ATI PN Pharmacology CMS Review
-afil - ANS-Erectile dysfunction
s/s: headache, heartburn, diarrhea, flushing, nosebleeds, parathesias, modifications in
coloration imaginative and prescient
Contradicted in clients taking nitrates, anticoags, anti HTN
Common meds- sildenafil (viagra)
-arin - ANS-Anticoagulant
inhibit clotting elements (warfarin = elements VII, IX, X)
TX: evolving stroke, pulmonary embolism, large deep vein thrombosis, cardiac cath, MI, DIC
S/S: hemorrhage, heparin induced thrombocytopenia, toxicity/overdose
Common meds- warfarin (coumadin) admin as soon as day by day, avoid NSAIDs & aspirin,
enoxaparin (lovenox)
-ase - ANS-Thrombolytic
dissolves clots
TX: acute MI, DVT, big PE, ischemic stroke
S/S: critical bleeding dangers from current wounds, puncture sites, weakened vessels,
hypotension
NI: Must take 4-6 hrs of onset
Common meds- alteplase (activase, tPA)
-asone, -solone
- onide
Pred-
Cort- - ANS-Corticosteroid
save you inflammatory reaction
S/S: Hyperglycemia, peptic ulcer, fluid retention (elevated urge for food), withdrawal signs,
euphoria, insomnia, psychotic conduct
NI: admin w/ food, DO NOT take with NSAIDS, train DO NOT prevent abruptly
Common meds- prednisone (deltasone), betamethasone (celestone), hydrocortisone sodium
succinate (Solu-cortef), Methylprednisolone sodium succinate (solu-medrol), fluticasone
propionate (advair, flovent)
-azine
- setron - ANS-Antiemtic
reduce N & V
S/S: drowsiness, anticholenergic results, restlessness, tardive dyskinesia, EPS
NI: monitor VS
Common meds- promethazine (phenergan), metaoclopramide (reglan), ondansertron (zofran)
,-cillin - ANS-Penicillin
TX: pneumonia, upper respiration infections, septicemia, endocarditis, rheumatic fever, GYN
infections
NI: allergy w/ poss. Anaphylaxis
-cycline,
-floxacin - ANS-Antibiotic
-dipine - ANS-Ca+ channel blocker
Slows movement of calcium into easy muscle= arterial dilation & decreased BP
Tx: angina, HTN (verapamil & diltiazem may be used for AFIB, A flutter, SVT
S/S: Constipation, reflex tachycardia, peripheral edema, toxicity
Common meds- nifedipine (procardia), verapamil, diltiazem
-gliptin
-glitazone - ANS-Diabetes Mellitus
-ide - ANS-Oral hypoglycemic
Used in conjunction with food regimen & workout; kind II
NI: educate s/s of hypoglycemia, HbA1C
metformin (glucophage): withhold 48 hrs before/after take a look at w/ contrast
-iprazole
-apine
-idone - ANS-Second Generation Antipsychotic (SGA)
-mycin - ANS-Aminoglycoside
(Antimicrobials)
TX: pneumonia, meningitis, septicemia
NI: excessive danger for ototoxicity, nephrotoxicity, display creatinine & BUN
Common meds- gentamicin sulfate (garamycin) healing variety: four-12mcg/dL
-olol - ANS-Beta Blocker
inhibit stimulation of receptor websites= reduced cardiac excitability, CO, myocaridal O2
demand, lower BP by using decreasing launch of renin inside the kidney
TX: HTN, angina, tachydysryhmias, HF, MI
S/S: Bradycardia, Bradypena, Bronchospasms, reduced BP
NI: Monitor DM for hypoglycemia
Common meds- metropolol, labetalol, propanolol
-pam, -lam - ANS-Benzodiazipines
TX: Sedative-hypnotics for sleep, Adjuncts to anesthesia to induce relaxation and amnesia
(procedural reminiscence loss), To lessen anxiety (anxiolytic), Panic issues, To treat or save you
seizures, For alcohol withdrawal, Muscle relaxant
,-phylline,
-terol - ANS-Bronchodilator
S/S: tachcardia, palpitations, tremors
Common meds- albeuterol
-pram, -ine - ANS-SSRIs
S/S: weight advantage, fatigue, sexual disorder, drowsiness
NI: keep away from alcohol, do now not stop abrubptly, monitor for serotonin syndrome!
(agitation, confusion, hallucinations) inside first seventy two hrs
-prazole - ANS-Proton pump inhibitor
S/S: D,V, N, can growth risk for fractures,, pneumonia, & acid rebound
NI: DO NOT weigh down, bite, wreck, notify PROVIDER if GI bleeding!
Common meds- omepazole (prilosec)
-pril - ANS-ACE inhibitor
Block the conversion of angiotensin I to angiotensin II
TX: HTN, HF, MI, diabetic nephropathy
S/S: Anigoedema, Cough, Electrolyte imbalance (^ok+)
NI: Monitor K+ stages, BP
Common med- catopril, lisinopril, enalapril (vastotec)
-statin - ANS-Antilipidemic
resource in lowering LDL & increasing HDL
S/S: muscle aches, hepatotoxicity, myopathy, rhabdomyolysis, peripheral neruopathy
NI: take in evening, screen renal and liver characteristic, low fat/excessive fiber diet, drug
interactions: digoxin, warfarin, NSAIDs, and so on.
Common meds- lovastatin (mevacor)
-tidine - ANS-Antiulcer
S/S: lethargy, melancholy, confusion, reduced libido
Common meds- ranitidine hydrochloride (zantac), cimetidine (tagamet), famotidine (pepcid)
-tyline - ANS-Tricyclic antidepressant
S/S: anticholenergic effects, sedation, toxicity
NI: DO NOT admin with MAOIs, keep away from alcohol, contradicted in clients w/ seizures
Common meds- amitripytyline (elavil)
-vir - ANS-Antiviral
-zine - ANS-Antihistamine
S/S: anticholenergic outcomes (cant see, spit, pee, poop), drowsiness
, NI: use cautiously pts w/ HTN, PUD, urinary retention, assess hypokalemia, BP, Advise to take
@ night time
Common meds- diphenhydramine (benadryl), loratadine (claratin), cetirizine (zyrtec),
fexofenadrine (allegra)
-zosin - ANS-HTN/Prostate
(biguanide) Metformin - ANS-Oral hypoglycemic
Used at the side of weight loss plan & exercise; type II
NI: train s/s of hypoglycemia, HbA1C
metformin (glucophage): withhold 48 hrs before/after test w/ assessment
1) A nurse is being concerned for a client with hyperparathyroidism and notes that the client's
serum calcium stage is 13 mg/dL. Which medicinal drug ought to the nurse prepare to manage
as prescribed to the patron?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
four. Large doses of nutrition D - ANS-3. Calcitonin (Miacalcin)
Rationale:
The regular serum calcium level is 8.6 to ten.Zero mg/dL. This client is experiencing
hypercalcemia. Calcium gluconate and calcium chloride are medications used for the remedy of
tetany, which occurs as a result of acute hypocalcemia. In hypercalcemia, huge doses of
nutrition D need to be avoided. Calcitonin, a thyroid hormone, decreases the plasma calcium
degree via inhibiting bone resorption and decreasing the serum calcium concentration.
1st generation anti-psychotic medicines - ANS-manage positive signs and symptoms:
chlorpromazine - Thorazine
haloperidol - Haldol
1st generation antihistamine - ANS-benadryl
movement sickness
reduces secretions
s/e: dry mouth, constipation, SEDATION
2.) Oral iron supplements are prescribed for a 6-year-old infant with iron deficiency anemia. The
nurse instructs the mom to manage the iron with which first-rate meals item?
1. Milk
2. Water
3. Apple juice
4. Orange juice - ANS-four. Orange juice
Rationale:
-afil - ANS-Erectile dysfunction
s/s: headache, heartburn, diarrhea, flushing, nosebleeds, parathesias, modifications in
coloration imaginative and prescient
Contradicted in clients taking nitrates, anticoags, anti HTN
Common meds- sildenafil (viagra)
-arin - ANS-Anticoagulant
inhibit clotting elements (warfarin = elements VII, IX, X)
TX: evolving stroke, pulmonary embolism, large deep vein thrombosis, cardiac cath, MI, DIC
S/S: hemorrhage, heparin induced thrombocytopenia, toxicity/overdose
Common meds- warfarin (coumadin) admin as soon as day by day, avoid NSAIDs & aspirin,
enoxaparin (lovenox)
-ase - ANS-Thrombolytic
dissolves clots
TX: acute MI, DVT, big PE, ischemic stroke
S/S: critical bleeding dangers from current wounds, puncture sites, weakened vessels,
hypotension
NI: Must take 4-6 hrs of onset
Common meds- alteplase (activase, tPA)
-asone, -solone
- onide
Pred-
Cort- - ANS-Corticosteroid
save you inflammatory reaction
S/S: Hyperglycemia, peptic ulcer, fluid retention (elevated urge for food), withdrawal signs,
euphoria, insomnia, psychotic conduct
NI: admin w/ food, DO NOT take with NSAIDS, train DO NOT prevent abruptly
Common meds- prednisone (deltasone), betamethasone (celestone), hydrocortisone sodium
succinate (Solu-cortef), Methylprednisolone sodium succinate (solu-medrol), fluticasone
propionate (advair, flovent)
-azine
- setron - ANS-Antiemtic
reduce N & V
S/S: drowsiness, anticholenergic results, restlessness, tardive dyskinesia, EPS
NI: monitor VS
Common meds- promethazine (phenergan), metaoclopramide (reglan), ondansertron (zofran)
,-cillin - ANS-Penicillin
TX: pneumonia, upper respiration infections, septicemia, endocarditis, rheumatic fever, GYN
infections
NI: allergy w/ poss. Anaphylaxis
-cycline,
-floxacin - ANS-Antibiotic
-dipine - ANS-Ca+ channel blocker
Slows movement of calcium into easy muscle= arterial dilation & decreased BP
Tx: angina, HTN (verapamil & diltiazem may be used for AFIB, A flutter, SVT
S/S: Constipation, reflex tachycardia, peripheral edema, toxicity
Common meds- nifedipine (procardia), verapamil, diltiazem
-gliptin
-glitazone - ANS-Diabetes Mellitus
-ide - ANS-Oral hypoglycemic
Used in conjunction with food regimen & workout; kind II
NI: educate s/s of hypoglycemia, HbA1C
metformin (glucophage): withhold 48 hrs before/after take a look at w/ contrast
-iprazole
-apine
-idone - ANS-Second Generation Antipsychotic (SGA)
-mycin - ANS-Aminoglycoside
(Antimicrobials)
TX: pneumonia, meningitis, septicemia
NI: excessive danger for ototoxicity, nephrotoxicity, display creatinine & BUN
Common meds- gentamicin sulfate (garamycin) healing variety: four-12mcg/dL
-olol - ANS-Beta Blocker
inhibit stimulation of receptor websites= reduced cardiac excitability, CO, myocaridal O2
demand, lower BP by using decreasing launch of renin inside the kidney
TX: HTN, angina, tachydysryhmias, HF, MI
S/S: Bradycardia, Bradypena, Bronchospasms, reduced BP
NI: Monitor DM for hypoglycemia
Common meds- metropolol, labetalol, propanolol
-pam, -lam - ANS-Benzodiazipines
TX: Sedative-hypnotics for sleep, Adjuncts to anesthesia to induce relaxation and amnesia
(procedural reminiscence loss), To lessen anxiety (anxiolytic), Panic issues, To treat or save you
seizures, For alcohol withdrawal, Muscle relaxant
,-phylline,
-terol - ANS-Bronchodilator
S/S: tachcardia, palpitations, tremors
Common meds- albeuterol
-pram, -ine - ANS-SSRIs
S/S: weight advantage, fatigue, sexual disorder, drowsiness
NI: keep away from alcohol, do now not stop abrubptly, monitor for serotonin syndrome!
(agitation, confusion, hallucinations) inside first seventy two hrs
-prazole - ANS-Proton pump inhibitor
S/S: D,V, N, can growth risk for fractures,, pneumonia, & acid rebound
NI: DO NOT weigh down, bite, wreck, notify PROVIDER if GI bleeding!
Common meds- omepazole (prilosec)
-pril - ANS-ACE inhibitor
Block the conversion of angiotensin I to angiotensin II
TX: HTN, HF, MI, diabetic nephropathy
S/S: Anigoedema, Cough, Electrolyte imbalance (^ok+)
NI: Monitor K+ stages, BP
Common med- catopril, lisinopril, enalapril (vastotec)
-statin - ANS-Antilipidemic
resource in lowering LDL & increasing HDL
S/S: muscle aches, hepatotoxicity, myopathy, rhabdomyolysis, peripheral neruopathy
NI: take in evening, screen renal and liver characteristic, low fat/excessive fiber diet, drug
interactions: digoxin, warfarin, NSAIDs, and so on.
Common meds- lovastatin (mevacor)
-tidine - ANS-Antiulcer
S/S: lethargy, melancholy, confusion, reduced libido
Common meds- ranitidine hydrochloride (zantac), cimetidine (tagamet), famotidine (pepcid)
-tyline - ANS-Tricyclic antidepressant
S/S: anticholenergic effects, sedation, toxicity
NI: DO NOT admin with MAOIs, keep away from alcohol, contradicted in clients w/ seizures
Common meds- amitripytyline (elavil)
-vir - ANS-Antiviral
-zine - ANS-Antihistamine
S/S: anticholenergic outcomes (cant see, spit, pee, poop), drowsiness
, NI: use cautiously pts w/ HTN, PUD, urinary retention, assess hypokalemia, BP, Advise to take
@ night time
Common meds- diphenhydramine (benadryl), loratadine (claratin), cetirizine (zyrtec),
fexofenadrine (allegra)
-zosin - ANS-HTN/Prostate
(biguanide) Metformin - ANS-Oral hypoglycemic
Used at the side of weight loss plan & exercise; type II
NI: train s/s of hypoglycemia, HbA1C
metformin (glucophage): withhold 48 hrs before/after test w/ assessment
1) A nurse is being concerned for a client with hyperparathyroidism and notes that the client's
serum calcium stage is 13 mg/dL. Which medicinal drug ought to the nurse prepare to manage
as prescribed to the patron?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
four. Large doses of nutrition D - ANS-3. Calcitonin (Miacalcin)
Rationale:
The regular serum calcium level is 8.6 to ten.Zero mg/dL. This client is experiencing
hypercalcemia. Calcium gluconate and calcium chloride are medications used for the remedy of
tetany, which occurs as a result of acute hypocalcemia. In hypercalcemia, huge doses of
nutrition D need to be avoided. Calcitonin, a thyroid hormone, decreases the plasma calcium
degree via inhibiting bone resorption and decreasing the serum calcium concentration.
1st generation anti-psychotic medicines - ANS-manage positive signs and symptoms:
chlorpromazine - Thorazine
haloperidol - Haldol
1st generation antihistamine - ANS-benadryl
movement sickness
reduces secretions
s/e: dry mouth, constipation, SEDATION
2.) Oral iron supplements are prescribed for a 6-year-old infant with iron deficiency anemia. The
nurse instructs the mom to manage the iron with which first-rate meals item?
1. Milk
2. Water
3. Apple juice
4. Orange juice - ANS-four. Orange juice
Rationale:
