5 Written questions
5 Matching questions
- What is c. diff? What causes it? What treats it?
- What is Steven's Johnson Syndrome? What causes it?
- Define a partial agonist
- What is involved in nursing care of vesicant (anti-ca) agents?
- What is schizophrenia?
- a cause: clindamycin, amoxicillin, ampicillin, cephalexin
bacterial infection - contact, hand sanitizer doesn't kill it!
treatments: metronidiazole (Flagyl) or vanco
- b - widespread lesions of skin and mucous membranes
- fever, malaise, toxemia, can be fatal
- mostly happens with sulfonamides
- c a chronic psychotic illness characterized by disordered thinking and reduced ability to comprehend reality
+ symptoms: exaggeration or distortion of normal functioning, hallucinations, delusions, agitation, tension, and paranoia. respond to 1st and 2nd gen
- symptoms: loss or diminution of normal function, lack of motivation, poverty of speech, blunted effect, poor self care, social withdrawal. 1nd gen are better treatment for - symptoms
- d -has only moderate intrinsic activity
-the maximal effect that a partial agonist can produce is lower than that of a full agonist
- can act as agonists or antagonists
- e - to minimize the risk of injury, IV admin should be performed only into a vein w/ good flow.
- Sites of previous irradiation should be avoided
- If extravasation occurs, infusion d/c immediately
- extreme caution should be employed
5 Multiple choice questions
- - a blood test done to check long-term blood sugar twice a tear over 3 months in diabetic pts.
- fasting is not necessary
- ideal value is <7% for diabetic, <6% for normal
- indications: erectile dysfunction
AE: hypotension, priapism (long erection), HA, dyspepsia, flushing, nasal congestion, diarrhea, rash, dizziness, mild transient visual disturbances, intensified OSA
drug interactions: nitrates (causing hypotension), alpha blockers, grapefruit juice can suppress metabolism
indications: decrease frequency, intensity of cough. Suppresses the cough reflex directly at the cough center in the medulla
AE: suppress respirations, cause drowsiness, dizziness, HA, blurred vision, upset stomach, nausea, constipation, dry mouth/nose/throat
indications: lowers surface tension allowing water into the feces
- best for <3 pts
- acts in 1-3 days
- take w/ full glass of h2o
- indications: hypothyroidism, maintains thyroid levels after surgery
AE: rare, w/ acute OD thyrotoxicosis can occur s/s tachycardia, angina, tremor, nervousness, insomnia, hyperthermia, heat intolerance, & sweating
5 True/False questions
What are the advantages of parenteral routes? → fast acting due to skipping the absorption period
control of drug levels in blood
use of large fluid volumes
use of irritant drugs
- can't reverse w/o antidote, expensive
What information should a nurse obtain to prevent drug-to-drug interactions? → ask what OTC, prescribed, and herbal therapies the patient is taking
Hydrochlorothiazide (HCTZ) → indications: HTN, edema, diabetes insipidus
AE: hyponatremia, hypochloremia, hypokalemia, dehydration, hyperglycemia, hyperuricemia, increase LDL, increase excretion of mg
- monitor i/o, weigh pt
-do not take while pregnant or breast-feeding
- interacts with digoxin, antihypertensive drugs, lithium, and NSAIDs
Rifampin (rifadin) → indications: TB
- always used w/ other TB meds
AE: red orange discoloration of secretions, hepatotoxicity, hepatitis
Potassium Sparing Diuretics (spironalactone/aldactone) → indications: mainly HTN, edema, <3 failure, and commonly in combo with a thiazide or loop diuretic.
-spironalactone counteracts the K-wasting effects of the more powerful diuretics
AE: hyperkalemia, benign and malignant tumors, endocrine effects (gynecomastia, menstrual irregularities, impotence, hirutism (excessive hair growth in women) and deepening of the voice)