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Pharmacology > Week 1 Med Cards > Flashcards

Week 1 Med Cards Flashcards

1
Q

Acetaminophen/analgesic (non-opioid): assessment

A

Pain, fever, liver enzymes/history of liver disease

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2
Q

Acetaminophen/analgesic (non-opioid): diagnosis

A

Pain/fever

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3
Q

Acetaminophen/analgesic (non-opioid): plan

A

3 mg / day
Check OTC meds
Should not be taken with other hepatotoxic meds or alc

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4
Q

Acetaminophen/analgesic (non-opioid): implementation

A

Can be given IV or oral

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5
Q

Acetaminophen/analgesic (non-opioid): Evaluation

A

Pain level, follow LFTs

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6
Q

Acetaminophen/analgesic (non-opioid): interactions

A

Alcohol, anticoagulants, all hepatotoxic medications

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7
Q

Acetaminophen/analgesic (non-opioid): side effects

A

Hepatotoxic, N/V, hemolytic anemia

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8
Q

Acetaminophen/analgesic (non-opioid): teaching considerations

A

3mg per day
Check OTC medications
Should not be taken with other hepatotoxic medications or alcohol

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9
Q

Ibuprofen (NSAID): assessment

A

Cross sensitivity to sulfa
Asthma patients may be allergic
BUN/creatinine

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10
Q

Ibuprofen (NSAID): diagnosis

A

Pain/fever

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11
Q

Ibuprofen (NSAID): plan

A

800 mg TID for short time
Increase fluids
Report GI pain/bleeding/upset

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12
Q

Ibuprofen (NSAID): implementation

A

Should take with food to decrease risk of GI upset

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13
Q

Ibuprofen (NSAID): evaluation

A

Pain/fever/kidney function

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14
Q

Ibuprofen (NSAID): interactions

A

Risk for lithium toxicity
Decrease anti-hypertensive effect
Decrease effect with loop diuretics

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15
Q

Ibuprofen (NSAID): side effects

A

Nephrotoxic
Bone marrow suppression
GI bleeding/upset

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16
Q

Asprin (NSAID)

A

Analgesia
Decrease platelet aggregation in CAD/AMI
Increased risk of bleeding with anticoagulants
Decrease anti hypertensive affect

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17
Q

Asprin (NSAID) side effects

A

Bleeding
Ototoxic
Reye’s syndrome
Photosensitive

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18
Q

Garlic use

A

Decrease cholesterol

Increase anticoagulation

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19
Q

Garlic side effects

A

Bad breath

Bleeding

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20
Q

Ephedra (sympathomimetic) use

A

Weight loss

Asthma

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21
Q

Ephedra (sympathomimetic) side effects

A

Hypertension
Cardiac arrhythmia
Anxiety

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22
Q

Saw palmetto use

A

BPH

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23
Q

Saw Palmetto side effects

A

Constipation
Headache
May interfere with hormonal therapy

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24
Q

St. John’s Wort: use

A

Mood stabilizer

Liver disease

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25
Q

How is St. John’s Wort thought to work as a mood stabilizer

A

Though to inhibit serotonin and reputable GABA

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26
Q

St. John’s Wort special precautions / side effects

A

Do not take with anti-depressants
HA
N/V
Photosensitivity

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27
Q

Black Cohosh use

A

Menopausal symptoms

HA

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28
Q

Black Cohosh side effects

A

Non-significant side effects

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29
Q

Ginger usage

A

N/V r/t pregnancy

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30
Q

What does ginger interact with that should be taken into consideration

A

Anti-coagulants

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31
Q

Ginger side effects

A

GERD
Diarrhea
Bleeding

32
Q

Ginseng usage

A

Anti-inflammatory

Can help stabilize hyperglycemia

33
Q

What can Ginseng interact with that should be taken into consideration

A

Anticoagulants and hypoglycemics

34
Q

Ginseng side effects

A

Nausea
Diarrhea
Insomnia

35
Q

Glucosamine usage

A

OA/RA

36
Q

What does glucosamine enhance the effects of?

A

Anticoagulants

37
Q

Where can glucosamine be found ?

A

Naturally occurring in human joints

38
Q

Side effects of glucosamine

A

Reflux

Diarrhea

39
Q

Red yeast use

A

Hyperlipidemia

40
Q

Red yeast side effects

A

Liver toxicity
Rash
HA

41
Q

Echinacea use

A

Immune stimulant

Cough/URI

42
Q

When should you not use echinacea?

A

If you have an autoimmune illness

43
Q

Echinacea side effects

A

Nausea

Dizziness

44
Q

Naproxen (NSAID) usage

A

Inflammation

45
Q

What other drugs interact with Naproxen (NSAID)

A

ACE inhibitors, anticoagulants, digoxin

46
Q

Naproxen (NSAID) side effect

A

Nephrotoxic
Abdominal pain
Bleeding

47
Q

What is vitamin K

A

Fat soluble vitamin, coagulant

48
Q

Vitamin K is a direct antagonist with what

A

Warfarin

49
Q

When is vitamin K used?

A

Used with newborns at risk for hemorrhage

50
Q

Vitamin K side effects

A

Hypotension

Dizziness

51
Q

Vitamin K education considerations

A

Education on foods (found in green, leafy veg.)

52
Q

What is milk of magnesia

A

Laxative

53
Q

Milk of magnesia use

A

Constipation

54
Q

When should you not take milk of magnesia

A

If you have renal failure

55
Q

Milk of magnesia teaching

A

Drink lots of water

Do not take within 2 hours of other medications

56
Q

Milk of magnesia side effects

A

Diarrhea

57
Q

Diphenhydramine (antihistamine) use

A

Allergies

58
Q

Diphenhydramine (antihistamine)side effects

A

Photosensitivity, sedation, hypotension, confusion

59
Q

When should you not take diphenhydramine (antihistamine)?

A

Do not use with other CNS depressants
When you are drinking
If you have glaucoma

60
Q

Gingko usage

A

Memory, anxiety

61
Q

What properties does gingko have?

A

Anticoagulant properties

62
Q

Gingko side effects

A

GI upset

Headache

63
Q

What is digoxin?

A

Cardiac glycoside - comes from herb foxglove

64
Q

What should you assess pre administration when giving digoxin?

A

HR pre administration

65
Q

When should you use digoxin?

A

Heart failure

66
Q

What are the therapeutic levels of digoxin?

A

0.5-2

67
Q

How is digoxin administered?

A

PO or IV

68
Q

What should you evaluate after you have given your pt. Digoxin?

A

Heart rate

69
Q

Digoxin side effects

A

Brady and near heart block arrhythmia’s
Blurred vision (green/yellow halos)
N/V

70
Q

What is something to keep in mind when teaching your patient about digoxin?

A

Hypokalemia increases risk for toxicity

71
Q

Feverfew (herbal supplement) use

A

Decrease severity/frequency of migraine through inhibition of platelet and leukocyte secretion of serotonin, histamine

72
Q

Feverfew asses

A

Migraine prophylaxis, headaches,

73
Q

Feverfew administration

A

I would assume orally

74
Q

Feverfew: negative interactions

A

Hypersensitivity to chrysanthemums, daisies, marigolds, asteraceae/compositae plants, lactation, pregnancy, ragweed allergies

75
Q

Feverfew administrations

A

Extract: 50-100 mg PO daily
Fresh leaf: 2.5 leaves daily
Freeze dried leaf: 50-150 mg PO gD/BID

76
Q

Feverfew side effects

A 
N/V
Diarrhea
Allergic reaction
Flatuence
Indigestion 
Mouth ulcers
Abdominal pain

Pharmacology (10 decks)

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