PN 519 Final 15-19
Terms in this set (100)
elevated blood glucose
Complication of Dpp-4 Inhibitor?
Patient understanding for heart disease regime?
daily dose of folic acid, vit b6, and b12
Patient teaching for Florinef?
The drug acts like a natural aldosterone in the body
Teaching plan for pregnant woman taking Vit. A?
Take only the amount prescribed, high doses can cause birth defects
Side effects of niacin
skin warmth and flushing
Patient teaching for OTC for children?
Do not give drugs with alcohol in them
What patient would biguanide antidiabetic drug be contraindicated?
A patient with known kidney disease
Describe the adrenal glands.
It secretes aldosterone and cortisol, it controls sodium and water balance, glucocorticoid hormones are necessary for life
Most dangerous adverse effect of insulin?
What drugs cause mydriasis?
Iopidine and AK-Pro
Symptoms of menopause.
Low levels of estrogen and high levels of FSH
Symptoms of undiagnosed diabetes
polydipsia, polyuria, polyphagia
Patient teaching for diabetes and alcohol use.
only drink with a meal or shortly after a meal
Symptoms of Vit b2 (riboflavin) deficiency
cracks in the corner of the mouth, soreness and burning of the tongue and lips, and sore throat
What drug is used for patients with diabetes and hypercortislism?
What conditions are associated with poorly controlled diabetes?
Kidney failure, cardiovascular disease, stroke, blindness
How does Byetta help lower blood glucose?
It increases insulin secretion
Parent teaching for child ear infection.
Do not place a drug in the ear if there is drainage present.
Patient teaching for taking iron supplement
Take on an empty stomach, take it for a period of 4-6 months, can cause the stool to turn green or black, it can cause discoloration of the teeth
What assessment should you conduct before administering an anti-thyroid medication?
Check the patient's liver function tests
What action should be taken before administering Prolia?
Assess the patient for an allergic reaction during and after
Complication for low magnesium.
Magnesium is important in cardiac function
How does Acarbose (Precose) work?
Drugs from this class work by slowing the digestion of dietary starches and other carbohydrates by inhibiting an enzyme that breaks them down into glucose.
Lab monitoring for sodium-glucose cotransport inhibitor?
of renal impairment
Term for constriction of pupil
What drug for glaucoma can cause respiratory issues?
Patient teaching for St. Johns wort.
St. John's wort may improve mild to moderate depression but has potentially dangerous interactions with many prescription drugs.
Alendronate, ibandronate, risedronate, and zoledronic acid
Patient teaching for eye drops with an affected eye.
Never instill prostaglandin agonists into an eye that has been scratched or has an infection
drug category is associated with pyridoxine deficiency
Patient teaching for carbachol.
Patients may develop decreased night vision
Adverse effects In the elderly taking anti-thyroid medications.
Decreased complete blood count
Which body part is adversely affected by bisphosphonates?
The most serious adverse effect of the bisphosphonates is the development of jawbone necrosis (osteonecrosis)
Patient teaching for online buying of OTC medications.
many OTC preparations sold through the Internet are counterfeit products and may be dangerous.
Patient teaching for birth control and diabetic medications
Oral contraceptives and antibiotics can interact with drugs for diabetes, reducing their effectiveness.
Patient teaching for prices of OTC medications
The cost has no effect on the medication
How does a sodium-glucose cotransport inhibitor work?
lower blood glucose levels by preventing the kidney from reabsorbing glucose that was filtered from the blood into the urine.
signs of hypoglycemia
nervousness; hunger; weakness; cold, clammy skin; and change in the level of consciousness.
Hormone that has an opposite action of insulin?
How do thyroid replacement drugs work?
Thyroid replacement drugs are thyroid hormone agonists. Taking these drugs provides an exogenous source of thyroid hormones.
Drug group that causes darkening of the iris?
Patient teaching for birth control?
Take it exactly as prescribed
Patient teaching for Vitamin E.
New evidence suggests that vitamin E supplements do not reduce the risk for cancer or major cardiovascular disease and may even increase the risk of heart failure.
drugs for glaucoma therapy generally used short term to prevent or reduce intraocular pressure (IOP)
Main role for insulin in the body?
Movement of glucose from blood into the cells
Why is insulin only given by injection?
small protein that is easily destroyed by stomach acids and intestinal enzymes
Rationale for giving Vit b1 in glucose?
intravenous glucose should also be given to prevent precipitation or worsening of Wernicke's encephalopathy
Most important assessment to perform for a elderly patient taking anti-thyroid?
Child with diagnosed ear infection would get antibiotic through what route?
Foods high in Vitamin b6
yeast, wheat, corn, egg yolk, liver, kidney, and muscle meats, soybeans, cereals, whole grain bread, and soybeans.
Ending of beta blocker drugs
Correct administration for ear drops in adults?
Pull pinna up
Foods that contain riboflavin?
dairy products, eggs, green leafy vegetables, organ meats, and peanuts.
Patient teaching for OTC meds.
OTC drugs often interact with other drugs, and with food or alcohol,
Adverse effects of androgen therapy with testosterone
Teach patients to check weight every day to assess for fluid retention
How does propylthiouracil (Propacil) work?
entering the thyroid gland and combining with the enzyme responsible for connecting iodine (iodide) with tyrosine
What assessment should be done for a patient taking give apraclonidine (Iopidine) eye drops?
Causes bradycardia or tachycardia and decreased blood pressure-VS
Drugs that aren't regulated by the FDA?
The FDA does not regulate herbal supplements
How long does a patient have to take thyroid hormone agonist?
therapy is needed for the rest of the person's life
First response for patient taking timolol (Timoptic) with respiratory issues?
assessing breath sounds with a stethoscope and checking the pulse for rate, strength, and regularity
Patient teaching for weight gain while taking Fludrocortisone (Florinef)?
Congestive heart failure (CHF) and weight gain is a possibility
findings that indicate thyroid hormone drug dose is appropriate and effective for hypothyroidism?
The patient's vital signs (body temperature, heart rate, blood pressure, and respiratory rate) are within normal limits. Patient's activity level and mental status are normal for him or her.
Patient's body weight is consistent with the amount of calories he or she eats and his or her activity level.
During eye drop administration what maneuver can be done to avoid systemic absorption?
close their eyes for 2 minutes
Patient information for carbonic anhydrase inhibitor
Never give a carbonic anhydrase inhibitor to a patient who has a "sulfa" allergy
Patient teaching for short-acting insulin
the patient will need to eat the meal within 15 minutes of receiving the injection
biguanide class medication(s)?
adverse effects of hormone replacement therapy for menopause
risk for forming blood clots
Patient teaching for eye drops?
excessive drops for some types of drugs for glaucoma can reduce intraocular pressure to dangerously low levels
The development of a goiter indicates that ________.
a thyroid problem.
S/E of taking adrenal gland hyperfunction meds?
nausea and vomiting.
oral contraceptive that increases serum potassium levels and irregular heart rhythm?
Oral contraceptives that use drospirenone as the progestin (Ocella, Yasmin, YAZ28)
Timeframe for effectiveness of hyperthyroidism medications
3 to 4 weeks to start being effective
main problem that accompanies glaucoma
increased intraocular pressure
Patient teaching for metformin and contrast dye?
Metformin is to be stopped at least 24 h before radioactive dye is used and not started again until 48 h after the test is completed
Information for multi-vitamins
Most people decided to take vitamins on their own without the advice of a health care professional.
Nursing action for administering miglitol (Glyset) to a patient with diabetes mellitus type 2
In order to be effective, it must be taken at the beginning of a meal.
Patient instructions for Vit C?
Vitamin C is easily destroyed by air, heat, and light. This drug should be kept tightly capped in its own container.
Patient teaching for expired medications?
tell patients to safely dispose of old, discolored, or expired drugs or any drug that has lost its label instructions
to treat iron deficit anemia
Insulin and DM Type 1
the beta cells of the pancreas are destroyed and no longer produce any insulin. Insulin is necessary for life
Vit A overuse can result in
anorexia, abdominal pain, malaise, and yellowing of the skin, especially on the nose and ears.
Why is insulin a high alert drug?
Serious harm can occur if the wrong dose is given
Patient teaching for folic acid?
that all women of childbearing age in the United States who are pregnant should consume folic acid to prevent birth defectd
DM Type 2
Insulin may also be necessary for some people with DM type 2, although diet, weight reduction, and noninsulin antidiabetic drugs are often effective
Levothyroxine and pregnancy
Women taking thyroid hormone agonists are advised not to breastfeed
Risk for patient taking dapagliflozin (Farxiga) for diabetes mellitus type 2 and furosemide (Lasix)
increases the frequency of urination increases and can result in dehydration.
drug is known to increase thyroid hormone replacement drugs
Thyroid agonists used for thyroid hormone replacement therapy
side effects for women taking hormone replacement therapy for menopause
breast tenderness, breakthrough bleeding, fluid retention, weight gain, and acne.
patients most likely to develop a vitamin B12 deficiency
A patient who is on a strict vegetarian diet
Respiratory infection and Vit C patient teaching
Vitamin C is a water-soluble vitamin that is quickly excreted and thus mega-doses of this vitamin produce no additional benefit.
What condition would need to be present for an insulin stimulator drug to work effectively
the patient must have some functioning beta cells if these drugs are to work.
Nursing actions for administration of glipizide (Glucotrol.
These drugs with, or just before, meals prevent hypoglycemia.
Patient teaching for rosiglitazone
thiazolidinediones have been associated with severe cardiovascular side effects
drug reduces the production of aqueous humor to the greatest degree
When insulin binds to insulin receptors on cells, the cells' membranes become more open (permeable) to glucose and glucose transport proteins in the cell membranes become more active.
oral contraceptive drug must be taken every day
Progestin only mini pills
18.2 PG 330