ATI proctored exam

147 terms by graceleitzman

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Luminal (seizures)

long half life: take once a day

trough blood draw

immediately before next dose

peak blood draw

IV - 30 minutes after completion

meds have to bind with...

receptors

med dosages meed to be decreased...

if in liver failure or
concurrent use of meds metabolized by the same pathway

eye drop administration

surgical aseptic technique

nurse legal responsibilites

skill competency
monitor adverse effects
safe guard meds

patient refuses meds

determine reason
provide info of the risks
notify MD
document

nurse notes MD has doubled previous dose

check w/MD

meds given on regular schedule

routine order

red line on affected extremity
palpable, hard mass or band on insertion site
pain at site

phlebitis

catheter embolism

small portion of catheter breaks off and enter venous system

minimize risk of catheter embolism

once in vein, never put stylet back through the catheter

symptoms of fluid overload

shortness of breath
crackles in lungs
distended neck veins

concurrent use of coumadin and aspirin.....

increases risk of bleeding

first dose of penicillin, client says rash developed last time they took it....

withhold and notify MD

when administering antihypertensives, teach the client,,,

change positions slowly (orthostatic hypotension)

fewer protein-binding sites (infant)...

medication effects will be increase w/greater potential of toxicity

breastfeeding mom does not want to take antimicrobial medication because it may harm her baby. Teach...

taking the medication immediately after breastfeeding will mimize effects on the baby

reduced hepatic funtion...

prolongs half life of a medication and increases length of response

antidote for benzodiazepine

Flumazinel (Romazicon)

effective teaching of benzodiapines...

I will not stop taking the drug abruptly

Buspirone (Buspar) is unique because...

does not cause physical or psychological dependence

a client taking Buspar for 3 days calls and says not helping to sleep or w anxiety. Nurse response...

initial response to Buspar takes 1 week. Several weeks to reach therapeutic peak

client taking Paxil complains of teeth grinding (Bruxism). Nurse response...

add Buspar
use a mouthguard
any SSRI caused bruxism, so change class

client taking Nardil for depression should be monitored for...

orthostatic hypotension (all MAOIs can cause orthostatic hypotension)

side effects of Elavil

orthostatic hypotension
dry mouth

drug glass that interacts with tyramines

MAOIs

adverse affect of Prozac

sexual dysfuntion

signs of seratonin sydrome

change in mental status, tremors, hyperreflexia

lithium level

0.4 - 1.0

NSAIDs interact with...

lithium

teaching client to avoid lithium toxicity...

avoid activities that could cause sodium/water depletion

adverse affect of lithium

tremors

client taking Depakote, monitor these labs (3)

thrombocyte count
amylasel level
liver function

schizophrenia positive symptoms relate to:

behavior, thought, speech

schizophrenia negative symptoms relate to:

social withdrawal, lack of emotion, lack of energy

client taking Thorazine would have improvement in which symptoms...

positive symptoms

client taking Proloxin c/o anticholinergic effects

chew gum
sip liquids
suck hard candy

several hours after administering a typical antipsychotic monitor:

acute dystonia (neck spasms)

client taking Clozaril, nurse should monitor this lab

WBC (agranulocytosis)

clients taking SSRI (Prozac) should be monitored for....

fever, hyperreflexia, agitation, hallucinations with in the first 2-72 hours (Seratonin Syndrome)

adverse effects of Elavil (Tricyclic)

photophobia (anticholinergic effect)

Strattera adverse effects

liver damage

Concerta (ADHD)

long acting, take once daily

Inderal treats...

alcohol withdrawal/cravings

short term management of alchol withdrawal...

ativan
valium

Dilantin side effects

gingival hyperplasia

Zarontin
Depakote treat...

absence seizures

levodopa food interaction...

avoid high protein meals (amino acids)

Mirapex (Parkinson's Disease) side effects

hallucinations

after instilling eye drops press...

nasolacrimal duct w/a gloved hand and clean tissue for 30 to 60 seconds

Alphagan (opthamalic)

take contact lens out and wait 15 minutes to avoid interaction

angle-closure glaucoma...

halos around lights

client diagnosed with malignant hyperthermia caused by (Anectine) succinylcholine should be given...

Dantrium, to slow the metabolic activity of the muscles

K+ levels

3.5 - 5.0

abrupt withdrawal from baclofen cause...s

seizures

Ditropan treats:

urge to void
nocturia

Valium

monitor for respiratory depression

Intal

prophylactic treatment of asthma
for long term control
take on a fixed dose schedule
not used to abort an asthma attack

QVAR (glucocorticoid) tx: asthma

use a spacer
rinse mouth to avoid thrush
engage in weight bearing exercise and ensure adequate calcium and vitamin D to prevent bone loss

client give QVAR and albuterol...

take albuterol (bronchodilation) 5 min before the QVAR

glucocorticoid side effects

weight gain
fluid retention

avoid caffeine when taking...

theophylline

side effects of phenylephrine after 5 days of use

rebound nasal congestion

self administering nasal drops

lateral w head in low position to avoid swallowing

mucomyst

loosens secretions

adverse reactions of benadryl

dry mouth
urinary hesitation

client taking Hyrdodiuril for hypertension are at risk for

potassium loss

side effects of Lasix

hearing loss

aldactone

potassium sparing diuretic

Osmitrol should be discontinued if client develops...

dyspnea

Inderal is contraindicated for...

clients with asthma, causes bronchoconstriction

side effect of verapamil (Calan)

constipation

client taking verapamil should avoid

grapefruit juice

capoten (ace inhibitor) and spironocatone (potassium sparing diuretic) should not be given concurrently...

ACE inhibitors can lead to hyperkalemia, K+ sparing diuretics additive effect

side effect of Catapres

dry mouth
drowsiness

side effect of Vasotec

dry cough

side effects of digoxin

fatigue
anorexia
diplopia

food high in potassium

spinach

client on mononitrate develops tachycardia, give:

Metoprolol

removing Nitro-Dur patch at night...

builds tolerance

if taking Ranexa avoid concurrent use of...

Digoxin
Zocor
Calan
can lead to torsades de pointes

Cordarone

long half life

severe hypotension can be reversed by taking

Calcium chloride

client taking digoxin can avoid digoxin toxicity by avoiding

lasix

Inderal

check apical pulse before each dose
take w/ food
notify MD w/change in heart rate

Mevacor

take w/evening meal

Lopid adverse effect

hepatotoxicity watch for Jaundice

to monitor heparin drip effectiveness, monitor

aPTT

heparin antidote

protamine sulfate

thrombolytic therapy complication

bleeding.
Avoid IM or sub Q injections, apply pressure at puncture sites, administer Amicar (reverses thrombolytic effects)

aspirin

coffee ground emesis
tinnitus
bruising
black tarry stools
Reye syndrome
Platelet interference

Interleukin-11

monitor thrombocyte count

Neupogen

single dose use, discard any unused portion

side effect of Epogen

hypertension

given to correct clotting disorders

Fresh Frozen Plasma

Zantac

monitor for GI bleed

Prilosec

reduces gastric acid

Carafate

allow 2 hour interval between meds

Cytotec

induces labor

laxatives containing sodium are contraindicated for;;;

hypertension

folic acid therapy good for...

alcohol abusers
women of child bearing age

Kava

can cause liver damage

feverfew used for

migraine headaches

gingko biloba interacts with...

ibuprofen, coumadin (bleeding)
tofranil (seizures)

contraindication to estrogen therapy

estrogen dependent cancer
thromboembolitic disease

side effect of Flomax

hypotension

contraindicated for Viagra

Isordil

Brethine

stops uterine contractions

Soganol (used to treat RA) adverse effects

stomatitis (sores in mouth)
bruising
pruritus (itching)

Rheumatrex

Cat X

Enbrel

sub Q only

Sandimmune (treats RA) interaction

E-mycin

adverse effects of Evista

hot flashes
swelling, redness in calf
shortness of breath

Fosamax

take in am before meal
take w water
avoid laying down for 30 minutes

Miacalcin

given to decrease bone resorption of calcium

toradal

safe to give w/morphine sulfate

do not use longer than 48 hours

Demerol

opioid available in patch

Fentanyl

anticonvulsants treat

neuropathic pain

glucocorticoid side effects

hyperglycemia
hypokalemia
peptic ulcer
risk for infection
osteoperosis
adrenal insufficiency

(Colgout) treats: gouty arthritis

avoid alcohol
notify MD of bleeding, bruising, sore throat
Avoid aspirin (Salicylates)

lidocaine and epinephrine given together to prevent:

systemic toxicity

local anesthetics may cause

seizures

repaglinide

rapid, short lived insulin

glucophage side effect

lactic acidosis

glucotrol avoid

alchol

symalin

take oral meds 1 hr before
discard after 28 days
given in thighs or abdomen
do not mix

synthroid

start w a low dose

Genotropin

increases glucose levels

Vasopressin side effect

hypertension

rotavirus vaccine

only given to infants

combination chemotherapy

decreases medication resistence
attacks cancer cells at different stages of cell growth
reduces the dosage of each chemotherapy agent

Mesnex treats:

hemorrhagic cystitis

leucovorin used to:

protect healthy cells from chemo drugs

tamoxifen therapy side effect

endometrial cancer

prophylactic antibiotics are used....

before orthopedic, cardiac, GI, surgeries

tetracycline

avoid milk

gentamicin side effect

nephrotoxicity

cipro adverse reactions

achilles tendon rupture
achilles tendon pain
yeast infection

Vit B and Isoniazid to prevent

neuropathy

HAART (treats HIV) 3 or 4 meds in combination to:

decrease medication resistance
reduce adverse medication effects
reduce the medication dosages

NRTI (treats HIV) adverse effects

N/V
hyperventilation
fatigue

ritonavir adverse reactions

hyperglycemia
diabetes

Fuzeon (treats HIV) adverse reaction

pneumonia

acyclovir

increase fluids to avoid nephrotoxicity

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