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NLN Medication Exam
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NLN Medication Exam NLN Practice Pharm Exam Unit 5 Alzheimer's D
66 terms 70 terms 48 terms
daynanoodles Preview cvogel15 Preview dxg45105
Routes - Slowest to Fastest Transdermal --> sub-q --> IM --> buccal --> inhalation --> IV
1. Right Person
2. Right medication
6 Rights of Medication 3. Right dose
Administration 4. Right time
5. Right route
6. Right medication
1. When removing medication from drawer/cart/pixis
3 Medication Checks 2. Before dispensing medication
3. After dispensing medication but before giving it
Immune response - not a side effect
Allergic/Hypersensitivity Determined by degree of sensitization of the immune system
Reactions Sensitivity can change over time
mild itching to severe rash to anaphylaxsis
Absorption Process of incorporating drug into blood
Movement of drugs through the body
Distribution
Transport via blood to site of action
Ability to change a drug biologically from its original form into a
Metabolism
water-soluble form so it can be excreted by the kidneys
Excretion Removal of drugs from the body
, Acute decrease int eh number of granulocytes/leukopenia
(WBCs) in peripheral blood
Causes: treatment with broad spectrum penicillin, sulfonamides,
or cephalosporin; bone marrow transplant; chemotherapy;
radiation
Agranulocytosis/Neutropenia/A
Generally impaired resulting from bone marrow depression by
granulocytopenia
drugs and chemicals or replacement by a neoplasm
Lymphadenopathy or lypmphadenitis may be prevalent
Could --> respiratory infection, ulceration of mouth, colon, high
fever, or UTI
May be asymptomatic
A substance whose molecules can form several bonds to a single
metal ion
Involves oral administration or injection of Ethylene Diamine tetra
Acetic Avide
Chelating Agents
may be used to treat hardening of the arteries, heart attack,
stroke, arthritis, and gangrene - removes excess calcium from
body
Used for lead poisoning and hypercalcemia
Use in children with a lead level between 45-70 micron/dL
Binds to lead in blood and excreted by bowel and kidney
May be toxic to the kidney - monitor urine output
Give IV - dose depends on weight of child, severity of poison
Ethylenediaminetetraacetic Acid - Give q4h 5 days
(EDTA) - Second course may be needed if there is a rebound in blood
level
Give oral and IV fluid to enhance excretion
Do not use with hypocalcemia or hypokalemia
Used to treat lead poisoning and hyperkalmeia
Do not give with iron supplement
Avoid in patients with plant allergy
British AntiLeistie (BAL)
Give IM
Treats poisoning with heavy metals (arsenic, gold, mercury)
Chemet = oral
Succimer (Chemer/Chemet) Used to treat lead poisoning
Do not give in patient with encephalopathy
Nose bleed
Posterior is more serious
D/t rupture of blood vessels within richly perfused nasal mucosa
Blood can come up through eye, or flow down into stomach -->
n/v
Epistaxis Treatment: cauterization with silver nitrate, calcium alginate mesh,
nasal cavity packed with sterile dressing ribbon gauze,
absorbent dressing or saline sprayed into the nose
Ice pack to forehead or back of neck
pinch septum for 5 minutes
Do not pack nose with tissue or gauze
Time it takes for a medication to lose 1/2 its pharmacological or
Half-life
physiologic effect
Paradoxical Reaction Response to drug that is the opposite of the usual response
-teron Androgens
, -pril ACE inhibitors
-pressin Antidiuretic hormoens
-statin Antilipidemic
-vir Antiviral
-pam Benzodiazepines (mostly)
-lol eta Blockers
-pine Calcium Channel Blockers
Diltiazem (Caridzem) Calcium Channel Blocker - exception
Verapamil (Isoptin) Calcium Channel Blocker - exception
-mide Carbonic anhydrase inhibitors
"est" Estrogens
-sone Glucocorticoids and corticosteroids
-dine Histamine H2 Receptor Antagonists
"nitr" Nitrates
"Pancre" Pancreatic enzyme replacements
-zien Phenothizines
-zole Proton Pump Inhibitors
"sulf" Sulfonamides
-zide Thiazide Diuretics
-ase Thrombolytics
"thy" Thyroid hormones
-line Xanthine brnchodilators
Antibiotic
Treats serious life-threatening gram negative (and some positive)
infections
All end in -mycin (but not all drugs ending in -mycin are
aminoglycosides)
Generally IM or IV (PO not recommended - only for bowel prep
or prior to surgery)
Aminoglycoside
Adverse Effects: nephrotoxicity and ototoxicity
- photosensitivity
- Risk for superinfections
- Pseudomembranous colitis (c-diff)
Peak: drawn 15-30 min after infusion is complete
Trough: drawn 30 minutes before next IV dose (1-2 g/mL)
What to do if c-diff occurs? Stop the med and treat with PO Flagyl
NLN Medication Exam
Save
Students also studied
Flashcard sets Study guides
NLN Medication Exam NLN Practice Pharm Exam Unit 5 Alzheimer's D
66 terms 70 terms 48 terms
daynanoodles Preview cvogel15 Preview dxg45105
Routes - Slowest to Fastest Transdermal --> sub-q --> IM --> buccal --> inhalation --> IV
1. Right Person
2. Right medication
6 Rights of Medication 3. Right dose
Administration 4. Right time
5. Right route
6. Right medication
1. When removing medication from drawer/cart/pixis
3 Medication Checks 2. Before dispensing medication
3. After dispensing medication but before giving it
Immune response - not a side effect
Allergic/Hypersensitivity Determined by degree of sensitization of the immune system
Reactions Sensitivity can change over time
mild itching to severe rash to anaphylaxsis
Absorption Process of incorporating drug into blood
Movement of drugs through the body
Distribution
Transport via blood to site of action
Ability to change a drug biologically from its original form into a
Metabolism
water-soluble form so it can be excreted by the kidneys
Excretion Removal of drugs from the body
, Acute decrease int eh number of granulocytes/leukopenia
(WBCs) in peripheral blood
Causes: treatment with broad spectrum penicillin, sulfonamides,
or cephalosporin; bone marrow transplant; chemotherapy;
radiation
Agranulocytosis/Neutropenia/A
Generally impaired resulting from bone marrow depression by
granulocytopenia
drugs and chemicals or replacement by a neoplasm
Lymphadenopathy or lypmphadenitis may be prevalent
Could --> respiratory infection, ulceration of mouth, colon, high
fever, or UTI
May be asymptomatic
A substance whose molecules can form several bonds to a single
metal ion
Involves oral administration or injection of Ethylene Diamine tetra
Acetic Avide
Chelating Agents
may be used to treat hardening of the arteries, heart attack,
stroke, arthritis, and gangrene - removes excess calcium from
body
Used for lead poisoning and hypercalcemia
Use in children with a lead level between 45-70 micron/dL
Binds to lead in blood and excreted by bowel and kidney
May be toxic to the kidney - monitor urine output
Give IV - dose depends on weight of child, severity of poison
Ethylenediaminetetraacetic Acid - Give q4h 5 days
(EDTA) - Second course may be needed if there is a rebound in blood
level
Give oral and IV fluid to enhance excretion
Do not use with hypocalcemia or hypokalemia
Used to treat lead poisoning and hyperkalmeia
Do not give with iron supplement
Avoid in patients with plant allergy
British AntiLeistie (BAL)
Give IM
Treats poisoning with heavy metals (arsenic, gold, mercury)
Chemet = oral
Succimer (Chemer/Chemet) Used to treat lead poisoning
Do not give in patient with encephalopathy
Nose bleed
Posterior is more serious
D/t rupture of blood vessels within richly perfused nasal mucosa
Blood can come up through eye, or flow down into stomach -->
n/v
Epistaxis Treatment: cauterization with silver nitrate, calcium alginate mesh,
nasal cavity packed with sterile dressing ribbon gauze,
absorbent dressing or saline sprayed into the nose
Ice pack to forehead or back of neck
pinch septum for 5 minutes
Do not pack nose with tissue or gauze
Time it takes for a medication to lose 1/2 its pharmacological or
Half-life
physiologic effect
Paradoxical Reaction Response to drug that is the opposite of the usual response
-teron Androgens
, -pril ACE inhibitors
-pressin Antidiuretic hormoens
-statin Antilipidemic
-vir Antiviral
-pam Benzodiazepines (mostly)
-lol eta Blockers
-pine Calcium Channel Blockers
Diltiazem (Caridzem) Calcium Channel Blocker - exception
Verapamil (Isoptin) Calcium Channel Blocker - exception
-mide Carbonic anhydrase inhibitors
"est" Estrogens
-sone Glucocorticoids and corticosteroids
-dine Histamine H2 Receptor Antagonists
"nitr" Nitrates
"Pancre" Pancreatic enzyme replacements
-zien Phenothizines
-zole Proton Pump Inhibitors
"sulf" Sulfonamides
-zide Thiazide Diuretics
-ase Thrombolytics
"thy" Thyroid hormones
-line Xanthine brnchodilators
Antibiotic
Treats serious life-threatening gram negative (and some positive)
infections
All end in -mycin (but not all drugs ending in -mycin are
aminoglycosides)
Generally IM or IV (PO not recommended - only for bowel prep
or prior to surgery)
Aminoglycoside
Adverse Effects: nephrotoxicity and ototoxicity
- photosensitivity
- Risk for superinfections
- Pseudomembranous colitis (c-diff)
Peak: drawn 15-30 min after infusion is complete
Trough: drawn 30 minutes before next IV dose (1-2 g/mL)
What to do if c-diff occurs? Stop the med and treat with PO Flagyl
