Peds drug quiz lilk8tob
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| Give Flagyl over | 1 hour
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| 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
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| 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
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| Drug interactions with aminoglycosides (4): | penicillins, cephalosporins, neuromuscular blocking agents, and loop diuretics
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| Gentamicin is incompatible with: (1) | penicillin
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| Gentamicin shoudl be given at least one hour before or after: | other antibiotics
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| Valproic acid is used for | anti-seizure. is used because it has a lower incidence of lethargy.
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| Depakene is used for | anti-seizure because it has a lower incidence of lethargy
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| Dilantin can cause | gingival hyperplasia
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| This is given with an oral iron preparation ot increase the absorption in infants & children | Vitamin C (ascorbic acid)
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| Using Coumadin with ___ may decrease the anticoagulant effect and should be monitored carefully | Vitamin K
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| On Coumadin, leafy green vegetables can cause: | decrease in prothrombin time and lead to therapeutic failure of the medication.
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| Foods pt on Coumadin should avoid: | alfalfa, asparagus, broccoli, brussel sprouts, cabbage, cauliflower, green tees, lettuce, spinach
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| Pancrelipase (Cotazym) is a : | Pancreatic enzyme given as replacement therapy in the treatment of malabsorption syndrome caused by pancreatic insufficiency
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| 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.
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| Side effects of Pancrelipase (Cotazym): | nausea, cramps, constipation, diarrhea
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| Patient teaching for Pancrelipase (Cotazym) | Do not chew capsules, take with or before meals
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| Do not use this drug during sickle cell pain crisis | Meperidine - chance for seizure activity induced by accumulation of the drug through repetitive dosing
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| Corticosteroid meds used for | anti-inflammatory properties
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| Corticosteroids used systemically- warning: | An awareness of fatalities that have occurred due to adrenal insufficiency if the drug is not tapered gradually before discontinuing
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| Ways to check for discharge teaching understanding | utilization of return demonstrations, charts, written instructions, verbalization of understanding by the patient and caregiver
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| Instructions for child w/ asthma: | continue administering preventative meds even when the child has no symptoms.
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| When using asthma rescue meds: | Administer meds that will open the bronchioles before giving the corticosteroids
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| Pharmacotherapy of asthma recognizes the disease is: | a chronic disorder with recorrent episodes
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| PPD stands for | Purified protein derivative
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| PPD given: | intradermally, then checked 48-72 hours later
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| Positive TB looks like: | Induration of 5mm+. Redness alone is not positive
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| Therapy for TB: | Isoniazid (INH), rifampin, pyrazinamide (PZA)
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| List the long term oral asthma control meds: | Methylprednisolone (Medrol), Prednisolone (Prelone, Prediapred, or Orapred)
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| List the long-term MDI asthma control meds: | Cromolyn Sodium (Intal), Nedocromil sodium (tilade)
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| Other corticosteroids for long-term asthma control | Beclovent, Vanceril, Pulmicort, Aerobid, Flovent
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| Quick relief Meds for Asthma (short-acting, inhaled beta 2 agonists): | Albuterol, Bitolterol, Levalbuterol, Pirbuterol (Maxair)
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| Side effects of all short-acting beta-2 agonists: | tremor, tachycardia, HA
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| Quick asthma relief? Pirbuterol | Yes
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| Quick asthma relief? Cromolyn Sodium (Intal) | No
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| Quick asthma relief? Nedocromil sodium (tilade) | No
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| Quick asthma relief? Levalbuterol (Xopenex) | Yes
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| 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
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| Prepare toddlers for meds or procedure: | immediately prior
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| prepare preschoolers by: | simple explanations and use of doll play to help explain and answer questions
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| Prepare young school-age children by: | offering reassurances, brief limits set, and honest answers w/ calm demeanor
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| Why are neonates at high risk for drug toxicity? | They have poor drug metabolizing capabilities in the liver & kidneys
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| _____ is an essential component of maintenance IV fluids for an infant | Dextrose
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| Why is Dextrose an essential component of maintenance IV fluids for an infant? | They have a high metabolic rate and less fat reserves.
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| A young infant should receive no more than ___ml per injection site | 0.5 ml
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| For younger children, this is the preferred site for IM injections | the vastus lateralis
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