ATI Pharmacology RN

ATI Pharmacology RN Digoxin (lanoxin) SE - correctanswers blurred/double vision Guaifenesin SE - correctanswers can cause drowsiness Estrogen (premarin) SE - correctanswers ↑ risk of Thromboembolism with s/s: SOB, severe headache, vomiting, sudden acute pain in the calves, legs, chest, abdomen. Doxepin (Sinequan) [anticholinergic] SE - correctanswers urinary retension, constipation, drying of nasal/oral secretons, ↑HR Albuterol (Proventil) [sympathomimetic/ adrenergic beta-2 agonist] Contraindicated - correctanswers with MAOIs (can↑ action of albuterol and → HTN crisis); β-blockers can inhibit the therapeutic effects Use: invert canister, shake before use, rinse mouth after use, w/new inhaler perform test spray Levothryoxine (T4) Indication - correctanswers hypothyroidism RT dysfxn of hypothalamus, pituitary, or thyroid gland Cephalosporins (Keflex) - correctanswers allergy to cephalosporins is considered a precaution for taking penicillins Phenobarbital [Barbiturates]; interventions for anticonvulsant therapy - correctanswers assess for resp. depression, excess sedation from toxic effects, IV at 50mg/min, avoid extravasation (alkaline→skin damage) Sumatriptan (Imitrex) use - correctanswers when migraine symptoms appear and again in 1 hr if symptoms persist Route—fastest/most effective - correctanswers intravenous Narcan [opioid antagonist] - correctanswers therapeutic action: improvement of respiratory rate Baclofen (Lioresal) Therapeutic action - correctanswers ↓ frequency & severity of muscle spasms Erythromycin (Erythrocin) [macrolide] SE - correctanswers liver toxicity What do need to avoid when taking Spironolactone (Aldactone) [K sparing diuretic] - correctanswers foods w/ ↑ K such as salt substitutes Chloroquine phosphate (Aralen): Indication - correctanswers malaria prevention; Use: take weekly starting 1 week before departure and continued for 4 weeks after return. Heparin (anticoagulant) Use - correctanswers w/alteplase for acute MI Warfarin (Coumadin) Use - correctanswers long-term prophylaxis of thrombosis [antidote—Vit K] Clopidogrel (Plavix) Use - correctanswers reduce long-term risk of clotting w/ atherosclerosis and recent MI of CVA Alteplase (Activase) [antithrombolytic] Use - correctanswers Acute MI/CVA (has short half-life) Methylphenidate (Concerta) Use - correctanswers marcolepsy Precaution: avoid caffeine use Testosterone IM use - correctanswers If use to correct delayed puberty→assess bone maturation with bi-annual x-rays of hand and wrist; monitor liver function (can ↑ hypoglycemia, potentiate sleep apnea, exacerbate heart failure due to fluid retention. Diphenoxylate & Atropine (Lomotil) Caution - correctanswers With Renal impairment ↓ elimination of atropine → ↑ anticholinergic effects of atropine like confusion Loperamide (Imodium) use - correctanswers anti-diarrheal (poorly absorbed