RN NLN STUDY GUIDE WITH VERIFIED SOLUTIONS ALREADY GRADED A+

What are the 5 Rights of Medication Administration Right Patient Right Drug Right Dose Right Route Right Time What are the possible 2 additional Rights of Medication Administration Right to correct information Right to refuse What are the 7 basic modes and routes of Medication Administration? 1. PO medication 2. IM medications 3. Subcu medication (not abbreviated) 4. IV medication s 5. Ear 6. Eye 7. Z-track (used to prevent leakage of medications into the tissue) If a nurse feels that a dose is beyond the usual prescribed limits or unsafe for the patient the nurse should do what 4 things? 1. Refuse to give the medication 2. Notify the prescriber 3. Explain why 4. Document in the chart When administering medications via inhalers, the nurse should encourage the pt. to do what after administration between inhalers? rinse their mouths After a medication bouls the RN should ______________ IV lines with ____________________ to facilitate delivery of medication into central circulation Flush 0.9% NaCl What 3 steps must you complete prior to administering a pain medication to a pt.? 1. Check the physician's orders for an order 2. Check to see when the last time the medication was given in the last 24 hours 3. Check any and all Tylenol/acetaminophen products the pt. may have taken and the composition of the pain medication being given to ensure that over dose does not occur When administering mist or nebulized medications, you should always have what type of equipment readily available? Suction equipment What is the definition of a synergistic effect? Two medications have equal effects or enhanced effects when given together What is the definition of a drug half-life? The amount of time it takes for a drug to be metabolized in the body If a medication is given sooner than that drug's half-life there is a potential for ____________________. Why? Toxicity because there is a build up of the medication in the body What is the ONLY medication that you can stop abruptly? When is it safe to actually stop this medication? Antibiotics Only safe to stop antibiotics when the entire prescription is completed If the pt. is started on an antibiotic or an antifungal agent, there is an increased risk that the pt. may develop what type of complication/side-effect? Rash If a pt. has been started on a new medication, the RN should teach them to report what type of symptoms as soon as possible? All new or worsening symptoms should be reported as soon as possible Any hormone therapy or birth control pills may place the patient at and increased risk for what complication? What is a common complaint for this complication? Thrombophlebitis (clot) Calf tenderness Barbituate use in the elderly can cause increased _______________________. Excitement When reviewing drug levels of medications, always observe for signs and symptoms of ____________________ Toxicities What are the Side Effects of Beta Blockers -Worsening asthma -Difficulty controlling Glucose levels -Bradycardia -Heart Block -Rapid withdrawla may cause tachycardia or other arrhythmias, rebound HTN, or myocardial ischemia or infarction What are adverse effects of Beta Blockers? -Arrhythmia -Bradycardia -Heart Failure -Pulmonary Edema What class is Claforan (Cefotaxime) in? Anti-infective (cepholosporine) What are Side Effects of Claforan (Cefotaxime) -N/V/D -Rash -Pruritis -Urticaria -Agranulocytosis -BLeeding -Eosinophilia -Hemolytic Anemia -Neutropenia -Thrombocytopenia -Pain at IM site -Phlebitis at IV site -Superinfection What are Adverse Effects of Claforan (Cefotaxime)? -Seizures -CDAD -Anaphylaxis What class is Glyburide in? Anti-diabetic What are side-effects of Glyburide? -Hypoglycemia -N/V/D/C -Dizzy/Drowsy -Headache -Weakness -Cramps -Drug induced Hepatitis -Dyspepsia -increased appetite -Photosensitivity -Exfoliative dermatitis -Rash -Hyponatremia -Agranulocytosis -Hemolytic Anemia -Leukopenia -Pancytopenia -Thrombocytopenia -Weight Gain What are adverse effects of Glyburide? -Erythema Multiforme -Aplastic Anemia What class is Isoniazid (INH) in? anti-tuberculars What are side effects of Isoniazid (INH)? -peripheral neuropathy -N/V -psychosis -Seizures -Visual Disturbances -Rash -Gynecomastia -Blood Discrasias (adverse?) -Fever What are adverse effects of Isoniazid (INH)? -Drug induced Hepatits -Drug reaction with eosinophilia and systemic symptoms (DRESS) -Toxic Epidermis Necrolysis -Pancreatits What class is Corgard (Nadolol) in? Beta Blocker Antianginal Antihypertensive What are side effects of Corgard (Nadolol)? -Fatigue -Weakness -Erectile dysfunction -N/V/D/C -Depression -Dizzy/Drowsy -Insomnia -Memory Loss -AMS -Nightmares -Blurred vision -Dry eyes -Nasal Stuffiness -Bronchospasms -Wheezing -Orthostatic Hypotension -Peripheral vasoconstriction -Decreased libido -itching -rash -Hyper or Hypoglycemia -Arthralgia -Back pain -Muscle cramps -Paresthesia -Drug induces Lupus Syndrome Adverse Effects of Corgard (Nadolol)? -Arrhythmia -Bradycardia -Heart Failure -Pulmonary Edema What are the side effects of Nitrates? -Headache -Postural Hypotension -Flushing of the face -Dizziness -Rash (transdermal patch) -Tolerance What are adverse effects of Nitrates? -Anaphylaxis -Circulatory Collapse secondary to hypotension -Syncope secondary to orthostatic hypotension What class is Ganciclovir in? anti-viral What are side effects of Ganciclovir? -Neutropenia -Thrombocytopenia -N/V -Abnormal Dreams -Confusion -Dizzy/Drowsy -Headache -Malaise -Nervousness -Dyspnea (Adverse) -Arrhythmia (Adverse) -Edema -Hyper and hypotension -Abd pain -increased liver enzymes -Gonadal suppression -Hematuria -Renal toxicity -Alopecia -Photosensitivity -Pruritis -Rash -Urticaria -Hypoglucemia -Anemia -Eosinophilia -Pain/phlebitis at IV site -Ataxia -Tremor -Fever What are adverse effects of Ganciclovir ? -Seizures -GI bleeding What class is Solu-medrol (Methylprednisolone) in? Steroidal anti-inflammatory Immunosuppressant Corticosteroid What are side effects of Solu-medrol (Methylprednisolone)? -Depression (frequent) -Euphoria (frequent) -Hypertension (frequent) -Anorexia (frequent) -Nausea (frequent) -Acne (frequent) -Ecchymosis (frequent) -Fragility (frequent) -Hirsutism (frequent) -Petechiae (frequent) -Muscle wasting (frequent) -Osteoporosis (frequent) -Decreased wound healing (frequent)* -Adrenal suppression (frequent) -Cushingoid appearance (frequent)-moon face, buffalo hump -Headache -Increased intracranial pressure (children only) -Personality changes -Psychoses -Restlessness -Cataracts -Increased intraocular pressure -Vomiting -Hyperglycemia -Fluid retention (long-term high doses) -Hypokalemia -Hypokalemic alkalosis -Leukocytosis -Thrombophlebitis -Weight gain -Weight loss -Avascular necrosis of joints -Muscle pain -Increased susceptibility to infection What are adverse effects of Solu-medrol (methylprednisolone) ? -Peptic Ulceration -Thromboembolism What class is Nifedipine (Procardia) in? -Calcium Channel Blocker (CCB) -Anti-anginal -Antihypertensive What are the side effects of Nifedipine (Procardia)? -Flushing (frequent) -Headache (frequent) -Peripheral edema (frequent) -Abnormal dreams -Anxiety -Confusion -Dizziness -Drowsiness -Jitteriness -Nervousness -Psychiatric disturbances -Weakness -Blurred vision -Disturbed equilibrium -Epistaxis -Tinnitus -Cough -Dyspnea -Shortness of breath -Bradycardia -Chest pain -Hypotension -Palpitations -Syncope -Tachycardia -Increased liver enzymes -Anorexia -Constipation -Diarrhea -Dry mouth -Dysgeusia -Dyspepsia -GI obstruction -Nausea -Ulcer -Vomiting -Dysuria -Nocturia -Polyuria -Sexual dysfunction -Urinary frequency -Dermatitis -Erythema multiforme -Increased sweating -Photosensitivity -Pruritis/urticarial -Rash -Gynecomastia -Hyperglycemia -Anemia -Leukopenia -Thrombocytopenia -Weight gain -Joint stiffness -Muscle cramps -Paresthesia -Tremors -Gingival hyperplasia