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...
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
monitor adverse effects
safe guard meds
patient refuses meds
provide info of the risks
nurse notes MD has doubled previous dose
meds given on regular schedule
red line on affected extremity
palpable, hard mass or band on insertion site
pain at site
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
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...
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
drug glass that interacts with tyramines
adverse affect of Prozac
signs of seratonin sydrome
change in mental status, tremors, hyperreflexia
0.4 - 1.0
NSAIDs interact with...
teaching client to avoid lithium toxicity...
avoid activities that could cause sodium/water depletion
adverse affect of lithium
client taking Depakote, monitor these labs (3)
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...
client taking Proloxin c/o anticholinergic effects
suck hard candy
several hours after administering a typical antipsychotic monitor:
acute dystonia (neck spasms)
client taking Clozaril, nurse should monitor this lab
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
long acting, take once daily
short term management of alchol withdrawal...
Dilantin side effects
levodopa food interaction...
avoid high protein meals (amino acids)
Mirapex (Parkinson's Disease) side effects
after instilling eye drops press...
nasolacrimal duct w/a gloved hand and clean tissue for 30 to 60 seconds
take contact lens out and wait 15 minutes to avoid interaction
halos around lights
client diagnosed with malignant hyperthermia caused by (Anectine) succinylcholine should be given...
Dantrium, to slow the metabolic activity of the muscles
3.5 - 5.0
abrupt withdrawal from baclofen cause...s
urge to void
monitor for respiratory depression
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
avoid caffeine when taking...
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
adverse reactions of benadryl
client taking Hyrdodiuril for hypertension are at risk for
side effects of Lasix
potassium sparing diuretic
Osmitrol should be discontinued if client develops...
Inderal is contraindicated for...
clients with asthma, causes bronchoconstriction
side effect of verapamil (Calan)
client taking verapamil should avoid
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
side effect of Vasotec
side effects of digoxin
food high in potassium
client on mononitrate develops tachycardia, give:
removing Nitro-Dur patch at night...
if taking Ranexa avoid concurrent use of...
can lead to torsades de pointes
long half life
severe hypotension can be reversed by taking
client taking digoxin can avoid digoxin toxicity by avoiding
check apical pulse before each dose
take w/ food
notify MD w/change in heart rate
take w/evening meal
Lopid adverse effect
hepatotoxicity watch for Jaundice
to monitor heparin drip effectiveness, monitor
thrombolytic therapy complication
Avoid IM or sub Q injections, apply pressure at puncture sites, administer Amicar (reverses thrombolytic effects)
coffee ground emesis
black tarry stools
monitor thrombocyte count
single dose use, discard any unused portion
side effect of Epogen
given to correct clotting disorders
Fresh Frozen Plasma
monitor for GI bleed
reduces gastric acid
allow 2 hour interval between meds
laxatives containing sodium are contraindicated for;;;
folic acid therapy good for...
women of child bearing age
can cause liver damage
feverfew used for
gingko biloba interacts with...
ibuprofen, coumadin (bleeding)
contraindication to estrogen therapy
estrogen dependent cancer
side effect of Flomax
contraindicated for Viagra
stops uterine contractions
Soganol (used to treat RA) adverse effects
stomatitis (sores in mouth)
sub Q only
Sandimmune (treats RA) interaction
adverse effects of Evista
swelling, redness in calf
shortness of breath
take in am before meal
take w water
avoid laying down for 30 minutes
given to decrease bone resorption of calcium
safe to give w/morphine sulfate
do not use longer than 48 hours
opioid available in patch
glucocorticoid side effects
risk for infection
(Colgout) treats: gouty arthritis
notify MD of bleeding, bruising, sore throat
Avoid aspirin (Salicylates)
lidocaine and epinephrine given together to prevent:
local anesthetics may cause
rapid, short lived insulin
glucophage side effect
take oral meds 1 hr before
discard after 28 days
given in thighs or abdomen
do not mix
start w a low dose
increases glucose levels
Vasopressin side effect
only given to infants
decreases medication resistence
attacks cancer cells at different stages of cell growth
reduces the dosage of each chemotherapy agent
leucovorin used to:
protect healthy cells from chemo drugs
tamoxifen therapy side effect
prophylactic antibiotics are used....
before orthopedic, cardiac, GI, surgeries
gentamicin side effect
cipro adverse reactions
achilles tendon rupture
achilles tendon pain
Vit B and Isoniazid to prevent
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
ritonavir adverse reactions
Fuzeon (treats HIV) adverse reaction
increase fluids to avoid nephrotoxicity