GN 200Pharm Exam 3 Study Guide_ LATEST,100% CORRECT

Cardiac 1. Digoxin – client teaching, side/adverse effects, normal Digoxin levels and s/s of Digoxin toxicity 2. Potassium levels, considerations and precautions related to levels, and when taking with HCTZ or potassium supplements 3. ACE Inhibitor: (Lisinopril (Zestril) – client teaching 4. Calcium channel blockers (nifedipine) – client teaching 5. Nitroglycerin – client teaching, side/adverse effects, contraindications 6. Beta-blockers (atenolol, metoprolol) – nursing considerations, side effects S/S of overdose: bradycardia, severe drowsiness or fainting or dizziness, dyspnea, bluish fingernails or palms, seizures. Notify MD immediately! 7. Alpha-adrenergic blocker – client teaching (prazosin (Minipress) . 8. Heparin – use, client teaching, normal PTT for client not on/on heparin, nursing considerations, antidote 9. Coumadin - use, client teaching, normal PT/INR for client not on/on heparin, nursing considerations, antidote Use: PO anticoagulant used for prevention of CVA, MI, DVT, PE, prosthetic heart valves, indwelling central catheters. 10. Lidocaine – indications for use 11. Diuretics – types/examples, timing of dosing, client teaching 12. Lipitor (atorvastatin) – client teaching, side/adverse effects 13. IV atropine – indication for use, what to monitor for, nursing considerations Respiratory 1. Steroids – client teaching, side/adverse effects, potential effects on CHF, directions specific to inhalers (beclomethasone (QVAR) 2. albuterol (an adrenergic inhaler) – indication for use, mechanism of action, client teaching Use: bronchodilator to control and prevent reversible airway obstruction by asthma or COPD, quick relief agent for acute bronchospasm and for prevention of exercise-induced asthma. 3. ipratropium (Atrovent) (an anticholinergic) – side effects, client teaching 4. salmeterol (Serevent) – indications for use, timing of dosing, client teaching 5. montelukast (Singulair) – indications for use, directions for use, client teaching 6. guaifenesin (Robitussin) with dextromethorphan or codeine – indications for use 7. theophylline (Theo-24) – side/adverse effects, client teaching 8. Sequences of inhaler use GI 1. metoclopramide (Reglan) – indications for use, mechanism of action 2. promethazine (Phenergan) – side effects/adverse effects with prolonged use 3. ondansetron (Zofran) – use, client teaching, nursing considerations, pregnancy teaching 4. atropine (Lomotil) – side/adverse effects, precautions, contraindications, nursing considerations, know what conditions it may make worse MOM – side/adverse effects, precautions, nursing considerations Management of hyperacidity and constipation in clients with renal failure – best choices for treatment 1. Pantoprazole (Protonix), omeprazole (Prilosec) (proton pump inhibitors) – indications for use, mechanism of action, client teaching , timing of dosing 2. OTC antacids and laxatives/stool softeners - client teaching, mechanism of action 3. sucralfate (Carafate) – client teaching, timing of dosing Math – one calculation question involving a bottle of powder that was reconstituted, and how much to give for the ordered dose and concentration available after reconstituted. Practice question 1) The physician orders cefazolin sodium 0.5g IM every 8 hours. The nurse has to reconstitute from a powder. The vial contains 1g with directions “add 2.5 mL sterile water and shake.” Provides a volume of 3 mL (333mg/mL). How many mL of medication will the nurse administer? _____________ Practice question 2) The provider has ordered Rocephin 0.5g IM every 8 hours. The nurse has to reconstitute from a powder, a vial containing 1g with directions to “add 2.3 mL sterile water and shake to create a 1,000mg in 2.6mL solution.” How many mL of medication should the nurse administer? _______________ Practice question 3) The physician orders cefazolin sodium 0.25g IM every 8 hours. The nurse has to reconstitute form a powder. The vial contains 1g with directions “add 2.5mL sterile water and rotate.” This provides a volume of 3 mL (330mg/mL). How many mL of medication will the nurse administer? ______________