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Nursing 211/213 > YOU NEED TO FUCKING PASS > Flashcards

YOU NEED TO FUCKING PASS Flashcards

1
Q

classifications of acetaminophen

A

T: antipyretic, non-opiod analgesics

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2
Q

important side effects of acetaminophen

A

hepatotoxicity, hepatic failure, renal failure, neutropenia, pancytopenia, leukopenia, urticaria

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3
Q

antidote for acetaminophen

A

N-acetylcysteine

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4
Q

maximum dose of acetaminophen
-pediatric

A

4000mg
10-15mg

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5
Q

classifications of acetylsalicylic acid

A

T: antipyretic, non-opiod analgesicscs
P: salicylates

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6
Q

important side effects of acetylsalicylic acid

A

tinnitus, GI upset, increased bleeding

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7
Q

action of acetylsalicylic acid

A

inhibits prostaglandins, decreases platelet aggregation

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8
Q

what can aspirin be used for

A

prophylaxis of ISA and MI attacks
also as a blood thinner

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9
Q

albuterol classifications

A

T: bronchodilator
P: adrenergic

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10
Q

important side effects of albuterol

A

tremors, insomnia, palpitations, anxiety

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11
Q

action of albuterol

A

binds to beta2-adrenergic receptors in airway smoothing the muscle

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12
Q

is albuterol long or quick relief

A

quick

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13
Q

classifications of calcium carbonate and vitamin D

A

T: mineral and electrolyte replacement

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14
Q

important side effects of calcium carbonate and vitamin D

A

arrhythmia, consipation

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15
Q

important client teaching of calcium carbonate and vitamin D

A

do not take withing 1-2 hours of other medications

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16
Q

can you administer calcium carbonate and vitamin D IM?

A

NO!

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17
Q

maximum does of calcium carbonate and vitamin D

A

500mg at one time

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18
Q

high IV concentrations of calcium carbonate and vitamin D can cause?

A

cardiac arrest

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19
Q

classifications of celecoxib

A

T: antirheumatic, NSAID
P: COX-2 inhibitor

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20
Q

important side effects of celecoxib

A

all GI complications

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21
Q

expected side effects of opioids

A

respiratory depression, GI complications, sedation

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22
Q

what is most important to assess before giving opioids

A

respirations

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23
Q

antidote for opioids

A

naloxone

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24
Q

what is the action of opioids

A

binds to opiate receptors in the CNS which alters perception and response to pain

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25
Q

docusate classifications

A

T: laxatives
P: stool softener

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26
Q

which medication must health providers teach that you need to avoid straining during BM

A

docusate (may cause Valsalva maneuver)

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27
Q

draws water into stool resulting in a softer fecal mass

A

docusates action

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28
Q

what important side effects may fentanyl cause

A

facial itching

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29
Q

ferrous sulfate classifications

A

T: antianemic
P: iron supplement

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30
Q

side effects of ferrous sulfate

A

dark stools, staining of the teeth, GI upset

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31
Q

what labs to monitor when taking ferrous sulfate

A

hemoglobin, hematocrit

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32
Q

what aids with absorption when taking ferrous sulfate

A

vitamin C

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33
Q

enters the bloodstream and goes to organs such as the liver, spleen, and bone marrow where it becomes part of iron stores

A

ferrous sulfate action

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34
Q

folic acid classifications

A

T: antianemic, vitamin
P: water soluble vitamin

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35
Q

side effects of folic acid

A

rash, irritability, difficulty sleeping, malaise, confusion, fever, INTENSE YELLOW URINE

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36
Q

what labs need monitored while taking folic acid

A

hemoglobin, hematocrit, reticulocyte count

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37
Q

what may decrease when taking folic acid

A

serum concentrations of other B complex vitamins

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38
Q

required for protein synthesis and red blood cell function

A

folic acid action

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39
Q

furosemide classifications

A

T: diuretic
P: loop diuretic

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40
Q

side effects of furosemide

A

dehydration, hypokalemia, hyponatremia, hypovolemia

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41
Q

what should clients consume more of when taking furosemide

A

potassium

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42
Q

inhibits the reabsorption of sodium and chloride form the loop of henle and distal tubule

A

furosemides action

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43
Q

hydrochlorothiazide classifications

A

T: antihypertensive, diuretic
P: thiazide diuretic

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44
Q

side effects of hydrochlorothiazide

A

dizziness, hypotension, hypokalemia, dehydration

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45
Q

increases excretion of sodium and water by inhibiting sodium reabsorption in the distal tubule

A

hydrochlorothiazide action

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46
Q

who is commonly prescribed hydrochlorothiazide

A

patients with hypertension, edema, CHF

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47
Q

what does hydrocodone and APAP also do

A

suppresses cough

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48
Q

ibuprofen classifications

A

T: antipyretic, antirheumatic, non opioid analgesic, NSAID
P: nonopioid analgesic

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49
Q

what is ibuprofen commonly used for

A

dysmenorrhea and arthritis

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50
Q

ketorolac classifications

A

T: NSAID, nonopioid analgesics
P: pyrrolizidine carboxylic acid

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51
Q

loperamide classifications

A

T: antidiarrheal

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52
Q

side effects of ketorolac

A

drowsiness, GI bleeding, dizziness, headache

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53
Q

inhibits peristalsis and prolongs transit time by direct effect on nerves in the intestinal muscle wall

A

loperamide action

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54
Q

who is commonly prescribed loperamide

A

IBD patients

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55
Q

magnesium hydroxide & aluminum hydroxide classifications

A

T: antiulcer
P: antiacid

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56
Q

side effects of magnesium hydroxide & aluminum hydroxide

A

constipation, diarrhea, fluid and electrolyte imbalance, TARRY STOOLS; COFFEE GROUND EMESIS

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57
Q

advise patients to wait how long before other meds while taking magnesium hydroxide & aluminum hydroxide

A

2 hours

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58
Q

what patients are commonly prescribed magnesium hydroxide & aluminum hydroxide

A

GERD

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59
Q

magnesium sulfate classifications

A

T: mineral
P: mineral/electrolyte

60
Q

side effects of magnesium sulfate

A

muscle weakness, flushing, bradycardia, arrhythmia, diarrhea, hypothermia, drowsiness
LETHARGY, SWEATING

61
Q

antidote for magnesium sulfate

A

calcium gluconate

62
Q

what is important to monitor when giving magnesium sulfate

A

BP

63
Q

what must be assessed hourly when given magnesium sulfate

A

patellar reflex

64
Q

metoprolol classifications

A

T: antianginal, antihypertensive
P: beta blocker

65
Q

morphine sulfate classification

A

T: opiod analgesics
P: opiod agonist

66
Q

specific side effects of morphine sulfate

A

itching at the site (IV), urinary retention

67
Q

what medications do you need to be cautious with when giving opioids

A

MAOI’s

68
Q

naloxone classifications

A

T: antidote
P: opioid antagonist

69
Q

side effects of naloxone

A

hypertension, hypotension, tachycardia, nausea, vomiting

70
Q

nursing implications of naloxone

A

LOC
repeat if needed
rebound pain
withdrawal may occur

71
Q

polyethylene glycol classifications

A

T: laxatives
P: osmotics

72
Q

side effects of polyethylene glycol

A

bloating, cramping, flatulence, nausea, diarrhea

73
Q

acts as osmotic drawing water into the GI tract

A

polyethylene glycol

74
Q

potassium chloride classifications

A

T: mineral and electrolyte replacement/supplement

75
Q

what to monitor when giving potassium chloride

A

labs
hypokalemia/hyperkalemia

76
Q

maintain acid-base balance, isotonicity, and electrophysiologic balance if the cell

A

potassium chloride action

77
Q

sennosides classification

A

T: laxative
P: stimulant laxative

78
Q

what should patients do to ensure a rapid result of sennosides

A

take on an empty stomach

79
Q

alter water and electrolyte transport in the large intestine, resulting in an accumulation of water and increased peristalsis

A

sennosides action

80
Q

adalimumab classifications

A

T: antirheumatic
P: DMARD, immunomodulator

81
Q

adalimumab side effects

A

itching at the site, agranulocytosis, sepsis

82
Q

what is needed before giving adalimumab

A

TB test

83
Q

can use give adalimumab to patients under 4

A

NO!

84
Q

client teaching of adalimumab

A

rotate sites, store in refrigerator, avoid live vaccines

85
Q

binds to TNF- alpha to decrease inflammation and decrease ESR levels

A

adalimumab action

86
Q

amlodipine classifications

A

T: antihypertensive
P: calcium channel blocker

87
Q

side effects of amlodipine

A

headache, dizziness, fatigue, edema, bradycardia, hypotension, flushing

88
Q

inhibits the transport of calcium into myocardial and vascular smooth muscle cells which will inhibit excitation and contraction

A

amlodipine action

89
Q

what is amlodipine usually prescribed for

A

angina, hypertension

90
Q

ceftriaxone classifications

A

T: anti-infective
P: 3rd generation cephalosporins

91
Q

specific side effect of ceftriaxone

A

clostridium difficile, agranulocytosis, seizures, suprainfection

92
Q

what allergy do you need to assess for when giving cephalosporins

A

penicillin and cephalosporins

93
Q

bind to bacterial cell wall membranes, causing cell death. Active against many gram + and gram - pathogens

A

ceftriaxone action

94
Q

cephalexin classifications

A

T: anti-infective
P: 1st generation cephalosporins

95
Q

side effects of cephalexin

A

diarrhea, nausea, vomiting

96
Q

what specific side effects should be monitored when giving cephalosporins

A

RASH/ANAPHYLAXIS

97
Q

binds to the bacterial wall membrane, causing cell death. active against gram +

A

cephalexin action

98
Q

ciprofloxacin classifications

A

T: anti-infective
P: fluoroquinolone

99
Q

side effects of ciprofloxacin

A

acute psychoses, agitation, hepatotoxicity, pseudomembranous colitis, photosensitivity, venous irritation, tendonitis, tendon rupture, SUPRAINFECTION

100
Q

what labs need to be monitored when giving ciprofloxacin

A

AST/ALT (liver)

101
Q

what needs to be done/taught before giving ciprofloxacin

A

specimen culture and sensitivity
DO NOT CRUSH OR CHEW

102
Q

what will decrease the absorption of ciprofloxacin

A

iron or zinc
if taking take 2 hours before or after

103
Q

when taking which medication should patients where sunscreen when going outside

A

ciprofloxacin

104
Q

inhibits bacterial DNA synthesis by inhibiting DNA gyrase. Broad spectrum antibiotic against gram +

A

ciprofloxacin

105
Q

famotidine classifications

A

T: anti-ulcer
P: Histamine H2 antagonists

106
Q

side effects of famotidine

A

confusion, black tarry stools

107
Q

what may interfere with famotidine

A

smoking

108
Q

inhibits the action of histamine at H2 receptor site

A

famotidine

109
Q

fluconazole classifications

A

T: antifungal

110
Q

side effects of fluconazole

A

GI upset, headache, dizziness, rash
dark urine, PALE STOOLS

111
Q

monitor what functions when giving fluconazole

A

renal and liver

112
Q

inhibits synthesis of fungal sterols, a necessary component of the cell membrane

A

fluxonazole action

113
Q

fluconazole:
IV
children

A

1-2 hours (200mg/hr)
2 hours (>6mg/kg/day)

114
Q

glyburide classifications

A

T: antidiabetic
P: sulfonylurea

115
Q

side effects of glyburide

A

hypoglycemia, dizziness, aplastic anemia, pancytopenia, PHOTOSENSITIVITY, weight gain, swelling, drowsiness, SOB, cramps, sore throat, unusual bleeding

116
Q

important for clients to know about glyburide

A

hypoglycemia and hyperglycemia

117
Q

stimulate the release of insulin from the pancreas and increase the sensitivity to inulin at receptor sites

A

glyburide

118
Q

important labs to monitor in glyburide

A

AST, LDH, BUN, creatinine

119
Q

insulin glargine classifications

A

LONG ACTING
T: antidiabetic
P: pancreatic

120
Q

decrease blood glucose by stimulating glucose uptake in skeletal muscle and fat

A

all insulin

121
Q

HYPOGLYCEMIA, anaphylaxis, lipodystrophy, pruritus, erythema, swelling

A

all insulin side effects

122
Q

insulin lispro classifications

A

RAPID ACTING
T: antidiabetic
P: pancreatic

123
Q

insulin regular classifications

A

SHORT ACTING
T: antidiabetic
P: pancreatic

124
Q

which insulin can be IV or SubQ

A

insulin regular

125
Q

metformin classifications

A

T: antidiabetic
P: biguanide

126
Q

specific side effects of metformin

A

decreased B12, metallic taste

127
Q

what to monitor when giving metformin

A

Hgb, A1C, renal function, B12

128
Q

what are patients on metformin at risk for

A

lactic acidosis (chills, low BP, sleepiness, bradycardia, dyspnea)

129
Q

decrease hepatic glucose production, decrease intestinal glucose absorption, increase sensitivity to insulin

A

metformin action

130
Q

48 hour study

A

metformin

131
Q

what drug should be temporarily stopped before surgery

A

metformin

132
Q

omeprazole classifications

A

T: anti-ulcer agent
P: proton-pump inhibitors

133
Q

side effects of omeprazole

A

GI upset

134
Q

client teachings of ompeprazole

A

do not crush or chew
avoid alcohol, NSAIDS

135
Q

prevents the final transport of hydrogen into the stomach, diminishing stomach acid

A

ompeprazole

136
Q

sitagliptin classifications

A

T: antidiabetic
P: enzyme inhibitor

137
Q

side effects of sitagliptin

A

upper respiratory infection, rash, urticaria, pancreatitis

138
Q

what can sitagliptin be combined with

A

metformin, sulfonylure, thiazolidinediones

139
Q

what to monitor when giving sitagliptin

A

ketones, BGM

140
Q

increase levels of active incretin hormones

A

sitagliptin

141
Q

vancomycin classifications

A

T: anti-infective

142
Q

side effects of vancomycin

A

ototoxicity, nephrotoxicity, phlebitis, suprainfection, red-man syndrome

143
Q

what lab to monitor when giving vancomycin

A

creatine serum

144
Q

what can vancomycin cause at IV site

A

necrosis

145
Q

signs and symptoms of nephrotoxicity

A

pink, cloudy urine

146
Q

binds to the bacterial cell walls, resulting in cell death

A

vancomycin

Nursing 211/213 (5 decks)

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