pharmacology pre-assessment 1

pharmacology pre-assessment 1 Antidote for Warfarin (Coumadin) Vitamin K antidote for heparin protamine sulfate lab value to monitor for warfarin Prothrombin time (PT) and the INR lab value to monitor for heparin partial thromblastin time PTT ( or aPTT) ciprofloxacin Fluoroquinolone Ondansetron antiemetic serotonin antagonist Captopril ACE inhibitor Atenolol Beta adrenergic blocker Prednisone Glucocorticoid Terazosin alpha adrenergic blocker Glipizide oral hypoglycemic, sulfonylurea Amiodarone Antiarrhythmic Clonidine centrally acting alpha 2 agonist Osmotic Diuretics MOA reduce intracranial pressure & intraocular pressure by raising serum osmolality & drawing fluid back into the vascular & extravascular space Loop Diuretics MOA work on the ascending limb of the loop of Henle to block reabsorption of Na & Cl & to prevent reabsorbtion of H2O Thiazide diuretics MOA work in the warly distal convoluted tubule to block teh reabsorption of Na & Cl & prevent the reabsorption of H2O at this site Potassium sparing diuretics MOA block teh action of aldosterone (Na & H20 retention) which result in potassium retention & secretion of Na & H20 epoetin alfa pharmacological action Erythropoietic growth factor that acts on the bone marrow to increase production of red blood cells oprelvekin pharmacological action Thrombopoietic growth factor that increase the production of platelets. Filgrastim pharmacological action Leukopoietic growth factor that stimulates the bone marrow to increase production of neutrophils. Sargramostim pharmacological action Granulocyte macrophage colony stimulator that acts on the bone marrow to increase production of white blood cells (neutrophils, monocytes, macrophages, eosinophils). A nurse is caring for a client prescribed hydromorphone for severe pain. The client's respiratory rate has decreased from 16 breaths per minute to 6. Which if the following medications should the nurse prepare to administer? Naloxone A client has been prescribed lisinopril. Which of the following medication interactions should the nurse instruct this client about? potassium supplements A client has been prescribed vasopressin for the treatment of diabetes insipidus. What is the expected pharmacological action of this medication? to increase reabsorption of H2O in the renal tubules A nurse is reviewing the medication class, benzodiazepines. The nurse would use caution when administering benzodiazepines to which of the below clients? a client with glaucoma A client is prescribed propranolol. Which of the following client history findings would require the nurse to clarify this medication prescription? asthma A nurse is caring for a client newly prescribed doxazosin mesylate. Which of the following instructions should the nurse include in client education regarding taking the first dose of this medication? change positions slowly & lie down if dizziness occurs Which of the following are contraindications to aspirin therapy? Select all that apply. Thrombocytopenia Third trimester pregnancy Adolescents with chickenpox A 45-year-old client is taking methylprednisolone. What pharmacological action should the nurse expect with this therapy Suppression of airway mucus production. A nurse is caring for a client receiving a dopamine infusion via a peripheral IV. Which of the following actions should the nurse take if the IV site appears infiltrated? stop the infusion A nurse is to instill ear drops to a 2 year-old child. To straighten the ear canal, the nurse should pull the auricle of the ear: down & backward A nurse is preparing to administer an intramuscular injection to an adult client. At what angle should the nurse administer the medication using the ventrogluteal site? 90 degree angle A client has been prescribed isosorbide mononitrate. Which of the following should the nurse include in this client's education related to this medication?