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Peds drug quiz
Peds drug quiz lilk8tob
| Front | Back |
|---|---|
| Give Flagyl over | 1 hour |
| Zantac (Ranitidine) is used for | short term treatment of active duodenal ulcers & benign gastric ulcers, GERD, and in conjunction w/ corticosteroids for anti-inflammatory preventino of stress ulcers |
| Pts on Garamycin or other aminoglycosides need to have: | a drug level evaluated on a regular basis, due to the nephrotoxic and ototoxic side effects of these drugs |
| Drug interactions with aminoglycosides (4): | penicillins, cephalosporins, neuromuscular blocking agents, and loop diuretics |
| Gentamicin is incompatible with: (1) | penicillin |
| Gentamicin shoudl be given at least one hour before or after: | other antibiotics |
| Valproic acid is used for | anti-seizure. is used because it has a lower incidence of lethargy. |
| Depakene is used for | anti-seizure because it has a lower incidence of lethargy |
| Dilantin can cause | gingival hyperplasia |
| This is given with an oral iron preparation ot increase the absorption in infants & children | Vitamin C (ascorbic acid) |
| Using Coumadin with ___ may decrease the anticoagulant effect and should be monitored carefully | Vitamin K |
| On Coumadin, leafy green vegetables can cause: | decrease in prothrombin time and lead to therapeutic failure of the medication. |
| Foods pt on Coumadin should avoid: | alfalfa, asparagus, broccoli, brussel sprouts, cabbage, cauliflower, green tees, lettuce, spinach |
| Pancrelipase (Cotazym) is a : | Pancreatic enzyme given as replacement therapy in the treatment of malabsorption syndrome caused by pancreatic insufficiency |
| Pancrelipase (Cotazym) is inactivated by: | acids, so use microencapsulated products to permit better dissolution of enzymes in the duodenum, thus allowing the digestion of protein, starches, and fats. |
| Side effects of Pancrelipase (Cotazym): | nausea, cramps, constipation, diarrhea |
| Patient teaching for Pancrelipase (Cotazym) | Do not chew capsules, take with or before meals |
| Do not use this drug during sickle cell pain crisis | Meperidine - chance for seizure activity induced by accumulation of the drug through repetitive dosing |
| Corticosteroid meds used for | anti-inflammatory properties |
| Corticosteroids used systemically- warning: | An awareness of fatalities that have occurred due to adrenal insufficiency if the drug is not tapered gradually before discontinuing |
| Ways to check for discharge teaching understanding | utilization of return demonstrations, charts, written instructions, verbalization of understanding by the patient and caregiver |
| Instructions for child w/ asthma: | continue administering preventative meds even when the child has no symptoms. |
| When using asthma rescue meds: | Administer meds that will open the bronchioles before giving the corticosteroids |
| Pharmacotherapy of asthma recognizes the disease is: | a chronic disorder with recorrent episodes |
| PPD stands for | Purified protein derivative |
| PPD given: | intradermally, then checked 48-72 hours later |
| Positive TB looks like: | Induration of 5mm+. Redness alone is not positive |
| Therapy for TB: | Isoniazid (INH), rifampin, pyrazinamide (PZA) |
| List the long term oral asthma control meds: | Methylprednisolone (Medrol), Prednisolone (Prelone, Prediapred, or Orapred) |
| List the long-term MDI asthma control meds: | Cromolyn Sodium (Intal), Nedocromil sodium (tilade) |
| Other corticosteroids for long-term asthma control | Beclovent, Vanceril, Pulmicort, Aerobid, Flovent |
| Quick relief Meds for Asthma (short-acting, inhaled beta 2 agonists): | Albuterol, Bitolterol, Levalbuterol, Pirbuterol (Maxair) |
| Side effects of all short-acting beta-2 agonists: | tremor, tachycardia, HA |
| Quick asthma relief? Pirbuterol | Yes |
| Quick asthma relief? Cromolyn Sodium (Intal) | No |
| Quick asthma relief? Nedocromil sodium (tilade) | No |
| Quick asthma relief? Levalbuterol (Xopenex) | Yes |
| 24 hour IV fluid maintenance requirement | 100 ml/kg for first 10 kg, 50ml/kg for the second 10kg, 20ml/kg for each additional kg |
| Prepare toddlers for meds or procedure: | immediately prior |
| prepare preschoolers by: | simple explanations and use of doll play to help explain and answer questions |
| Prepare young school-age children by: | offering reassurances, brief limits set, and honest answers w/ calm demeanor |
| Why are neonates at high risk for drug toxicity? | They have poor drug metabolizing capabilities in the liver & kidneys |
| _____ is an essential component of maintenance IV fluids for an infant | Dextrose |
| Why is Dextrose an essential component of maintenance IV fluids for an infant? | They have a high metabolic rate and less fat reserves. |
| A young infant should receive no more than ___ml per injection site | 0.5 ml |
| For younger children, this is the preferred site for IM injections | the vastus lateralis |
Created by:
lilk8tob
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