Term 3 Flashcards

0
Q

What is hyperplasia ?

A

Overgrowth of gum tissue

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1
Q

Name some common headache medication ?

A

Ergot preparation
Ergostat / gynegen
Cafergot

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2
Q

What seizure medication can cause gengiva hyperplasia ?

A

Dilantin

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3
Q

What do you have to monitor when taking anticonvulsants ? What test is given for seizure pt ?

A

Serum blood levels

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4
Q

What are the side effects of Dilantin ?

A

Gingiva hyperplasia
Pink urine
Drowsiness

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5
Q

Tube feeding must be stopped 1-2 hours before and after administering which medication ?

A

Dilantin ( phenytoin )

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6
Q

Tregetol is used for treatment of what ?

A

Seizure

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7
Q

What are the side of tregretol ?

A

Liver - May cause clotting problem

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8
Q

When taking barbiturates what must the nurses check for side effect ?

A

Check respiration

Drowsiness

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9
Q

What can happen if the barbiturates is stopped abruptly ?

A

It may cause seizures

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10
Q

What medication can be used in conjunction with other seizure medication ?

A

Barbiturates( phenobarbital , luminal )

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11
Q

What drug is used for patient experiencing status epilepticus ?

A

Diazepam or Valium is given

IV OR IM

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12
Q

If a patient is on Dilantin and phenobarbital and phenobarbital is discontinued rapidly what adverse reaction can occur ?

A

Dilantin toxicity

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13
Q

Why is codeine used instead of morphine for traumatic brain injuries ?

A

Codeine does not decrease respiration

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14
Q

What do you monitor patient for taking parkinson med ?

A

Orthrostatic hypotension
Evaluate drug effectiveness
Observe activities and change in symptoms

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15
Q

What are the side effect of levodopa/sinimet ?

A

N/v & orthrostatic hypotension

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16
Q

What does amantadine (symmetry) do ? For Parkinson’s

A

Antibiotic

Increase dopamine concentration in the CNS

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17
Q

Elderprl is a parkinson drug that does what ?

A

Increase activity of dopamine

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18
Q

What are side effects of anticholineric agents ?

A

Dry mouth
Urinary retention
Constipation

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19
Q

What are the two main drugs used for Alzheimer’s ?

A

Aricept

Namenda

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20
Q

What vitamin should be avoided when taking levodopa ?

A

Vitamin b 6

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21
Q

What kind of meds are lioresal and Valium ?

A

Multiples sclerosis

Centrally acting muscle relaxant

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22
Q

What are the 3 anti anxiety / antipsychotic drugs used to treat Alzheimer’s ?

A

Haldol
Ativan
Cognex

23
Q

What labs are ordered for patient taking Coumadin ( warfarin ) ?

24
What labs are ordered for patients taking heparin ?
PTT
25
What food do patient taking Coumadin avoid ?
Leafy greens ( high in vitamin k
26
Why would opioids be given to min ignites patients ?
To mask neuro changes o
27
What is the muscle relaxant(spasticity ) for disc / back problems ?
Valium & dantrium
28
What is the drug of choice for trigeminal neuralgia ?
Tregretol-it calms down the nervous system
29
All forms of treatment for Parkinson's are considered what ?
Palliative ( relieve symptoms but not cureable )
30
Are the treatments for Parkinson's disease curable ?
No
31
What is the most effective drug for Parkinson's ?
Levodopa
32
What are the adverse effects of levodopa ?
Nausea Vomiting Orthrostatic hypotension
33
Patient on long term parkinson treament are at risk for what ?
Psychiatric disturbance | Narrow angle glaucoma
34
Patient taking selegiline (elderpryl) rise slowly to prevent what ?
Orthrostatic hypotension
35
What can decrease gingiva hyperplasia ?
Frequent mouth care Dental care Gum message
36
While taking heparin or Coumadin what do you want to be aware of ?
Bruising | Or blood in the urine
37
What is the chief responsibility of the liver ?
Necessary for clott formation
38
How do clotting occur ?
From prothrombin to thrombin | From fibrogen to fibrin
39
What does heparin an Coumadin work on ?
The liver
40
What are Common medications to treat TBI's (traumatic brain injuries) ?
osmotic diuretics, Osmitrol (mannitol), Diuretics (IV Lasix), antiinflammitories, corticosteroids, anticonvulsants, codeine for pain
41
The physician ordered mannitol IV for a client with a head injury ? What should be closely monitored because the client is recieving mannitol ?
Urine output
42
A 68 year old woman brought to the emergency room by ambulance , she was found by her husband slumped in her chair unresponsive . Tentative diagnosis is cva , the physician orders a 15% mannitol IV , the nurse know that this drug is given for what purpose ?
To increase urine output
43
An adult is being treated with phenytoin (Dilantin ) for seizure disorder , five days after starting the medication , he tells the nurse that his urine is reddish brown in color , what action should the nurse take ?
Inform him that this is a common side effect of phenytoin (Dilantin ) therapy
44
What is symmetryl ?
Antibiotic | Combination of carbinopa & levodopa
45
How do you know a patient med is working ?
Less tremors
46
What does elderpryl do ?
Increase activity of dopamine
47
A client recieving phenytoin may require which supplement to prevent fatigue and mental deterioration ?
Folic acid
48
Clients recieving carbamazepine (tregretol) for seizure activity should be monitored for ?
Hyponatremia
49
Phenytoin and valproic acid are classified as :
Anticonvulsants
50
What happen if you mix Dilantin with tube feeding ?
It's causes a chemical reaction
51
What is blood level ?
The amount of drug in the blood stream
52
What is a common anticholineric over the counter med for allergies ?
Benadryl
53
What is a side effect of the anticholineric med Benadryl ?
Dry mouth | Dry eyes
54
What patients are anticholineric med contraindicated with ?
Male patient with benign prosthetics hypotrophy Glaucoma Sweating Constipation
55
What do pt taking CNS depressant have to monitor ?
Resp