Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Pharmacology (Spring 2019) > Final - 2 Nursing Considerations/Routes/Antidotes > Flashcards

Final - 2 Nursing Considerations/Routes/Antidotes Flashcards

(61 cards)

Start Studying
1
Q

is nitroprusside therapy long or short

A

short (limited to 72 hrs due to cyanate)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

when do you want to be cautious with heparin

A

peripartum period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

every _____ works differently, so if one doesn’t work, you can try a different _____ (unlike other drugs where you don’t give the same class if one doesn’t work)

A

SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

which diuretic do you NOT want to eat K+ rich foods

A

sprionolactone = may result in hyperkalemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what to monitor with mannitol

A

LOC (decrease LOC is you’re increasing the ICP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what to monitor for with aminocaproic acid

A
  • CPK (rhabdomyolysis)

- urine output & color (formation of clots in renal pelvis or ureters)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

when to take amitriptyline

A

at bedtime (because it causes huge sedation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

antidote for heparin

A

protamine sulfate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

no _____ with SSRI

A

grapefruit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

nursing considerations for streptokinase

A
  • no recent strep infection (6 months)

- if repeat, use different -ase (pt. develops antibodies)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

overdose on risperidone =

A

gastric lavage & cardiovascular function maintenance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

nursing consideration for quetiapine

A

baseline & 6 month eye check ups must be completed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

nursing consideration for bupropion

A

HIGH RISK OF MED ERROR: due to med dosing in immediate, extended, & sustained release

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

overdose on lithium carbonate =

A

maintain airway & possible dialysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

antidote for phenylephrine

A

atropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

which drug do you want to check prolactin levels

A

risperidone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what do you do if you start to get extravasation with epinephrine

A

stop infusion & aspirate med out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

can you given heparin with pregnancy

A

yes, does not cross BBB & is not secreted in breast milk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

antidote for SSRI

A

gastric lavage or activated charcoal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

how to dose enoxaparin

A

based on wt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

antidote for extravasation

A

vasodilator phentalomine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

nursing consideration for SSRI

A

taper off slowly (abruptly = withdrawal)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

administer phenytoin (fast, slow)

A

slow to prevent circulatory collapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

how long can abciximab last

A

up to 10 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
which drug: | - awakening and complete recovery of memory occurs in about 2 hrs (won't remember everything) (up to 6 hrs in elderly)
midazolam
26
low dose dopamine =
vasodilation
27
how slowly to push furosemid
3-5 minutes (ringing in ears = push even slower)
28
correct _____ before starting desvenlaxafine
HTN
29
What supplements do you want to give with furosemide
K+ supplements or K riders
30
nursing considerations for hydralazine
1. discontinue slowly (rebound HTN) | - monitor HR (because baro-receptor reflex & tachycardia)
31
nursing consideration for propofol
unused portions must be discarded (high bacterial growth)
32
nursing considerations for nalaxone
1. monitor resp. status & ensure resuscitation equipment is available 2. be prepared: reverse both toxic & therapeutic effects of opioids = any pain that was being treated with opioids will return
33
Nursing considerations for phenylephrine
- don't give to children < 2 | - DO NOT give within 21 days of MAOIs = cause hypertensive crisis
34
no _____ with aripiprazole
grapefruit
35
nursing considerations for hydromorphone
1. be super careful with dosing (10x morphine) 2. BBW: watch for high potency formulation, potential for abuse & misuse, life-threatening resp. depression, neonatal withdrawal syndrome
36
half life of enoxaparin is _____ than heparin
2-4x longer = poking less
37
when to give alteplase
- within 6 hrs of MI | - within 3 hrs of thrombotic stoke
38
4 advantages of morphine sulfate
1. no upper end dose limit 2. pt's develop tolerance to all adverse effects except constipation 3. available in extended release form 4. may be used to relieve SOB associated with end-stage cancer, HF, & pulmonary edema
39
what to monitor with heparin
aPTT
40
What to do before administering milrinon
correct electrolyte imbalances (avoid further dysrhythmias)
41
which antiplatelet may platelet transfusion be beneficial
abciximab
42
atypical antidepressants
taper slowly
43
high doses of mannitol =
open BBB bringing water with it = increases ICP
44
overdose on phenytoin =
gastric lavage & activated charcoal
45
avoid prolonged _____ exposure when on furosemide
sun
46
giving fentanyl to pt's who are opioid naive =
severe/fatal resp. depression
47
how to administer flumazenil
rapid IV
48
therapeutic serum level of phenytoin
10-20 mcg/mL (administer an IV benzo c or before admin.)
49
how quickly does furosemide work
QUICKLY! Could only be 5 minutes before they start urinating a ton (get ready) = potential dehydration
50
why would furosemide pt's be a high falls risk
because they gotta pee all the time
51
how to administer dobutamine
only IV (drip because half-life is 2 minutes)
52
normal aPTT
60-80
53
T/F: lithium carbonat has a long half-life, so it doesn't need to be taken often
FALSE!!! it has a short half-life = must be taken several times per day
54
high dose dopamine =
vasoconstriction
55
nursing consideration for venlaxafine
- safety not established in children under 18
56
nursing consideration for morphine suflate
NEVER WITHDRAWAL ABRUPTLY
57
what to treat before administering nitroglycerin
dehydration & hypovolemia
58
nursing considerations of diazepam
- do not administer within 14 days of MAOI (hypertensive crisis) - increases phenytoin levels
59
how to administer enoxaparin
injection in abdomen
60
Which drug: | - emergence rapid: once you stop giving them med they wake up immediately (will remember everything)
propofol
61
nursing considerations for phenytoin
1. known teratogen 2. ween off 3. strictly adhere to med schedule/brand

Pharmacology (Spring 2019) (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions