Week 6: Pharmacology Flashcards

1
Q

The study of the biological effects of chemicals

A

Pharmacology

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2
Q

___ deals with drugs effects on the body and the body’s response to drugs

Brach of pharmacology that uses drugs to prevent, treat, and diagnose disease.

A

Clinical pharmacology (pharmacotherapeutics)

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3
Q

Nurses monitor for _____ (what drug is susposed to do) and ___ (what the drug shouldn’t do)

A

Therapeutic effects

Adverse effects

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4
Q

Drug evaluation

Preclinical trails

A

Animals

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5
Q

Drug evaluation

Phase 1

A

Healthy humans

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6
Q

Drug evaluation

Phase 2

A

Target patients

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7
Q

Drug evaluation

Phase 3

A

Clinical setting

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8
Q

Drug evaluation

Phase 4

A

Continual evaluation

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9
Q

Drug names

N-(4-Hydroxyphenyl) acetamide

Acetaminophen

Tylenol

A

Chemical Name

Generic Name

Trade Name

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10
Q

U.S. Food and Drug Administration
Assigns drugs to a category of

Nonprescription
Prescription

Prescription can be divided into 2 more catagories

A

Controlled / Uncontrolled

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11
Q

How many schedules are there for controlled drugs

Which has no medical use in the US

A

5

Schedule 1 has no medical use in the US

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12
Q

_____ therapy is used with conventional/ tradicional medicine

A

Complementary therapy (integrative medicine)

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13
Q

______ is used instead of traditional/ conventional medicine

A

Alternative

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14
Q

_____ are substances that cause abnormal development of the fetus

A

Teratogens

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15
Q

When are fetuses most susceptible to teratogenic effects

A

1st trimester

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16
Q

How the drug affects the body

Replace / substitute for missing chemicals

Increase or Decrease cellular activity

Interfer with the functioning of foreign cells

A

Pharmacodynamics

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17
Q

How the body acts on drugs

Main processes involved are

Absorption
Distribution
Metabolism
Excretion

A

Pharmacokinetics

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18
Q

Pharmacodynamics (how drugs affect the body)

Ability to only attack foreign cells

(Penicillin)

A

Selective Toxicity

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19
Q

Pharmacodynamics (how drugs affect the body)

Interfer with enzyme systems that act as a catalyst for chemical reactions

(Lisinopril)

A

Drug-enzyme interactions

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20
Q

Pharmacodynamics (how drugs affect the body)

Receptor sites

Agonists (Morphine or Naloxone)

Antagonist (Morphine or Naloxone)

A

Agonist = Morphine

Antagonist = Naloxone

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21
Q

Pharmacokinetics (what the body does to the drugs)

_____ is the amount of drug needed to cause a therapeutic effect

A

Critical concentration

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22
Q

Drug dissolves in GI tract to be absorbed

Tabs and capsules will dissolve in the stomach and esophagus

______ do not dissolve until they reach the Alkaline small intestine

This process describes the _____ Phase

A

Enteric coated

Pharmaceutic Phase

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23
Q

Pharmacokinetics (what the body does to the drugs)

___ is moving a drug into the body for circulation

A

Absorption

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24
Q

Pharmacokinetics (what the body does to the drugs)

____ involves the movement of a drug to the body’s tissues

Factors that affect are

Circulation
Cell membrane
Plasma protein binding

A

Distribution

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25
Q

To cross the blood brain barrier a drug must be _____ soluble

A

Lipid

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26
Q

Aka biotransformation

Process by which th3 body changes a drug to a less active form that can be excreted

A

Metabolism

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27
Q

EC, ER, SR, XL are all long lasting drugs and examples of ____ coated

A

Enteric

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28
Q

Liver uses _____ enzyme to alter drugs and start metabolism

A

P-450

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29
Q

Nicotine, Alcohol, and Gluticosteroids all (Induce / Inhibit) P-450 enzyme

Speeds up the metabolism
Patient will not receive full effect of medication

A

Induce

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30
Q

Aminodarone
Ketoconazole

Both (Induce/ Inhibit) cytochrome P-450 metabolism

This can allow the drug to build up to toxic levels

A

Inhibit

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31
Q

First-pass effect refers to

A

The ability of the liver to make drugs less powerful

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32
Q

Drugs are metabolized by _____

Excreted by ____

A

Liver

Kidneys

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33
Q

The amount of time it takes the level of a drug in your system to be cut in half.

A

Half-life

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34
Q

Drugs with a (short / long) half-life need to be administrated more frequently

Drugs with a (short/long) half-life need to be administrated less frequently

A

Short = more frequently

Long = less frequently

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35
Q

A (large / small) therapeutic index is safer

A

Large

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36
Q

Levels important when discussing therapeutic index

_____ highest concentration in blood

______ lowest concentration of drug in blood

A

Peak

Trough

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37
Q

Expected and predictable effects that result at therapeutic dosage

Benadryl makes you sleepy
Opiods cause constipation
Antibiotics cause nausea

A

Side effects

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38
Q

Undesirable, inadvertent, unexpected and sometimes sever response to medications

Lasix causes hearing loss
Antibiotics allow for a Cdiff infection

A

Adverse effects

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39
Q

Conditions clients have that make it unsafe to recieve medications

A

Contraindications

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40
Q

Adverse effects can be divided into primary and secondary effects not related to the therapeutic effect

_____ blood thinner causes excessive GI bleeding.

_____ dermatological reaction because drug can deposit in skin

A

Primary

Secondary

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41
Q

Toxic reactions are likely to occur due to this organ not functioning properly

A

Kidney

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42
Q

Angioedema is…

A

Swelling of eyes, lips, tongue

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43
Q

Rapid onset
Dyspnea
Tingling
Itching
Low BP
Tachycardia

Are symptoms of

A

Anaphylaxis

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44
Q

Nurse implications for administration of drugs includes

Monitor for therapeutic ___

A

Response

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45
Q

Beta blockers

Suffix

Used for

Before giving check….

Side Effects

A

Suffix - olol

Used for HTN, HF, Irregular heart rhythm

SE:
Lightheadedness
Bradycardia
Hypotension
Fatigue

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46
Q

Suffix - olol

Used for HTN, HF, Irregular heart rhythm

SE:
Lightheadedness
Bradycardia
Hypotension
Fatigue

A

Beta blockers

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47
Q

Prevents conversion of angiotensin 1 to angiotensin 2.

Which causes vasodilation

Suffix - pril

A

Ace inhibitor

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48
Q

Ace Inhibitor

Suffix -

Use

A

Suffix - pril

Use: prevention of conversion of angiotensin 1 to angiotensin 2 (which causes vasodilation)

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49
Q

Angiotensin II
Receptor
Blockers (ARB)

SUFFIX -

Treats

TEACH

A

Suffix: SARTAN (irbesartan, valsartan, losartan and candesartan)

Treats: to treat high blood pressure and heart failure.

Teach: slow posistion changes
Notify provider if angioedema

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50
Q

Calcium channel blockers

Suffix - Plus 2 exceptions

Therapeutic effect

Side Effects

A

Suffix - Dipine
Plus, verapamil & diltiazem

Therapeutic effect: Lowe’s contractility & conductivity of the heart.

Lowers demand for oxygen

Side effects:

Lower BP
Bradycardia
Precipitate AV block
Headache
Peripheral Edema

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51
Q

Suffix - Dipine
Plus, verapamil & diltiazem

Therapeutic effect: Lowe’s contractility & conductivity of the heart.

Lowers demand for oxygen

Side effects:

Lower BP
Bradycardia
Precipitate AV block
Headache
Peripheral Edema

A

Calcium Channel blockers

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52
Q

High Loop Diuretics

Suffix - ide

Before giving check

Clinical uses:

Side effects:

A

Suffix -ide

Check BP / K+ before giving

Clinical uses:
Heart Failure
Hypertension
Edema

Side effects:

Hyponatremia
Hypokalemia
Hypomagnesium
Ototoxicity (hearing or balance problem due to medication)

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53
Q

Suffix -ide

Check BP / K+ before giving

Clinical uses:
Heart Failure
Hypertension
Edema

Side effects:

Hyponatremia
Hypokalemia
Hypomagnesium
Ototoxicity (hearing or balance problem due to medication)

A

High loop diuretics

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54
Q

Loop diuretics include

ET is Fabulous

A

Erthacrynic acid
Torasemide
Furosemide
Azosemide
Bumetanide

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55
Q

Potassium Sparring Diuretics

Names: PASTE

A

Potassium sparring diuretics
Amilorde
Spironolactone
Triamterene
Epleronome

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56
Q

Potassium Sparring Diuretics

Used to treat:

Check ___ before giving

What is their function

A

Treat: Edema CHF

Check K & BP

Function: gets rid of sodium and water. Blocks Aldosterone in the kidney

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57
Q

Ace inhibitor Adverse Effects (2)

A

Hyperkalemia/ Angioedema

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58
Q

ACE & ARBS are similar except by this side effect

A

ACE has a dry cough

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59
Q

Adverse effect for ACE INHIBITOR

A

Hyperkalemia/ angioedema

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60
Q

Name Calcium channel blockers
(Are Very Nice Drugs)

A

Amlodipine
Verapamil
Nifedepine
Diltiazem

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61
Q

Loop diuretics will affect this electrolyte the most

A

K+ Potassium

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62
Q

Potassium Sparring Diuretics can lead to (hypo / Hyperkalemia)

A

Hyperkalemia

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63
Q

Thiazide diuretics used most commonly for…

A

HTN

64
Q

Thiazide Diuretics only keep this electrolyte and get rid of the rest

A

Rid: Potassium, Sodium, Magnesium

Keep: Calcium

Ie.

Hypo: kalemia, natremia, magnesia

Hypercalcemia

65
Q

Antihyperlipidemics

Purpose:

Suffix

A

Purpose: lower cholesterol & CV events

Suffix: Statin

66
Q

(Statins) Antihyperlipidemics

Lower cholesterol & CV events

SE:

A

Myopathies (muscle aches)
Weakness
Increased liver enzymes
Rhabdomyosis

67
Q

Insulin given with meals is called

A

Prandial

68
Q

Insulin

SE

A

Hypoglycemia
Weight gain
Peripheral Edema

69
Q

Opiods

SE

M
O
R
P
H
I
N
E

A

Myosis (Pinhead eyes)
Out of it
Respitory depression
Pneumonia
Hypotension
Infrequency
Nausea
Emesis

70
Q

Corticosteroids (Anti-inflammatory)

Given for:
Asthma
COPD (Respitory)
Autoimmune

Suffix

A

Suffix- one

(Hydro)cortisone
(Methyl)Prednisone
Dexamethasone
Betamethasone

71
Q

Corticosteroids (Anti-inflammatory)

Given for which conditions _______

Suffix- one
(Hydro)Cortison, (Methyl)prednisone

SE

A

Given for: Asthma, COPD, Autoimmune

SE: weight gain, mood swings, insomnia, fluid retention, High BP

72
Q

Antiplatelets (anti-clotting)

Suffix -

Examples

Reduces risk of ______

A

Suffix- Grel

clopidogrel, prasugrel and ticagrelor.

Reduces risk of Artherosclerotic events

73
Q

Antiplatelets (anti-clotting)

Suffix - grel

clopidogrel, prasugrel and ticagrelor.

Reduces risk of artherosclerotic events

Check these levels

Avoid these medications

Teaching

A

Check these levels: thrombocytopenia & CBC

AVOID MEDICATIONS: NSAIDS / PPI

Teaching: Monitor for cuts and increased bruises

74
Q

Benzodiazepine:

Suffix:

Side effects: drowsy, lightheaded, falls, adictive

A

Azolam

Azepam

75
Q

Proton Pump Inhibitor (PPI)

Suffix

Use _____

A

Suffix - prazole

Use: Heartburn / inhibit gastric secretions

Give before meals

76
Q

Omeprazole, Pantoprazole, Iansoprazole

Type of medication

Suffix / names

Use

A

Proton Pump Inhibitor

-prazole
Omeprazole, Pantoprazole, Iansoprazole

Use: heartburn / decrease gastric juices

77
Q

Can RN’s take telephone/ verbal orders

Can student nurses

A

RN = Yes

Student = No

78
Q

Types of Orders

Coutinous until otherwise noted

Everyday Sametime

A

Routine

79
Q

Pain or Nausea medication may be ordered to be given when the patient needs it

A

PRN

80
Q

Bolus is the administration of a discrete amount of drug within 1–30 minutes, to raise its concentration in blood to an effective level.

Example of this type of order

A

One time order

81
Q

Parts of Med order

Patients Name
___________
Name of drug
___________
Route of administration
__________
Signature of Prescriber

A

Date / time

Dosage of drug

Frequency of Administration

82
Q

Parts of a medication order

_______
Date / time
________
Dosage of drug
___________
Frequency of Administration
___________

A

Patients Name
Date / time
Name of drug
Dosage of drug
Route of administration
Frequency of Administration
Signature of provider

83
Q

Which type of orders need to have a reason

A

PRN

84
Q

When to do the 3 medication checks

A
  1. Reaching for the unit dose in the pyxis
  2. Compare lable with the MAR after retrieving from the drawer
  3. Replacing the container to the drawer / Before dose is given to patient
85
Q

No medication maybe given to a patient without…

A

Medication Order

86
Q
  1. Reaching for container or unit dose
  2. Compare lable with MAR after retrieval from drawer / before pouring from multidose container
  3. Before giving to patient/ when replacing

Describes

A

3 checks

87
Q

Before giving medication preform the (3) checks

  1. Reaching for container or unit dose
  2. Compare lable with MAR after retrieval from drawer / before pouring from multidose container
  3. Before giving to patient/ when replacing

And these Rights

A

5 rights of medical administration

  1. Medication
  2. Patient
  3. Dosage
  4. Route
  5. Time
88
Q

Has patient recieved this med before

Does it make sense

Why is THIS patient taking this med

Is Right

A

Right medication

89
Q

Verify right patient by

A

Looking at wrist band

Ask patients Name and birthday

90
Q

Vitals
Labs
Medication administration instructions/ parameters
Physical assessment findings

Deal with this Right

A

Right Assessment

91
Q

Assess lab values as appropriate
Side effects / Adverse effects
Effective?

Deals with this Right

A

Right Response

92
Q

Why is the patient receiving?
What is the purpose
Expalin Expected effects / side effects
Explain Direction to take

Associated with these patients Rights

A

Right education

93
Q

Right

Reason
Assessment
Documentos
Response
Education
________

Six more “ Rights”

A

Refuse

94
Q

What to know before admission of meds

N
C
A
U
U
S
I
N I
P T
A

A

Name
Class
Action
Use
Usual route / dose
Side effects/ adverse effects
Interaction
Nursing Implications
Patient teaching
Antidote

95
Q

Error or commission or omission that could harm a patient but do not

A

Near misses

96
Q

1.0 mg of gabapenton PO q6h

Correct?

A

No

Never use Trailing zeros

1mg gabapenton PO q6h

97
Q

0.25 mg gabapenton q6h

Correct?

A

Correct

.25 mg could be read as 25 mg

Always use leading zeros

98
Q

How many patients rights are there

A

11

99
Q

Amilorde
Spironolactone
Triamterene
Epleronome

A

Potassium sparring diuretics

100
Q

Suffix - Dipine
Plus, verapamil & diltiazem

Examples of

A

Calcium channel blockers

101
Q

Amlodipine
Verapamil
Nifedepine
Diltiazem

Are these class of drugs

A

Calcium blockers

102
Q

Difference between Pharmacology Vs Pharmacotherapeutics

A

Pharmacology: Biological effects of chemicals

Clinical Pharmacology/ pharmacotherapeutics

Branch of Pharmacology that uses drugs to treat, prevent, diagnose diseases

103
Q

National Drug Code (NDC) ….

A

Number used to identify specific drug

104
Q

The more the drug is bound to ______, the more difficult it is to cross cell membranes

A

Protein

(Plasma binding protein)

105
Q

Urea nitrogen (BUN) is a normal waste product that comes from….

A

Breakdown of protein in foods

106
Q

Creatinine is a waste product in the blood that comes from…

A

Muscle activity

107
Q

Factors influence drug effects

Electrolyte imbalance, hydration, acid base balance are examples of

(Physiological/ Pathological) factors

A

Physiological

108
Q

Factors that influence drug effects

Hepatic, renal, GI dysfunction, vascular disorders

(Physiological/ Pathological)

A

Pathological

109
Q

Metoprol

Type

Used for

Check

Side effects

A

Beta blockers

Used for: HTN, HF, irregular heart rhythm

Check HR & BP prior

SE: light headedness, bradycardia, hypotension, fatigue

110
Q

Labetalol

Type

Used for

Check

SE

A

Beta blockers

Used for: HTN, HF, irregular heart rhythm

Check HR & BP prior

SE: light headedness, bradycardia, hypotension, fatigue

111
Q

Atenolol

Type

Use

Check

SE

A

Beta blockers

Used for: HTN, HF, irregular heart rhythm

Check HR & BP prior

SE: light headedness, bradycardia, hypotension, fatigue

112
Q

Benazepril

Type

Use

Check

SE

A

ACE inhibitor

Use: HTN, Heart failure,

Check: BP, HR, respiratory

SE: Dry cough

Adverse effects: Angioedema/ Hyperkalemia / Dry Cough

113
Q

Captopril

Type

Use

Check

SE

A

ACE inhibitor

Use: HTN, Heart failure,

Check: BP, HR, respiratory

SE: Dry cough

Adverse effects: Angioedema/ Hyperkalemia / Dry Cough

114
Q

Enalapril

Type

Use

Check

SE

A

ACE inhibitor

Use: HTN, Heart failure,

Check: BP, HR, respiratory

SE: Dry cough

Adverse effects: Angioedema/ Hyperkalemia

115
Q

Fosinopril

Type

Use

Check

SE

A

ACE inhibitor

Use: HTN, Heart failure,

Check: BP, HR, respiratory

SE: Dry cough

Adverse effects: Angioedema/ Hyperkalemia

116
Q

Losartan

Type

Use

Check

SE

A

Angiotensin II
Receptor
Blocker (ARB)

Use: HTN, HF

Check: BP b4 giving

SE: Hypotension/ Hypokalemia
Lightheaded, fatigue

Angioedema

117
Q

Valsartan

Type

Use

Check

SE

A

Angiotensin II
Receptor
Blocker (ARB)

Use: HTN, HF

Check: BP b4 giving

SE: Hypotension/ Hypokalemia
Lightheaded, fatigue

Angioedema

118
Q

Olmesartan

Type

Use

Check

SE

A

Angiotensin II
Receptor
Blocker (ARB)

Use: HTN, HF

Check: BP b4 giving

SE: Hypotension/ Hypokalemia
Lightheaded, fatigue

Angioedema

119
Q

Amlodipine

Type

Use

Check

SE

A

Calcium channel blockers

Use: Lowers contractions, conduction, demand for oxygen

HTN, Angina (chest pain), Heart rhythm disorders

Check BP & HR

SE:

Lower BP
Bradycardia
Peripheral edema

120
Q

Nifedepine

Type

Use

Check

SE

A

Calcium channel blockers

Use: Lowers contractions, conduction, demand for oxygen

HTN, Angina (chest pain), Heart rhythm disorders

Check BP & HR

SE:

Lower BP
Bradycardia
Peripheral edema

121
Q

Verapamil

Type

Use

Check

SE

A

Calcium channel blockers

Use: Lowers contractions, conduction, demand for oxygen

HTN, Angina (chest pain), Heart rhythm disorders

Check BP & HR

SE:

Lower BP
Bradycardia
Peripheral edema

122
Q

Diltiazem

Type

Use

Check

SE

A

Calcium channel blockers

Use: Lowers contractions, conduction, demand for oxygen

HTN, Angina (chest pain), Heart rhythm disorders

Check BP & HR

SE:

Lower BP
Bradycardia
Peripheral edema

123
Q

Blackbox warning

A

Dangerous Adverse effects associated with drug

Prescribed because Benefits outweigh the Risks

124
Q

Are generic drug names capitalized?

Are trade names capitalized

A

No

Exp. acetaminophen

Yes

Exp. Tylenol

125
Q

Drug which brand name version of drug is usually Preferred over the generic

A

Synthoid

126
Q

Do uncontrolled drugs require a prescription/ monitoring by a provider

A

Yes, they are prescription drugs

No risk for abuse

127
Q

Complementary Vs Alterernative medicines

A

Comp used with Standard treatment

Alt used instead of

128
Q

Selective Toxicity

Drug enzyme Interaction

Receptor Site

(Pharmacodynamics/ Pharmacokinetics)

A

Pharmacodynamics

129
Q

Lisinopril is an example of which type of Pharmacodynamics action

A

Drug- enzyme interactions

Angiotensin
Converting
Enzyme

Inhibitor (ACE INHIBITOR)

130
Q

Some drugs will be given a _____ dose which is a higher concentration of medication then is normally given in a Maintenance dose

A

Loading

131
Q

Maintaining Critical Concentration requires ________ a process of absorption, distribution, metabolism, excretion

A

Dynamic equilibrium

132
Q

A rash is an alergic reaction or a side effect from a drug?

A

Both

133
Q

Which type of drugs can reduced the effectiveness of other types of drugs

A

PPI

Omeprazole

Heart burn

134
Q

Ethancrynic Acid

Type

Use

Check

SE

A

High loop diuretics

Use: Heart Failure, Hypertension Edema

Check: BP & K+

SE: Hypo: natremia, kalemia, magnesemia & ototoxicity

135
Q

Torasemide

Type

Use

Check

SE

A

High loop diuretics

Use: Heart Failure, Hypertension Edema

Check: BP & K+

SE: Hypo: natremia, kalemia, magnesemia & ototoxicity

136
Q

Amilorde

A

Potassium Sparring Diuretics

Get rid of other electrolytes

137
Q

Spironolactone

A

Potassium Sparring Diuretics

Get rid of other electrolytes

138
Q

Triamterene

A

Potassium Sparring Diuretics

Get rid of other electrolytes

139
Q

Epleronome

A

Potassium Sparring Diuretics

Get rid of other electrolytes

140
Q

Simvastatin

Type

Use

Check

SE

A

Antihyperlipidemics

Reduce cholesterol and CV events

Lipid panel

SE: Mild muscle pain
Notify provider if sever muscle pain, tenderness, or fever occurs

141
Q

Atorvastatin

Type

Use

Check

SE

A

Antihyperlipidemics

Reduce cholesterol and CV events

Lipid panel

SE: Mild muscle pain
Notify provider if sever muscle pain, tenderness, or fever occurs

142
Q

Rosuvastatin

Type

Use

Check

SE

A

Antihyperlipidemics

Reduce cholesterol and CV events

Lipid panel

SE: Mild muscle pain
Notify provider if sever muscle pain, tenderness, or fever occurs

143
Q

Hydroclorothiazide

Type

Use

Check

SE

A

Thiazide Diuretics

Diuretics Keeps CALCIUM, gets rid of potassium, Sodium, Magnesium

Check: K+ before giving

SE:
Hypotension
Hypokalemia
Hyponatremia
Hypomagnesemia

Hypercalcemia

144
Q

Heparin SQ & IV

Type

Use

Check

SE

Teach

A

Anticoagulant

Blocks certain clotting factors

Check: Hgb/Hct, Plt, PT/ INR, OCCULT BLOOD, aptt , Vitamin K

SE: bleeding precaución Avoid NSAIDS, ASA, IM injection

145
Q

Enoxaparin SQ

TYPE

USE

CHECK

Teaching

A

Anticoagulant

Blocks certain clotting factors

Check: Hgb/Hct, Plt, PT/ INR, OCCULT BLOOD, aptt , Vitamin K

Teaching: bleeding precaución Avoid NSAIDS, ASA, IM injection

146
Q

Warfin PO

TYPE

USE

CHECK

SE

A

Anticoagulant

Blocks certain clotting factors

Check: Hgb/Hct, Plt, PT/ INR, OCCULT BLOOD, aptt , Vitamin K

SE: bleeding precaución Avoid NSAIDS, ASA, IM injection

147
Q

Suffix (-rin) & (-aban/ -atran)

Type of drug

A

Anticoagulant

148
Q

Rivaroxaban

Type

Use

Check

SE

A

Anticoagulant

Blocks certain clotting factors

Check: Hgb/Hct, Plt, PT/ INR, OCCULT BLOOD, aptt , Vitamin K

SE: bleeding precaución Avoid NSAIDS, ASA, IM injection

149
Q

Dabigatran

Type

Use

Check

SE

A

Anticoagulant

Blocks certain clotting factors

Check: Hgb/Hct, Plt, PT/ INR, OCCULT BLOOD, aptt , Vitamin K

SE: bleeding precaución Avoid NSAIDS, ASA, IM injection

150
Q

Apixaban

Type

Use

Check

SE

A

Anticoagulant

Blocks certain clotting factors

Check: Hgb/Hct, Plt, PT/ INR, OCCULT BLOOD, aptt , Vitamin K

SE: bleeding precaución Avoid NSAIDS, ASA, IM injection

151
Q

Prednisone

Type

Use

Teachings

SE

A

Corticosteroids

Anti-inflammatory: Asthma, COPD, Autoimmune disease

Must wean off - don’t just stop

SE: Long term osteoporosis, aseptic joint necrosis, adrenal insufficiency

152
Q

Cortisone

Type

Use

Teach

SE

A

Corticosteroids

Anti-inflammatory: Asthma, COPD, Autoimmune disease

Must wean off - don’t just stop

SE: Long term osteoporosis, aseptic joint necrosis, adrenal insufficiency

153
Q

Hydrocortisone

Type

Use

Teaching

SE

A

Corticosteroids

Anti-inflammatory: Asthma, COPD, Autoimmune disease

Must wean off - don’t just stop

SE: Long term osteoporosis, aseptic joint necrosis, adrenal insufficiency

154
Q

Clopidogrel

What is the trade name

Type

Teaching

SE

A

Plavix

Inhibit platelet aggregation

Teaching: take at same time, don’t double up, ask physicians b4 taking otc supplements

SE: GI Bleed, neutropenia, thrombocytopenia

155
Q

Omeprazole

Type

Trade name

Use

A

PPI Proton Pump Inhibitor

Prilosec

Reduce heart burn

156
Q

ARBs stand for

Used for

A

Angiotensin receptor blockers

Used: High blood pressure / heart failure

157
Q

Nancy’s Cat Ate Umbrellas Under Sunny Indigo Nights. It Purred Through All.

Mnemonic is used for what?

A

Before administración of meds

Name
Class
Action
Use
Usual route / dose
Side effects/ adverse effects
Interaction
Nursing Implications
Patient teaching
Antidote