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Terms in this set (68)
side effects of methimazole
anemia; dizziness; N/V; decreased appetite
treatment modalities used to treat hyperthyroidism
radioactive iodine; methimazole; PTU; subtotal thyroidectomy
hyperthyroid with a thyroid tumor and the thyroid gland is removed
give levothyroxine for treatment
what labs would indicate the need for a higher medication for a patient taking levothyroxine?
elevated TSH and reduced T3 and T4
why is levothyroxine an effective treatment for hyperthyroidism
replacement for thyroid hormone
what education would we need the patient to monitor for when taking levothyroxine
pulse rate (their heart rate)
for a patient getting hydrocortisone, what electrolyte imbalances would we monitor for?
what are the indications for the use of corticosteroids
inflammation; adrenal insufficiency; asthma; arthritis; allergies
pt is taking a long-term low dose of corticosteroids for COPD, what side effects would we monitor for?
a toddler is getting prednisone for allergic reaction. what info do you give the parent?
they should not stop the treatment abruptly - taper the medicine
what are the long term complications of the use of corticosteroids
risk for infection; delayed wound healing
a post-op patient requires long-term glucocorticosteroids therapy, what are some of the adverse effects of the drug
delayed wound healing
13 year old with growth deficiency, ordered somatropin, what assessment findings would contraindicate the safe and effective use of the drug?
the epiphyses of the long bones have fused/closed
patient with acromegaly, what medication would be given?
patient is receiving DDAVP for diabetes insipidus, how do we know the drug is effective?
reduced amount of urine output; decreased report in thrist
diabetic is receiving oral hydrocortisone for arthritis, what is the highest priority in the care plan
blood glucose levels
when do you adminster lispro insulin
5 mins before meals
given a patient insulin but they forgot to eat, what would the nurse be most likely to see
diaphoresis (sweating); slurred speech; dizziness; shakiness; hunger; tachycardia; confusion
method of action of regular insulin
moves glucose into the cells
what kinds of insulin is given as IV for a DKA patient
what kind of insulin goes in the pump
what are the indications for insulin therapy?
T1D; poor controlled T2D; DKA; T2D undergoing surgery or stress; gestational diabetes; non-diabetic status port cardiac surgery
what is the onset of glargine
what is the peak of glargine
what is the duration of glargine
given regular insulin to a patient that had N/V, they can't eat; when do you expect to see a hypoglycemia crisis
when would we instruct a patient to take Glargine
eat 3 meals and snacks; does NOT cause hypoglycemia; typically given in the evening at the hospital
the patient is ordered for both regular and glargine. how do you administer it?
two separate injections with different sites
what do we include in the teaching for patients taking metformin (glucophage)
decreased liver glucose production; reduced insulin resistance
what oral anti-diabetic agents works by stimulating the pancreas to increase the release of insulin
what is the classification of acarbose (precose)
method of action for alpha-glucosidase inhibitor
delays the absorption of carbs in the GI tract
looking at the chart for a patient taking metformin. what would increase the risk of lactic acidosis?
chronic kidney disease
how do you draw up regular and NPH insulin
1. put air into NPH (cloudy)
2. put air into regular
3. draw up regular
4. draw up cloudy
why does a patient get both regular and NPH insulin
they have different onsets and peaks so they provide better glucose control
what medication can cause glucose intolerance for a T2D
Incretin effect on blood glucose control
increase insulin release
what medication group should be closely monitor in terms of allergic reactions with cephalosporins
administering ciprofloxacin (Cipro) for a UTI, they are reporting pain and tenderness in the posterior aspect of their lower extremities
hold the medication and report to the provider
monitor creatinine and BUN levels (elevation)
what population is tetracycline not given to?
children under 8
what S/S would you monitor for with patients on gentamicin
ototoxicity (ringing in the ears); nephrotoxicity (lots of issues with the kidneys)
strepococcal pneumonia patient receiving an intermittent bolus of IV penicillin. the patient reports that the site itches and burns
turn on the IV
what should patients taking erythromycin monitor for?
ringing in the ear
a female patient is ordered antibiotics for the treatment of a UTI - was topic should we address?
they can develop a secondary yeast infection
methdiazole for treatment of H. pylori. patient in nauseous, what should the nurse include in education
take it will meals
what vitamin does you administer with INH
someone getting antibiotics is prescribed for 10 days but only takes it for 4. what should we tell them?
finish the dose to eliminate any of the microbe growing back
10-course day of penicillin for pneumonia, the patient has milk curds in their mouth, what is the treatment?
nystatin (thrust/yeast = milk curds)
long term residents have all developed C. diff - what is the medication therapy
what medication would be administered with amphotericin B to minimize the adverse reactions
oral agents used to treat infections of candiasis albacan
what is the common indication of aspirin
to prevent heart attacks
what is the primary assessment before giving someone morphine
assess respiratory rate
patient comes in with an acute toxicity of acetaminophen
admin acetylcysteine (mucomyst)
pt is prescribed digoxin while taking furosemide - what electrolyte imbalance should you monitor for?
older patient is taking an anti-choleringic drugs, what are the S/S?
elevated temp; dry mouth; constipation; confusion; blurred vision
what is an adverse effect of albuterol that must be taught to patients
acute alcohol withdrawal with seizures, what medication will be given?
patient is prescribed omeprazole
they should take it every morning
pt with chronic liver failure has elevated ammonia, what laxative are you going to give?
diabetic is prescribed captopril - what adverse effect would you teach them about it?
atorvastatin calcium is used to reduce serum cholesterol, what is an important teaching about the drug?
call the healthcare provider if they have muscle pain
patient with erectile dysfunction is taking for chest pain and viagra, what can both of these medications cause?
cause a significant decrease in blood pressure (severe hypotension)
patient is taking coumadin and an INR of >8, what medication will we give to help the development of clotting factors?
patient with a history of clot formation, what anticoagulant would you give prophylactically?
patient is taking calcium citrate for decreased bone density, what medication might decrease the effects of calcium?
patient starting celecoxib for osteoporosis
need to report black tarry stools
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