ATI PN Pharmacology Proctored Exam Review

ATI PN Pharmacology Proctored Exam Review Patient identifiers - -Medical record number -home telephone number What lab values should a nurse monitor for a patient with chronic renal failure? - ■ Urinalysis Hematuria, proteinuria, and alterations in specific gravity Serum creatinine - Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal failure (ARF) - Gradual increase over months to years for chronic renal failure (CRF) exceeding 4 mg/dL ■ Blood urea nitrogen (BUN) - 80 to 100 mg/dL within 1 week with ARF - Gradual increase with elevated serum creatinine over months to years for CRF - 180-200 mg/dL with (CRF) ■ Serum electrolytes - Decreased sodium (dilutional) and calcium, increased potassium, phosphorus, and magnesium ■ Complete blood count (CBC) - Decreased hemoglobin What food should you increase when taking Lasix? - -increased amounts of potassium￾rich foods (e.g., bananas, prunes, raisins, and orange juice) Patient reports IV discomfort, what is your first action? - color and temperature Sumatriptan (treats migraine headaches) adverse effect - pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw slow or difficult speech Know about Transdermal patch - -• Apply at the same time once each day, preferably in the morning. Keep patch on for 12 to 14 hr each day. • Remove the patch at night to reduce the risk of developing tolerance to nitroglycerin. Be medication-free a minimum of 10 to 12 hr each day (usually at night). • Do not cut patches to ensure appropriate dosage. • Place the patch on a hairless area of skin (chest, back, or abdomen) and rotate sites ATI PN Pharmacology Proctored Exam Review to prevent skin irritation. • Wash skin with soap and water and dry thoroughly before applying new patch. RBC Blood transfusion - %20RN%208.0%20Chp% (prime with normal saline and infuse with sodium chloride). What to understand about Parkinson's Meds? - -they don't cure disease, they slow the process. NEUPOGEN (filgrastim)-what is the appropriate route of this med? - administered by subcutaneous injection or IV infusion Lisinopril therapeutic effect - blood pressure answer (e.g. 120/80) Medication for Schizophrenia - risperidone, Risperdal Macrodantin medication - used to treat or prevent certain urinary tract infections Haldol-inform if you are taking ____________ medication. - -benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax. Fosomax - same as-Alendronate is used for treating osteoporosis in men and postmenopausal women. Lipitor - -lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL. Garamycin- - Antibiotic that is toxic to the kidney, injected for radiology studies. Digoxin side effects - -Fatigue -Bradycardia -Anorexia -Nausea/Vomiting