Pharmacology Test 1 study guide
Terms in this set (36)
What is a super infection?
When the patient only takes part of prescription of antibiotic for 3 days or 1/2 of the dose.
When is Vancomycin used?
Reserved for when other drugs don't work, usually used for super infections.
What is important for a nurse to ask when a patient with TB is taking rifampicin (Rifadin)?
Diet, sun exposure, type of exercise, use of contact lenses.
Describe the uses of Benadryl and the side effects.
Antihistamine for watery, itchy eyes, runny nose.
Drug causes drowsiness, avoid driving/machinery.
What should a nurse lookout for when giving 2 meds at the same time?
Check compatibility priority as well as drug to drug interactions. (after checking order, ID verification)
For NSAID what indicated the patient has a good understanding of therapy?
"I check my stool regularly for blood"
What are some NSAID that are associated with increased toxicity in older patients?
Aleve, Motrin, Indocin, Lodine.
What should you include when teaching a patient about Flexeril?
Must avoid ETOH (alcohol)
When looking through a patients med list what should you be looking for?
Need to insure no drug to drug interactions; get list of alternative therapy meds that can cause interactions so patient doesn't take anything that might affect them.
What are important things to ask when taking Home medication history from a patient?
Ask about OTC, herbs, taking meds as ordered?
What are a nurses responsibility for phase III drug evaluations?
monitoring/observing for adverse effects.
What can we as a nurse do to help with medication compliance?
Insure patient education, safety, address side effects of med. (Take with food)
What are the most severe effects of hyperkalemia?
renal failure, liver failure, cardiac emergency, respiratory distress.
What is extremely important to maintain patient safety when giving drugs?
Checking for allergic reaction in patients
When admitting a 12 yo child, what question may the nurse ask when getting history and she sees secondary teeth (gray)?
Ask if the patient has taken Tetracycline when young.
What is the mechanism of action of Penicillin?
Inhibits cell wall biosynthesis.
Potassium sparing diuretics can lead to hyperkalemia; what would indicate hyperkalemia?
In a careplan for aminoglycoside what would a nurse implement to decrease accumulation of a drug in kidney?
If a patient is on IV Aminoglycoside for intractable infection in leg, what is a nurse's priority when it comes to monitoring?
What side effect would indicate adverse effect/toxicity in a patient that is on a salicylate with rheumatic disease?
affects embryo or fetus
Are drugs metabolized the same in all people?
What would you teach in an educational even for teaching new parents about acetaminophen (tylenol)?
Check OTC for inclusions of acetaminophen in ingredients, could cause Reye's syndrome.
If an Elderly patient comes from PACU and has a narcotic analgesic before being transferred to the floor what is a nurse's priority action when patient comes to the floor?
Put the side rails up and bed in low position to avoid falls.
What are some concerns that should be considered before administering antibiotic Ampicillin and Gentamicin?
If a patient is taking Lasix.
If an Elderly pt comes from PACU and has a narcotic analgesic before being transferred to the floor. What is the nurse's priority action when pt comes to floor?
Put side rails up and bed in low position to reduce fall risk.
One of the main antibiotic fatal adverse effect
What is a priority assessment of pt who has received opioid analgesic?
LOC(level of consciousness)/RR(respiratory rate)
What would an infected tissue culture tell you?
it would identify the specific organsim
What are the Nurse's responsibility in medication administration?
Teach how to cope w/therapy for best outcome; providing therapy as well as medications; evaluating the effectiveness of therapy.
What S&S(signs and symptoms) would you expect from an anaphylactic reaction?
Tachypnea, elevated B/P, respiratory distress.
How do anti-infectives produce a therapeutic effect?
goal of anti-infectives is to interfere with normal functioning of organism?
What statement would tell you that a patient has on understanding of med discharge teaching?
I will add the names and dosages of meds to my medication list in my wallet.