ATI Pharmacology Drugs and Prescribtions Ellaborated Questions and Answers 2023.

ATI Pharmacology Drugs and Prescribtions Ellaborated Questions and Answers 2023. Therapeutic Drug Levels: Digoxin 0.8 to 2.0 ng/ml Toxic Level: greater than 3.4 ng/ml CLONIDINE Adverse Effects/Nursing Considerations: Drowsiness/sedation - will improve with time, careful to avoid driving and other activities Dry mouth - will improve with time, suck on hard candy Constipation - drink lots of water Rebound hypertension - don't stop suddenly (can be given oral, and transdermal) - wean off over 1-2 weeks Administer patch on hairless, clean, dry skin and be sure to remove old patch Other patient teaching - avoid taking with alcohol and other medications that cause drowsiness! Therapeutic Drug Levels: Gentamicin 0.5 to 0.8 ng/ml A 58 year old who doesn't listen sargramostim increases WBC Therapeutic Drug Levels: Lidocaine 1.5 to 5.0 mcg/ml Toxic Level: greater than 5 mcg/ml Therapeutic Drug Levels: Lithium 0.4 to 1.0 mEq/L Toxic Level: greater than 1.5 mEq/L Therapeutic Drug Levels: Magnesium Sulfate 4 to 8 mg/dL Toxic Level: greater than 9 mg/dL Therapeutic Drug Levels: Phenobarbital 10 to 30 mcg/ml Toxic Level: greater than 40 mcg/ml GENTAMYCIN 58 year old with bad kidneys, who doesn't listen, and can't see because he fell in a trough and got a rash. Nephrotoxicity - monitor and report! Hearing loss (ototoxicity) - ringing in ear, headache, dizziness, vertigo; stop and notify the physician Neurologic (numbness, tingling, weakness, optic nerve dysfunction (visual changes) - monitor and report Hypersensitivity - report rash, urticaria Monitor peak and trough Peak - 30 minutes AFTER administration Trough - right BEFORE next dose salmeterol AND teburtaline Long-Acting to require less dosing lasts 12 hours (MDI) Peak effect in 2 hours, duration 12 hours Onset 10-20 minutes - prevent! -pril ACE Inhibitor (Captopril, lisinopril) Therapeutic Use: HTN, HF, MI, Diabetic Neuropathy -pam, -lam Benzodiazepine/DONT CONFUSE WITH PRAM -statin Antilipidemic (lovastatin, simvastatin) Therapeutic Use: Hypercholesterolemia, Prevention of Coronary Events, Protection against MI and stroke in clients with disbetes