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Therapeutic outcome raloxifene (Evista) - ANS✔✔---decreases bone
reabsorption; slows down bone loss and preserves mineral density in
postmenopausal osteoporosis
,Also used to protect again breast cancer
Penicillin adverse effects: - ANS✔✔---Allergies/anaphylaxis , renal
impairment
Macrolide Prototype Drug - ANS✔✔---erythromycin (e-mycin)
Airflow Disorders: Teaching About Theophylline - ANS✔✔---If
dysrhythmias or seizure occur, stop medication.
Periodic blood levels are needed.
Report nausea, diarrhea, or restlessness.
Avoid consuming caffeinated beverages.
digoxin toxicity symptoms - ANS✔✔---fatigue, weakness, vision
changes, GI effects
digoxin level - ANS✔✔---0.5 to 2.0 ng/mL
How to give digoxin - ANS✔✔---infuse over at least 5 min, and monitor
client for dysrhythmias.
Management of digoxin toxicity - ANS✔✔---Digoxin and potassium-
sparing medication should be stopped immediately.
Monitor K+ levels. For levels less than 3.5 mEq/L, administer potassium IV
or by mouth. Do not
give any further K+ if the level is greater than 5.0 mEq/L.
Treat dysrhythmias with phenytoin (Dilantin) or lidocaine.
Treat bradycardia with atropine.
For excessive overdose, activated charcoal, cholestyramine, or Digibind
can be used to bind digoxin and prevent absorption
, How to Treat dysrhythmias for digoxin toxicity patients - ANS✔✔---
Phenytoin
Lidocaine
Cyclophosphamide Alkylating agent (nitrogen mustard)
Adverse effects: - ANS✔✔---Bone marrow suppression
Gi discomfort (N/V)
Acute hemorrhagic cystitis > monitor for hematuria, mesna can be given
Alopecia
Cyclophosphamide interactions - ANS✔✔---Succinylcholine > increased
neuromuscular blockade
Tricyclic Antidepressants Adverse Reactions - ANS✔✔----Orthostatic
hypotension
-Anticholinergic effects
-Sedation
-Toxicity
-Decrease seizure threshold
-Excessive sweating
controlled substances - ANS✔✔---Each level has a decreasing risk of
abuse & dependence. For example, morphine (Duramorph) is a schedule II
medication that has greater risk of abuse & dependence than phenobarbital
(Luminal), which is a Schedule IV medication
-Us Food & Drug Administration Pregnancy Risk Category (A, B, C, D, X)
classifies medication in terms of their potential harm during pregnancy, with
Category A being safest & Category X the most dangerous. Teratogenesis
is most likely to occur during 1st trimester. Before giving any medication to