Pharm Midterm Study Guide

RNSG 1301 Pharmacology Mid-Term Study Guide Review the questions, concepts and medications outlined below. 1. How does a nurse know a client is experiencing an adverse reactions or allergic reaction? 2. What are the roles of the different regulating bodies for medications? (i.e. DEA, FDA, CDC, etc) 3. The HALF-LIFE of a medication is 60 minutes. What does this mean? 4. Understand the Nursing Process and be prepared to recognize examples of it. 5. What factors affect ABSORPTION of an oral medication? 6. What are the differences in the pregnancy categories? *KNOW CATEGORY D 7. What is the purpose of a SCOPOLAMINE PATCH and how are they applied? 8. What are MYDRIATICS? Who are they used on? Any cultural/ethnic groups require different dosages. Why or why not? 9. What are ANTICHOLINERGICS? What are the side effects? 10. Describe the side effects, labs, and organs affected for a patient on CEPHOLOSPORINS. Include any patient teaching. 11. What patient education should be included when administering TETRACYCLINE? 12. What patient education should be included when administering LEVOTHYROXINE? • Evaluate the effectiveness of the teaching plan (patient can name drug, dosage, adverse effects to watch for, and specific measures to avoid them). 13. Describe the side effects, labs, and organs affected for a patient on PROPYLTHIOURACIL (PTU). Include any patient teaching. - 14. Describe the side effects, labs, and organs affected for a patient on METFORMIN (diabetes med). Include any patient teaching. *KNOW MECHANISM 15. What time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction for fast acting, intermediate, and long lasting insulin. 16. How does a person’s allergies affect administering ANTIBIOTICS? 17. How does INSULIN work at the cellular level ? 18. List the labs affected by ACETAMINOPHEN (analgesic (pain relief), fever reducer) 19. ANTI-INFLAMMATORY medications that are contraindicated in ELDERLY clients: 20. Education for clients prescribed ETANERCEPT for mod severely active juvenile arthritis) 21. INFLUENZA VACCINATIONS for children and elderly clients (Who is the PRIORITY) 22. When is the administration of GARDASIL appropriate and inappropriate? 23. Contraindications for TRAMADOL (Narcotic): 24. Assessments and interventions for clients on FENTANYL (for severe pain, cancer pts) 25. Contraindications for PENTAZOCINE (Narcotic): 26. Assessments for clients receiving MORPHINE PCA (patient controlled administration): 27. How to administer NALOXONE for opioid overdose Repeated dosing often required: every 3-5mins *KNOW IV AMOUNT (mg) 28. Peak- time for ALPRAZOLAM (XANAX): 29. Potential complications a pregnant client might experience when taking BENZODIAZEPINE (anxiety med): 30. Dietary restrictions for clients on monoamine oxidase inhibitor (MAOI): -Aged foods/drinks: tyramine causes vasoconstriction-high bp 31. Contraindications for AMITRIPTYLINE (antidepressant): 32. Nursing assessments for children on METHYLPHENIDATE (RITALIN): 33. Adverse effects of HALOPERIDOL (antipsychotic for migraines and schizophrenia): -weight gain 34. Medications used to treat STATUS ELIPTICUS (recurrent seizures w/o rest in between): 35. How to assess if PHENYTOIN (anti-seizure med) levels are therapeutic -The therapeutic serum levels of ethotoin are from 15 to 50 mcg/mL. D. Math Review – In addition to the problems below, review the additional resources that have been provided to you. 1. The physician has ordered levothyroxine 100 mcg po daily. You have 0.05 mg tablets available. How many tablets will you administer? ______ tabs 2. The 44-pound child you are caring for is to receive Chloral Hydrate 25 mg/kg. It is available in 250 mg per 5 ml. How many ml will you give? ___________ml 3. Your patient has an order to receive metoprolol 150 mg po twice daily for hypertension. You have 100 mg scored tablets. How many tablets will you administer at each dose? __________tabs