QMA MEDICATIONS (320 QUESTIONS) ANSWERED CORRECTLY TO SCORE A+

QMA MEDICATIONS (320 QUESTIONS) ANSWERED CORRECTLY TO SCORE A+ Antitussive - Answer-cough suppressant by depressing the cough center of the brain Tx- persistent cough ex) Codeine combined with expectorant, Benylin-DM side effects- N/V, diarrhea, nervousness, restlessness, constipation Nursing Considerations: should not receive fluids for 15 minutes after taking syrup Benylin-DM - Answer-dextromethorphan (antitussive) Brinchodilator - Answer-relaxes bronchial muscles to open breathing passages Tx- asthma, bronchitis, chronic lung disease ex) Proventil, Ventolin, Atrovent side effects- restlessness, dizziness, N/V, palpitations, anxiety Nursing Considerations: may experience withdrawal symptoms if stopped abruptly Proventil, Ventolin - Answer-Albuterol (bonchodilator) Atrovent - Answer-ipratropium (bronchodilator) Antihistamines - Answer-combat the effects of histamine Tx- allergies, motion sickness ex) Benadryl, Claritin, Phnergan, Dimetapp side effects- drowsiness, loss of appetite, dizziness, dry mouth, urinary rention Nursing Considerations: encourage fluids Benadryl - Answer-diphenhydramine (antihistamine) Claritin - Answer-Loratadine (antihistamine) Dimetapp - Answer-brompheniramine (antihistamine) Decongestant - Answer-shrinks mucous membranes/relieves nasal swelling and congestant Tx- allergies, hay fever/cold symptoms ex) Sudafed side effects-nasal irritation, perforated nasal septum, nasal congestion Nursing Considerations: can develop a tolderance TB Medication - Answer-Reduce growth/kill bacteria causing TB Tx- active TB ex) Rifadin, INH, Laniazid, Nydrazid side effects- fatigue, N/V, confusion, anorexia, drowsiness, numbness in extremities, rash, headache Nursing Considerations: can turn secretions red-orange color, monitor for hepatitis and weight lose, store in light resistant container Rifadin - Answer-Rifampin (TB) INH, Laniazid, Nydrazid - Answer-isoniazid (TB) Insulin - Answer-replace insulin when it is not produced by the islet of langerhans, or used inadequately Tx- diabetes side effects- Insulin Aspart, Insulin Glargine, Insulin Determir, Humulog, Apidra, NPH, Regular, Novolog, Novolin side effects- perspiration, drowsniess, hypoglycemia, irritability, initial weight gain, Anxiety/Depression, Diabetic acidosis/coma Nursing Considerations: Observe for hypoglycemia, rashes/bumps at injection site, Insulin Administration requires additional training Rapid-acting Insulin - Answer-Humulog, Novolog, Apidra CLEAR 15 minute onset/1-2 hour peak/3-4 hour duration Short-acting Insulin (regular) - Answer-Humulog R, Novolin R CLEAR 30 minute-1 hour onset/2-4 hour peak/5-7 hour duration Intermediate-acting Insulin (NPH/NHP) - Answer-Humulin N, Novolin N CLOUDY 2-4 hour onset/4-10 hour peak/10-16 hour duration Long-acting Insulin - Answer-Insulin glargine (Lantus), Insulin detemir (Levemir) CLEAR 2-4 hour onset/peakless/0-24 hour duration oral hypoglycemic agents - Answer-stimulate the release of insulin from the pancreas and lowers BS in those with type II Tx- Type II diabetes ex) DiaBeta, Micronase, Glynase, Glucaphage, Fortamet, Glumetza, Riomet, Glucotrol, Actos, Avandia side effects- renal impairment, liver dysfunction, N/V, hypoglycemia, skin rash, heartburn Nursing Considerations: monitor for hypoglycemia, urine testing, administer ac Diabeta, Micronase, Glynase - Answer-glyburide (oral hypoglycemic agent) administer ac Glucaphage, Fortamet, Glumetza, Riomet - Answer-metformin (oral hypoglycemic agent) administer ac Glucatrol - Answer-glipizide (oral hypoglycemic agent) administer ac Actos - Answer-pioglitazone (oral hypoglycemic agent) administer ac Avandia - Answer-rosiglitazone (oral hypoglycemic agent) administer ac Thyroid Hormones - Answer-replacement therapy Tx- hypothyroidism ex) synthroid, Levoxyl, Thryoxine side effects- nervousness, insomnia, palpatations, sweating, tremors, angina pectoris Nursing Considerations: report chest pains, administer ac Synthroid, Levoxyl, Thryoxine - Answer-levothyroxine (Thyroid Hormones) administer ac Gonadal Hormones - Answer-hormone replacement therapy Tx- prostate/breast cancer, osteoporosis, menopause ex) Premarin, Estrace, Estraderm side effects- depression, hair loss, thrombophlebitis, breast tenderness, leg cramps, increase in BP Nursing Considerations: Monitor BP, report any discomfort in legs/difficulty breathing promptly Premarin - Answer-estrogens (Gonadal Hormone) monitor BP Estrace, Estraderm - Answer-estradiol (gonadal hormone) monitor BP Androgen - Answer-hormone replacement therapy Tx- breast cancer in females, promote weight gain, prostate cancer ex) Androgel, Depotest side effects- headache, depression, weight gain, facial hair growth, edema Nursing Considerations: monitor weight Androgel, Depotest - Answer-testosterone (Androgen) oral contraceptives - Answer-inhibit ovulation Tx- prevent pregnancy ex) Ortho-cept, Ortho-cyclen, Ortho-Novum side effects- headache, hypertension, edema, nausea, weight gain, throbophlebitis, breast tenderness, vaginitis Nursing Considerations: adverse effects usually decrease after 3 months, administer with food at HS Ortho-cept - Answer-ethinyl estradiol/desogestrel (oral contraceptive) administer HS with food Ortho-cyclen - Answer-norgestimate/ethinyl estradiol (oral contraceptive) administer HS with food Ortho-Novum - Answer-ethinyl estradiol/norethindrone (oral contraceptive) administer HS with food Antifungal - Answer-an agent that destroys or inhibits the growth of fungi Tx- vaginitis/yeast infections ex) Monostat, Tetrazol side effects- burning, itching, pimple-like bumps, lower abdominal cramps Nursing Considerations: may interfere with drugs that suppress the Immune system Cerebral Stimulants - Answer-increase alertness, attention, and energy by raising key chemicals in the brain Tx- improves cognitive awareness, ADHD ex) ritalin side effects- excitement, restlessness, increased pulse/BP, dizziness, palpitations, dry mouth, anorexia, insomnia Nursing Considerations: avoid caffeine, monitor vital signs Ritalin - Answer-methylphenidate (cerebral stimulant) Depressants/Narcotic Analgesics - Answer-attach to receptors in the brain that send signals to block pain, slow breathing, and creates sense of well-being Tx- relieves pain ex) Duramoprh, MS Contin, Roxanol, Morphine, Demerol, roxicodone, percodan side effects- constipation, diaphoresis, respiratory distress, N/V, confusion, disorientation, decreased BP Nursing Considerations: May cause drowsiness, monitor for constipation Duramorph, MS Contin, Roxanol, Morphine - Answer-morphine sulfate (Depressants/Narcotic Analgesics) Roxicodone - Answer-oxycodone (depressent/Narcotic analgesic) Percodan - Answer-oxycodone/aspirin (depressent/narcotic analgesic) Non-narcotic Analgesic/Antipyretic - Answer-blocks perception of pain/overrides area of the brain that increases body temperature Tx- relive pain/reduce fever ex) ASA, Tylenol, NSAIDs side effects- dizziness, nausea, confusion, rash, may interfere with clotting Nursing Considerations: administer with food, may raise BP Sedative/Hypnotic - Answer-increase the inhibition of nerve cell excitability Tx- reduces physical and mental activity, controls seizures, produces relaxation/sleep ex) Luminal, Resoril, Halcion, Ambien, Dalmane side effects- rash, nausea, short term memory loss, morning after drowsiness Nursing Considerations- may be addictive