NUR221 FInal Exam Review Document Questions and Answers

Uses for NSAIDs Arthritis, Pain associated with inflammation, fever. Acetaminophen antidote N-acetylcysteine What is the max amount of acetaminophen someone can have in one day? 3000mg Adjunct Medications for Pain Benzos, SSRIs, Gabapentin, anti-inflammatory meds What is the antidote for Opioid overdose? Narcan (naloxone) Adverse effects of aopioids Resp Depression, CNS depression, Abuse, Dependence, Increased ICP, Constipation. What is the significance of the opioid antagonist Naltrexone? It takes away the euphoric effect of opioids What is methadone used for? pain, and opioid addiction recovery Baclofen is a drug used for..... Spasticity Baclofen acts on the CNS, therefore causes concerns for.... seizures Cyclobenzaprine is used for... spasm Adverse effects of cyclobenzaprine Serotonin syndrome if combined with antidepressants, and seizures. Autonomic Dysreflexia Potentially life threating increased stimulation of the sympathetic nervous system caused by bowel or bladder distension, or tight clothing. Blood pressure skyrockets. Treat the issue that is causing the activation. What drug is given during autonomic dysreflexia? a beta blocker Antabuse (disulfiram) A drug that causes intense nausea, vomiting, increased heart rate, and dizziness when taken with alcohol. It is often taken by people who are trying to refrain from drinking alcohol. Alcohol Abuse Problems Cirrhosis, liver failure, Heart Issues, Pancreatitis, GI issues, Encephalopathy What is flax seed used for? Helping GI tract or relieving constipation. What is ginger root used for? decreases morning sickness, motion sickness, and nausea after surgery St Johns Wort can cause what when take with antidepressants? Serotonin Syndrome Protein bound drug considerations Most relevant protein to consider is albumin. More free drug results in higher chance of toxicity. Consider risks of taking more than one protein bound drug at a time Tamoxifen is used for treatment of breast cancer Cytotoxic anti-cancer drugs kill.... all cells, good and bad. s/s of osteoarthritis pain, stiffness, enlargement, tenderness, limited range of motion and deformity osteoarthritis is treated with.... NSAIDs, Corticosteroids, and lifestyle changes. What is the drug of choice for treating rheumatoid arthritis? Methotrexate What causes gout? overproduction of gout due to an increase of eating foods rich in purine What foods are rich in purine? Alcohol, meats, asparagus, mushrooms, seafood What is the maintenance drug used for gout? Allopurinol What drug is used for acute exacerbations of gout? Cholchicine Osteoporosis eitology Poor nutrition (lacking vitamin D, Calcium), sedentary life style, aging. Osteoporosis is more common aging women, but most notable.... post menopausal and pregnant women Surfactant Role in the Alveoli decreases surface tension to keep alveoli inflated. When do we use a nasal cannula? when O2 maintenance is required and is not an emergency. Pseudoephedrine contraindications severe HTN or CAD, narrow angle glaucoma. Dont drink alc on this medication Ipratropium INHALED ANTICHOLINERGIC opens airway by blocking PSNS system; often used in combo with beta-1 adrenergic What order do we give asthma meds during an attack? give the dilator first, then the steroid. Steroid Inhaler management Rinse mouth after administration to avoid thrush infection Why should you be careful with how much O2 you give to COPD pts? Because their motivation to breathe is dependent on O2. If they have a lot of O2, their body thinks they don't need to breathe at all. TB meds adverse effects. Rifampin turns fluids orange, pt adherence to these meds can be an issue due to time. Isoniazid has a risk of... liver toxicity What is the thyroid management lab of choice TSH, thyroid stimulating hormone Short acting Insulin example Lispro Long actin insulin glargine (Lantus) detemir (Levemir) Dronabinol is a cannabinoid that prevents vomiting, and stimulat