Small details to remember for final

Question 1

What cautions will make you contraindict giving a patient vasopressin?

Answer 1

• Angina
• Decreased cardiac output
• Increased peripheral resistance (hypertension)
• Arrhythmia

Question 2

What do you assess in a patient taking vasopressin?

Answer 2

vital signs and serum sodium levels

Question 3

When a patient is taking levothyroxine for their hypothyroidism watch out for what thyroid crisis symptoms

Answer 3

angina
tachycardia
palpitations
hypertension
cardiac dysrhythmia
N/V/D
Cramping
Insomnia
Tremors
Headache
Nervousness
Irritability
weight loss
 fever

Question 4

Patient taking Glucophage teach them..

Answer 4

take 30 mins before breakfast everymornig.

• avoid aspirin and alcohol
• encourage routine follow ups, proper diet and exercise

Question 5

For Propylthiouracil treating hyperthyroidism the most serious adverse effect is

Answer 5

agranulocytosis. Regularly check CBC for leukopenia

Question 6

Phenelzine for depression a Monoamine oxidase inhibitors (MAOIs)
remember

Answer 6

only adverse effect is orthostatic hypotension and avoid foods containing tyramine

Question 7

Valproic acid for absense seizures and complex partial seizures what does it do?

Answer 7

Increase concentration of GABA in brain and suppress abnormal neuronal discharges by blocking the influx of sodium into neurons

Question 8

how do you position a patient with is on Lidocaine (Xylocaine) containing epinephrine

Answer 8

semi-Fowler’s to prevent diaphragmatic paralysis or respiratory depression

Question 9

Lithium carbonate (Eskalith)
Agents for Bipolar Disorders

Answer 9

• Obtain baseline thyroid, kidney, cardiac function
• Take drug with meals or milk to reduce GI upset
• Monitor serum levels every 1-3 days initially and then 2-3 months thereafter (lithium toxicity)
• Assess daily for weight, edema, and changes in skin turgor
• Instruct patient to take 8-12 glasses of fluid daily to main hydration
• Warn for switching different brand