Meds & Shit - Part Trois Flashcards Preview

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Flashcards in Meds & Shit - Part Trois Deck (51)
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1
Q

A patient is taking zyrtec (cetirizine)…might might they have as a side effect?

A

Drowsiness

2
Q

Prednisone - diabetic should increase amount of daily Humulin NPH insulin. T/F?

A

TRUE

3
Q

A client is receiving bethanecol (urecholine) - the nurse realizes that the actin of the drug is to treat what?

A

Urinary retention.

4
Q

What are some possible adverse effects of morphine?

A

Constipation, respiratory depression/urinary retention, sedation, orthostatis HOTN, cough suppression

5
Q

Methotrexate - what are we most concerned about?

A

Bone marrow suppression.

6
Q

Nurse should hold cephalosporin for patients with an allergy. T/F?

A

True

7
Q

More education needed when the patient says they will use morphine FOR SEVERE pain - why?

A

We want to stay ahead of the pain.

8
Q

Allergy testing - should avoid benadryl 14 days before testing. T/F?

A

TRUE

9
Q

When taking warfarin, avoid high amounts of cabbage of broccoli. T/F?

A

TRUE

10
Q

Acyclovir - helps prevent herpes breakouts. T/F?

A

True

11
Q

PTT - 70 for heparin. T/F?

A

True

12
Q

Patient is taking heparin for pulmonary embolism - what should we monitor for?

A

crackles in the lungs!

13
Q

UC - contraindication for acetaminophen?

A

YES

14
Q

Nitro - store in dark area at room temp?

A

YES

15
Q

Diabetic medication - watch for excessive saliva?

A

YES

16
Q

Desmopression - what does it decrease?

A

Decreases urine?

17
Q

For a question about arthroplasty, take the __ out of the syringe. T/F?

A

True

18
Q

Older lady with fentanyl patch and she has bad pain - what should she pain?

A

Hydrocodone

19
Q

Statins - should watch for muscle aches and pains. T/F?

A

TRUE

20
Q

Albuterol-inhaled short acting

Formoterol, salmeterol-inhaled long acting.

Terbutaline-oral - long acting.

T/F?

A

True

21
Q

What are some adverse effects of asthma meds?

A

Tachycardia, angina, tremors, etc.

22
Q

Beta-blockers - do we give with asthma meds?

A

YES

23
Q

Beclomethasone - inahled or oral?

Prednisone - inhaled or oral?

A

Bec = inhaled.

Pred = oral.

24
Q

what is the action of a glucocorticoid for asthma?

A

Prevent inflammation, suppress airway mucus production and promote responsiveness of beta2 receptors in the bronchial tree

25
Q

Anaphylactic reaction - epi, bronchiodiolators, antihistamine, provide respiratory support, inform provider?

A

YES

26
Q

Digoxin - can it cause hypokalemia?

A

Yes (watch for nausea, vomiting, weakness)

27
Q

Quinidine - increases risk of digoxin toxicity. T/f?

A

TRUE

28
Q

Should a patient take digoxin at the same time each day AND observe for signs of digoxin toxicity?

A

YES & YES.

Signs = fatigue, weakness, vision changes, GI effects.

29
Q

What are some tricyclic antidepressants?

A

Amitryptiline, imipramine, doxepin, nortriptyline, amoxapine, trimipramine

30
Q

What are TCA’s used for?

A

Depression, depressive episodes of bipolar disorder, neuropathic pain, fibromyalgia, anxiety, insomnia

31
Q

Orthostatic hypotension - side effect of TCA?

A

YES

32
Q

TCA - can they have anticholinergic effects like blurred vision, dry mouth, etc?

A

YEs

33
Q

TCA - photophobia doesn’t happen. T/F?

Void before taking?

Constipation risk?

A

FALSE, it does -wear sunglasses.

YEs - it can cause anticholinergic effects/retains your pee.

Constipation risk for sure!

34
Q

TCA - take when?

A

At bedtime r/t risk of sedation.

35
Q

TCA - toxicity s/s?

A

Dysrhythmia’s, mental confusion, agitation, seizure, coma, death, monitor vitals, baseline ECG, notify provider if toxicity is present, decreased seizure threshold

36
Q

TCA - concurrent use with MAOI’s and St John’s worth leads to what?

A

Serotonin syndrome.

37
Q

TCA - avoid alcohol, antihistamine’s, and anticholinergic’s - t/f?

A

TRUE

38
Q

Levothyroxine - can increase the anticoagulant effects of warfarin by breaking down vitamin K. T/f?

A

true

39
Q

What are some drugs for irritable bowel?

A

Alosetron, Lubiprostone

40
Q

Heparin - APT normal level + __ to __ seconds, PT = __ - __ seconds, INR =

A
60-80 = apt
18-24 = PT
INR = 2-3
41
Q

What’s the antidote for HEPARIN?

A

Protamine

42
Q

Fursemide - what kind of diruetic is it?

A

High ceiling, so it blocks reabsorption of soidum and chloride to prevent reabsorption of water so you pee a TON

43
Q

What are some side effects of furosemide?

A

dehydration, hyponatremia, hypochloremia, hypotension, ototixicity (avoid gentamicin!!!), hypokalemia, hyperglycemia, hyperuricemia, decreased ca/mag levels

44
Q

What are some CNS stimulants for children?

A

Methylphenidate, dexmethylpehnidate, dextroamphetamine, amphetamine mixture, lisdexametamine

45
Q

CNS stimulants for kids - these meds increase levels of what? WHat are they used for?

A

increase NE, serotonin, dopamine - used for ADHD/conduct disorder.

46
Q

What are some S/e of CNS stimulants? Give when?

A

CNS stimulation (insomnia/restlessness) so give after 4pm!!!!!!

47
Q

CNS stimulants - should we monitor for weight and compare to baseline?

A

YES

48
Q

CNS stimulants - monitor vitals/ECG and observe for effects that aren’t good. T/F?

A

True

49
Q

CNS stimulants - what should we do if the patient is hallucinating?

A

D/C med and report it

50
Q

CNS stimulants - do we stop them suddenly?

A

NO

51
Q

Hypersensitivity skin reaction - should we remove CNS patch and notify doctor?

A

YES