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NURS202 Final Pt4
Meds SE, cautions, contraindications, interventions
Question | Answer |
---|---|
phenytoin- Dilantin SE | hyperplasia gingivitis |
glaucoma meds caution | some can be absorbed systemically and reduce BP |
Parkinson's "on-off phenomenon" | rapid swings in RX response |
Parkinson's "wean-off phenomenon" | drugs lose effect; add other drugs as adjunct therapy |
Parkinson's anti-cholinergic benztropine-Cogentin contraindications | BPH, glaucoma, myasthenia gravis, hot climate (reduces sweat reflex) |
non-opioids except acetaminophen | hard on stomach |
NSAIDS and ASA cautions interventions | take with food to reduce GI effects, watch for GI bleeding, no ASA with children (except Kawasaki's) because of Reye's |
opioids caution | tolerance, dependence, addiction |
seizure interventions | monitor liver enzymes, CBC, renal studies, evaluate therapeutic response |
sleep interventions | infant/children/geriatric- give med that has short half-life |
sleep SE | hangover, lethargy |
sleep caution | barbituates have a narrow therapeutic index |
anti-ulcer intervention | do not give PPI's/H2 antagonist at same time as cytoprotective; give cytoprotective 1/2 before meals and the others after meals |
antacids cautions | acid rebound |
antacids SE | some contain calcium and magnesium which can cause constipation or diarrhea |
Pepto bismol SE | black tongue |
Parkinson's SE and intervention | hard on stomach- give with food |
opioids SE | CNS depression and reduced respiratory effect |