Unit 3 Drugs Flashcards

1
Q

What drug class is Prednisone?

A

Adrenocortical Hormone

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2
Q

what is the mechanism of action for prednisone?

A
  • suppresses inflammation and modifies the immune response !
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3
Q

what are some adverse reactions of prednisone?

A
  • osteoporosis !
  • fluid and electrolyte imbalances !
  • hyperglycemia !
  • psychosis !
  • thin skin !
  • edema/ weight gain !
  • increased appetite !
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4
Q

what are some nursing interventions/ teachings for px taking prednisone?

A
  • monitor weight and labs !
  • s/s of infection, infection prevention !
  • taper dose when discontinued !
  • tell px not to discontinue med abruptly
  • Take calcium/ Vitamin D and Magnesium !
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5
Q

what are some contraindications of prednisone?

A
  • serious infections like TB
  • antibiotic-resistant infections !
    -fungal infections !
    ( treat before beginning medication)
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6
Q

what drug class is levothyroxine?

A
  • thyroid
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7
Q

what is the mechanism of action for levothyroxine?

A
  • increases T3 and T4 levels !
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8
Q

what is levothyroxine used for?

A

hypothyroidism

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9
Q

what is prednisone used for?

A
  • allergic reactions
  • rheumatic diseases
  • respiratory diseases
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10
Q

what are some adverse reactions of levothyroxine?

A

s/s of hyperthyroidism !
- tachycardia !
-increased BP !
- hyperglycemia
- chest pain

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11
Q

what are some nursing interventions/ teachings for levothyroxine?

A
  • monitor hr/bp
  • follow labs (TSH, T3, T4) !
  • take in morning on empty stomach !
  • do not stop abruptly
  • most will be taken lifelong !
  • effects not seen immedately only after several weeks
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12
Q

what are some contraindications of levothyroxine?

A
  • interactions with anticoagulants !
  • diabetes med
  • history of cardiac disease
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13
Q

what drug class is Propylthiouracil (PTU) ?

A

Anti-thyroid

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14
Q

what is the mechanism of action for Propylthiouracil (PTU) ?

A

decreases T3 and T4 levvels

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15
Q

what is Propylthiouracil (PTU) used for?

A

hyperthyroidism

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16
Q

what are some adverse reactions of Propylthiouracil (PTU)?

A

s/s of hypothyroidism !
- cold intolerance, depression, constipation, bradycardia, fatigue
- skin rash !
- agranulocytosis (decreased WBC) !
- hepatotoxicity

17
Q

what are some nursing interventions/ teaching for Propylthiouracil (PTU)

A
  • follow labs WBC and LFTS (liver function test, TSH, T3, and T4 !
  • drug of choice during pregnancy !
  • take daily do not stop abruptly !
  • s/s of liver failure: jaundice, RUQ ABD pain, and GI upsetness !
18
Q

what are some contraindications of taking propylthiouracil?

A
  • liver failure or bone marrow suppression !
  • breast feeding mothers
  • interaction with anticoagulants