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Drugs for the Final > Drugs for the Final > Flashcards

Drugs for the Final Flashcards

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1
Q

What is Furosemide used for?

A

Edema due to HF, Hepatic impairment, Renal Disease, HTN

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2
Q

What routes can you use Furosemide in?

A

PO, IM, IV

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3
Q

What time should you give Furosemide no later than and why?

A

No later than 5 pm, like all diuretics this can cause nocturia, disrupting sleep, if given too late in the day.

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4
Q

Can you take Furosemide with food?

A

May be taken w/ food or milk for GI irritation. Tabs can be crushed if patient has difficulty swallowing.

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5
Q

Is Spironaloactone potassium sparing or potassium wasting?

A

potassium-sparing

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6
Q

When do you give Spironaloactone?

A

Give in the AM

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7
Q

Can you give Spironaloactone w/ food?

A

Give w/ food or milk to minimize GI irritation

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8
Q

What teaching should you give the patient taking Spironaloactone?

A

Avoid salt substitutes and high potassium containing foods.

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9
Q

What is Pepto Bismol?

A

an adsorbent, it coats.

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10
Q

What should you teach the patient about Pepto Bismol?

A

It can cause tongue and stools to be gray-black. It contains Aspirin.

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11
Q

What drug class is Lansoprazole in?

A

It is an antiulcer, PPI medication

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12
Q

What two routes can Lansoprazole be given by?

A

PO, NG

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13
Q

Can you give Lansoprazole w/ antacids?

A

Yes

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14
Q

What should you teach your patient about taking Lansoprazole with Sucralfate?

A

Take Lansoprazole 30 mins before Sucralfate.

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15
Q

What does Lansoprazole treat?

A

Duodenal ulcers

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16
Q

What should you teach the patient taking Lansoprazole to avoid?

A

alcohol, aspirin, nsaids

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17
Q

Lansoprazole Implementation

A

Give delayed release tablets before meals and DONT crush. NON delayed release tablets can be crushed in applesauce.

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18
Q

What class does Famotidine belong to?

A

antiulcer, H2 antagonist

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19
Q

When and how do you give Famotidine?

A

If given PO, administer w/ or immediately after meals, and at bedtime.

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20
Q

What should you teach about Famotidine?

A

avoid alcohol, aspirin, nsaids. Increase fluids and fiber if constipation occurs.

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21
Q

What does Famotidine treat?

A

duodenal and gastric ulcers

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22
Q

What does Mesalamine treat?

A

ulcerative colitis

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23
Q

How should the patient take Mesalamine when taking it PO?

A

With full glass of water, swallow whole, don’t break outer coating.

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24
Q

What should you assess the patient who will take Mesalamine for?

A

An allergy to sulfa’s and salicylates

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25
What does Sulfasalazine treat?
ulcerative colitis
26
How should the patient take Sulfasalazine when taking it PO?
Give after or w/ meals to reduce GI irritation. Full glass of water. Don't crush or chew enteric coated tabs, of course.
27
What should you teach the patient taking Sulfasalazine?
Use sunscreen. May cause orange-yellow skin and/or urine, but this is not significant.
28
What does Ribavirin treat?
Hepatitis C
29
Ribavirin Implementation
PO: Give w/ food, swallow capsules whole.
30
What should you teach the patient about Ribavirin?
Take at the same time each day. brush teeth twice daily, have regular dental check ups. Stop if you get a rash. Has teratogenic effects - so use 2 forms of contraception.
31
What does Valacyclovir treat?
Genital Herpes, Shingles
32
How should you give Valacyclovir in relation to meals?
Give w/out regard to meals
33
What should you teach the patient about Valacyclovir?
maintain hydration. take precautions not to spread infection.
34
What can Prednisone treat?
Inflammation (UC, Crohns, etc.)
35
Prednisone is given PO, how should you give it?
In the morning to coincide w/ normal body cortisol secretion. Give w/ meals. Tablet's can be crushed and given w/ food.
36
What should you teach the patient taking Prednisone?
take as directed. Don't stop suddenly. Stay away from sick people.
37
What routes can you give Hydrocortisone through?
PO, IM, IV
38
How should you give Hydrocortisone (PO) ?
Give w/ meals, tabs can be crushed and given w/ food
39
What should you teach the patient taking Hydrocortisone?
take as directed, avoid sick people
40
What does Propylthiouracil treat?
Hyperthyroidism, Grave's Disease
41
How should you give Propylthiouracil in relation to meals?
Give at the same time in relation to meals every day.
42
What should you teach the patient taking Propylthiouracil?
Monitor weight 2-3 times weekly. May cause drowsiness. Reports signs of illness.
43
What is Metformin?
An antidiabetic, treats type 2 diabetes mellitus
44
Should you give Metformin w/ or w/out meals?
Give w/ meals to minimize GI effects.
45
What is a major adverse reaction of Metformin?
Lactic Acidosis
46
What should you teach the patient taking Metformin?
Take at the same time every day. Watch for signs/symptoms of hypo or hyperglycemia. test blood glucose levels and urine ketones. Discontinue Metformin 24 hours before and for 48 hours after using iodinated contrast media to prevent lactic acidosis.
47
What is Pioglitazone?
antidiabetic, treats type 2 diabetes mellitus
48
How should you give Pioglitazone in relation to meals?
May be given w/ or w/out meals
49
What should you teach the patient about Pioglitazone?
take as directed. watch for s/sx of hypo or hyperglycemia. test your blood glucose and urine ketones. tell HCP immediately if any s/sx of hepatic toxicity. carry a form of sugar with you everywhere. don't take if you have a hx of bladder cancer.
50
What is Insulin Aspart?
Rapid Acting insulin
51
What is the onset of insulin aspart?
within 15 min
52
How far before a meal should you give insulin aspart?
5-10 min before meal
53
What is Regular Insulin?
Intermediate acting insulin
54
What is the onset of regular insulin?
within 30-60 mins
55
How far before a meal should you give regular insulin?
15-30 mins before meal
56
How many nurses should verify insulin dosage?
2 nurses
57
What is Insulin Glargine?
Long Acting Insulin
58
How often do you give Insulin Glargine?
Once daily, same time each day
59
What can you mix Insulin Glargine with?
NOTHING!!
60
What is the onset of Insulin Glargine?
within 3-4 hrs
61
Psoralen
Treats psoriasis. Must ingest Psoralen (photosensitizing agent) 2 hours before exposure to UVA light. Therapy sessions limited to 2-3 times weekly, and not on consecutive days.

Drugs for the Final (1 decks)

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