TEST 2 Flashcards
MEDICATION USED FOR treatment for endometriocis and fibrocystic breast disease
danazol (danocream)
ANABOLIC STEROIDS CAN CAUSE THIS LIFE THREATENING CONDITION?
PELIOSIS OF THE LIVER
5 α-Reductase Inhibitors ARE GIVEN TO MEN TO REDUCE THIS:
PROSTATE SIZE
2 INDICATIONS FOR 5 α-Reductase Inhibitors
- DIFFICULTY PEEING
2. ALLOPECIA
ADVERSE EFFECT OF 5 α-Reductase Inhibitors
EJACULATION DISFUNCTION
NURSING CONSIDERATION FOR FINASTRIDE:
- CAUSES TERATROGENIC EFFECTS
- WEAR GLOVES
CONTRAINDICATION FOR DRUGS THAT TREAT ERECTILE DYSFUNCTION:
NITROGLYCERINE
ADVERSE EFFECT OF VIAGRA:
PRIAPISM (LONG-LASTING BONER)
NURSING CONSIDERATION FOR INTRAMUSCULAR TESTOSTERONE:
- SHOULD BE GIVEN DEEPLY
- CHOOSE LANDMARK CAREFULLY
- OILY SOLUTION
- GIVE EVERY 2-10 WEEKS
THIS is always added if patient has an intact uterus to prevent endometrial cancer
progesterone
ADVERSE EFFECT OF FERTILITY DRUGS:
DIZZINESS
BISPHOSPHONATES SHOULD NEVER BE TAKEN ___________ ___________ BECAUSE OF ESOPHAGEAL BURNS
LYING DOWN
NURSING CONSIDERATION WITH BISPHOSPHONATES:
ENSURE PATIENT IS SITTING UP FOR 30 MINUTES AFTER DOSE
WHEN IS THE BEST TIME TO TAKE BISPHOSPHONATES?
FIRST THING IN THE MORNING
PATIENTS TAKING ESTROGEN SHOULD BE TOLD TO REPORT WHAT?
WEIGHT GAIN (2.25 KG)
_________________ of formulas may cause GI problems - big complications
Hyperosmolarity
_________________ is the biggest problem with enteral nutrition
Diarrhea
WHO needs a high concentration of amino acids
BURN VICTIMS
DEFINITION: provision of food through the GI tract
Enteral Nutrition
DEFINITION:
Nutrients are delivered directly into the circulation by means of an intravenous solution
PARENTERAL NUTRITION
MOST DEVASTATING ADVERSE EFFECT OF PERIPHERAL ADMINISTRATION OF NUTRITION
PHLEBITIS
NURSING CONSIDERATION FOR CENTRAL ADMINISTRATION:
USE ASEPTIC TECHNIQUE
WHAT SOLUTION must be given to prevent hypoglycemic if the bag runs out and there is no order for another.
5% DEXTROSE
SIGN OF FLUID OVERLOAD
POUNDING PULSE
WHICH OTCs are restricted and kept behind the counter through pharmacist
Schedule III
TRUE OR FALSE? OTCs may relieve symptoms of a disorder but not the cause
TRUE
PROPER ADMINISTRATION OF NICORETTE?
Chew nicotine gum slowly and place gum between cheek, let saliva absorb
most commonly purchased topical cream
polysporin
WHO ensure safe assess to effective health products in Canada
Natural health products directory
TRUE OR FALSE? NATURAL HEALTH PRODUCTS ARE SAFE FOR EVERYONE.
FALSE
may not be safe for pregnant or breastfeeding women, infants, or children
____________ can cause malignant hyperthermia crisis
dantrolene
HEALTH TEACHING FOR SOMEONE TAKING MUSCLE RELAXANT
BE CAREFUL OF FALLS
ANTIDOTE FOR COUMADIN
VITAMIN K
SIGN OF VITAMIN B2 DEFICIENCY:
ANEMIA
VITAMIN B12 DEFICIENCY LEADS TO:
pernicious anemia
clients that take calcium supplements need to be told to limit foods high in ___________ and ___________ - slows calcium absorption
OXALATE & ZINC
CALCIUM TOXICITY OCCURS AS A RESULT OF WHAT MEDICATION:
tetracyclines
what should nurses keep in mind when administering finasteride?
bad for pregnant women - teratogenic effects - WEAR GLOVES
what should the nurse tell pt on estrogen therapy to report?
weight gain more than 2.25kg
what is estrogen therapy contraindicated with?
pregnancy, allergies, breast cancer
medication used to treat primary & secondary ammenorrhea?
medroxyprogesterone (depo-provera)
Contraindications for estrogen administration:
active thromboembolic disorder (e.g., stroke, thrombophlebitis)
side effect fertility drugs
dizziness
method of administration for oxytocin
PUMP
action of topolytic drug
relaxes uterus
contraindications of raloxifene
BLOOD CLOTS
BENIGN LIVER TUMORS CAN BE CAUSED BY WHAT?
ORAL CONTRACEPTIVES
indications for bisphosphonates
the prevention and treatment of osteoporosis
instructions to give bisphosphonates
- TAKE FIRST THING IN THE MORNING
- DON’T TAKE LYING DOWN
indication of vitamin D
is important for people who live in the north
deficiency of vitamin D:
rickets and osteomalasia
deficiency of vitamin A
night blindness
sign of vitamin D toxicity
annorexia
signs and symptoms of vitamin A toxicity
- vertigo
* delirium
food interaction with calcium supplements
people taking calcium supplements should stay away from foods high in oxalate and zinc: nuts, fibre, spinach
nursing consideration for calcium IV
don’t give it too fast - CARDIAC ARREST
what vitamin is given to newborns within the 1st hour?
vitamin K is given to newborns within 1st hour to help with clotting
vitamin B1 insufficiency common in what population
ALCOHOLICS
food high in B1 (thiamine)
ORGAN MEATS
food high in vitamin E
CHICKEN
best source of Vitamin A carotene
yellow/orange fruits and vegetables
most common side effect of nutritional supplements on GI
diarrhea
formula that provides complex nutrients for the elderly
POLYMERIC FORMULATIONS
EG. ENSURE
CENTRAL OR PERIPHERAL TPN?
delivers total dietary nutrients to patients who require nutritional supplementation
CENTRAL
CENTRAL OR PERIPHERAL TPN?
used to supplement nutrients to patients who need more nutrients than their current oral intake can provide or to provide entire daily nutrition.
PERIPHERAL
adverse effects of TPN that need to be monitored
- HYPERGLYCEMIA
- INFECTION
adverse effects of PPN that need to be monitored
- FLUID OVERLOAD
- PHLEBITIS
things to do to make sure someone is absorbing a GI feed
ASPIRATE
If the volume is more than what has been consistent over the previous 2 hours of continuous feeding, the nurse should return the aspirate, withhold the feeding, and contact the physician; the head of the bed should be kept elevated.
complications of longterm use of peripheral TPN
phlebitis
if TPN runs out what should you hang up
5% dextrose
DEFINITION: Feeding tube surgically inserted directly into the stomach
Gastrostomy
DEFINITION:Feeding tube surgically inserted into the jejunum
Jejunostomy
DEFINITION: Feeding tube placed from the nose to the duodenum
Nasoduodenal
DEFINITION: Feeding tube placed from the nose to the stomach
Nasogastric
DEFINITION: Feeding tube placed from the nose to the jejunum
Nasojejunal
lipid emulsions: why given in TPN?
- to meet caloric needs
- prevents potentially harmful conditions, such as hyperglycemia, hyperinsulinemia, and hyperosmolarity, that can occur when a patient’s entire caloric needs are being met solely by dextrose
side effects of cyclobenzaprine
Euphoria, lightheadedness, dizziness, drowsiness, fatigue, and muscle weakness are often experienced early in treatment
tests to monitor if someone is put on dantrolene
LIVER TESTS FOR HEPATOTOXICITY
______________ relieve pain, headache, and inflammation by blocking the chemical activity of either or both of the enzymes cycooxygenase (PG pathway) and leukotriene (LT pathway)
NSAIDs
which medication will have possible interactions with NSAIDs
anticoagulants - increased bleeding
antihyperglycemic drugs - reduced blood glucose
asa - increased GI toxicity
corticosteroids - increased ulcer effect
cyclosporine - increased nephrotoxicity
phenytoin
side effects of NSAIDs
GI PROBLEMS
what is allopurinol used for?
RELIEF OF GOUT
what needs to be monitored with colchicine?
increased pain, blood in the urine, excessive fatigue and lethargy, and chills or fever
how is gold sodium thiomalate therapy given?
- parenterally administered anti arthritic drug
- currently available only in an injectable form
- administered by the intramuscular route only
Misoprostol causes what and when do we give it?
adverse effects: headache, gastrointestinal distress, and vaginal bleeding
taken four times daily with meals for the duration of NSAID therapy in patients at high risk for ulceration.
