ATI Pharmacology RN

ATI Pharmacology RN Digoxin (lanoxin) SE - correct answers blurred/double vision Guaifenesin SE - correct answers can cause drowsiness Estrogen (premarin) SE - correct answers ↑ risk of Thromboembolism with s/s: SOB, severe headache, vomiting, sudden acute pain in the calves, legs, chest, abdomen. Doxepin (Sinequan) [anticholinergic] SE - correct answers urinary retension, constipation, drying of nasal/oral secretons, ↑HR Albuterol (Proventil) [sympathomimetic/ adrenergic beta-2 agonist] Contraindicated - correct answers with MAOIs (can↑ action of albuterol and → HTN crisis); β-blockers can inhibit the therapeutic effects Use: invert canister, shake before use, rinse mouth after use, w/new inhaler perform test spray Levothryoxine (T4) Indication - correct answers hypothyroidism RT dysfxn of hypothalamus, pituitary, or thyroid gland Cephalosporins (Keflex) - correct answers allergy to cephalosporins is considered a precaution for taking penicillins Phenobarbital [Barbiturates]; interventions for anticonvulsant therapy - correct answers assess for resp. depression, excess sedation from toxic effects, IV at 50mg/min, avoid extravasation (alkaline→skin damage) Sumatriptan (Imitrex) use - correct answers when migraine symptoms appear and again in 1 hr if symptoms persist Route—fastest/most effective - correct answers intravenous Narcan [opioid antagonist] - correct answers therapeutic action: improvement of respiratory rate Baclofen (Lioresal) Therapeutic action - correct answers ↓ frequency & severity of muscle spasms Erythromycin (Erythrocin) [macrolide] SE - correct answers liver toxicity What do need to avoid when taking Spironolactone (Aldactone) [K sparing diuretic] - correct answers foods w/ ↑ K such as salt substitutes Chloroquine phosphate (Aralen): Indication - correct answers malaria prevention; Use: take weekly starting 1 week before departure and continued for 4 weeks after return. Heparin (anticoagulant) Use - correct answers w/alteplase for acute MI Warfarin (Coumadin) Use - correct answers long-term prophylaxis of thrombosis [antidote—Vit K] Clopidogrel (Plavix) Use - correct answers reduce long-term risk of clotting w/ atherosclerosis and recent MI of CVA Alteplase (Activase) [antithrombolytic] Use - correct answers Acute MI/CVA (has short half-life) Methylphenidate (Concerta) Use - correct answers marcolepsy Precaution: avoid caffeine use Testosterone IM use - correct answers If use to correct delayed puberty→assess bone maturation with bi-annual x-rays of hand and wrist; monitor liver function (can ↑ hypoglycemia, potentiate sleep apnea, exacerbate heart failure due to fluid retention. Diphenoxylate & Atropine (Lomotil) Caution - correct answers With Renal impairment ↓ elimination of atropine → ↑ anticholinergic effects of atropine like confusion Loperamide (Imodium) use - correct answers anti-diarrheal (poorly absorbed from GI tract; difficulty crossing the blood-brain barrier) Methylcellulose (Citrucel) use - correct answers bulk-forming agent with minimal Side Effects (SE) Psyllium (Metamucil) use - correct answers bulk-forming agent with minimal Side Effects (SE) Acetazolamide (Diamox) [diuretic] indication - correct answers edema, epilepsy, acute mountain sickness, glaucoma (↓ intraocular pressure by ↓ amount of aqueous humor in the eye) Contra: allergy to sulfonamides Metoprolol (Lopressor) [β-blocker] use and side effects - correct answers Hold dose for dyspnea (sign of exacerbation of CHF) Propanolol (Inderal) Use. Dysrhythmia, HTN