©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
NSG 349 Final Exam Study Guide.
Acetaminophen (tyleonl) - answer✔ANALEGISIC + ANTIPYRETIC
- not an nsaid
- ae= hepatotoxicity
- max 3000 mg/day
- for mild to moderate pain (1-4)
Acetylsalicylic Acid (Aspirin) - answer✔NSAID
- contraindicated by kidney disease or GI bleeding
- blood thinner bc of platelet inhibition
- can cause Reye's syndrome in children with flu-like symptoms
Adenosine (Adenocard) - answer✔ANTIDYSRHYTHMIC
- used to convert SVT to sinus rhythm
- try vagal first before giving in order to slow HR
- 1/2 life is very short (not a long term med)
- administer via IV push... push super fast w/ force
- expect asystole for a few seconds!!!
Albuterol (proventil) - answer✔LOWER RESPIRATORY- SABA
- rescue inhaler
- always have on hand! never know when a patient will have an asthma attack
- side effects after administering= increased HR, shakiness... because stimulating the beta
adrenergic system
Amiodarone (Cordarone) - answer✔ANTIDYSRHYTHMIC
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, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
- for V. tach and V fib in emergency
- for A. fib if taken routinely
- K channel blocker
- very longgg 1/2 life .... will continue to have effects for 2-3 months
- must put on heart monitor because it can cause a dysrhythmia
- ae= pulmonary toxicity (cough and dyspnea and proarrhythmic)
Amphotericin b (Ambisome) - answer✔ANTIFUNGAL- polyenes
- tx for systemic fungal infections
- LOTS of adverse effects so premedicate for with antiemetics, antihistamines, antipyretics, and
corticosteroids
- likelihood of adverse effects can be reduced by using long infusion times i.e 2-6 hours
Atorvastatin - answer✔ANTILIPEMIC- statin
- first line drug for hyperlipidemia
- take at night
- monitor liver enzymes routinely
- look out for myopathy and dark urine... sign of RHABDOMYOLYSIS (can be fatal and kill
kidneys)
- moa- inhibit HMG-CoA reductase which is used by liver to produce cholesterol
Basiliximab (Simulect) - answer✔IMMUNOSUPPRESSANT
- for transplants will be lifelong to prevent rejection
- used to suppress a hyperactive immune system in autoimmune disorders
- ALWAYS monitor for INFECTION (including opportunistic). Take precautions by avoiding
crowds. Higher risk for developing certain cancers i.e. skin due to decreased immune response
- monitor WBC- if it drops contact pysician
- assess for thrush
- can cause cytokine release syndrome!! (similar to anaphylaxis) PRETREAT w/ iv steroids
2|Page
11/16/2024 10:16 AM
NSG 349 Final Exam Study Guide.
Acetaminophen (tyleonl) - answer✔ANALEGISIC + ANTIPYRETIC
- not an nsaid
- ae= hepatotoxicity
- max 3000 mg/day
- for mild to moderate pain (1-4)
Acetylsalicylic Acid (Aspirin) - answer✔NSAID
- contraindicated by kidney disease or GI bleeding
- blood thinner bc of platelet inhibition
- can cause Reye's syndrome in children with flu-like symptoms
Adenosine (Adenocard) - answer✔ANTIDYSRHYTHMIC
- used to convert SVT to sinus rhythm
- try vagal first before giving in order to slow HR
- 1/2 life is very short (not a long term med)
- administer via IV push... push super fast w/ force
- expect asystole for a few seconds!!!
Albuterol (proventil) - answer✔LOWER RESPIRATORY- SABA
- rescue inhaler
- always have on hand! never know when a patient will have an asthma attack
- side effects after administering= increased HR, shakiness... because stimulating the beta
adrenergic system
Amiodarone (Cordarone) - answer✔ANTIDYSRHYTHMIC
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
- for V. tach and V fib in emergency
- for A. fib if taken routinely
- K channel blocker
- very longgg 1/2 life .... will continue to have effects for 2-3 months
- must put on heart monitor because it can cause a dysrhythmia
- ae= pulmonary toxicity (cough and dyspnea and proarrhythmic)
Amphotericin b (Ambisome) - answer✔ANTIFUNGAL- polyenes
- tx for systemic fungal infections
- LOTS of adverse effects so premedicate for with antiemetics, antihistamines, antipyretics, and
corticosteroids
- likelihood of adverse effects can be reduced by using long infusion times i.e 2-6 hours
Atorvastatin - answer✔ANTILIPEMIC- statin
- first line drug for hyperlipidemia
- take at night
- monitor liver enzymes routinely
- look out for myopathy and dark urine... sign of RHABDOMYOLYSIS (can be fatal and kill
kidneys)
- moa- inhibit HMG-CoA reductase which is used by liver to produce cholesterol
Basiliximab (Simulect) - answer✔IMMUNOSUPPRESSANT
- for transplants will be lifelong to prevent rejection
- used to suppress a hyperactive immune system in autoimmune disorders
- ALWAYS monitor for INFECTION (including opportunistic). Take precautions by avoiding
crowds. Higher risk for developing certain cancers i.e. skin due to decreased immune response
- monitor WBC- if it drops contact pysician
- assess for thrush
- can cause cytokine release syndrome!! (similar to anaphylaxis) PRETREAT w/ iv steroids
2|Page
