Study Guide
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| air flow disorders- Beta2 adrenergic agonists - teach patient to | show 🗑
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| show | caution w/ antihypertensive ie beta blockers, Ca channel blockers, diuretics; do not take w/ Viagra. Can repeat if not relieved in 5 minutes, no alcohol
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| show | use lowest dose possible; can repeat in 5 minutes for a total of 3 doses, take prior chest pain causing activity; remove patch at night, no alcohol
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| show | not prescribed to children <8 (stains teeth), ↓ effects of BC, photosensitivity, hepatotoxicity
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| antibiotic affecting proteins synthesis and monitoring for interaction- | show 🗑
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| show | neuromuscular blockage (resp depression) MONITOR PEAKS AND TROUGHS
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| MAOIs- discontinue 14 days before starting SSRI (fluoxetine, Prozac) reverse SSRI→MAOI 5 weeks | show 🗑
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| show | antidote VIT K, injection deep in large muscle, rotate site
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| antilipemic- monitor side effects, GI distress, gallbladder stones, myopathy (muscle pain, tenderness)→ check creatine kinase level | show 🗑
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| show | keep locked, discard excess (witnessed by licensed HCP)
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| Behavior disorders pt teaching- CNS stimulants, take in AM, w/o caffeine; monitor weight (exercise & healthy diet); serotonic syndrome 2-72º (confusion, agitation, anxiety, hallucination, hyperreflexia, incoordination, tremors, fever, diaphoresis)... | show 🗑
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| SSRIs ↑ bleeding, no NSAIDs or anticoagulants; SSRIs→TCA→MAOIs | show 🗑
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| show | >1.5 may cause toxicity; <1.5 early sign of toxicity (GI upset); 1.5-2.5 toxicity; 1.5-2.0 advance signs of toxicity, all early + poor coordination and tremors; >2 severe toxicity (polyuria, tinnitus, blurred vision, hypotension; >2.5 hemodialysis, death
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| show | sit up for 30 mins after taking w/ full glass H2O, musculo/sketal pain-take mild analgesics if persists call HCP, blurred vision eye pain, Bisphosphonate-related oesteonecrosis- avoid dental work w/med, risk for hyperthyroidism w/Pagat's-monior PTH
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| chronological neurologic disorder – Phenytoin (Dilantin) adverse reactions: CNS effects, nystagmus, sedation, ataxia, double vision, cognitive impairment, gingival hyperplasia, clients need good oral hygiene... | show 🗑
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| Diagnosis of myasthenia gravis | show 🗑
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| show | NEOSTIGMINE,PYRIDOSTIGMINE, EDROPHONIUM
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| show | counteracted by Atropine, used to Tx toxicity, neostigmine can cause respiratory depression, do not use with succinylcholine (increased neuromuscular blockade)
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| depression client teaching: orthostatic hypotension, ways to minimize anticholinergic effects i.e. sugarless candy, gum, sips of water... | show 🗑
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| show | rotate 1in btw injection sites, monitor glucose levels (do not rely on S&S), admin w/ 15g of carbs (4 oz OJ, 2 oz grape juice, 8 oz milk, glucose tablets); avoid alcohol, establish regular eating schedule, exercise
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| show | exactly what happened, no personal insight/justification just event, reaction, site, ect
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| eye disorders- nonselective beta blocker (beta 1 and beta2) used to decrease intraocular pressure (IOP) by decreasing aqueous humor production, may cause conjunctivitis, blurred vision, phototobia, dry eyes REPORT to HCP | show 🗑
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| older adults >65 years, decreased GI function (lower stomach acidity, slower GI motility, gastric emptying, decreased systemic blood flow), impaired memory, vision & hearing changes, decreased motility/dexterity, reduced financial resources… | show 🗑
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| meds affecting BP; calcium channel blocker nifedipine (Adalat, Procardia) acts on arterioles; verapamil (Calan); diltiazem (Cardizem) MOA blocks calcium channels-leads to vasodilation of arteries/arterioles (veins not impacted)… | show 🗑
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| show | VERAPAMIL CAN INCREASE DIGOXIN (LANOXIN) LEVELS=TOXICITY DIG THERAPEUTIC LEVELS 0.5-2 mg/mL
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| reasons for discontinuing meds affecting BP (ACE inhibitors, aka “prils”); diuretics 2-3 days prior to ACE, dry mouth-report and discontinue, rash & dysgeusia (altered taste), angioedema, infection (sore throat, fever) | show 🗑
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| show | watch for cyanide poisoning (patients with liver dysfunction-at increased risk, reduce risk by administering slowly, thiocyanate poisoning, avoid prolonged use, monitor plasma levels if used >3 days, do not infuse with any other medication
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| meds affecting coagulation (heparin sodium) enoxaparin (Lovenox, low molecular weight) MOA inhibits fibrin formation, administer SC every 12h or IV intermittent, continuous; instruct client S/S bleeding, increased HR, decreased BP, bruising, petechia, bla | show 🗑
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| heparin therapeutic level aPTT 60-80 seconds, PT 18-24 seconds, INR 2-3 target range… | show 🗑
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| show | digoxin toxicity can occur in presence of hypokalemia (may use potassium-sparing diuretic with loop diuretic to treat) monitor I&O and weight
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| thiazide diuretic hydrochlorothiazide (Hydrodiruil) work in early distal convoluted tubule, blocks reabsorption of Na & Cl, prevents reabsorption of H2O, watch electrolyte levels, (K, Na, Cl... | show 🗑
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| show | K+ levels, cardiac functions, for edema
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| CNS med for malignant hyperthermia: Tx neuromuscular blocking agents-1. depolarizing neuromuscular blocker: succinylcholine (Anectine) and 2. non depolarizing neuromuscular blocker: pancuronium (Pavulon) S/S- muscle rigity w/↑ temp.... | show 🗑
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| airflow disorders: methylxanthines teach patient to | show 🗑
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| airflow disorders: inhaled anticholinergics teach patients | show 🗑
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| airflow disorders: glucocorticoids teach patient to | show 🗑
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| show | take medication 15 minutes before exercise or exposure to allergen, not a bronchodilator, not intended for asthma attack
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| show | do not take with food, take 1 hour before or 2 hours after meals
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| show | once daily at bedtime
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| show | usual adult dose is 2 puffs, wait prescribed length of time between puffs, 2 different meds...wait 5 minutes between each medication
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| patient teaching MDI, concurrent beta2 adrenergic agonist & glucocorticoids use: | show 🗑
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| managing asthma Beta2 adrenergic agonist - Albuterol | show 🗑
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| show | inhaled, long acting, long term control of asthma
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| managing asthma Beta2 adrenergic agonist -Terbutaline | show 🗑
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| managing asthma Methylxanthines | show 🗑
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| managing asthma inhaled anticholinergics | show 🗑
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| show | decreases frequency/severity of exacerbations in acute attacks, treatment of acute attacks
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| show | chronic asthma, prophylaxis of exercise/allergy induced asthma
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| managing asthma leukotrine modifiers | show 🗑
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Created by:
BrandiLynn
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