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ATI Pharmacology Proctored Review
Terms in this set (72)
-Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure?
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you increase when taking Lasix?
-increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action?
color and temperature
Sumatriptan (treats migraine headaches) adverse effect
pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch
-• Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
• Do not cut patches to ensure appropriate
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
RBC Blood transfusion
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%20RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
What to understand about Parkinson's Meds?
-they don't cure disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med?
administered by subcutaneous injection or IV infusion
Lisinopril therapeutic effect
blood pressure answer (e.g. 120/80)
Medication for Schizophrenia
used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication.
-benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
same as-Alendronate is used for treating osteoporosis in men and postmenopausal women.
-lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects
used before exercise to prevent breathing problems during exercise (bronchospasm).
What medication to administer with Tylenol overdose?
acetylcysteine (Mucomyst) must be given IV
Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over a 6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose should be administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Opioid toxicity-what to check first
Valporic Acid lab
Lithium report immediately
Food to avoid when taking Lithium
Labs for patients taking hydrothiazide
Periodic determination of serum electrolytes to detect possible electrolyte imbalance should be done at appropriate intervals.
Regarding Controlled Substances (I, II, III, IV, & V):
Rate from Most Addictive to Least Addictive.
I, II, III, IV, V
What are some Adverse Effects of Opiates?
- Urinary Retention
What is the Antidote for Opiate Overdose?
APAP / AKA?
ASA / AKA?
Give Examples of Combination Opiates / NSAIDS.
What is the Antidote for APAP (Tylenol) Overdose?
What are some Adverse Effects of Steroid Therapy?
- Fluid retention
- GI irritation
- Bleeding tendencies
- Osteoporosis (fractures)
- Adrenal atrophy (cortex)
- Muscle wasting
- Cushing's syndrome
What are the S/S of Serotonin Syndrome?
What are some SSRI Risks?
- Therapeutic Effect is Slow Acting
- Tremors come Before Positive Effects
The Suffix "-ine" Indicates what Therapeutic drug Classification?
Antidepressants & SSRIs
What Effects do drug containing the Suffix "-ine" have?
What are some Adverse Effects of Clozaril (clozapine)?
Extra-pyramidal Symptoms are more likely
& Can Depress:
What is a Benefit of using Risperdal (risperdone)?
What is a Negative of using Risperdal (risperdone)?
Causes the Fewest Extra-pyramidal Symptoms
Slower Acting (1-2 weeks)
How should Lithium be Administered?
With Food or Milk
Lithium is Contraindicated for Concurrent Use with which Substances?
What are some Risks of Lithium Use?
Seizures & Arrhythmias
What are the Indications for Valproic Acid?
- Bipolar Disorder
What should be Monitored during Valproic Acid therapy?
S/S of Hepato-toxicity
What are the Indications for Lyrica (pregabalin)?
- Neuropathic Pain
Define Extra-pyramidal Symptoms.
Drug-Induced Movement Disorders.
Which Lab Values should be Monitored during Penicillin Therapy?
RBC, WBC, & Platelet Counts
What Drug Classification typically contains the prefix "cef-" or "ceph-"?
- Achilles Tendon Rupture
Normal renal function test
GFR 90mL +/min
aPTT therapeutic range
Vancomycin infusion reaction
If too fast, red man syndrome
Flushing, redness, dizziness
Beta blockers use caution with:
Adrenal gland tumor
Long term use of steroids side effects
1. Indications of malnutrition
2. Vein condition at access site
3. Lab values
4. Preexisting conditions
5. Vital signs, auscultate lungs, & weigh
6. Consult w/ dietician & dr. (TPN content)
7. Dr.s orders
When do you call 911?
Onset of chest pain
How to administer nitroglycerin
1 tablet q3-5 mins x 3
Enalapril side effects
Loss of taste
Spironalctone side effects
Dry mouth, thirst
Paralysis of arm or leg
Flu like symptoms
How does baclofen work?
Antispastic muscle relaxant; blocks nerve signals from muscles at the level of the spinal cord
Relationship btw lithium & sodium
Lithium is a sodium, so maintain the same salt intake
Instruction for vitamin b12 via nose (cyanocobalamin)
Once per week.
Blow your nose gently.
Keep your head upright and insert the tip of bottle into one nostril.
Press your other nostril closed with your finger.
Spray the medicine into your nose and gently sniff at the same time.
Then use the spray in your other nostril.
Do not blow your nose for at least a few minutes after using the nasal spray.
Wait several hours after using before you use another nasal spray.
Ferrous fumarate with kids
Helps the body create more hemoglobin and treat/prevent anemia.
Prevention: 1 a day
If sick within 30 mins, give another dose.
If sick after 30 mins, do not give another dose until time for it.
Toxicity: stomach pains, vomiting, diarrhea
Give with food
Take before eating
Drink cool glass of water after taking
Avoid alcohol & NSAIDS.
Notify provider of abdominal pain & diarrhea
Use backup of contraceptives for women.
Causes of digoxin toxicityb
Use of diuretics
Combining w/ other meds
Taking too much
Store at room temp, away from moisture and light
Seizure medications (anticonvulsants)
Need backup method of birth control
Treatment of TB
Narcotic used to treat severe pain
Often given before or during surgery & medical procedures
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