NCLEX MEDS TO KNOW
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| ACE | -PRIL
Tx: HTN and Heart Failure
🗑
|
||||
| CHOLESTRAMINE (QUESTRAN) | Decreases Cholesterol
-take other meds 1 hr before or 4 hours after
-take with milk, juice to avoid constipation
-take at meal time
SE: Decrease Vit C absorption & Constipation
🗑
|
||||
| ANTIVIRAL | -VIR (in name)
Tx: HIV,viral infections, HSV, HEP C, Chicken pox, RSV
Ex: Ritonovir (Norvir)
🗑
|
||||
| BENZOS | -PAM or has AZE or AZO in name
Tx: Antianxiety, anitconvulsant, muscle relaxer, hypnotic, sedative
Ex: Diazapam, Tegretol (Carpamazine)
🗑
|
||||
| BETA BLOCKERS | -OLOL
Tx: HTN, Dysrythmia, Angia
Ex: Atenolol (can cause bronco constriction)
🗑
|
||||
| CCB | -PINE
Tx: HTN, Angina, dysrythmias (like BB)
Ex: Anlotapine (Norvasac)
Exception: Diltiazam (Cartizine)-has to be given q 4 hrs
Varaprimail (Calan)
🗑
|
||||
| GLUCOCORTICOIDS/CORTICOSTERORIDS | -SONE or contains CORT
Take 2nd, Bronchodilators take 1st
Alters normal immune response
Tx: adrenal insuffency, suppress inflammation, Addisons, Parkinsons, Post x-plant. If taking NPH, increase NPH dose. Can increase BS
Ex: Prednisone (taken in AM)
🗑
|
||||
| H2 ANTAGONISTS | -DINE or TIDINE
Decreased secretion of gastric acid
Tx: Acid Reflux, GERD, Heart burn, prevent ulcers
Adverse Rxn: dizziness, hallucinations, sleepiness
Ex: Semetadine (Tagament)
🗑
|
||||
| NITRATES | -contains NITR
Vasodilation
Tx: Angina
Ex: Nitroglycerin (nitrostat)
🗑
|
||||
| PPI | -ZOLE
-PRAZOLE
Suppresses Gastric Acid Secretion (like H2 Antagonists)
Tx: Heartburn, Ulcer Dz, GERD, esophageal erosion
🗑
|
||||
| SULFONAMIDES | -contains SULF
Suppresses bacterial growth
Tx: Infections
Ex: Sulfasazine
🗑
|
||||
| THIAZIDE DIURETICS | -ZIDE
Tx: HTN & Peripheral Edema
Ex: HCL thiazide
🗑
|
||||
| THROMBOLYTIC | -ASE
Used to dissolve clots
Ex: Altaplase (Actiplase)
🗑
|
||||
| THYROID HORMONE | -contains THY
Tx: replacement therapy, hypothryoidism
Ex: Levothryroxine (Synthroid)
🗑
|
||||
| BRONCHODILATORS | -LINE
Tx: disorders that cause bronchoconstiction, Asthma, COPD, Emphazema
Ex:Theophyline 10-20 TDL
SE: Restlessness & Increased P
🗑
|
||||
| ABX | -CYLINE, MYCIN, MICIN
Take 1 hr before or 2 hrs after meals
SE: Photosensitivity, Decreases contraceptive effectiveness
Adverse rxn: yellow skin, Hep, Macular rash-STOP MED
Ex: Erthromax, vibramycin, tetracycline (cipro)
NO albumin, Mg or Ca antacids
🗑
|
||||
| REVERSE TRANSCRIPTASE or ANTIHYSTAMINE | -INE
🗑
|
||||
| Mental and Emotional Conditions or N/V | -ZINE
Adverse fx: EPS
Tx: schizophrenia, N/V (phen and comp)
🗑
|
||||
| Cardiac Glycosides | -OXIN
Tx: CHF and Heart Arythmias
🗑
|
||||
| ANTICHOLENERGIC | -OPINE
EX: Atropine
SE: can't see, pee, sit, poo (Activates SNS-flight or fight)
NO with GLAUCOMA = Icreases IOP
🗑
|
||||
| SNS | -Increases BP, HR, RR
-Decreases GI, UO (constipation and urinary retention)
-dilated pupils (blurry vison)
-constricted blood vessels and dry mouth
(FLIGHT OR FIGHT)- acts on Increased ACH
🗑
|
||||
| PNS | -decreased HR
-constriced pupils
-Relaxed
-Increased sex drive
-warm, dry skin
REST AND DIGEST- acts on Decreased ACH
🗑
|
||||
| Is DIG K sparing or wasting? | K WASTING
🗑
|
||||
| Is ADACTONE K sparing or wasting? | K SPARING
🗑
|
||||
| What can sudden stopping of TEGRETOL cause? | SEIZURES
🗑
|
||||
| What do you don't want to take with GRAPEFRUIT JUICE? | (Most Benzo, vir meds, depression meds)
-BUSPAR
-VARAPAMIL
-TEGRETOL (CARBAMAZEPINE)
🗑
|
||||
| CISPLATIN | -CA med
-30% can cause OTO TOXICITY
-drink 8-10 glasses of water
🗑
|
||||
| ANALGESIC | -DONE
Tx: Pain
🗑
|
||||
| ANESTHETIC (local) | -CAINE
🗑
|
||||
| LIDOCAINE HYDROCHLORIDE | Tx: Heart problems (Ventricular arrhythmia's) caused by MI
🗑
|
||||
| ANTI-ULCER | -DINE
🗑
|
||||
| DIURETICS | -MIDE
-ZIDE
🗑
|
||||
| ORAL HYPOGLYCEMIC | -IDE
🗑
|
||||
| STEROID | -SONE
🗑
|
||||
| NEUROMUSCULAR BLOCKING | -NIUM
anesthesia to produce paralysis
(inhibits AcH)
🗑
|
||||
| What age groups are affected by medications the most? | OLD & YOUNG (greater risk of toxicity)
- Absorption
-Excretion
-Distribution
-Metabolism
🗑
|
||||
| Many med are contraindicated in what? | Breastfeeding and Pregnancy
🗑
|
||||
| What med is not usually administered with other medications? | Antacids (affects the absorption of med)
🗑
|
||||
| What can RN do in regards to medications? | -GIVE
-HOLD
(can never stop or dc med, never tell pt to stop abruptly)
🗑
|
||||
| What kids of meds should not be taken with other prescribed mediations (unless MD approved)? | -OTC
-HERBAL
🗑
|
||||
| METFORMIN | -Oral Hypoglycemic (decreaseds glucose production)
-given in combo with repglinidine
Adverse Fx: Muscle Pain
🗑
|
||||
| METOCLOPRAMIDE (Reglan) | -Antiemetic
Tx: N/V prevention, Decreases GERD, GI Stimulant
DONT Take with: GI disturbance, hemorrhage or perfusion
🗑
|
||||
| ANTICOAGULANT | -PARIN
Tx: PE, MI, DVT
🗑
|
||||
| ANGIOTENSION RECEPTOR | -SARTIN
Vasoconstriction and Aldosterone secretion
Tx: Decrease BP
🗑
|
||||
| BB | -OLOL
Tx: Decrease BP, P, CO, Migraines , Glaucoma
🗑
|
||||
| AMINOGLYCOSIDES | -CIN/MYCIN
Kills Bacteria (ABX)
OTO and NEPHRO TOXIC
Ex: Vancomycin
🗑
|
||||
| SSRI | Tx: for Depression, anxiety, OCD
🗑
|
||||
| What does NITRO not relieve? | UNSTABLE ANGINA
🗑
|
||||
| How should NITRO be taken? | -1 every 5 min for 3 min
-if not relieved go to ER
DONT give if BP is below 90/60
🗑
|
||||
| What are the Sx of ATROPINE OD? | Think Alice in Wonderland
-HOT
-LOC Changes
-RED (flushed face)
-DRY/THIRSTY
🗑
|
||||
| What kids of Meds are COLCHINE and ALLOPURINOL | GOUT MEDS
🗑
|
||||
| VERAPAMIL (Calan) | CCB
Tx: HTN, Angina
Adverse Fx: Constipation, N, Diarrhea
🗑
|
||||
| What med is given for ASYTOLE (no heart beat)? | ATROPINE
🗑
|
||||
| What med is given for CHF? | ACE
🗑
|
||||
| What med is given for ANAPHYLACTIC SHOCK? | EPINEPHRINE
🗑
|
||||
| What med is given for STATUS EPILEPTICS? | VALIUM
ATAVAIN
🗑
|
||||
| What med is given for BIPOLAR? | LITHIUM
🗑
|
||||
| What med is given for VENTRAL and ATRIAL Complications (A-fib, V-fib, act.)? | AMIODARONE
🗑
|
||||
| CA MEDS | Massive cell destruction following chemo = Inc. uric acid levels
SE: allopecia, decreased resistance to body
Need to contact MD before getting vaccinations
-NO ASA or ETOH
Ex: Elspar, Tamoxifen, Megestrol, alduphosphamide, Busuifan, Vincristine, Beomy
🗑
|
||||
| TDL of LITHIUM | 0.8-1.5
Toxicity: lethargy, hand tremors, muscle weakness
🗑
|
||||
| TDL of DILANTIN (Phenytoin) | 10-20
Toxicity: muscle incordination, nastagmus, diplopia
Tx: Seizure
🗑
|
||||
| TDL of DIGOXIN (Lanoxin) | 0.5-2.0
Toxicity: GI disturbance, N/V, anorexia, light flashes and halos
Tx; CHF (aflutter)
🗑
|
||||
| SYNTHROID (Levothyroxine Sodium) | Tx: Hypothyroidism/Myexedema
May take several weeks to work. Affects PT time
Adverse: Chest pain, nervousness, tremors, D, insomnia, heat intolerance
Take on EMPTY STOMACH in AM.
-w/h if P is above 100
🗑
|
||||
| TDL of THYOPHYLLINE | 10-20
Toxicity: Restless, dizziness, Insomnia, seizure, HA
Tx: Asthma/COPD bronchospasms (works by relaxing smooth muscle)
🗑
|
||||
| Antidote of IRON | DEFEROXAMINE
🗑
|
||||
| Antidote of ACETAMINOPHEN | N-ACETYLCYSTEINE (MUCOMYST)
Liver failure possible for 4 days
🗑
|
||||
| Antidote of ETOH W/D | LIBRIUM
-bad N/V will occur with any ETOH consumption or products (lotions, cough syrup)
🗑
|
||||
| Antidote of COUMADIN (Warfarin) | VIT K
PT 10-12 sec (control)
🗑
|
||||
| Antidote of HEPARIN/LOVENOX/DALTEPARIN | PROTAMINE SULFATE
PTT: 30-45 sec (control)
🗑
|
||||
| Antidote of DIGOXIN | DIGIBIND
-K will make it worse
🗑
|
||||
| Antidote of MgSO4 (mag sulfate) | CALCIUM GLUTAMATE
🗑
|
||||
| Antidote to NARCOTIC ADDICTS | METHODONE
🗑
|
||||
| MAOI Drugs | Think PANAMA
PA-Parnate
NA-Nardil
MA-Marplan
Tx: Depression and Bipolar
-Increases seratonin, dopamine, NE, Epi
-Last resort after SSRI and tricyclic, can have BP problem and DDI
DONT use with SINEMET (Parkinson tx)
🗑
|
||||
| COGENTIN | Tx: Parkinsons and EPS of other drugs
Adverse fx: Increased T, confusion and visual hallucinations
SE: Constipation, Increased HR, blurry vision, decreased UO
NO in GLAUCOMA
🗑
|
||||
| THEOPHYLLINE | TDL: 10-20
BRONCHODILATOR (give 1st)
-Increases the risk of DIG TOX
-Decreased effect of LI and DILANTIN, L K & Mg
Tx: Ashtma and COPD
Give W/FOOD
SE: GI upset, Increased HR, HTN, N/V
🗑
|
||||
| WHICH MED DO YOU GIVE 1ST? | BRONCHODILATORS (before glucocorticoids)
🗑
|
||||
| INH (Isoniazid) | Tx: TB
Risk: Phenotoin TOX if taken w/ DILANTIN, peripheral neuritis, hepatic, Jaundice
-take vit B6 to prevent neuritis (monitor LFT's)
-BP will Decrease then return
🗑
|
||||
| PREDNISONE | Tx: BP (similar to DILANTIN)
DONT stop abruptly, Decrease dose in elderly
SE: weight gain, hyperplasia of gums
**Causes K secretion**
🗑
|
||||
| DILANTIN (Phenytoin) | Tx: Seizures TDL: 10-20
SE: wght gain, hyperplasia of gums, RED URINE
Adverse: **RASH-STOP MED** (not abruptly)
DONT give with THEOPHYLLINE (decreased effectiveness) or INH (phenytoin tox)
**DONT STOP ABRUPTLY **
🗑
|
||||
| DIGOXIN | Tx: Afib & HF TDL: 0.5-2.0
W/HOLD: Lower P=60, HR=100 (children) & 48hrs before cardioversion
-check apical pulse 1 full min & K
-flush H20 (sticky)
THEOPHYLLINE increases DIG TOX
Sx: visual changes, V/D/N, confusion
-Given w/ Lasix (K wasting)- gi
🗑
|
||||
| MUCOMYST (N-Acetylcytine) | ANTIDOTE for TYLENOL (Acetaminophen)
-most common poisoning in children
-Admin Orally
Sx of Toxic Tylenol: Jaundice, penia, Rash, hypoglycemia
🗑
|
||||
| RIFAMPIN (Ridadin) | Tx: TB, HIV and Menningitis
SE: RED URINE/TEARS
-BC doesn't work as well when taking this med
🗑
|
||||
| What SE do ALL PSYCH meds have? What one is DIFFERENT? | All SE: SNS (flight or fight) but decreased BP
Except: LITHIUM (acts different)
🗑
|
||||
| Mg SULFATE | Stops preterm labor-doesnt affect infant heart, BP or T (decreases R)
DONT give if DTR are INEFFECTIVE
If mother experiences seizure during Mg admin --> GET BABY OUT
ANTIDOTE: Ca GLUTAMATE
🗑
|
||||
| SINEMET (Levodopa and Carbidopa) | Tx: Parkinsons and Sedative
SE: RED URINE and drowsiness
DONT give with MAOI or Increased PROTEIN meals
KAVA KAVA will DECREASE effectiveness
🗑
|
||||
| BETHAMETHASONE (Celestone) | Surfactant/Steroid
Tx: Lung expansion
-give 2nd (bronchodilator 1st-open up lungs)
Ex: Glucocorticoid inhaler
🗑
|
||||
| What medication should you NOT give KIDS for pain? | ASPRIN/NSAID
-Associated with Reyes Sx (occurs after viral infection)
Sx: V, lethargy, irritability (Baby-D & Increased K)
-GIVE TYLENOL
🗑
|
||||
| When should this med be taken: CARAFATE (Sulcrafate)? | BEFORE MEALS
Tx: Duodeal Ulcer (1.5-3 hrs p eating, awakens at night, food helps)
-mucomyst barrier
🗑
|
||||
| When should this med be taken: most ABX? | BEFORE MEALS
-1 hr before (or 2 hrs after)
🗑
|
||||
| When should this med be taken: ZOCOR? | BEFORE MEALS
-Tx: hyperlipidemia
🗑
|
||||
| When should this med be taken: VIBRAMYCIN? | WITH MEALS
🗑
|
||||
| When should this med be taken: NSAIDS? | WITH MEALS
🗑
|
||||
| When should this med be taken: CORTICOSTEROIDS? | WITH MEALS
🗑
|
||||
| When should this med be taken: BIPOLAR MEDS? | WITH MEALS
🗑
|
||||
| When should this med be taken: CHEPHLOSPORINS? | WITH MEALS
🗑
|
||||
| When should this med be taken: SULFONAMIDES? | WITH MEALS
🗑
|
||||
| When should this med be taken: **THEOPHYLLINE**? | WITH MEALS
Tx: Asthma/COPD
🗑
|
||||
| When should this med be taken: **TAGAMENT** (Cimetidine)? | WITH MEALS (daily dose)
**BEDTIME** (once daily dose)
-H2 antagonist
Tx: GERD, Heartburn, Ulcers
🗑
|
||||
| When should this med be taken: APRESOLINE (hydralazine)? | WITH MEALS
Tx: HTN or CHF
🗑
|
||||
| When should this med be taken: ACYCLOVIR? | WITH MEALS
Tx: Herpes
🗑
|
||||
| When should this med be taken: **K SUPPLEMENTS**? | WITH MEALS
🗑
|
||||
| When should this med be taken: AMPHOJEL/RENOGEL? | WITH MEALS
Tx: Acid Indigestion (antacid)
Take 1-2 hrs before Tetracycline (will Dec effectiveness of Tetra)
Ex of Tetra: Doxycycline and Vibramycin (Bacterial genital infx)
🗑
|
||||
| When should this med be taken: MEVACOR (Lovastatin)? | WITH MEALS in PM
Tx:Coronary Artery Dz, Hyperlipidemia (decreases Cho)
Adverse: muscle pain/tenderness/weakness esp. when with malaise or fever
Tx: CA (Chemo med)
🗑
|
||||
| When should this med be taken: DEXAMETHOSONE? | WITH MEALS
Tx: Cerebral Edema, SHOCK, adrenal insufficiency, MS
Adverse: Adrenal insufficiency (fatigue, muscle weakness, joint pain, fever, anorexia, N, SOB, dizziness, fainting)
🗑
|
||||
| When should this med be taken: INDOMETHACIN (Indocin)? | WITH MEALS
Tx:RA & Gouty Arthritis
-NSAID (decrease inflammation, pain & Temp)
Adverse: GI bleed, chest pain, SOB, weakness, slurred speech
🗑
|
||||
| TETRACYCLINES | DOXYCYCLINE/VIRBAMYCIN/TETRACYCLINE HCL
Tx: Bacterial genital infections (gonorrhea, syphilis, rectal infx), Anthrax, Acne, H.pylori, roseasa)
-Take WITH MEALS
-Avoid direct sunlight/UV, wear protective clothing/sunscreen
🗑
|
||||
| When should this med be taken: TETRACYCLINES? | WITH MEALS
-Take 1h BEFORE BEDTIME to prevent esophageal irritation
-Avoid direct sunlight/UV, wear protective clothing/sunscreen
🗑
|
||||
| When should this med be taken: STEROIDS? | AM MED
Tx: Anti-Immflammatory
🗑
|
||||
| When should this med be taken: DIURETICS? | AM MED
Tx: Edema caused by Heart/Liver/Renal Liver Failure
🗑
|
||||
| When should this med be taken: ARICEPT (Donepezil)? | AM MED
Tx: Alzheimers
-AVOID OTC Sleep or Cold meds (increase anticholinergic fx)
-Tell MD before receiving ANETHESIA
🗑
|
||||
| When should this med be taken: DEXEDRINE? | AM MED
Tx: ADHD & Narcolepsy
-DONT drink fruit JUICE with oral solution
-Decreases SEIZURE threshold, report Seizures
🗑
|
||||
| When should this med be taken: ANTACIDS? | AFTER MEALS (p meals)
🗑
|
||||
| When should this med be taken: most ABX? | AFTER MEALS (2 hrs)
**or 1 hr BEFORE**
🗑
|
||||
| When should this med be taken: GROWTH HORMONE? | PM MED
🗑
|
||||
| When should this med be taken: SUCRAFATE (Carafate)? | PM MED & BEFORE MEALS
Tx: Peptic Ulcer
🗑
|
||||
| What meds cause RED FLUIDS? | -PREDNISONE- BP med
-DILANTIN (phenytoin)- BP med
-RIFAMPIN (Rifadin)-TB/Menningococal
🗑
|
||||
| What is the Tx for EPS? | ANTICHOLENERGICS
🗑
|
||||
| What meds usually CAUSE EPS? | ANTIPSYCHOTIC MEDS
-Atypical won't cause
Most Common: Haloperidol (Schizophrenia), Thorazine
🗑
|
||||
| What are EPS symptoms? | -PSEDOPARKINSONS (tremors, postural instability)
-AKINESIA (inability to initiate movement)
-TARDIVE DYSKINESIA (inv movement of face and jaw) Tx: BB/Benz
-AKATHISIA (inability to remain still)
🗑
|
||||
| What can you NOT take with MAOI? | -SINTEMET (parkinsons)
-ETOH
-CHEESE
🗑
|
||||
| What can you NOT take with EGG allergies? | -MMR
-FLU vaccine
-Neomycin
🗑
|
||||
| What interferes with Dilantin (Phenytoin)? | Tx: Epilepsy
***LOTS OF DDI*** (INCREASES PHEYTOIN TOX)
-INH (TB infxn), Thyophylline (asthma), disulfuram (ETOH tx), Benzos, Fursemide, St. Johns Wart, ABX, heart meds, anticoagulants
🗑
|
||||
| What can you NOT take with LEVODOPA/CARBIDOPA (Sinamet)? | Tx: Parkinsons
-B6
-MAOI (depression)
-
🗑
|
||||
| If you are ALLERGIC to BAKERS YEAST what VACCINE can you NOT get? | HEP B
🗑
|
||||
| If you have an MI what med can you NOT use? | -tPA (Tx: ischemic stoke-caused by blood clots)
🗑
|
||||
| If you have GLAUCOMA what drugs can you NOT take? | -VISINE
-LEVODOPA
-ATROPINE
-ANTICHOLLENERGIC
** Increase IOP**
🗑
|
||||
| What drugs DECREASE EFFECTIVENESS of THEOPHYLINE? | Tx: Asthma
-LI
-Dilantin (Epilepsy)
🗑
|
||||
| What INCREASES the risk of DIGOXIN TOX? | -THEOPHYLINE
-DECREASED K
-DECREASED MG
Dig used to tx CHF (slows HR so it doesn't have to work as hard)
🗑
|
||||
| What med should INH be taken with? | B6
Tx: TB (also prevent)
🗑
|
||||
| What CRISIS can DEMOROL (Meperdine) NOT be given in? | SICKLE CELL CRISIS (severe pain, trouble breathing, anemia)
Tx: Pancreatitis
🗑
|
||||
| What med can you NOT give if you have PANCREATITIS? | MORPHINE SULFATE
-causes spasm
**GIVE DEMEROL**
🗑
|
||||
| What med is GOOD for PANCREATITIS? | DEMORAL
**DONT give MORPHINE**
🗑
|
||||
| What med can you NOT give if you have no DTR? | Mg SULFATE
🗑
|
||||
| What BEVERAGES can you NOT have if you are taking ANTIPSYCHOTICS? | -CAFFEINE
-APPLE JUICE
🗑
|
||||
| What DZ can you NOT give ISOTONIC solution to? | -HTN
-HEART DZ
-RENAL DZ
🗑
|
||||
| What are ISOTONIC Solutions? | -NS (w/blood prod)
-LR (burns-more E)
-D5W
-D5 1/4 NS
Goes into the VASCULAR space
Makes FV and BP go UP
Tx: N/V, sweating, burns, hemm, trauma
🗑
|
||||
| What are HYPOTONIC Solutions? | Goes into VASCULAR space then CELLS
-1/4 DW
-1/2 NS
-3% NS with 1/2 NS
Hydrating, DOESNT cause BP increase like Iso
Tx: Heart/Renal Dz, HTN, Inc Na
🗑
|
||||
| What DZ can you NOT give HYPOTONIC Solution to? | -CELLULAR EDEMA
Watch for decreased BP
🗑
|
||||
| What are HYPERTONIC Solutions? | Volume Expander(particles)= PULLS from CELLS into VASCULAR
-D10W
-3% NS
-5% NS
-TPN
-ALBUMIN
You can add E to Iso/Hypo = Hyper
Tx: Dec Na, 3rd spacing (edema, burns, acities)
RETURNS volume to VASCULAR space
🗑
|
||||
| What SOLUTION would you NOT want to give with PULMONARY EDEMA? | HYPERTONIC (would increase fluid in vascular space which is already increased since they have pulmonary edema)
-watch for FVE
🗑
|
||||
| What are the 4 G's? | -GINKO
-GINGER
-GENSING
-GARLIC
🗑
|
||||
| What can you NOT take or do if you had the 4 G's? | -GO INTO SURG
-PLAVIX
-ANTIPLATLET
🗑
|
||||
| What VITAMIN should you NOT take with ALLOPURINOL? | VIT C
Tx: Gout
🗑
|
||||
| What VS should you HOLD NITROGLYCERINE? | BP below 90/60
🗑
|
||||
| What med should you NOT take if you are going into SURGERY? | -NSAIDS
-HEPARIN
-COUMADIN
-4 G'S (Ginko, Gensing, Garlic, Ginger)
🗑
|
||||
| When can you NOT get the VARICELLA (chicken pox) Vaccine? | -PREGNANT
-STEROIDS
-ACTIVE INFECTION
-IMMUNOCOMPROMISED
-ALLERGY to GELATIN or NEOMYCIN
🗑
|
||||
| What is DILAUDID used for? | PAIN
-usually after surg
🗑
|
||||
| ASA poisoning SX and TX? | Sx: breathing fast and sweating
Tx: Emetic or gastric lavage
🗑
|
||||
| 4 Actions of Glucocorticoids | 1. Changes Mood
2.Alter Defense Mechanism (Decreases Immunity)
3. Breakdown of Protein/Fat --> Ketones --> Acid
4. Inhibit Insulin
🗑
|
||||
| What Increases Calcium and what Decreases Calcium? | Increases= PTH (parathyroid)
Decreases = Calcitonin
If there is no PTH the pt can have a seizure due to hypocalcemia (too low Calcium)
🗑
|
||||
| What does AngiOtensiOn II do in the lungs? | In the lungs it is a potent vasoDILATOR
(think O --> Open )
🗑
|
||||
| What is the category for Coffee, Tea, ETOH, cigarettes? | Stimulants
- none 24-48 hours before EEG (tests brain activity)
-no sleep the night before
🗑
|
||||
| What are some Adverse Fx of Ambien? | AE: sleepiness during the day
-there are no side effect of HA, discolored urine or irregular HR
🗑
|
||||
| What is drug toxicity a cause of? | Renal Failure (the way drugs leave the system)
🗑
|
||||
| What is the only thing that can be added to a TPN or PPN line? | Insulin
NO:
-Xanax (not in PN line bc it needs digestive system)
-Phenagran (causes precipitation in formula)
-Demoral (not with TPN)
🗑
|
||||
| Where does a PEG tube go to? | Empties formula directly into the stomach to be digested.
🗑
|
||||
| Where does PN go to? | Directly into the blood stream and bypasses the digestive system bc it is not working properly.
🗑
|
||||
| Where is a PICC line inserted? | Into a peripheral vein, but is long enough to empty into the large veins going directly into the heart
🗑
|
||||
| Where does a Subclavian Line go to? | It empties directly into the large vein of the heart, reeducating rip of damage to smaller veins.
🗑
|
||||
| Where does a CVC go? | It empties just above the heart muscle to be distributed.
🗑
|
||||
| What does the control refer to when dealing with medication and bleeding times? | Control: Premedication bleeding time
-usually 1.5-2 times the control
🗑
|
||||
| The therapeutic level in regards to bleeding time: | It is usually slightly prolonged so that clotting will not occur.
1.5-2 times the control (pre-bleeding time)
🗑
|
||||
| Antidote of OPIODS | Naloxone (Narcan)
🗑
|
||||
| Normal Saline 0.9% | Increases circulating volume when RBC are adequate
-Replaces losses w/o altering consentrations
-Helpful in Na replacement
ISOTONIC
🗑
|
||||
| LR | Replaces fluid and pH buffers
-NS w/ K, Ca, and lactate buffers
-seen with surgery
ISOTONIC
🗑
|
||||
| D5W | Increases total fluid volume, rehydrating and extratory purposes
-provides 170-200 cal/1,000cc for energy
-becomes hypotonic in the body (uses up dextrose fast then only H2O remains)
ISOTONIC then HYPOTONIC
🗑
|
||||
| 1/2 NS 0.45% | Raises total fluid volume
-daily matinee but less value for NaCl replacement
-Helps est renal fxn
-good for diabetic its who don't need extra glucose
HYPOTONIC
🗑
|
||||
| D5 1/2NS | Daily matinee and body fluid nutrition and rehydration
-most common post op fluid
HYPERTONIC
🗑
|
||||
| D5 LR | Same as LR + 180 cal/1000cc
-watch for FVO
HYPERTONIC
🗑
|
||||
| D5NS | Replaces fluid NaCl and Calories
-watch for FVO
HYPERTONIC
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
drcady
Popular Nursing sets