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Med List Nursing I
16 Meds
| Question | Answer |
|---|---|
| metoprolol | Lopressor |
| furosemide | Lasix |
| atenolol | Tenormin |
| digoxin | Lanoxin |
| What are Beta Blockers used for? (3) | HTN, Angina, MI |
| What is atenolol used to treat? | HTN+ Angina |
| What do ACE inhibitor drugs end in? | -pril |
| What do ACE inhibitor drugs treat? | HTN |
| What is the action of a Proton pump inhibitor? | Reduces production of acid |
| When taking digoxin what is restricted from the diet? | Sodium |
| What is the action of an H2 receptor antagonist? | Decrease stomach acid |
| What is the action of a Loop Diuretic? | Inhibits sodium absorption |
| What do alpha blockers end in? | -sin |
| What drug is a Loop Diuretic? | Lasix |
| What do Diuretic drugs end in? | -mide or -zide (furosemide-Lasix) |
| What do beta blockers end in? | -lol (metoprolol) |
| What loop diuretic has side effects of hearing loss renal failure and anemia? | Lasix |
| What do Calcium Channel Blockers treat? | HTN |
| What do steroid drugs end in? | -sone |
| What should be avoided when taking Digoxin? | grapefruit |
| _________ has the side effects of bronchospasm CHF and bradycardia | metoprolol/Lopressor |
| What is the generic name for Lanoxin? | digoxin |
| Apical pulse must be <60 before administration of________. | Digoxin |
| What is Digoxin used for? | Heart Failure |
| What is the regular dose for Atenlol? | 5 mg daily |
| ibuprofen | Advil, Motrin, Nuprin |
| Insulin NPH | Humulin N, Novalin N |
| Insulin, Regular | Humulin R, Novalin R |
| cefriaxone | Rocephin |
| magnesium/aluminum hydroxide | Maalox, Mylanta |
| MORPHINE | MS, MS Contin, Roxanol,Duramorph,MSo4 |
| NITROGLYCERINE | NTG,Nitro-Bid,Nitro-Dur,Nitro-Stat,Nitrolingual,NitroMist |
| PSEUDOEPHEDRINE is generic for ___? | Sudafed |
| acetaminophen is generic for ___? | TYLENOL |
| lorazapam is generic for ______? | ATIVAN |
| andansetron is generic name for _____? | ZOFRAN |
| AMPICILLIN is generic for _____? | Omnipen,Penbritin,Rincipen,Polycillin,Totacillin |
| docusate sodium is generic for____? | COLACE,Dulcolax,Ex-Lax |
| Therpeutic Classification for ampicillin? | anti-infective |
| Pharmacologic class for ampicillin? | aminopenicillin |
| Therapeutic Class for ASPRIN(4) | antipyretic,analgesic, antiplatelet,anti-inflammatory |
| Pharmacologic class for ASPIRIN? (2) | salicylates, NSAID (non-selective) |
| Therapeutic Class for ZOFRAN? | anti-emetic |
| Pharmacologic class for ZOFRAN? | 5-HT3 antagonist |
| Therapeutic class for COLACE? | Laxatives |
| Pharmacologic class for COLACE? | Stool Softeners |
| Therapeutic class for DIGOXIN?(2) | anti-arrhythmics, inotropics (^force of heart's contractions) |
| Pharmacologic class for DIGOXIN? | Digitalis glycosides |
| Therapeutic class for IBUPROFEN?(3) | antipyretics,analgesics, anti-inflammatory |
| Pharmacologic class for IBUPROFEN? | Non-Opioid Analgesic |
| Therapeutic class for INSULIN?(2) | Anti-diabetic, Hormones |
| Pharmacologic class for INSULIN? | Pancreatics |
| Therapeutic class of CEFTRIAXONE? | Anti-Infective |
| Pharmacologic class of CEFTRIAXONE? | Third Generation Cephalosprorin |
| Therapeutic class of LASIX? | Diuretic |
| Pharmacologic class of LASIX? | Loop Diuretic |
| Therapeutic class of MAALOX? | Anti-ulcer Agent |
| Pharmacologic class of MAALOX | Antacids |
| Therapeutic class of METOPROLOL?(2) | Antianginal, Antihypertensive |
| Pharmacologic class of METOPROLOL? | Beta Blocker |
| Therapeutic class of MORPHINE? | Opioid Analgesic |
| Pharmacological class of MORPHINE? | Opioid Agonist |
| Therpeutic class of NITROGLYCERINE? | Antianginal |
| Pharmacologic class of nitroglycerine? | Nitrate |
| Therapeutic class of PSEUDOEPHEDRINE?(4) | Allergy, cold & cough, nasal drying, decongestant |
| Pharmacologic class of Tylenol? (2) | Antipyretics, Analgesics |
| Therapeutic class of Ativan?(3) | Antianxiety, Sedative/Hypnotics, Analgesic Adjunts |
| Pharmacological class of Ativan? | Benzodiazepine (short acting) |
| Which drug binds to cell wall membrane and has a bactericidal action. (2) | AMPICILLIN & CEFTRIAXONE |
| Indications for use: skin infections, otitis media,sinusitis,respiratory infections | AMPICILLIN |
| Contraindications: Hypersensitivity to penicillins | AMPICILLIN |
| Most common side effects of AMPICILLIN? | DIARRHEA, RASH, nausea, vomiting |
| What is the regular dose of AMPICILLIN? | PO 250-500mg q 6 hIV 500mg-3g q 6 hMAX 14g |
| Nursing Implications for AMPICILLIN? | S&S Anaphylaxis,rash,pruritis,edema,wheezing.Obtain allergy history Take cultures prior to starting tx |
| Produces analgesia and reduces inflammation/fever by inhibiting production of prostaglandins. | ASPIRIN |
| Decreases platelet aggregation | ASPRIN |
| Therapeutic effects are analgesia, reduces inflammation, reduces fever, decreases incidence of ischemic attacks and MI | ASPIRIN |
| Indications for use:Inflammatory disorders, mild/mod pain,fever,MI | ASPIRIN |
| contraindications:hypersensitivity to other salicylates, cross sensitivity NSAIDS, bleeding disorders, thrombocytopenia | ASPIRIN |
| Most common side effects of ASPRIN include: | dyspepsia, epigastric distress, nausea |
| Adverse Effects:cause/worsen renal failure,inc.BP,exacerbate HF & GI bleeding. | ASPIRIN |
| IBUPROFEN may negate antiplatelet effects of__? | ASPIRIN |
| May increase risk of bleeding with warfarin,heparin, thrombolytic agents. | ASPIRIN |
| WHAT IS THE REGULAR DOSE OF ASPRIN? | PAIN 325-100mg q4h-(4gMAX, INFLAMMATION 2.4G TO 5.4G/DAY(MAX7.8G) ANTIPLATE 80mg1xday |
| ASSESS PT WITH ASTHMA, ALLERGIES TO TARTRAZINE ARE AT AN INCREASED RISK FOR HYPERSENSITIVITY TO______? | ASPRIN |
| WHAT IS THE REGULAR DOSE FOR COLACE? | 50-500mg/day PO or (rectal50-100mg) |
| This med does not stimulate peristalsis, stool softener only. | COLACE |
| DIGOXIN INCREASES CARDIAC OUTPUT aKA__________ EFFECT. | POSITIVE INOTROPIC EFFECT |
| DIGOXIN DECREASES HEART RATE AKA _______ EFFECT. | NEGATIVE CHRONOTROPIC EFFECT |
| INCREASES THE FORCE OF MYOCARDIAL CONTRACTION,PROLONGS REFRACTORY PERIOD & CONDUCTION OF AV/SA NODES | DIGOXIN |
| DIGOXIN IS INDICATED FOR TREATMENT OF ___? | Chronic Hear Failure, Tachyarrhythmias |
| DIGOXIN IS CONTRAINDICATED FOR ___?(2) | UNCONTROLLED ARRHYTHMIAS, AV BLOCK |
| MOST COMMON SIDE EFFECTS OF DIGOXIN? (5)NVABF | N,V,ANOREXIA,BRADYCARDIA,FATIGUE |
| ST. JOHN'S WART MAY DECREASE EFFECTS OF ? | DIGOXIN |
| WHAT IS THE AVERAGE LOADING AND MAINTENANCE DOSE OF DIGOXIN GIVEN IV for adults? | 0.5-1mg IV (GIVE 50% AS LOADING DOSE AND THEN 25% 6-12H AND 25% 6-12H) |
| WHAT IS THE AVERAGE LOADING AND MAINTENANCE DOSE OF DIGOXIN GIVEN PO for adults? | 0.75-1.5mg (50% LOADING DOSE, THEN 25%/25% AT 6-12H INTERVALS. MAINT: 0.125-0.5mg/day tablets |
| Geriatric dosages of DIGOXIN should not exceed_________mg/day.GERI S&S OF TOXICITY CAN OCCUR SERUM DIGOXIN W/IN NORMAL RANGE. | 0.125mg EXCEPT WHEN TREATING ATRIAL FIB. |
| DIGOXIN HAS A VERY NARROW___________SO SECOND PRACTIONER CHECKS ORDER & CALCULATIONS. | THERAPEUTIC RANGE |
| MOST COMMON SIDE EFFECTS OF IBUPROFEN? | CONSTIPATION DYSPEPSIA NAUSEA VOMITING |
| CARIOPROTECTIVE EFFECTS OF ASPIRING MAY BE DECREASED BY ________________ (DRUG)? | IBUPROFEN |
| WHAT IS THE AVERAGE DOSE OF IBUPROFEN USED FOR ANTI-INFLAMMATORY INDICATIONS? | 400-800mg 3-4Xdaily (MAX3600mg/daily) |
| WHAT IS THE AVERAGE DOSE OF IBUPROFEN USED FOR ANALGESIC/ANTIPYRETIC INDICATIONS? | 200-400MG q4-6h (MAX 1200mg/daily) |
| DISCUSS ACTION OF REGULAR V NPH INSULIN? | REG INSULIN IS SHORTER ACTING (3-6H)AND NPH IS LONGER ACTING(10-16H) |
| WHAT ARE THE S&S OF HYPOGLYCEMIA? | ANXIETY, RESTLESSNESS,TINGLING,COLD SWEATS |
| WHAT ARE THE S&S OF HYPERGLYCEMIA? | DROWSINESS,FLUSHED DRY SKIN,FRUITY BREATH, POLYURIA,THIRST |
| WHAT ARE NORMAL MAINTENANCE DOSAGES FOR INSULIN IN ADULTS? | 0.5-1UNIT TOTAL INSULIN/KG/DAY SCREGULAR INSULIN IV INFUSION 0.1UNIT/KG/HR |
| Which drug is contraindicated in patients hypersensitive to cephalosporins? | CEFTRIAXONE |
| Most common side effects of CEFTRIAXONE INCLUDE: | pain at IM site, phlebitis at IV site |
| What are the normal dosages of CEFTRIAXONE?For Infections?For perioperative prophylaxis? | 1-2g q 12-24h Most Infections;1g before surgery for prophylaxis |
| Nursing Implications for CEFTRIAXONE Hint:s&s | Check for s&s of anaphylaxis. (rash, itch,wheezing,edema) |
| Important to monitor bowel function during and after CEFTRIAXONE. What to look for & why? | Diarrhea,cramping,fever,bloody stools or all s&s of pseudomembranous colitis. |
| What is a "superinfection"? | A second infection caused by a microbe that is resistant to original antibiotic. |
| Most common side effects of Lasix? | Dehydration, fluid imbalance,urinary incontinence(watch for Falls) |
| What is the regular dose for Lasix? PO &IV/IM | PO 20-80mg/day May repeat 6-8h;IM/IV 20-40mg May repeat 1-2h |
| Potassium supplements may be used in patients on LASIX to prevent__? | Hypokalemia |
| Increased risk of DIGOXIN toxicity when taken with _____because potasium depleting effect of diuretics. | LASIX |
| MAALOX is contraindicated for: (2) | Severe abdominal with pain/fever and patients with renal failure (CrCL<30) |
| Metoprolol is contraindicated in: (4) | CHF,Pulmonary Edema,Cardiogenic Shock and Bradycardia |
| Most common side effects of METOPROLOL are: | Fatigue & Weakness, erectile dysfuntion |
| Metoprolol common PO dose for anti-HTN/angina IS:Hint:Higher dose than heart failure | 25-100mg/day Not to Exceed 450mg/day PO(FOR heart failure 12.5-25mg/day 200mgMAX |
| Metoprolol common PO dose for HEART FAILURE:Hint:Lower dose than anti-HTN/ANGINA | 12.5 -25mg/day Not to Exceed 200mg/day PO(FOR anti-HTN/ANGINA 25-100mg/day 450mgMAX |
| When would you HOLD administration of METOPROLOL? | AP <50 or if arrhythmia. |
| What are the most common side effects of MORPHINE?(3) | confusion, hypotension & constipation |
| What is the common PO dose for MORPHINE? | 30mg q 3-4h |
| What is the common IV dose for MORPHINE? | 4-10mg q 3-4h |
| Nursing Implications for MORPHINE include assessing___? (4)and assess for pain. | LOC,BP,Pulse,Respirations |
| What is the MECHANISM OF Action for NITROGLYCERINE? | Dilates coronary arteries which ^bloodflow;Reduces myocardial o2 consump;decreases preload Left ventricle |
| What are the therapeutic effects of NITROGLYCERINE? | <ANGINA;>CARDIAC OUTPUT;<BP |
| What are the most common side effects of NITROGLYCERINE? (4) | Dizziness, headache,hypotension,tachycardia |
| Concurrent use of _____ and (Viagra,Cialis,Levitra) increases risk of serious/fatal hypotension. | NITROGLYCERINE |
| wHAT IS THE COMMON ADULT DOSE FOR NITROGLYCERINE ADMIN. SUB-LINGUAL | 0.3-0.6mg q5minutes x2 |
| WHAT IS THE COMMON ADULT DOSE FOR NITROGLYCERINE ADMIN. PO? | 2.5-9mg q 8-12h |
| WHAT IS THE COMMON ADULT DOSE FOR NITROGLYCERINE ADMIN. IV? | 5mcg/min q 3-5min(MAX200mcg/min) |
| WHAT IS THE COMMON ADULT DOSE FOR NITROGLYCERINE ADMIN. TRANSDERMAL? | OINTMENT: 1-2INCH q6-8h (PATCH 0.2-0.4mg/hr worn 12-14hrs/day) |
| Monitor BP and Pulse before & after administration of NITROGLYCERINE. Also: | PO dose administered 1h before or 2h after meals with full glass of water |
| PSEUDOEPHEDRINE is indicated for: | nasal congestion,allergic rx,open obstructed eustachian tubes |
| PSEUDOEPHEDRINE is contraindicated in: | Hypersensitivity to sympathomemetic amines, hypertension,coronary artery disease,concurrent MAO inhibitor,alcohol intolerance |
| Most common side effects for PSEUDOEPHEDRINE: | ANXIETY,NERVOUS,PALPITATIONS,ANOREXIA |
| COMMON DOSE FOR PSEUDOEPHEDRINE PO? | 60mg q6h (MAX 240mg/day)120mgER q12h or 240mgERq 24h |
| What is the action of ACE inhibitors? | Blocks Angiotensin converting enzyme from converting to Angiotensin II. <aldostrone |
| Side effects of Beta Blockers. | Decreased pulse, Hypotension |
| 2 assessments before Beta Blockers | HR and BP |
| Action of Calcium Channel Blockers | Decreased contactality. Relaxes Smooth Muscle. |
| What is Amiodorone give for? | Antidysrhythmic. V-tach. A-fib. |
| What precautions should be taken with amiodorone? | TELEMETRY |
| Lab tests for Warfarin... | PT and INR. Hold if INR <2 |
| Class of Hyzaar and Cozaar. | ARB's - Angiotensin II Receptor Blockers. |
| Prendisone precautions. | Give with food. Causes Ulcers. |
| Lab Test for Heparin. | PTT |
Created by:
deandanl
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