NLN Medication Exam
Study online at https://quizlet.com/_gr68ma
1. Routes - Slowest Transdermal --> sub-q --> IM --> buccal --> inhalation --> IV
to Fastest
2. 6 Rights of Med- 1. Right Person
ication Adminis- 2. Right medication
tration 3. Right dose
4. Right time
5. Right route
6. Right medication
3. 3 Medication 1. When removing medication from drawer/cart/pixis
Checks 2. Before dispensing medication
3. After dispensing medication but before giving it
4. Allergic/Hyper- Immune response - not a side effect
sensitivity Determined by degree of sensitization of the immune system
Reactions Sensitivity can change over time
mild itching to severe rash to anaphylaxsis
5. Absorption Process of incorporating drug into blood
6. Distribution Movement of drugs through the body
Transport via blood to site of action
7. Metabolism Ability to change a drug biologically from its original form into a water-soluble
form so it can be excreted by the kidneys
8. Excretion Removal of drugs from the body
9. Agranulocyto- Acute decrease int eh number of granulocytes/leukopenia (WBCs) in peripheral
sis/Neutrope- blood
nia/Agranulocy- Causes: treatment with broad spectrum penicillin, sulfonamides, or
topenia cephalosporin; bone marrow transplant; chemotherapy; radiation
, NLN Medication Exam
Study online at https://quizlet.com/_gr68ma
Generally impaired resulting from bone marrow depression by drugs and chem-
icals or replacement by a neoplasm
Lymphadenopathy or lypmphadenitis may be prevalent
Could --> respiratory infection, ulceration of mouth, colon, high fever, or UTI
May be asymptomatic
10. Chelating Agents A substance whose molecules can form several bonds to a single metal ion
Involves oral administration or injection of Ethylene Diamine tetra Acetic Avide
may be used to treat hardening of the arteries, heart attack, stroke, arthritis, and
gangrene - removes excess calcium from body
Used for lead poisoning and hypercalcemia
11. Ethylenedi- Use in children with a lead level between 45-70 micron/dL
aminetetraacetic Binds to lead in blood and excreted by bowel and kidney
Acid (EDTA) May be toxic to the kidney - monitor urine output
Give IV - dose depends on weight of child, severity of poison
- Give q4h 5 days
- Second course may be needed if there is a rebound in blood level
Give oral and IV fluid to enhance excretion
Do not use with hypocalcemia or hypokalemia
Used to treat lead poisoning and hyperkalmeia
12. British AntiLeistie Do not give with iron supplement
(BAL) Avoid in patients with plant allergy
Give IM
Treats poisoning with heavy metals (arsenic, gold, mercury)
13. Succimer Chemet = oral
(Chemer/Chemet) Used to treat lead poisoning
Do not give in patient with encephalopathy
14. Epistaxis Nose bleed
Posterior is more serious
, NLN Medication Exam
Study online at https://quizlet.com/_gr68ma
D/t rupture of blood vessels within richly perfused nasal mucosa
Blood can come up through eye, or flow down into stomach --> n/v
Treatment: cauterization with silver nitrate, calcium alginate mesh, nasal cavity
packed with sterile dressing ribbon gauze, absorbent dressing or saline sprayed
into the nose
Ice pack to forehead or back of neck
pinch septum for 5 minutes
Do not pack nose with tissue or gauze
15. Half-life Time it takes for a medication to lose 1/2 its pharmacological or physiologic effect
16. Paradoxical Re- Response to drug that is the opposite of the usual response
action
17. -teron Androgens
18. -pril ACE inhibitors
19. -pressin Antidiuretic hormoens
20. -statin Antilipidemic
21. -vir Antiviral
22. -pam Benzodiazepines (mostly)
23. -lol eta Blockers
24. -pine Calcium Channel Blockers
25. Diltiazem Calcium Channel Blocker - exception
(Caridzem)
26. Verapamil Calcium Channel Blocker - exception
(Isoptin)
, NLN Medication Exam
Study online at https://quizlet.com/_gr68ma
27. -mide Carbonic anhydrase inhibitors
28. "est" Estrogens
29. -sone Glucocorticoids and corticosteroids
30. -dine Histamine H2 Receptor Antagonists
31. "nitr" Nitrates
32. "Pancre" Pancreatic enzyme replacements
33. -zien Phenothizines
34. -zole Proton Pump Inhibitors
35. "sulf" Sulfonamides
36. -zide Thiazide Diuretics
37. -ase Thrombolytics
38. "thy" Thyroid hormones
39. -line Xanthine brnchodilators
40. Aminoglycoside Antibiotic
Treats serious life-threatening gram negative (and some positive) infections
All end in -mycin (but not all drugs ending in -mycin are aminoglycosides)
Generally IM or IV (PO not recommended - only for bowel prep or prior to
surgery)
Adverse Effects: nephrotoxicity and ototoxicity
- photosensitivity
Study online at https://quizlet.com/_gr68ma
1. Routes - Slowest Transdermal --> sub-q --> IM --> buccal --> inhalation --> IV
to Fastest
2. 6 Rights of Med- 1. Right Person
ication Adminis- 2. Right medication
tration 3. Right dose
4. Right time
5. Right route
6. Right medication
3. 3 Medication 1. When removing medication from drawer/cart/pixis
Checks 2. Before dispensing medication
3. After dispensing medication but before giving it
4. Allergic/Hyper- Immune response - not a side effect
sensitivity Determined by degree of sensitization of the immune system
Reactions Sensitivity can change over time
mild itching to severe rash to anaphylaxsis
5. Absorption Process of incorporating drug into blood
6. Distribution Movement of drugs through the body
Transport via blood to site of action
7. Metabolism Ability to change a drug biologically from its original form into a water-soluble
form so it can be excreted by the kidneys
8. Excretion Removal of drugs from the body
9. Agranulocyto- Acute decrease int eh number of granulocytes/leukopenia (WBCs) in peripheral
sis/Neutrope- blood
nia/Agranulocy- Causes: treatment with broad spectrum penicillin, sulfonamides, or
topenia cephalosporin; bone marrow transplant; chemotherapy; radiation
, NLN Medication Exam
Study online at https://quizlet.com/_gr68ma
Generally impaired resulting from bone marrow depression by drugs and chem-
icals or replacement by a neoplasm
Lymphadenopathy or lypmphadenitis may be prevalent
Could --> respiratory infection, ulceration of mouth, colon, high fever, or UTI
May be asymptomatic
10. Chelating Agents A substance whose molecules can form several bonds to a single metal ion
Involves oral administration or injection of Ethylene Diamine tetra Acetic Avide
may be used to treat hardening of the arteries, heart attack, stroke, arthritis, and
gangrene - removes excess calcium from body
Used for lead poisoning and hypercalcemia
11. Ethylenedi- Use in children with a lead level between 45-70 micron/dL
aminetetraacetic Binds to lead in blood and excreted by bowel and kidney
Acid (EDTA) May be toxic to the kidney - monitor urine output
Give IV - dose depends on weight of child, severity of poison
- Give q4h 5 days
- Second course may be needed if there is a rebound in blood level
Give oral and IV fluid to enhance excretion
Do not use with hypocalcemia or hypokalemia
Used to treat lead poisoning and hyperkalmeia
12. British AntiLeistie Do not give with iron supplement
(BAL) Avoid in patients with plant allergy
Give IM
Treats poisoning with heavy metals (arsenic, gold, mercury)
13. Succimer Chemet = oral
(Chemer/Chemet) Used to treat lead poisoning
Do not give in patient with encephalopathy
14. Epistaxis Nose bleed
Posterior is more serious
, NLN Medication Exam
Study online at https://quizlet.com/_gr68ma
D/t rupture of blood vessels within richly perfused nasal mucosa
Blood can come up through eye, or flow down into stomach --> n/v
Treatment: cauterization with silver nitrate, calcium alginate mesh, nasal cavity
packed with sterile dressing ribbon gauze, absorbent dressing or saline sprayed
into the nose
Ice pack to forehead or back of neck
pinch septum for 5 minutes
Do not pack nose with tissue or gauze
15. Half-life Time it takes for a medication to lose 1/2 its pharmacological or physiologic effect
16. Paradoxical Re- Response to drug that is the opposite of the usual response
action
17. -teron Androgens
18. -pril ACE inhibitors
19. -pressin Antidiuretic hormoens
20. -statin Antilipidemic
21. -vir Antiviral
22. -pam Benzodiazepines (mostly)
23. -lol eta Blockers
24. -pine Calcium Channel Blockers
25. Diltiazem Calcium Channel Blocker - exception
(Caridzem)
26. Verapamil Calcium Channel Blocker - exception
(Isoptin)
, NLN Medication Exam
Study online at https://quizlet.com/_gr68ma
27. -mide Carbonic anhydrase inhibitors
28. "est" Estrogens
29. -sone Glucocorticoids and corticosteroids
30. -dine Histamine H2 Receptor Antagonists
31. "nitr" Nitrates
32. "Pancre" Pancreatic enzyme replacements
33. -zien Phenothizines
34. -zole Proton Pump Inhibitors
35. "sulf" Sulfonamides
36. -zide Thiazide Diuretics
37. -ase Thrombolytics
38. "thy" Thyroid hormones
39. -line Xanthine brnchodilators
40. Aminoglycoside Antibiotic
Treats serious life-threatening gram negative (and some positive) infections
All end in -mycin (but not all drugs ending in -mycin are aminoglycosides)
Generally IM or IV (PO not recommended - only for bowel prep or prior to
surgery)
Adverse Effects: nephrotoxicity and ototoxicity
- photosensitivity
