Capstone ATI Pharm
Insulin
s
We'll CLIMB TO THE PEAK...starting FAST and ending SLOW. Correct
answers
FASTEST: Rapid acting insulins:Lispro
(Humalog).
ONSET: Less than 15
minutes.
PEAK: 30 minutes to 1
hour.
DURATION: 3 to 4
hours.
FAST: Short acting insulins: Regular
(Humulin R).
ONSET: 30 minutes to 1
hour.
PEAK: 2 to 3
hours.
DURATION: 5 to 7
hours.
SLOW: Intermediate-acting insulins: NPH insulin
(Humulin N).
ONSET: 1 to 2
hours.
PEAK: 4 to 12
hours.
DURATION: 18 to 24
hours.
SLOWEST: Long-acting insulins: Insulin glargine
(Lantus).
ONSET: 1
hour
PEAK:
None
DURATION: 10 to 24
hours.
Herb/Botanical Therapy Correct answers
Echinacea:
· Used to treat the common
cold.
· With chronic use, echinacea can decrease positive effects of medications
for TB, HIV,
or
cancer.
Ginger
· Used to decrease nausea of morning sickness, motion sickness, and
root:
nausea induced
by
surgery.
· May also decrease the pain and stiffness of rheumatoid
arthritis.
· These medications suppress platelet
aggregation.
· Should be used cautiously in
pregnancy.
Ginkgo
biloba:
· Promotes vasodilation and may be used to increase recall ability
and mental
processes
.· Used commonly with dementia and Alzheimer's
Disease.
, · May also be used for erectile dysfunction in clients who take SSRIs and
experience
impotence as a side
effect.
· May interact with medications that lower the seizure threshold, such as
antihistamines,
antidepressants, and
antipsychotics.
· May interfere with
coagulation.
Valerian
:· Increases GABA to prevent
insomnia.
· Promotes sleep with increased effect over time. There is a risk of
dependence.
· May cause drowsiness and
depression.
· Should be used cautiously in clients with mental health
disorders.
· Avoid use in pregnancy or while
breastfeeding.
Black
cohosh:
· Acts on the female reproductive system as an estrogen
substitute.
· May be used instead of estrogen therapy during
menopause.
· Increases the effects of antihypertensive medications and may
increase
estrogen effect of
medications.
· Increases hypoglycemia in clients who are taking insulin or other
medications for
diabete
s.
Thrombolytic
Agents
GHOSTBUSTERS! (CLOT BUSTERS)
PRIORITY POINT: If the Ghostbusters had a medication class of choice, this
would
it! be
Thrombolytic Agents are CLOT BUSTERS. They work QUICKLY to
restore
circulation. As such, they increase a client's risk for bleeding. Correct
answers
gonna Who
call? you
Streptokinase (Streptase). Call right away! These
medications must be
administered within 4 to 6 hours of onset of
symptoms.
If there's something strange in your neighborhood: Thrombolytic agents
dissolve
that haveclots
already been formed. These medications convert plasminogen
to plasmin,
which destroy fibrinogen and other clotting
factors.
What's the goal? Restoration of circulation, as evidenced by relief of
chest pain,ofand
reduction initial ST segment injury pattern as shown
on ECG.
What's the risk? Increased bleeding. These medications should only be
given is
client while the monitored. Baseline platelet and blood counts (including
closely
aPTT,shouldbe
INR) PT, and carefully assessed. Venipunctures and SQ and IM injections
should be
limite
d.
After the clot has left the building: Administer beta blockers to decrease
oxygen consumption and reduce the incidence and severity of reperfusion
myocardial
arrhythmias.
Antiplatele
ts
Insulin
s
We'll CLIMB TO THE PEAK...starting FAST and ending SLOW. Correct
answers
FASTEST: Rapid acting insulins:Lispro
(Humalog).
ONSET: Less than 15
minutes.
PEAK: 30 minutes to 1
hour.
DURATION: 3 to 4
hours.
FAST: Short acting insulins: Regular
(Humulin R).
ONSET: 30 minutes to 1
hour.
PEAK: 2 to 3
hours.
DURATION: 5 to 7
hours.
SLOW: Intermediate-acting insulins: NPH insulin
(Humulin N).
ONSET: 1 to 2
hours.
PEAK: 4 to 12
hours.
DURATION: 18 to 24
hours.
SLOWEST: Long-acting insulins: Insulin glargine
(Lantus).
ONSET: 1
hour
PEAK:
None
DURATION: 10 to 24
hours.
Herb/Botanical Therapy Correct answers
Echinacea:
· Used to treat the common
cold.
· With chronic use, echinacea can decrease positive effects of medications
for TB, HIV,
or
cancer.
Ginger
· Used to decrease nausea of morning sickness, motion sickness, and
root:
nausea induced
by
surgery.
· May also decrease the pain and stiffness of rheumatoid
arthritis.
· These medications suppress platelet
aggregation.
· Should be used cautiously in
pregnancy.
Ginkgo
biloba:
· Promotes vasodilation and may be used to increase recall ability
and mental
processes
.· Used commonly with dementia and Alzheimer's
Disease.
, · May also be used for erectile dysfunction in clients who take SSRIs and
experience
impotence as a side
effect.
· May interact with medications that lower the seizure threshold, such as
antihistamines,
antidepressants, and
antipsychotics.
· May interfere with
coagulation.
Valerian
:· Increases GABA to prevent
insomnia.
· Promotes sleep with increased effect over time. There is a risk of
dependence.
· May cause drowsiness and
depression.
· Should be used cautiously in clients with mental health
disorders.
· Avoid use in pregnancy or while
breastfeeding.
Black
cohosh:
· Acts on the female reproductive system as an estrogen
substitute.
· May be used instead of estrogen therapy during
menopause.
· Increases the effects of antihypertensive medications and may
increase
estrogen effect of
medications.
· Increases hypoglycemia in clients who are taking insulin or other
medications for
diabete
s.
Thrombolytic
Agents
GHOSTBUSTERS! (CLOT BUSTERS)
PRIORITY POINT: If the Ghostbusters had a medication class of choice, this
would
it! be
Thrombolytic Agents are CLOT BUSTERS. They work QUICKLY to
restore
circulation. As such, they increase a client's risk for bleeding. Correct
answers
gonna Who
call? you
Streptokinase (Streptase). Call right away! These
medications must be
administered within 4 to 6 hours of onset of
symptoms.
If there's something strange in your neighborhood: Thrombolytic agents
dissolve
that haveclots
already been formed. These medications convert plasminogen
to plasmin,
which destroy fibrinogen and other clotting
factors.
What's the goal? Restoration of circulation, as evidenced by relief of
chest pain,ofand
reduction initial ST segment injury pattern as shown
on ECG.
What's the risk? Increased bleeding. These medications should only be
given is
client while the monitored. Baseline platelet and blood counts (including
closely
aPTT,shouldbe
INR) PT, and carefully assessed. Venipunctures and SQ and IM injections
should be
limite
d.
After the clot has left the building: Administer beta blockers to decrease
oxygen consumption and reduce the incidence and severity of reperfusion
myocardial
arrhythmias.
Antiplatele
ts
