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147 terms

ATI proctored exam

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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