ATI CAPSTONE PHARM 2 STUDY GUIDE FOR BEST GRADES

ATI CAPSTONE PHARM 2 Chapter 15 – Treatment for Urinary Retention 1. Administer by oral route, 1 hr before or 2 hr after meals 2. Muscarinic agonists stimulate muscarine receptors of the GU tract, thereby causing relaxation of the trigone and sphincter muscles 3. Effectiveness can be evidenced by relief of urinary retention Chapter 42 – Teaching about Leuprolide 1. Warn clients that prostate symptoms can worsen at beginning of treatment (disease flare), which can be prevented by adding flutamide to the client’s treatment. 2. Monitor prostate-specific antigen (PSA) and testosterone levels, which should both decrease with treatment. 3. Advise clients to increase calcium and Vitamin D intake Chapter 14 – Adverse Effects of Beta Adrenergic Blockers 1. Temporary stinging discomfort immediately after drop is instilled 2. Occasional conjunctivitis and blurred vision 3. Client might experience dry eye and photophobia Chapter 17 – Administration of Fluticasone and Albuterol via Metered-Dose Inhalers 1. When a client has prescriptions for an inhaled beta2-agonist and an inhaled glucocorticoid, advise the client to inhale the beta2-agonist (albuterol) before inhaling the glucocorticoid (Fluticasone). The beta2-agonist promotes bronchodilation and enhances absorption of the glucocorticoid. 2. A short-acting beta 2-agonist is used to treat an acute episode. 3. Advise clients to observe for indications of an impending asthma episode and to keep a log of the frequency and intensity of exacerbation Chapter 7 – Client teaching about Buspirone 1. Advise clients to take the medication with meals to prevent gastric irritation. 2. Advise clients that effects do not occur immediately. It can take a week to notice the first therapeutic effects and 2 to 6 weeks for the full benefit. 3. Tolerance, dependence or withdrawal effects are not an issue with this medication. Chapter 20 – Medications to manage Nephropathy 1. Captopril, Enalapril, Benzapril are used to manage diabetic and nondiabetic nephropathy 2. Reduction in pathological changes in the blood vessels and heart that result from the presence of angiotensin II and aldosterone. 3. They help with vasodilation (mostly arteriole). Chapter 22 – Teaching a client about Nitroglycerin ………………………………………..CONTINUED……………………………………………………..