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1. HYDROXYUREA - low hemoglobin levels
FINDINGS THAT
SHOULD BE RE- low platelet count
PORTED TO HCP
increased potassium levels
*Rationale*
low hemoglobin and platelet levels indicate toxicity
increase in potassium indicates tumor lysis syndrome
2. HYDROXYUREA - An anti-neoplastic agent used in the treatment for:
THERAPEUTIC USE
sickle cell anemia
myelogenous leukemia
ovarian cancer
squamous cell cancers
3. METHYLPRED- monitor blood glucose during therapy
NISONE
(SOLU-MEDROL) - avoid contact with people who have known infections
PATIENT
grapefruit juice can increase effects of medication
TEACHING
*Rationale*
glucocorticoids increase blood glucose and depress the immune system
grapefruit juice increases the level of medication in the body
4. DOXYCYCLINE (VI- tetracycline antibiotic
BRAMYCIN) -
pregnancy category D
, ATI PHARMACOLOGY STUDY GUIDE
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NURSING CONSID-
ERATION contraindicated for women who are pregnant
5. DOXYCYCLINE (VI- consume at least 3 liters of fluid daily while taking this Rx
BRAMYCIN) - PA-
TIENT TEACHING do not take this Rx if you are pregnant, or planning to become pregnant
6. PREDNISONE - long term use of glucocorticoids leads to *osteoporosis*
LONG TERM EF-
FECTS patients should be monitored regularly for adverse effects
diagnostic tests include bone density scans
7. RANITIDINE (ZAN- smoking decreases the effectiveness of this medication
TAC) - PATIENT
TEACHING
8. DTaP VACCINE - 5-dose series
NEWBORNS
first dose given at 2 months of age
9. CYCLOBENZA- muscle relaxant
PRINE (FLEXERIL) -
PATIENT *do not discontinue medication abruptly*
TEACHING
10. CYCLOBENZA- this Rx has anticholinergic effects
PRINE (FLEXERIL) -
PRECAUTIONS this Rx should be used with caution in patients with:
history of urinary retention
angle-closure glaucoma
increased intraocular pressure
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11. PROPRANOLOL *do not give to patients with asthma*
(INDERAL) -
CONTRAINDICA- this Rx is an adrenergic antagonist which blocks beta 2 receptors in the lungs
TION
causes bronchoconstriction and increased airway resistance which leads to
respiratory arrest
12. PROPRANOLOL this Rx can cause erectile dysfunction
(INDERAL) -
ADVERSE EFFECT
13. ANTIDOTE FOR naloxone (Narcan)
OPIOID OVER-
DOSE
14. NALOXONE (NAR- this Rx reverses respiratory depressive effects of opioid drugs (i.e. heroin)
CAN)
administer this Rx slowly
side effects of this Rx include:
- hypertension
- tachycardia
- nausea/vomiting
15. NALOXONE (NAR- when this Rx is given for respiratory depression to postoperative patients, it can
CAN) - NURSING reverse effects of analgesia
CONSIDERATION
the nurse will need to assess/monitor for pain as patients may experience
sudden increase in pain level
16. AMITRIPTYLINE anticholinergic effects of this Rx include:
(ELAVIL) -
ADVERSE EFFECTS
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urinary retention
dry mouth
17. LATEX ALLERGY - cover tubes/cords in stockinet prior to medical/surgical procedures
NURSING SAFETY
CONSIDERATION prevents direct contact with patient's skin
18. WARFARIN bleeding gums
(COUMADIN) -
ADVERSE EFFECT anticoagulant therapy increases bleeding risk
19. LABORING PA- *priority intervention*: turn patient to a side-lying position
TIENT WITH FHR
INDICATING LATE greatest risk to fetus experiencing late decelerations is injury from uretropla-
DECELERATIONS - cental insufficiency
NURSING INTER-
VENTION
20. FENTANYL (TRANS- opioid medications cause constipation
DERMAL) - PA-
TIENT TEACHING patients can take stool softeners on a daily basis to prevent constipation
21. CLOZAPINE *review cholesterol values*
(CLOZARIL) -
LABORATORY this Rx can cause hyperlipidemia
TESTING BEFORE
*review WBC*
RX
ADMINISTRATION
this Rx can cause hematological reactions including agranulocytosis and
leukopenia
22. CEFTAZIDIME should not be given to patients with penicillin allergy due to cross-sensitivity
(FORTAZ) -