Spring 2025 1 of 2
NUR 210 Exam 3——-Unit 7, 8, 9
• Anti-hypertensives: do not stop abruptly d/t risk of rebound hypertension
Beta Blockers — end in ‘olol’(remember A-M okay to give with resp. issues, N-Z can’t give with resp. issues)
• Metoprolol — selective — cardiogenic shock & bronchospasms
• Propranolol — non-selective
Prazosin — alpha blocker — ends in ‘-sin’ : assess for swelling
Amlodipine — CCB — ends in ‘-pine’: assess for headache, ED, bradycardia, flushing, dizziness
Lisinopril — ACE inhibitor — ends in ‘-pril’: monitor kidney fxn(BUN, Cr), increases K+, s/e cough, ADR
angioedema
Losartan — ARB — ends in ‘-tan’: monitor kidney fxn(BUN, Cr), increases K+
• Diuretics: goal is to increase urine output, decrease edema, think safety, can increase blood sugar
Hydrochlorothiazide(HCTZ): check for dizziness, decreases K+, increases Ca
Furosemide — loop diuretic — everything goes down
Mannitol — osmotic diuretic —given for increased ICP, C/I with CHF
Spironolactone — K+ sparing diuretic — decreases Mg, increases K+
• Respiratory: goal is to decrease allergy symptoms
Antihistamines
• Diphenhydramine — 1st gen — anticholinergic s/e
• Loratadine — 2nd gen — assess for abnormalities(wheezing, tachycardia, palpitations), can have anticholinergic
s/e, but not as strong as 1st gen antihistamine
Nasal Decongestants
• Oxymetazoline HCL : don’t use longer than 3 days
• Pseudoephedrine : systemic, all vital signs increase, C/I with hypertension
Fluticasone — intranasal glucocorticoids — check K+ level, goal is to decrease inflammation
Dextromethorphan — antitussive — decreases cough in cough control center of brain
Guaifenesin — expectorant — increase fluid intake(this thins secretions and allows patient to cough up easier)
Bronchodilators : goal is to decrease airway constriction
• Albuterol — Beta 2 agonist — given for acute asthma attacks, status asthmaticus, oral care, rinse mouth after
each use
• Tiotropium — anticholinergic
• Fluticasone Propionate & Salmeterol — Glucocorticoid & Beta agonist combo — wait 2 min between each
puff if same drug, wait 5 min between each puff if different drug
Montelukast — leukotriene receptor agonist — maintenance, given for exercise induced asthma, give at least
2hrs before exercise
Isoniazid —anti-tubercular — assess for B6 deficiency, peripheral neuropathy(s/s numbness/tingling) d/t B6
deficiency, take on an empty stomach(1hr before or 2hrs after meals), liver toxic
Rifampin —anti-tubercular — s/e orange/red secretions(this is okay), take on an empty stomach(1hr before or 2hrs
after meals), liver toxic
***for both TB meds, think ToBy has liver disease***
• Diabetics
Insulin Lispro — rapid acting
NUR 210 Exam 3——-Unit 7, 8, 9
• Anti-hypertensives: do not stop abruptly d/t risk of rebound hypertension
Beta Blockers — end in ‘olol’(remember A-M okay to give with resp. issues, N-Z can’t give with resp. issues)
• Metoprolol — selective — cardiogenic shock & bronchospasms
• Propranolol — non-selective
Prazosin — alpha blocker — ends in ‘-sin’ : assess for swelling
Amlodipine — CCB — ends in ‘-pine’: assess for headache, ED, bradycardia, flushing, dizziness
Lisinopril — ACE inhibitor — ends in ‘-pril’: monitor kidney fxn(BUN, Cr), increases K+, s/e cough, ADR
angioedema
Losartan — ARB — ends in ‘-tan’: monitor kidney fxn(BUN, Cr), increases K+
• Diuretics: goal is to increase urine output, decrease edema, think safety, can increase blood sugar
Hydrochlorothiazide(HCTZ): check for dizziness, decreases K+, increases Ca
Furosemide — loop diuretic — everything goes down
Mannitol — osmotic diuretic —given for increased ICP, C/I with CHF
Spironolactone — K+ sparing diuretic — decreases Mg, increases K+
• Respiratory: goal is to decrease allergy symptoms
Antihistamines
• Diphenhydramine — 1st gen — anticholinergic s/e
• Loratadine — 2nd gen — assess for abnormalities(wheezing, tachycardia, palpitations), can have anticholinergic
s/e, but not as strong as 1st gen antihistamine
Nasal Decongestants
• Oxymetazoline HCL : don’t use longer than 3 days
• Pseudoephedrine : systemic, all vital signs increase, C/I with hypertension
Fluticasone — intranasal glucocorticoids — check K+ level, goal is to decrease inflammation
Dextromethorphan — antitussive — decreases cough in cough control center of brain
Guaifenesin — expectorant — increase fluid intake(this thins secretions and allows patient to cough up easier)
Bronchodilators : goal is to decrease airway constriction
• Albuterol — Beta 2 agonist — given for acute asthma attacks, status asthmaticus, oral care, rinse mouth after
each use
• Tiotropium — anticholinergic
• Fluticasone Propionate & Salmeterol — Glucocorticoid & Beta agonist combo — wait 2 min between each
puff if same drug, wait 5 min between each puff if different drug
Montelukast — leukotriene receptor agonist — maintenance, given for exercise induced asthma, give at least
2hrs before exercise
Isoniazid —anti-tubercular — assess for B6 deficiency, peripheral neuropathy(s/s numbness/tingling) d/t B6
deficiency, take on an empty stomach(1hr before or 2hrs after meals), liver toxic
Rifampin —anti-tubercular — s/e orange/red secretions(this is okay), take on an empty stomach(1hr before or 2hrs
after meals), liver toxic
***for both TB meds, think ToBy has liver disease***
• Diabetics
Insulin Lispro — rapid acting
