initiation - med change, dosage increase, med combo

F ever
E ncephalopathy
V itals unstable
E xtrapyramidal
R igidity of muscles

Question 25

extrapyramidal effects

Answer 25

parkinsonism:
tremors
masklike facies
rigidity, shuffling gait
dysphagia, drooling

Question 26

tardive dyskinesia

Answer 26

protrusion of tongue
chewing motion
involuntary body movements

Question 27

furosemide: ae

Answer 27

push slowly over 1-2 minutes to prevent hypotension and ototoxicity