Combo with ATI Pharmacology Study Guide A and B

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Tobramycin Sulfate contraindicated in:

Ibuprofen (Motrin)

Metformin (Glucophage) and glipizide (Glucotrol) for diabete mellitus. Nurse check what lab:

HbA1c of below 7% for diabetics

Warfarin antidote:

Vitamin K

Pancrelipase (Pancrease) teaching plan:

Take at each meal and snack.

Levothyroxine (Synthroid) effective if:

TSH 0.5-2 mircounits/mL

T4 and T3 Value

t3: 75-220 ng/dL
t4: 4-11 mcg/dL

Prazosin (Minipress) teaching:

Move slowly from sitting to standing.

Phenytoin (Dilantin) teaching:

Hirsutism, avoid alcohol and antihistamines, double vision

Enalapril (Vasotec) and spironolactone (Aldactone) adverse effects:

Hyperkalemia because its a ACE-inhibitor and K-sparing diuretic.

Methotrexate (Rheumatrex) for Rheumatoid arthritis teaching:

Report sores in mouth, take once a week [oral or injection], 4-6 weeks to work.

Mannitol (Osmitrol) effective:

Urine output increases

Morphine Sulfate following thoracic procedure. What indicates client pain being managed:

Client able to breathe deeply and cough.

Amitriptyline (Elavil) adverse effects:

Urinary retention.

Magnesium Sulfate toxicity signs:

Decrease level of consciousness, CNS depression

Ferrous Sulfate enhance absorption:

Asorbic Acid

Sotalol Hydrochloride (Betapace) teaching plan:

Decrease heart rate.

Patient on Insulin Lispro and prescribed Metoprolol (Lopressor) for HTN. Nurse should observe what signs for hypoglycemia:

Sweating

Nitroglycerin SL teaching:

Lie down, check BP, relief in 1-3 mins, monitor for headache.

Allopurinol (Zyloprim) contraindications:

Warfarin

Atovastain (Lipitor) nurse should monitor:

CK-Creatinine Kinase

Exercise induced asthma:

Cromolyn sodium (Intal)

Furosemide (Lasix) withhold:

Potassium level

Insulin glargine (Lantus) type 1 diabetes mellitus teaching plan:

DO NOT MIX in syringe, adminster at bedtime, clear, don't need to shake

Colesevelam (WelChol) teaching plan:

Other medication 1 hour or 4 hours after, taken with food or water, high fiber diet.

Levothyroxine (Synthroid) breastfeeding:

Take after breast feeding.

Fluoxetine (Prozac) teaching plan:

Don't take St. John's Wort, may get rash, Acetaminophen instead of Ibuprofen.

Digoxin (Lanoxin) patient experiences Dysrhythmias:

Furosemide (Lasix) lead to hyperkalemia causes dysrhythmias.

Ceftriaxone (Rocephin) postop and notices Uticardia and dyspnea:

Discontinue infusion

Ketorolac (Toradol) teaching plan:

Check for bruising, Take with food.

Risedronate (Actonel) for osteoporosis teaching plan:

Sit up 30 mins, don't take with milk, take in morning, take on empty stomach.

Albuterol (Proventil) for asthma with montelukast (Singular) teaching:

Take montelukast at night

Pilocarpine (Pilocar) eye drops teaching:

Don't drive until vision clears, cause brow pain, take for rest of life, messes with the rest of the body

Required Digoxin measurements:

Peak and trough

Naloxone (Nacar) Antidote:

Observe for bleeding, Assess client for nausea and vomiting, check pain frequently, tachycardia, repeat dose every 2-3 minutes.

Fluticasone propionate (Flovent) adverse:

Candidasies of the mouth, dysphonia.

Trimethropim/sulfamethoxazole (Barctim DS) teaching:

Drinking 8-10 glasses of water

Gentamicin (Garamycin) side effect:

Ototoxicity

Telephone prescription from provider. The Nurse:

Reads the prescription back to the provider.

Seizure disorder. Patient should:

Keep a seizure chart.

Potassium level:

3.5-5 mEq/L

Potassium level less then 3.5 mEq/L:

Cardiac monitor for cardiac dysrhythmias.

Penicillin allergy requires incident report with what symptom:

S.O.B.

Phenytoin (Dilantin) decreases effectiveness of:

Ethinyl/desogestrel (Oral contraceptive)

Ergotamine (Ergostat) SL for migraine headache:

1 SL tablet at onset of headache.

Digoxin level:

1.0-2.0 ng/mL. Digoxin is toxic at 2.4 give Digoxin immune fab (Diggibind)

Avoid during metronidazole (Flagyl):

Beer can cause disulfiram-reaction (Hypotension, vomiting, weakness)

Captopril (Capoten) cannot be used:

With salt substitue with meal or potassium.

Mannitol (Osmitrol) achieving therapeutic effect:

Decrease intraocular pressure for acute closure glaucoma.

Simvastatin (Zocor) teaching plan:

Report muscle pain, do not take med with grapefruit juice, minimize alcohol intake, life long therapy, take in the evening.

Heparin and warfarin client with 4 times aPPT and INR of 2:

Decrease the heparin.

aPPT (Activated partial thromboplastin time) plasma value:

1.5-2 times the normal

INR (International Normalized Ratio) value:

2.0-3.0. Target of 2.5. Higher the number bleeding disorder. Lower the number clotting disorder.

Oxytocin (Pitocin) by continuious IV, piggy backed into maintenance IV solution. FHR indicates late decelerations. The nurse first:

Discontinue client's IV to reduce contractions.

Bupropion (Zyban) side effects:

Insomnia (Stimulant).

Risedronate (Actonel) to treat osteoporosis. Client teaching:

Take in the morning, sit up 30 mins after taking, take with food, swallow whole.

Haloperidol (Haldol) adverse effects (Used for treating vomiting):

Akathisia (Restlessness).

Oprelvekin (Interleukin 11-WBC) effectiveness:

Increase platelet count in chemotherapy patients.

Baclofen (Lioresal) therapeutic outcome:

Decrease the frequency and severity of muscle spasms (MS).

Epoetin Alfa (Procrit) to treat anemia. Nurse should monitor:

Increased blood pressure and seizures if hematocrit rises too quickly.

Tranylcpromine (Parnate) for depression. Client teaching:

Move slowly when changing position because orthrostatic hypotension can result as a side effect.

Exenatide (Byetta) for type 2 diabetes mellitus. Nurse needs to monitor immediately:

Abdominal pain due to pancreatitis.

Secondary symptom for hyperglycemia: Increased thirst

Hypoglycemia symptoms:

Diaphoresis and Irritability.

Prednisone (Deltasone) for chronic asthma. Nurse monitors:

Blood glucose because steroid increase blood sugar.

NHP insulin and Regular insulin in a single syringe: Clear before cloudy.

1. NPH (Cloudy) insert air
2. Regular (Clear) insert air
3. Draw up regular (Clear)
4. Draw up NPH (Cloudy)

Zidovudine (Retrovir) nurse should monitor:

Hemoglobin level because it can cause anemia.

Timolol (Timoptic) for glaucoma. Client history concern:

Its a Beta Blocker that can worsen bradycardia.

Newborn DTaP injection timeframe:

2 months-1st
6 months- 3rd
15 months- 5th

Newborn Hep B vaccine:

At birth

Warfain for AFIB. Nurse needs to check what prior to injection:

INR value.

Hydroxyurea (Droxia) for sickle cell anemia. Nurse reports what to provider:

Hemoglobin, platelets, neutrophils.

Acetaminophen/oxycodone (Percocet) for breakthrough pain PRN and Acetaminophen every 4 hours. The nurse should:

Notify the provider due to possible overdose.

Sucralfate (Carafate) for PUD:

Form protective barrier around ulcer (mucosal protectant).

Client teaching for Warfain:

Limit green leafy veggies, get blood drawn regularly, notify doctor if you bleed of bruise easily, and do not take Aspirin or Tylenol.

Pregnant with Pneumonia contraindication:

Deoxycycline (Doxycin), Tetracycline due to adverse effects on bones.

Lisinopril (Zestril) for HTN. The client should monitor:

Dry cough due to build up of bradykinin.

ACE-Inhibitor cause:

Dry cough.

Nitroglycerin (Nitro-Bid IV) for blood pressure:

Lower systolic blood pressure.

Procainamide (Pronestyl) with acute MI and premature ventricular beats. The nurse should withhold if:

QRS (Contraction) widening of more then 50% and long QT intervals (Rest period) indicates cardiotoxictiy.

Tamoxifen (Nolvadex) for breast cancer adverse side effects:

Menstrual irregularity, hot flashes, vaginal discharge.

Beclomenthasone (QVAR) for chronic asthma teaching plan:

Rinse your mouth.

HX of HTN uses OTC oral decongestants for nasal congestion. The nurse advises patient that decongestants:

Constricts blood vessels (Sympathomimetics)

Phenazopyridine HCL (Pyridium) for acute cystitis will:

Urine will turn a red-orange color.

Trimethoprim/sulfamethoxazole (Bactrim DS) side effects:

Vesicular, crusty rash is a sign of Stevens-Johnson syndrome.
(Photosensitivity-Limited sun exposure)

Propylthiouracil (PTU) outcomes:

Decrease T4, decrease heart rate, decrease body temp, weight gain.

Transdermal Nitroglycerin (Minitran) teaching plan:

Take patch off each evening for medication free time of 12-14 before each new patch.

Amoxicillin/calavulaic acid (Augmentin) allergy to penicillin. The nurse should first:

Hold the medication.

Morphine and discharge teaching:

Increase fiber due to possible constipation.

Ampotericin B (Fungizone) for histoplasmosis (Skin) adverse effects:

Fever and chills are signs of infusion reaction.

Aspirin for arthritis. Signs of salicylism:

Tinnitus, sweating headache, dizziness.

Breakthrough pain. 8 of 10 on scale.

Hydromorphone (Dilaudid) pure opioid for sever pain.

Methylphenidate (Ritalin) for ADHD intervention in adverse effects:

Maintain age-appropriate weight.

Sumatriptan (Imitrex) patient teaching:

Use medication upon first sign of headache. Should dissipate 30-50 mins.
*Up to 2 dose after 2 hours of initial dose.
Side effect: Tightness of chest

PCA of Morphine Sulfate, patient Resp. 10/min, unresponsive to touch. Nurse first:

Administer NarCan into patient IV.

Beginning Prednisone (Deltasone) therapy for acute bronchitis. Patient needs vaccine:

Wait until complete therapy due to glucocorticoids reducing antibody response of live vaccine. Increase risk on infection.

Ferrous Sulfate teaching plan:

Black stools are common, take on empty stomach for absorption, no bruising.

Phenytoin (Dilantin) teaching plan:

Tell dentist because drug can cause gingival hyperplasia, report eye movement.

Dilantin level:

10-20 mcg/L
Below 10- Seizures
Above 20- Toxic can cause Nystagmus (Eye movement)

Ranitidine (Zantac) for GERD adverse effects:

Green Sputum from low stomach PH (Pneumonia)

Effects oral contraceptives:

Carbamazepine (Tegretol) inactivates oral contraceptives

Isoniazid (INH) for TB adverse effects:

Yellow skin tones (Jaundice)

Hematocrit:

Male: 42-52
Female: 37-47

RBC:

Male: 4.7-6.1 billion
Female: 4.2-5.4 billion

WBC:

4,800-10,000

PT (Prothrombin Time):

11-14

Platelets:

150,000-450,000

Hemoglobin:

Male: 13.8-17.2
Female: 12.1-15.1

Neutrophil value:

54-62% of blood

Sodium value:

135-145

Lithium level

0.4-1

TSH value:

0.5-5.0 milli unit/L

Coumadin INR value:

2.0-3.0 INR

Creatine value:

.7-1.5

What drugs cannot be taken with ibuprofen?

Prozac and Trobramycin Sulfate.

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