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The parent of a child with attention-deficit/hyperactivity disorder (ADHD) asks the nurse how a drug like methylphenidate (Ritalin), a CNS stimulant, can help the child. What is the nurse's best response?
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What is a priority nursing action when taking care of a patient who is prescribed a central nervous system (CNS) stimulant?
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pharmcology swgt hes
hesi final
| Question | Answer |
|---|---|
| The parent of a child with attention-deficit/hyperactivity disorder (ADHD) asks the nurse how a drug like methylphenidate (Ritalin), a CNS stimulant, can help the child. What is the nurse's best response? | Methylphenidate has a paradoxical effect in children. |
| What is a priority nursing action when taking care of a patient who is prescribed a central nervous system (CNS) stimulant? | Monitor the patient for seizure activity. |
| When assessing for side effects expected in a client taking analeptics, what is a priority nursing action? | Assessing patient for nervousness |
| The nurse is caring for a child taking methylphenidate for ADHD. Assessment reveals a heart rate of 110, and the child is complaining of chest pain. What is the nurse's best action? | Assess for over-the-counter medication use |
| A patient taking methylphenidate HCl (Ritalin) is nauseous and vomiting. What is the nurse's best action? | Ask the patient if he or she has been taking the medication regularly |
| A client is to be discharged home with a transdermal nitroglycerin patch. Which instruction will the nurse include in the client's teaching plan? | Apply the patch to a non-hairy area of the upper torso or arm |
| A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin. Which assessment finding indicates that the nitroglycerin has been effective? | Client states pain is 0 out of 10 |
| The nurse is monitoring a client during IV nitroglycerin infusion. Which assessment finding will cause the nurse to take action? | for chest apin |
| Which statement made by the client demonstrates a need for further instruction regarding the use of nitroglycerin? | I can take up to five tablets every 3-min for chest pain if necessary |
| Which client assessment would assist the nurse in evaluating therapeutic effects of a calcium channel blocker? | the client stat that she has not chest pain |
| What statement is the most important for the nurse to include in the teaching plan for a client who has started on a transdermal nitroglycerin patch? | the medication will work for 24 hours and you will need to change the patch daily. |
| What will the nurse instruct the client to do to prevent the development of tolerance to nitroglycerin? | apply the nitro patch for 14 hours and remove it for 10 hours at night |
| Before the nurse administers isosorbide mononitrate (Imdur), what is a priority nursing assessment? | assess blood pressure |
| The client asks the nurse how nitroglycerin should be stored while traveling. What is the nurse's best response? | It’s best to keep it in its original container away from heat and light |
| Which statement indicates to the nurse that the client understands sublingual nitroglycerin medication instructions? | I should sit or lie down after I take a nitro tablet to prevent dizziness |
| What instruction should the nurse provide to the client who needs to apply nitroglycerin ointment? | Apply the ointment to a nonhairy part of the upper torso |
| A client receiving intravenous nitroglycerin at 20 mcg/min complains of dizziness. Nursing assessment reveals a blood pressure of 85/40 mm Hg, heart rate of 110 beats/min, and respiratory rate of 16 breaths/min. What is the nurse's priority action? | Decrease the intravenous nitroglycerin by 10 mcg/min |
| The nurse is monitoring a client taking digoxin (Lanoxin) for treatment of heart failure. Which assessment finding indicates a therapeutic effect of the drug? | Heart rate 58 beats per minute |
| A client's serum digoxin level is drawn, and it is 0.4 ng/mL. What is the nurse's priority action? | Administer ordered dose of digoxin. |
| A client is taking digoxin (Lanoxin) 0.25 mg and furosemide (Lasix) 40 mg. When the nurse enters the room, the client states, "There are yellow halos around the lights." Which action will the nurse take? | Evaluate digoxin levels |
| Which assessment finding will alert the nurse to suspect early digitalis toxicity? | Loss of appetite with slight bradycardia |
| The nurse reviews a client's laboratory values and finds a digoxin level of 10 ng/mL and a serum potassium level of 5.9 mEq/L. What is the nurse's primary intervention? | To administer digoxin immune FAB |
| A client is to begin treatment for short-term management of heart failure with milrinone lactate (Primacor). What is the priority nursing action? | Monitor blood pressure continuously. |
| A client is admitted to the emergency department with paroxysmal supraventricular tachycardia. What intervention is the nurse's priority? | Rapid IV bolus of Adenosine (Adenocard) |
| Which assessment finding will alert the nurse to possible toxic effects of amiodarone? | Crackles in the lungs |
| What must the nurse monitor when titrating intravenous nitroglycerin for a client? | Continuous blood pressure and presence of chest pain |
| Which laboratory value will the nurse report to the health care provider as a potential adverse response to hydrochlorothiazide | Fasting blood glucose level of 140 mg/dL |
| What is the best information for the nurse to provide to the client who is receiving spironolactone (Aldactone) and furosemide (Lasix) therapy? | This combination promotes diuresis but decreases the risk of hypokalemia.” |
| The nurse is assessing a client who is taking furosemide (Lasix). The client's potassium level is 3.4 mEq/L, chloride is 90 mmol/L, and sodium is 140 mEq/L. What is the nurse's primary intervention? | Administer 2 mEq potassium chloride per kilogram per day IV |
| A nurse admits a client diagnosed with pneumonia. The client has a history of chronic renal insufficiency, and the health care provider orders furosemide (Lasix) 40 mg twice a day. What is most important to include in the teaching plan for this client? | The fact that Lasix has shown efficacy in treating persons with renal insufficiency |
| A client taking spironolactone (Aldactone) has been taught about the therapy. Which menu selection indicates that the client understands teaching related to this medication? | Fish ...Fish is an appropriate dietary choice, because it is low in potassium. |
| Which client would the nurse need to assess first if the client is receiving mannitol (Osmitrol)? | A 47-year-old client with anuria |
| A nurse is caring for a client receiving acetazolamide (Diamox). Which assessment finding will require immediate nursing intervention? | A decrease in arterial pH |
| A client is ordered furosemide (Lasix) to be given via intravenous push. What interventions should the nurse perform? | Administer at a rate no faster than 20 mg/min, Assess lung sounds before and after administration, Assess blood pressure before and after administration, ,Maintain accurate intake and output record. |
| A client is prescribed Thalitone (chlorthalidone). What is the most important information the nurse should teach the client? | Wear protective clothing and sunscreen while on this medication..Adverse effects associated with Thalitone include photosensitivity |
| A client with hyperaldosteronism is prescribed spironolactone (Aldactone). What assessment finding would the nurse evaluate as a positive outcome? | Decreased aldosterone Spironolactone (Aldactone) is the direct antagonist for aldosterone. |
| A client with acute pulmonary edema receives furosemide (Lasix). What assessment finding indicates that the intervention is working? | Lungs clear . . Furosemide (Lasix) is a potent, rapid-acting diuretic that would be the drug of choice to treat acute pulmonary edema. |
| Which assessment indicates a therapeutic effect of mannitol (Osmitrol)? | Decreased intracranial pressure...is osmotic diuretic that pulls fluid from extravascular spaces into the bloodstream to be excreted in urine..decreases intracranial pressure, decrease urine osmolality, and increase serum osmolality. |
| Which intervention will the nurse perform when monitoring a client receiving triamterene (Dyrenium | Assess potassium levels....Triamterene (Dyrenium) is a potassium-sparing diuretic. The nurse should monitor potassium for potential hyperkalemia. |
| The client asks the nurse why the health care provider prescribed acetazolamide (Diamox), a diuretic, to treat gout. What is the nurse's best response? | It increases alkalinity of urine, thus decreasing the formation of uric acid |
| Which statement indicates that the client needs additional instruction about antihypertensive treatment? | I will check my blood pressure daily and take my medication when it is over 140/90. |
| A nurse is caring for a client who is taking an angiotensin-converting enzyme inhibitor and develops a dry, nonproductive cough. What is the nurse's priority action? | Call the health care provider to switch the medication |
| The nurse is reviewing a medication history on a client taking an ACE inhibitor. The nurse plans to contact the health care provider if the client is also taking which medication | spironolactone (Aldactone)..Spironolactone is a potassium sparing diuretic and should not be administered with an ACE inhibitor. |
| A client is prescribed a noncardioselective beta1 blocker. What nursing intervention is a priority for this client | Respiratory assessment.... Non-cardioselective beta blockers can cause bronchospasms, and a respiratory assessment is indicated to check for potential respiratory side effects. |
| Which client will the nurse assess first? | The client who has stopped taking a beta blocker due to cost Abrupt discontinuation of the antihypertensive drug may cause rebound hypertension. |
| The nurse is caring for a client with hypertension who is prescribed Clonidine transdermal preparation. What is the correct information to teach this client? | Get up slowly from a sitting to a standing position.....This medication can cause dizziness. Client safety is a priority. The patch is left on for 7 days and can be left on while bathing. This medication is often prescribed with other drugs. |
| The client taking Methyldopa (Aldomet) has elevated liver function tests. What is the nurse's best action? | Notify the health care provider...This drug should not be used in clients with impaired liver function....client taking prazosin has a blood pressure of 140/90. The client is complaining of swollen feet. What is the nurse's best action?The desired therape |
| client taking prazosin has a blood pressure of 140/90. The client is complaining of swollen feet. What is the nurse's best action? | Determine the client’s history..The desired therapeutic effect of prazosin may not fully occur for 4 weeks. |
| A calcium channel blocker has been ordered for a client. Which condition in the client's history is a contraindication to this medication? | Hypotension...Calcium channel blockers cause vasodilation and thus a drop in blood pressure |
| client who takes clonidine (Catapres) is to be discharged to home. Which instruction will the nurse include when teaching this client? | “Increasing fluid and fiber in your diet can help prevent the side effect of constipation.”.... Constipation is a controllable side effect of clonidine (Catapres). |
| During assessment of a client diagnosed with pheochromocytoma, the nurse auscultates a blood pressure of 210/110 mm Hg. What is the nurse's best action? | To administer phentolamine (Regitine)...To administer phentolamine (Regitine |
| Which is a priority nursing diagnosis for a client taking an antihypertensive medication? | Alteration in cardiac output related to effects on the sympathetic nervous system... Circulation is always a priority over fatigue, pain, and knowledge deficit. |
| Which assessment finding will need intervention and is related to the client's use of aluminum hydroxide (Amphojel | Client has not had a bowel movement in 3 days |
| Which client needs immediate intervention? | Client taking magnesium-containing antacids who has renal failure |
| What assessment has the highest priority for a client using sodium bicarbonate to treat gastric hyperacidity? | Assess for metabolic alkalosis. |
| Which nursing diagnoses is appropriate for a client receiving famotidine (Pepcid)? | Potential risk for bleeding related to thrombocytopenia ....A serious side effect of famotidine (Pepcid) is thrombocytopenia |
| Which statement demonstrates to the nurse that the client understands instructions regarding the use of histamine2-receptor antagonists? | Smoking decreases the effects of this medication, so I should look into cessation programs.” |
| A client is prescribed Lorazepam (Ativan) and a glucocorticoid during chemotherapy treatments. What is the nurse's best action | Administer the medications and assess the client for relief |
| A nurse is caring for a client who is unable to tolerate oral medications. The nurse anticipates that the client may be prescribed which proton pump inhibitor to be administered intravenously? | pantoprazole (Protonix |
| Which outcome assessment is essential to monitor for the client taking diphenoxylate (Lomotil)? | Decrease in gastric motility.... Diphenoxylate (Lomotil) acts on the smooth muscle of the intestinal tract to inhibit gastrointestinal motility |
| The nurse is planning to administer metoclopramide (Reglan). What is a primary intervention? | Administer 30 minutes before meals and at bedtime |
| In developing a plan of care for a client receiving an antihistamine antiemetic agent, which nursing diagnosis would be of highest priority | Fluid volume deficit related to nausea and vomiting |
| What instruction is most important for the nurse to teach a client who is taking an anticholinergic agent to treat nausea and vomiting? | Brush your teeth and gargle to help with dryness in your mouth... |
| Which assessment is most important for the client who is taking stimulant laxatives | Monitor signs and symptoms of fluid and electrolyte imbalance |
| What is a priority nursing intervention when administering ranitidine (Zantac)? | Administer just before meals...Ranitidine (Zantac) should be given just before meals to decrease food-induced acid secretion, or at bedtime. |
| The health care provider prescribes lansoprazole (Prevacid) to a client. Which assessment indicates to the nurse that the medication has had a therapeutic effect? | The client has no throat pain |
| A client with type 1 diabetes mellitus has been ordered insulin aspart (NovoLog) 10 units at 7:00 AM. What nursing intervention will the nurse perform after administering this medication? | Make sure the client eats breakfast |
| The client newly diagnosed with type 2 diabetes mellitus has been ordered insulin glargine (Lantus). What information is essential for the nurse to teach this client? | This medication has a duration of action of 24 hours.” |
| The nurse is monitoring the client receiving an IV infusion of insulin. What intervention is essential for this client? | Make sure the pump is set to the correct rate. |
| The nurse is teaching the client how to administer insulin. What information is essential to include in the plan? | |
| administer insulin. What information is essential to include in the plan? | For the most consistent absorption, inject the insulin into the abdomen.” |
| The nurse administers NPH insulin at 8 AM. What intervention is essential for the nurse to perform? | Make sure client eats by 5 PM....NPH insulin may be peaking just before dinner without sufficient glucose on hand to prevent hypoglycemia. The client needs to eat by 5 PM. |
| What is the most important information for the nurse to teach the client who has been prescribed an alpha-glucosidase inhibitor? | This medication will delay the absorption of carbohydrates from the intestine |
| The client with type 1 diabetes mellitus asks "Why can't I take a sulfonylurea like my friend who has diabetes?" What is the nurse's best response? | Sulfonylurea increases beta-cell stimulation to secrete insulin, and with your type of diabetes, the beta cells do not contain insulin. This medication will not work for you. |
| The nurse is teaching a client with type 1 diabetes and hypertension. The client currently takes insulin and Inderal. What is the most important information for the nurse to teach this client? | Check your blood glucose four times a day |
| The nurse would include which statement when teaching a client about insulin glargine? | You cannot mix this insulin with any other insulin in the same syringe.” |
| The nurse finds a client with type 1 diabetes mellitus unresponsive, cold, and clammy. What is the nurse's best action? | Administer glucagon..Glucagon stimulates glycogenolysis, raising serum glucose levels. The client is showing signs of hypoglycemia |
| The health care provider orders doxapram hydrochloride (Dopram) for a client in the emergency department. What is the most important nursing intervention for this client? | Monitor for possible seizure activity |
| A client is admitted to the emergency department with an overdose of a benzodiazepine. Which antidote will the nurse administer? | flumazenil (Romazicon |
| A client is admitted to the emergency department with an overdose of a barbiturate. The nurse immediately prepares to administer which medication? | activated charcoal.. There is no antidote for barbiturates. The use of activated charcoal absorbs any drug in the gastrointestinal tract, preventing absorption. |
| The client's chart notes the administration of dantrolene (Dantrium) immediately postoperatively. What will the nurse need to do to monitor the effect of this medication? | Assess muscle tone. |
| Zantac is used to treat | peptic ulcers, and GERD, and stress ulcers avoid smoking and alcohol, caffeom |
| Zantac is taken with an antiacid .... | 1 hour apart from each other --is H2 blocker |
| toradol | the first injectable NSAID..a non-opiod pain killer(short) ..can cause GI upset |
| Tigan - used during pregnancy | antiemetic --- causes drowiness, headach, blurred vision...hypotension, muscle cramps, and extrapyramidal movements !!!! |
| ORAL hypoglycemics | are synthetic drugs --that stimulate insulin release ....alter the metabolic response to hyperglycemia |
| H2 ..action in GI | reduce acid reflux ...block the H2 receptors .... can cause impotence, gynomastia |
| H2 blocker | take before meals and at bedtime... reduce dosage for older adutls |
| digoxian toxicity | cause anorexia, nausea, vommiting, blurred vision, cardia dysrhythias, premature ventricular contractions, visul illusions, (white, Geen, Yellow hallos) |
| digoxian toxicity | use digibind |
| nitroglycerin transdermal patch | used to control angina pectoris pain |
| Nitro patch | removed nightly (8-12 hours rest) ...duration action is 24 hours |
| Nitro patch | taper off over weeks ...to prevent rebound effect or severe pain...due to MI |
| THROMBOLYTICS - clot busters!!!!! | 3 hours within a sroke, 4 hours after acute MI |
| thormobolytics include | streptokianse, urokinaxe,alteplase, reteplaxe(retavase) and tenecteplase (TKNase) |
| Thromobolytic - major complication | hemorrhage |
| Thromobolytic (antidote) | AMICR (I am i the car...to strop the bleedig) |
| Thromobolytic contraindications | CVA, Active bleeding, sever hypertension, and antigoagulant therapy |
| Do NOT give asprirn with Thrombolytics | give tylenol |
| Amaryl | diarrhea, nausea, and vomiting, (GI upsets) |
| AMARYL | is used to manage type II diabetes melitus, |
| amaryl | decreases glucose levels |
| Actos | hypoglycemic drug ---must monitor Liver enzymes..... cause Blood Glucose to fall!!!! |
| Actos is | contraindication with Heart Disease |
| antiplatelets | used to prevent thrombosis - .. by surpressing platelet aggrigation |
| antiplatelets are used | to prevent MIcardio Infarction (MI)or stoke clients.... also prevention of TIA's |
| antiplatelets = | aspirin, Plavix (discontiune dong quai, feverfew, garlic ginko at leat 7 days b-4 surgery) |
| Zantac is used to treat | peptic ulcers, and GERD, and stress ulcers avoid smoking and alcohol, caffeom |
| Zantac is taken with an antiacid .... | 1 hour apart from each other --is H2 blocker |
| toradol | the first injectable NSAID..a non-opiod pain killer(short) ..can cause GI upset |
| Tigan - used during pregnancy | antiemetic --- causes drowiness, headach, blurred vision...hypotension, muscle cramps, and extrapyramidal movements !!!! |
| ORAL hypoglycemics | are synthetic drugs --that stimulate insulin release ....alter the metabolic response to hyperglycemia |
| H2 ..action in GI | reduce acid reflux ...block the H2 receptors .... can cause impotence, gynomastia |
| H2 blocker | take before meals and at bedtime... reduce dosage for older adutls |
| digoxian toxicity | cause anorexia, nausea, vommiting, blurred vision, cardia dysrhythias, premature ventricular contractions, visul illusions, (white, Geen, Yellow hallos) |
| digoxian toxicity | use digibind |
| nitroglycerin transdermal patch | used to control angina pectoris pain |
| Nitro patch | removed nightly (8-12 hours rest) ...duration action is 24 hours |
| Nitro patch | taper off over weeks ...to prevent rebound effect or severe pain...due to MI |
| THROMBOLYTICS - clot busters!!!!! | 3 hours within a sroke, 4 hours after acute MI |
| thormobolytics include | streptokianse, urokinaxe,alteplase, reteplaxe(retavase) and tenecteplase (TKNase) |
| Thromobolytic - major complication | hemorrhage |
| Thromobolytic (antidote) | AMICR (I am i the car...to strop the bleedig) |
| Thromobolytic contraindications | CVA, Active bleeding, sever hypertension, and antigoagulant therapy |
| Do NOT give asprirn with Thrombolytics | give tylenol |
| Amaryl | diarrhea, nausea, and vomiting, (GI upsets) |
| AMARYL | is used to manage type II diabetes melitus, |
| amaryl | decreases glucose levels |
| Actos | hypoglycemic drug ---must monitor Liver enzymes..... cause Blood Glucose to fall!!!! |
| Actos is | contraindication with Heart Disease |
| antiplatelets | used to prevent thrombosis - .. by surpressing platelet aggrigation |
| antiplatelets are used | to prevent MIcardio Infarction (MI)or stoke clients.... also prevention of TIA's |
| antiplatelets = | aspirin, Plavix (discontiune dong quai, feverfew, garlic ginko at leat 7 days b-4 surgery) |
| Calcium channel blockers | use to treat "stable and variant Angina", dysrythmia and HYPERTENSION !!! |
| CCB | decrease cardiac contractility, after load, and peripheral restance .... reduces the workload of the heart ....which in turn reduces the need for Oxygen. |
| CCB | Verapamil(calan) nifedipin (procardia, diltiazem (cardizem) ...not use in patients with AV block or HF |
| CCB | S/E tachycardia, hypotension, perpheral edema. |
| CCB | alwasy monitor Liver enzymes |
| protein binding durgs | two strong PB drgus will compete... this more free drug exist in serem blood |
| low Protein binding drugs | also allows free drugs to stay in serem blood ...leading to toxicity |
| Antibotic resistanc | Natrual = without previous exposure Acquired = with prior exposure |
| Antibotic resistance is caused by | some mutation, ..which eventaully survice the drug ..taking for viral infections, not completing prescription, enviromental exposure. ex: MRSA |
| Angina | three (3) TYPES classic (stable) unstable(pre-infarction) variant - occurs durring rest |
| Classic angina | caused by narrowing or partical occlusion of coronary arteries |
| variant | cause by vessel spasum (common to have both) |
| Unstable Angina | impending MI..... ****emergency**** |
| avoiding Angina - nonpharmacological | avoid heav meals, smoking, extereme weather changes, strenous excercise, emtional upset |
| preventing angina -nonmpharmacological | proper nutrition, moderate exercise, adequate rest, relaxation techniques |
| crestor - Strong STATIN drug | cuts LDL in half, decrease total cholesterol, increase HDL |
| Crestor = | Rosuvastatin Calcium |
| crestor = serious complications | Rhabdomyolysis - muscle pain and weakness!!!! muscles cramp and breakdown or apart |
| Crestor = | moniter liver enzymes |
| Crestor = | Pregnancy catg. = X |
| cholesterol | 150 - 200 |
| Triglycerides HDL | 40-50 |
| LDL | <100 |
| THE PRIORITY OF DRUG ADMINISTATION FOR ANGINA | 1. Nitrate, 2.Beta Blockers 3. Calcium Channel Blockers |
| Beta Bloicker are used | on Stable Angina |
| Calcium Channel Blocker are used on | variant (unstable) angina |
| Nitrate for all types | in this order: Nitrates, Beta Blocker, Calcium Channel Blockers |
| Ginko - Morphine reaction | ginko effects the CNS past the blood brain barrier, |
| Ginko | increase cerebral arterial dilation, and uptake of Oxygen |
| Ginko | .... increases the effects of morphice!!!! DO NOT Take together!!! |
| Phenergan (Promethazine) major side effect | SEDATION - drowiness, confusion, anorixia, dry mouth and eyes, constipation, blurres vision, photosensitivy, hypertension, (EPS) extrapyramidal movements, unrinary retention |
| Dilaudid | 6x's more powerful than Morphine - fever hypnotice effects, less GI distress |
| Dilaudid - always monitor | RESPIRATORY Depression |
| Dilaudid also causes | orthstatic hypotension, tachycardia, drowisness, mental clouding, constipation, urinary retention |
| Dilaudid ... the classic sign for toxicity | Pin Point PUlPLS |
| Dilaudid | physical and psychological dependence may occur |
| Dilaudid | in NOT for irritable Bowell syndrome |
| Spirva | used with COPD |
| Spirva (Tiotropium) inhaler | 1 capsule = daily inhaler |
| Spriva | use for Bronchospasms of COPD |
| Spriva | is the FIRST long acting inhaled ANTI-cholingeric drug ---for COPD treatment |
| Lasix (LOOP) (LOOP) | loop- high ceiling-diuretic |
| with lasix | Hypokalemia can result |
| Must increase potassium uptake (supplements) | with Lasix |
| use to treat | fuild retention (urinary/ fluid overload, caused by HF, renal dysfuncition cirrhosis, hypertension, pumonary edema |
| Contraindication | severe electrolyte inbalances, hypovolemia (low) hepatic coma, ....life threating RENAL failure |
| Lasix will alter | EKG readings, BUN, blood urin glucose. |
| LASix | do not use with a potassium wasting drug !!!! |
| Anaphylaxis shock | first sign in SOB, allergic reaction occurs within 20 min. |
| TWO kinds of allergic reactions | severe and mild severe = anaphylaxis shock requrie ephinepherine, brochodilator, antihistamine |
| Barbituate refusal | the client has the right to refuse!!!!! |
| Barbituate... the nurse must | determine the reason for refusal, documnet, notify Heath provider, try to get the client to take medication |
| Manitol | administartion require SEPARATE line for IV meds. |
| Manitol= | highly irratable to veins, and can crystalize in solution |
| Nurse must always use | a FILTER needle when administoring ... because crystals may form and inadvetedly injected! |
| MANIRTOL dosage | is highly Individualize!!!! |
| MANITOL | IS imcompatable with most drugs! ...also Heprin |
| Manitol | must not be given to clients with heart disease of HF, or renal failure !!!! |
| WHEN Giving drugs in direct IV line....alway | vefify the compatability of the IV solution and the drug!!!!! |
| always flush the tubing | before administering and after administering |
| Antibotic Therapy | is given IV,PO, IM |
| Antibiotic Therpay | if you miss a dosage ......DO not double the next!!!!! |
| IV Macrolides | must be infused slowly to avoid pain... PHELBITIS!!!! |
| Antibotic compliance. | take the entire regiment - most important |
| Theraputic levels can be maintained | by monitoring of peaks and troughs ...to avoid toxicity!!!!! |
| A Culture should be taken | before administering antibotic therapy ....to identify the bacteria!!!!!!! |
| Dialantin | Gingivial Hyperplasia - is an adverse reaction |
| Dialantin therapeutic levels = | 10-20 |
| Migranol | use for migraine pain relief to prevent or abort a migrane attack |
| Migranol can be given | IV, Intrnasal, IM |
| Pregnancy cat | X |
| Narcan = | Naloxone |
| Naloxone | should be given if CNS depression is present |
| Naloxone | should be given if concurrent opioid use is suspected (over dose) |
| Naloxone | A PERFECT pharmacological antoagonist ...reverses the respiratory and CNS depression ...caused by opioids (sedation and hypotension) |
| naloxon | also used in neonatl respiratory depression |
| post op pain | med = morphine sulfate ....for relief of moderate to sever pain - |
| post op pain | usually decreases over time!!!! analgesic are titrated downward |
| nubain adverse effects = | bradycardia, tachycardia, hypotension, dyspena, hallucinaitons |
| nubain life threating effect | respiratory depression |
| nubain | is an opioid antagonist !!!! |
| nubain | can be given for pain during labor!!! |
| nubain | not used for cancer pain ... |
| nubain | monitro liver and urine, peak 30 minuter, duration 5 hours |
| bactrium | Therapuetic uses = treat UTI, otitis media, bonchitis, pneumonia, (Pneumocycstis Carinii) |
| Bactium is used | to treat rheumatic fever, burns |
| Bactium mode of action | inhibition of protein synthesis of nucleic acids bactericial effect |
| Bactium S/E | photosensisitivity, life threating = hemolytic anemia, aplastic anemia, agranulocytosis, Steven John syndrom, renal failure (red, skin comes off) |
| bactium use = | sore throat - from hematologic reaction !!!! |
| Bactium (timethoprim-sulfamethoxazole) | monitor fever, rash, or sore throat, and avoid unprotected sunlight. |
| Macrodantin - adminstration | unrinary anti-infectant (ADULT PO 50-100 mg)with meals and bedtime child must be over 1 year, take 4 doses / day - 1.25 - 1.75 mg |
| Macrodantin | decreased wtih probenecid, decreased with antacids (absorption) |
| Macrodantion | well absorbed in GI tract, taken with food |
| macrodantion (Nitrofuration) | moderatly protein bound, with renal function drug is rapidly eliminated(short half life) |
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