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RN Pharmacology Practice A Flashcards- Latest update

ATI RN Pharmacology Practice A Flashcards -Quizlet ATI RN Pharmacology Practice A 59 terms sweetie Terms in this set (59) trimethoprim/sulfameth oxazole -Drink 8-10 glasses of water a day, to decrease chance of kidney damage from crystallization -should be taken on an empty stomach either 2 hr before or 2 hrs after meals -notify provider if rash develops -store in a light-resistant container Ciprofloxacin learning has taken place -"I have tendonitis, so I haven't been able to exercise"; tendonitis is a contraindication for taking ciproflaxcin due to the risk of tendon rupture -adverse effect is diarrhea -does not affect thyroid function -Ciprofloxacin is a quinolone antibiotic, patients with sulfa allergies can take this medication Guaifenesin teaching -Increase fluid intake to at least 2 liters each day while taking this medication -diarrhea is an expected adverse effect -store at room temperature -can cause drowsiness Clozapine lab tests -Total cholesterol; medication can cause hyperlipidemia Simvastatin teaching -Report muscle pain to provider -Avoid taking this medication with grapefruit juice -Expect therapy with this medication to be lifelong -Take medication in the evening because cholesterol production increases overnight -Flushing of the skin is an adverse effect, report to physician When do you know When there is increased cardiac output. Dopamine is an when IV infusion of adrenergic that causes a receptor specificity effect, which dopamine has been increases cardiac output and improves perfusion. effective in a patient with heart failure Acetazolamide adverse -Tingling of fingers or paresthesia, need to monitor and effect that patient report needs to monitor and -diarrhea, weight loss, and polyuria are all adverse effects. report Amitriptyline adverse effect -Urinary retention -constipation -decrease in libido Amphotericin B -Oliguria, can indicate renal compromise intermittent IV bolus -Bradycardia adverse reaction -Hypokalemia -Weight loss overdose antidote -Naloxone: given to reverse respiratory depressive effects of heroin, emergency use but don't give too fast. -Methadone: decrease manifestations of opioid withdrawal and suppresses the euphoria patient feels, not for emergencies -Diazepam: decrease the manifestations of alcohol withdrawal and prevent withdrawal seizures -Bupropion: decrease the manifestations of nicotine withdrawal and ease patient's cravings for nicotine. Furosemide teaching -Drink a glass of milk with each dose of medication to reduce gastric irritation -increased risk of hypotension -increase potassium-rich food in your diet -take medication in the morning to avoid sleep disturbances from nocturia Lethargy and myalgia -Obtain WBC with absolute neutrophil count. Patient taking after taking clozapine clozapine can develop lethargy and myalgia caused by the for 6 month. what adverse effect of agranulocytopenia. actions should the nurse take? Diltiazem adverse effect to report -Shortness of breath Phenytoin patient understanding -"I should let my dentist know I'm taking this medication" phenytoin commonly causes gingival hyperplasia Plan of care for latex allergy -Place monitoring cords and tubes in a stockinet -Ensure epinephrine is readily available in OR -Ensure latex free products are used, rubber contains latex -Should be the first surgery of the day to minimize exposure to latex, including latex dust Insulin glargine teaching -Do not mix this medication in a syringe with other insulin -this medication maintains a steady blood level up to a 24- hr period -inject once or twice a day, always at the same time every day -this medication is clear, there is no need to rotate prior to drawing it up Diazepam antidote Flumazenil, reverses bensodiazepines Oxytocin given by -Turn the patient to a side-lying position. Priority continuous IV infusion -Apply oxygen to patient by face mask. Good, not priority with a maintenance IV -Increase maintenance IV infusion rate. Good, but not solution. The external priority FHR monitor indicates -Disconnect the oxytocin from the maintenance IV. Good, late decelerations. What but not priority should the nurse do first? What medication will interfere with the effectiveness of oral contraceptives? -Carbamazepine; causes an accelerated inactivation of oral contraceptives because of its action on hepatic medication-metabolizing enzymes. Ketorolac patient teaching -Check for bruising while taking this medication -Take with food to prevent GI distress Extended release -Change positions slowly verapamil patient -take with food teaching -palpitation may occur, report to provider but don't discontinue Ethinyl estradiol/norelgestromi n patient understanding -"I will fold the sticky sides of the old patch together before disposing it." -remove old patch before applying new patch to prevent overdose -patient should apply a patch once a week for three weeks and then no patch for 1 week to promote menstruation -Apply patch within 7 days of menses to prevent ovulation Hydochlorothiazide -Orthostatic hypotension, instruct patient to rise slowly adverse effect when moving. -hyperglycemia -palpitations -blurred vision Diagnostic tests to monitor for long-term complications of prednisone -Bone density scans Temazepam patient teaching -Plan to withdraw from the medication gradually -benefits will be noticed after 2 nights -Limit use to 7-10 days -take at bedtime to treat insomnia Patient who has -Miosis, pupillary constriction, is a common adverse effect myasthenia gravis and due to the excessive muscarinic stimulation that causes taking neostigmine, difficulty with visual accommodation. what is an adverse -can cause bradycardia effect? -can cause urinary urgency -can cause increase salivation Insulin patient understanding -"I will story my unopened bottles of insulin in the refrigerator" -expel all air bubbles to ensure accurate dosage -fastest absorption of insulin occurs with abdominal injections -mix insulin by rolling in the palm of hand to prevent frothing Daily aspirin findings to call provider immediately -Hyperventilation, may indicate salicylate poisoning -heartburn, anorexia, and swollen ankles are all non-urgent findings Patient with DM is -Perform a capillary blood glucose test to determine taking glyburide, they blood glucose status, should be done first. report feeling confused -Give client 120 mL of orange juice, not priority and anxious. What -Schedule an early meal tray, not priority action should the nurse -Provide the patient with a protein-rich snack, not priority take first? Order: Amoxicillin 250 mg PO. Available 200mg/5mL. How many mL per dose? Round to nearest tenth 6.3 mL atropine eye drop adverse effects -Blurred vision from dilation of pupils -photosensitivity Age of first diphtheria, tetanus, and pertussis vaccine (DTaP) -2 months Patient receiving -Discontinue the medication IV infusion, change tubing cefotetan via and administer 0.9% sodium chloride by continuous IV intermittent IV bolus infusion suddenly develops dyspnea and widespread hives. What should the nurse do first? Cyclobenzaprine patient understanding -"I will taper off the medication before discontinuing it." -use gum or sip water to prevent dry mouth -report any urinary retention