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From Flashcardlet > Drugs of the Week part 2 > Flashcards

Drugs of the Week part 2 Flashcards

1
Q

What is class is Ativan?

A

Benzodiazepine

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2
Q

What is Ativan given for?

A

Anxiety (w/ or w/out depression)

Insomnia

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3
Q

What is the action of Ativan?

A

potentiates the action of GABA

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4
Q

What are the SE of Ativan?

A 
dizziness
drowsiness
apnea
ortho hypotension
ECG changes
tachycardia
cardiac arrest
blurred vision
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5
Q

What do you need to assess when giving Ativan?

A 
ortho BPs
blood studies
hepatic studies
suicidal tendencies
physical dependency
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6
Q

What do you given Ativan with?

A

food or milk for GI

may crush if unable to swallow

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7
Q

What do you teach patient who is taking Ativan?

A

do not use drug for everyday stress or longer than 4 months, don’t discontinue abruptly, avoid alcohol

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8
Q

What class is Valium?

A

Benzodiazepine

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9
Q

What is the action of Valium?

A

potentiates the action of GABA

enhances presympathetic inhibition

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10
Q

What is Valium given for?

A

anxiety
muscle spasms
seizures

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11
Q

What are the SE of Valium?

A 
Dizziness
drowsiness
ortho hypotension
respiratory depression
ECG changes
tachycardia
neutropenia
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12
Q

What do assess for when giving Valium?

A 
ortho BPs
vital signs
blood studies
hepatic studies
IV site for phlebitis/thrombosis
mental status
physical dependency
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13
Q

What do you teach patient when taking Valium?

A

avoid driving or anything that requires alertness

gradually taper drugs

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14
Q

What class is Gentamicin in?

A

Aminoglycoside antibiotic

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15
Q

What is the action of Gentamicin?

A

interferes with protein synthesis in bacterial cell by binding to it and causing cell death

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16
Q

What are some of the things Gentamycin treats?

A

UTI

eye/respiratory infection

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17
Q

What are the SE of Gentamycin?

A 
N/V/Anorexia
Rash
Dizziness
Ototoxicity
Neurotoxicity (numbness/tingling) 
hematuria
Pale stools
Oliguria
Renal failure
Muscle twitching/spasms/weakness
Seizures
Decrease blood counts
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18
Q

What do you need to assess for when giving Gentamycin?

A

VS during/after infusion
Assess for SE
Monitor Trough

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19
Q

When should Gentamycin trough be drawn and what should the levels be?

A

30-60 minutes after IM inj

Just before IV dose

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20
Q

What is the Gentamycin goal and toxic trough level?

A

Goal: 0.5-2
Toxic: >2

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21
Q

What do you teach patients to report when taking Gentamycin?

A

report loss of hearing,
ringing/roaring in ears,
feeling of fullness in head
Numbness/tingling

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22
Q

What class is Cipro in?

A

Quinolone

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23
Q

What is the action of Cipro?

A

interferes with conversion of bacteria DNA

24
Q

What is Cipro given for?

A

bacterial infections (UTI, Abdominal…)

25
Q

What are the SE of Cipro?

A 
headache
N/V 
diarrhea
rash
seizure
stevens-johnson
26
Q

What do you not use Cipro with?

A

Theophylline - cause toxicity

anti-dsrhythmics (use with caution)

27
Q

When giving Cipro with antiacids, zine, iron or calcium, when do you give it?

A

two hours before or after

28
Q

What do you teach patient when taking Cipro?

A

don’t miss dose or double dose
complete full course
rinse mouth frequently

29
Q

What class is Tylenol?

A

nonopioid analgesic

antypyretic

30
Q

What is the action of Tylenol?

A

antipyretic action in hypothalamic heat-regulating center

blocks pain impulses peripherally that occur do to prostaglandin synthesis

31
Q

What is Tylenol given for?

A

fever

mild pain

32
Q

What are the overdose SE of Tylenol?

A 
renal failure
hepatotoxicity 
pancytopenia
cyanosis
delirium followed by vascular collapse, convulsions, coma then death
33
Q

What needs to be monitored when given allot of Tylenol?

A

Renal and Hepatic studies

signs of N/V and abd pain for signs of toxicity

34
Q

What are the allergic reactions to Tylenol?

A

rash

uticaria

35
Q

When what you administer Tylenol with?

A

food, water or milk to decrease GI symptoms

36
Q

What should you teach patient who is taking Tylenol?

A

report N/V, abdominal pain which are signs of toxicity

37
Q

What is the antidote to tylenol?

A

acetylcysteine

38
Q

What is the class of Plavix?

A

Platelet aggregation inhibitor

39
Q

How does Plavix work?

A

inhibits 1st and 2nd phase of ADP-induced effects of platelet aggregation

40
Q

What is Plavix given for?

A

prevention of atherosclerosis, heart attack, stroke….

41
Q

What is Plavix often given with?

A

Aspirin

42
Q

What are the SE of Plavix?

A 
Bleeding
neutropenia
aplastic anemia
intracranial hemorrhage
Stevens-Johnson
pancreatitis
glomerulonephritis
43
Q

What thrombolytic stuff needs to be assessed for when giving Plavix?

A

fever
thrombocytopenia
anemia

44
Q

What blood studies need to be monitored when giving Plavix?

A

CBC with diff
PT & IRN
cholesterol

45
Q

What do you give Plavix with?

A

food to decrease GI probs

46
Q

What do you tell patient to report when taking Plavix?

A 
diarrhea
skin rashes
unusual bleeding
chills/fever
sore throat
it may be held 3-7 days before surgery
47
Q

What class is Aspirin?

A

nonopioid analgesic

NSAIDS

48
Q

What is the action if Aspirin dosage is less than 325mg?

A

it decreases platelet aggregation

49
Q

What is the action if Aspirin dosage is 325-650?

A

it blocks pain impulses in CNS

and reduces inflammation by inhibition of prostaglandin synthesis

50
Q

What is Aspirin given for?

A 
mild pain
arthritis
inflammation
fever
thins blood to prevent HR probs
51
Q

What are the SE of Aspirin?

A 
N/V 
GI bleed
hepatitis
thrombocytopenia
agranulocytosis
leukopenia
neutropenia
anemia
52
Q

What labs need to be monitored when giving Aspirin?

A

Renal and Hepatic studies

CBC

53
Q

When giving Aspirin, what are the signs of hepatotoxicity?

A 
dark urine
light stools
yellow skin/sclera
itching
abd pain
fever
diarrhea
54
Q

What do you administer Aspirin with?

A

food or milk to decrease GI probs

55
Q

When do you give Aspirin with antacids?

A

1-2 hours after with 8 ox of water

56
Q

What is the antidote for Aspirin?

A

lavage

activated charcoal

From Flashcardlet (107 decks)

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