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Peds drug quiz

Peds drug quiz lilk8tob

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