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nctc pharm II final
nctc pharm II final study guide
| Question | Answer |
|---|---|
| insulins, oral antidiabetic agents | NPH, REG INSULIN, can be mixed, (clear to cloudy) for subQ injection, only reg. insulin can be given IV, oral's aer taken PO |
| DIABETES- Type 1, teaching, SE | teach self admin, usually before meals, carry sugar source at all times, rotate injection sites every week, SE- polydipsia, polyphagia, polyuria |
| DIABETES- type 2, teaching, SE | wt loss, improve diet, stop smoking, reduce alcohol,exercise, try these for 3 mo. before oral med tx prescribed, SE- insulin resistance, insulin deficiency |
| NPO STATUS FOR DIABETIC- | call MD for orders |
| HYPOGLYCEMIA- s/s | confusion, irritability, sweating, nervousness |
| HYPERGLYCEMIA- s/s | fruity/ acetone smell to breath, increased pulse, abdominal breathing |
| remember this saying for diabetes- | cold and clammy, need some candy. warm and dry, sugar's high |
| digoxin (lanoxin) teaching | take med same time qday, never double dose or skip dose, TAKE APICAL PULSE FOR 1 MIN. BEFORE GIVING, if <60 do not take! ask MD before taking other meds or OTC meds, don't change brands |
| antidote for digoxin | admin digibind. anorexia is early sign of toxicity. drugs that increase dig tox: adrenergics, furosemide, laxatives, steroids, thiazide diuretics |
| antidote for narcotics OD | narcan |
| antidote for tylenol OD | acetylcysteine, loading dose of 140mg/kg then 70mg/kg q4h x 17 addl. doses |
| antidote for heparin | protamine sulfate |
| antidote for coumadin | vit K |
| antidote for atropine | physostigmine |
| antidote for sucsocoline | neostigmine |
| antidote for cholinergic | atropine or epinepherin |
| antidote for barbituates | support, |
| tx for overdose of secobarbitol | admin of activated charcoal |
| antidote for aspirin | suctioning, or activated charcoal |
| lab values | |
| common SE of tricyclic antidepressants | orthostatic hypotension, extrapyramidal effects,(abnormal involuntary movements) |
| symmetrel | maintenance drug to prevent bronchospasm, not for tx of acute attacks |
| minipress-SE | profound orthostatic hypotension, so give at HS for first 4-6 wks |
| antidote for anticholinergic poisoning | physostigmine |
| digoxin signs of toxicty | colored vision, halos, flickering lights |
| reduce therapeutic effects of dig | antacids, antidiarrheals, anticholinergics, barbituates |
| pt taking diuretics, important to know muscle weakness, constipation, irregular pulse, and lethargy are syptoms of | hypokalemia |
| teaching about foods high in potassium to prevent hyperkalemia is important to pt taking | aldactone |
| benefit of ACE inhibitor antihypertensive drug captopril(capotien) | not a prodrug so can be given to pt c pre-existing liver disease |
| DOC for treating acute ventricular arrhythmias associated c MI | lidocaine |
| what signs make you turn off blood and immed. report suspicion of possible blood reaction to charge nurse | chills, back pain, dyspnea |
| mechanism of action c antidysrrhythmic drugs | sodium channel blockers- class I, beta blockers-class II, emergency recue drugs- class III, calcium channel blockers- class IV |
| SE of ACE inhibitor that goes away after dc of med | dry non productive cough |
| beta blocker useful for pt c hypertension and CHF | carvedilol(coreg) |
| alpha blocker admin at night due to significant hypotensive effect | prazosin(minipress) |
| AII blocker that does not have cough as SE | losartan(cozaar) |
| vasodilator antihypertensive that has SE of hypertrichosis(hair growth) | minoxidil(rogaine) |
Created by:
echilders
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