ATI Pharmacology Retake 2023

ATI Pharmacology Retake 2023 Therapeutic outcome raloxifene (Evista) - (Correct Answer) decreases bone reabsorption; slows down bone loss and preserves mineral density in postmenopausal osteoporosis Also used to protect again breast cancer Penicillin adverse effects: - (Correct Answer) Allergies/anaphylaxis , renal impairment Macrolide Prototype Drug - (Correct Answer) erythromycin (e-mycin) Airflow Disorders: Teaching About Theophylline - (Correct Answer) If dysrhythmias or seizure occur, stop medication. Periodic blood levels are needed. Report nausea, diarrhea, or restlessness. Avoid consuming caffeinated beverages. digoxin toxicity symptoms - (Correct Answer) fatigue, weakness, vision changes, GI effects digoxin level - (Correct Answer) 0.5 to 2.0 ng/mL How to give digoxin - (Correct Answer) infuse over at least 5 min, and monitor client for dysrhythmias. Management of digoxin toxicity - (Correct Answer) Digoxin and potassium-sparing medication should be stopped immediately. Monitor K+ levels. For levels less than 3.5 mEq/L, administer potassium IV or by mouth. Do not give any further K+ if the level is greater than 5.0 mEq/L. Treat dysrhythmias with phenytoin (Dilantin) or lidocaine. Treat bradycardia with atropine. For excessive overdose, activated charcoal, cholestyramine, or Digibind can be used to bind digoxin and prevent absorption How to Treat dysrhythmias for digoxin toxicity patients - (Correct Answer) Phenytoin Lidocaine Cyclophosphamide Alkylating agent (nitrogen mustard) Adverse effects: - (Correct Answer) Bone marrow suppression Gi discomfort (N/V) Acute hemorrhagic cystitis > monitor for hematuria, mesna can be given Alopecia