NURSE EXTERN MEDICATION QUIZ WITH VERIFIED SOLUTIONS 2024 LATEST UPDATE.

Chelating agents a form of detox Injection or oral administration of ethylene diamine Tetra acetic avide removes excess Ca from blood - also beneficial in MI, CVA, gangrene, arthritis EDTA Use in children with lead levels 40-75 binds to lead in the blood and excreted by bowel and kidney monitor urine output IV Q 4 for 5 days do NOT use if hypocalcemic or hypokalemic Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen Epistaxis nose bleed posterior is more serious TX: cauterize with silver nitrate ice pack to forehead or back of neck do NOT pack nose with tissue or gauze Aminogylcoside Abx -EX: Gentamycin, neomycin, vancomycin SE: Nephrotoxicity + OTotoxicity Peak level of Abx drawn 15-30 min after infusion is completed determines that toxic level does not occur if peak is too high, may reduce dose trough level of Abx drawn immediately (within 30 minutes) before next IV dose assures therapeutic level is maintained Crack abuse on new borns Crack crosses the placenta and enters fetus s/s: -may appear normal or develop neuro problem -may be depression or excitability -lethargy -poor suck -weak cry -hypotonicity -rigidity -irritability Head growth is best sign of growth retardation DM management in peds can start management as soon as -5 y/o at age 9, they start giving their own insulin with supervision HIV common meds -AVIR (antiviral protease inhibitor) -Ine (reverse transcriptase inhibitors) HIV meds SE hepatoxicity, nephrotoxicity Start HIV therapy all symptomatic HIV people CD4 <350 pregnant women (AZT) positive inotropic meds increase cardiac contractility EX: epi, norepi, dopamine Negative inotropic meds decrease cardiac contractility, lower BP EX: Quinidine Sulfonamides anti-infective bacteriostatic TX: UTI, Chlamydia - blindness, pneumonia, brain abscess, UC, Crohn's SE of Sulfonamides Rash GI s/s bone marrow depression HA, dizziness, vertigo, ataxia, convulsion, depression Steve Johnson Syndrome -looks like partial thickness burn Thiazide diuretics end n -zide non-potassium sparing direct = increased loss of K SE of Thiazide diuretics dizziness, vertigo, HA, weakness, dehydration, orthostatic hypotension Electrolyte imbalance impaired glucose tolerance toxic-- RF Thiazide diuretic teaching take in AM to avoid nocturia take with food to avoid GI upset ineffective if creat clearance is <30 ml/ min eat foods high in K Tricyclic antidepressants takes 1-3 weeks to develop max response is 6-8 weeks long half life -end in -ine TCA Toxicity urinary retention is urgent OD = convulsions pre-icteric hepatitis precedes appearance of jaundice flu like symptoms Icteric Hepatitis appearance of jaundice elevated bili dark or tea colored urine clay colored stools post icteric hepatitis convalescent stage jaundice improves color of urine + stool returns to normal Aspirin SE Increases coagulation times Reye's syndrome Liver toxicity Activated Charcoal TD following oral ingestion of poison eliminates it in the feces administer within 60 minutes of ingestion give once or twice depending on level of toxin SE of Activated charcoal V with rapid administration Pulmonary aspiration Stools will be black Acyclovir Herpes Simplex / Varicella Zoster SE: -HA, dizziness -seizure -N/v/d -ARF -Thrombocytopenia Toxic- nephrotoxicity