Antabuse (disulfiram) ANS: Alcohol deterrent
- Aversion (strong hatred) therapy- a type of therapy designed to make a pt give up an undesirable habit
by causing them to associate it with an unpleasant effect.
Antabuse antidote ANS: Revia
Antabuse teaching ANS: - avoid all forms of ETOH (bc doing so may lead to symptoms of N/V, even
death.
- teach them to avoid all items containing alcohol. Ex: mouth wash, cologne, perfume, aftershave, elixir,
most OTC liquid medicine, insect repellent, hand sanitizer, vanilla extract.
Antabuse onset and duration is? ANS: 2 weeks
Upper drugs ANS: caffeine
cocaine
PCP/LSD (psychedelics/ Hallucinogens)
methamphetamines
adderall
Upper drugs nursing priority ANS: Suctioning due to seizures
Downer drugs nursing priority ANS: Intubation/ ventilation due to respiratory arrest
,Aminoglycosides ANS: "Mycin"
- Gentamycin
-vancomycin
-Clindamycin
- streptomycin
-Cleomycin
- tobramycin
**they are the big guns of ABXs. Use them when nothing else works
How to administer Aminoglycosides ABX? ANS: IV and IM (bc it is excreted in feces and not absorbed in
GI Tract)
- administer then q8 hour
when can aminoglycosides be given PO ANS: -hepatic encephalopathy... decreases ammonia
-pre-op surgery... sterilize bowel
-no ototoxicity or nephrotoxicity when given PO
PO aminoglycosides ANS: -Neomycin
- Kanamycin
Bowel sterilizers ANS: " Neo Kan"
- Neomycin
- Kanamycin
, TAP ANS: Trough —> administer —> peak
* trough before drug administration
* Peak after drug administration
- trough and peak levels are drawn because of a drug's narrow therapeutic window or index. Ex:
Aminoglycosides abx and Digitalis
when to draw through levels ANS: 30 minutes before next dose
when to draw peak levels ANS: sublingual: 5-10 mins after drug is dissolved
IV: 15-30 mins after drug is finished (bag is empty)
IM: 30-60 mins after injection
SQ: see DM lecture
PO: all different; don't even try to memorize
Calcium Channel Blockers ANS: They relax and slows down the heart
- they are NEGATIVE inotropic, chronotropic, dromotropic
Calcium Channel Blockers function ANS: - antihypertensive
- antianginal drugs (decrease oxygen demand)
- Antiatrial arrhythmias
Calcium Channel Blockers side effects ANS: headache