Final Exam Flashcards

(46 cards)

1
Q

Phenytoin

A
Antiepileptic 
Treats tonic clinic seizures 
CNS depression, liver toxicity
****10-20mcg/mL
Don’t mix with other meds 
**safety
Good oral hygiene 
Reddish brown urine and sweat 
No alcohol or ginkgo 
Increase calcium and vitamin D
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2
Q

Phenobarbital

A

Antiepileptic
Treats generalized seizures
Can cause CNS depression and respiratory depression, N/V/C

**15-45mcg/mL

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3
Q

Diazoxide

A

Vasodilator
Treats HTN
increases BG

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4
Q

Hydralazine

A

Vasodilator

Maintains blood flow to kidneys

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5
Q

Minoxidil

A

Vasodilator

For sever and unresponsive HTN

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6
Q

Nitroprusside

A

Vasodilator
Used for HTN crisis
maintains low BP for surfer

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7
Q

Bethanechol

A

Anticholinergic
Treats urinary retention and neurological bladder
Treats reflux esophagitis

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8
Q

Pyridostigmine

A

Anticholinergic

Treats myasthenia gravis

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9
Q

Donepezil

A

Anticholinergic
Treats Alzheimer’s
Take once a day

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10
Q

Propranolol

A

Non-selective beta blocker

Treats HTN angina and migraines

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11
Q

Timolol

A

Non-selective Beta Blocker

Treats HTN and glaucoma

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12
Q

Diazepam

A
Anti-epileptic
Treats tonic clinic seizures and status epilepticus 
Potential for ABUSE 
avoid alcohol 
CNS depression 
C/D, slow HR 
TAPER SLOWLY
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13
Q

Ethosuximide

A
Succinimide 
Treats absence seizures 
Causes CNS depression 
Born marrow suppression 
Constipation
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14
Q

Valproic acid

A

Antiepileptic
Treats myoclonic seizures bipolar disorder and migraines
**increases diazepam and phenobarbital
*liver toxicity, thrombocytopenia, CNS depression, weight gain

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15
Q

Phentolamine

A

Blocks alpha 1&2
Vasodilation- treats extravasation
Reverse effects of adrenergic agonist
**high alert drug

Always have on hand for IV norepinephrine or dopamine to reverse their effects

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16
Q

Isoproterenol

A

Nonselective Beta blocker
Vasopressor
Treats shock and bronchospasm
**causes coronary steal effect
Caution: Pulmonary HTN, thyroid disorders, or diabetes
**causes hypokalemia and pulmonary issues
Have a beta blocker on hand to reverse effects

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17
Q

Phenylephrine

A
Alpha agonist 
POWERFUL VASOCONSTRICTOR 
decreased swelling and allergies 
Causes HTN, extravasation can cause tissue necrosis, strange dreams 
**high alert drug 
Taper over 2-4 days 
Avoid caffeine 

**keep phentolamine on hand to cancel effects

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18
Q

Dopamine

A
Alpha and beta agonist 
Treats shock and increases blood flow to heart and kidneys 
****5-10mcg/mL
High alert drug
Extravasation causes tissue death
Keep phentolamine on hand
Avoid caffeine
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19
Q

Carbidopa levodopa

A
Treats Parkinson’s
Works for 2-5 years only
Increases dopamine in the blood
Causes dizziness, HA, sweating, postural hypotension, melanoma, constipation, retention 
Take with food
DONT TAKE MAOI OR PHENYTOIN
monitor for glaucoma or skin lesions 
Monitor intake and output and palpate bladder
20
Q

Carbamazepine

A
Sodium channel blocker
Treats partial seizures, mania, 
Taper slowly
*****4-12mcg/mL
Avoid alcohol
Many drug interactions
CNS depression
21
Q

Gabapentin

A
Treats partial seizures, neuropathy, ALS, RLS, migraines
Controlled substance
CNS depression
Constipation 
Liver toxicity
22
Q

Benztropine

A
Anticholinergic 
Treats Parkinson’s 
Reduces rigidity, akinesia and tremors 
PO, IM, IV
don’t use for narrow angle glaucoma, BPH,  or obstructions 
CNS effects, disorientation, memory loss, dizzy blurred vision,
Decrease dose in hot environments 
Taper off med
23
Q

Labetalol

A
Treats pheochromocytoma 
Block norepinephrine 
Given IV
Taper slowly
Monitor for ortho and dizziness-safety
24
Q

Amiodarone

A

Treats dysrhythmias such as cardiac arrest
Given IV for acute or oral for dysrhythmia
Caution with asthma or bronco spasm
Caution with diabetes bc it will decrease BG
**pulmonary side effects, thyroid effects, toxic if with digoxin or quinidine
***safety and liver enzymes

25
Doxazosin & tamsulosin
Treats BPH Give at bedtime Check BP and HR SAFETY MEASURES FOR DIZZINESS and orthostatic hypotension
26
Propranolol
``` Treats angina, tremors, HTN, dysrhythmias ***check HR for 60 and BP daily Taper slowly ***monitor for hypoglycemia Can cause pulmonary effects ```
27
Atenolol and Metoprolol
``` Beta blockers Treat HTN and angina ***hold if HR below 60 Monitor vital signs and cardiac rhythm Taper slowly Check pulse and BP at home ```
28
Atropine | Also benztropine, meclizine, scopolamine
``` Anticholinergic PO, SQ, ophthalmology, IM, IV Treats bradycardia Decreased secretions Relaxes the bladder Causes mud Rossi’s and cycloplegia Dilated pupils Don’t give with antihistamines or antiparkinsons or MAOI High fiber, high fluids, exercise ***dont give to glaucoma, ulcer, obstruction, or BPH ```
29
Benztropine
Treats Parkinson’s after levodopa Decreased rigidity akinesia, tremors Don’t give to narrow angle glaucoma, obstruction or BPH Can cause paralytic ileus with TCA or phenothiazines
30
Lisinopril
``` ACEI Treats HTN and HF HR, CBC, BP, potassium Monitor for cough and assess lungs AVOID POTASSIUM AND NSAIDS No surgery if on this med-alert surgeon ```
31
Amlodipine, verapamil, diltiazem
``` CCB!! Treats HTN, cardiac arrhythmia and good for angina Causes vasodilation and Decreased BP PO or IV NO GRAPEFRUIT MONITOR HR AND BP ```
32
Hydralazine
Vasodilator Decreased HTN TREATS CHF DECREASES BP
33
Digoxin
``` Glycoside Monitor potassium for HYPOKALEMIA ***0.5-2.0 Monitor HR for a full minute Give IV SLOWLY five minutes If HR less than 60 call HCP IF WEIGHT FLUCTUATES MORE THAN THREE POUNDS IN A DAY REPORT IT ``` **N/V and vision is toxicity Digibind treats toxicity
34
Procainamide
Treats arrhythmia Affects sodium channels PO IM IV 2-6mg/min *dont take with digoxin, bets blockers, or cimetidine Causes dizzy drowsy changes in taste N/V RESPIRATORY DEPRESSION, bone marrow and alopecia
35
Amiodarone
CHOICE FOR LIFE THREATINING VENT ARYTHM. Slows potassium PO IV **pneumonia, vision changes, thyroid disorders, weakness and dizziness TOXIC IF GIVEN WITH DIG OR QUINIDINE OR PHENOTHIAZINES TCA
36
Diltiazem
Treats AFIB CCB INTERACTS WITH ISOPROTERENOL AND CYCLOSPORINE CAUSES DIZZINESS HYPOTENSION SLOW HR LIVER DAMAGE EDEMA
37
Nitroglycerin
``` Treats angina Sublingual Monitor HR and BP Don’t crush or chew Don’t give to anemia, cerebral bleed Causes low BP *no ergot, no heparin, no sildenafil ```
38
Warfarin
Treats DVT, and PE and prosthetic heart valves PO Takes three days to work Monitor PT AND INR CAUSES: Bleeding, liver damage, alopecia, bone marrow depression, toxicity TONS OF DRUG INTERACTIONS!! Pressure dressing and ice to control bleeding Flag chart and alert surgeon Monitor for bleeding gums and coffee ground remains, Use electric razor, soft bristled toothbrush, avoid contact sports, blood in urine, Tarry stools ******AVOID VITAMIN K .... leafy greens mayonnaise and canola and soy bean oil
39
Heparin
Prevention and treatment of DVT and PE SQ IV works in 20-60 minutes ***aPTT levels Bleeding, thrombocytopenia, alopecia, toxicity MANY DRUG TO DRUGS Monitor risk for injury, CBC, Tyler bed, pressure dressings and eyes to control bleeding, alert surgeon Use electric razor, soft bristle toothbrush, avoid contact sports, avoid aspirin, avoid NSAIDS, monitor bruising, bleeding gums, bloody or tarry stools
40
Treating warfarin toxicity
Vitamin K 2.5–10 mg I am which takes 24 hours to work, fresh frozen plasma for immediate effects or whole blood
41
Treating heparin toxicity
Protamine sulfate administer slowly and monitor for anaphylaxis
42
Alteplase
Thrombolytic Monitor H & H, APTT, PT, INR, monitor lungs, monitor cardiac rhythm continuously, high alert drug, signs and symptoms of bleeding or hemorrhaging
43
Cholestyramine
Treats high cholesterols Mix with water or an carbonated beverage, take other meds one hour before or 4-6 Hours after, monitor for constipation, vitamin K depletion, bleeding, wounds that ooze blood **** vitamin issues A D E K Many drug to drug
44
Atorvastatin
Monitor cholesterol levels, see ophthalmologist regularly, take a bedtime, avoid grapefruit juice,
45
Epoetin Alpha
``` Treats dialysis, renal disease, aids, increases RBC production, given sub q three times a week Takes 7 to 14 days to work Don’t give to hypertension patients, ***black box warning, H&H should increase HGB SHOULD NOT EXCEED 11!!!! ``` **monitor for seizures
46
Ferrous sulfate
Treats iron deficiency PO Can cause constipation, dark or green stores, nausea, vomiting, coma if toxicity, tissue into the staining, use straw, drink with lots of water, monitor H & H