Epoetin alfa: 1. lowest dose possible to reduce risk of... - watch for s/s stroke = thrombolytic events more common in...

1. tumor progression 2. older adults

Final - Nursing Considerations/Routes/Antidotes Flashcards by Cat Howell

amantadine and renal impairment

renal impaired = lower dose

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what to check for with vincristine

reflexes & parasthesias

2. extravasation = warm compresses & hyaluronidase

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what to monitor for rifampin

CBC (anemia)

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How to administer lispro (humalog)

DO NOT GIVE IV

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can you mix lantus (glargine)

no!

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When do you want to administer NPH

30 min. before first meal of day

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what to monitor for isoniazide

AST & ALT

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which antidiabetic do you wan to carry a supply of readily available sugar-quick acting carbs

regular

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route for amphotericin B

large vessel & IV

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mix ceftriaxone with _____ because it hurs

lidocaine

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which antidiabetic is often used in pumps

lispro

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normal AST

10-40

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Epoetin alfa:

lowest dose possible to reduce risk of…
- watch for s/s stroke = thrombolytic events more common in…

tumor progression

2. older adults

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what is nadir for doxorubicin

7 days

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Nursing consideration for glucagon

*Do NOT SHAKE (gently roll)

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Colloid IV Solutions:

- give before _____, prevents _____ _____

give before surgery, prevents blood clots

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normal ALT

7-56

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nursing consideration for potassium iodide

give within 3 hrs of radiation exposure
not a one dose fits all, do know different preparations
monitor ht & wt. in children usuing long term for growth & dev. checks

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verapamil:

- notify physician for pulse < ____ or systolic < _____

pulse < 60, systolic < 90

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what to monitor for cefazolin

kidneys = BUN, creatinine

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Decreased signs of _____ indicate therapeutic level has been reached with desmopressin

dehydration

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Can filgrastin be given at the same time with chemotherapy

NO!! lithium may release neutrophils and increase effect

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how to infuse amphotericin and why

slowly! Because of severe hypotension & K+

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how to administer glargine

SQ only!!!!!

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ECG changes for amniodarone

- PR: increases - QRS: widens - QT: prolongs

all _____ _____ can be given together, so if one doesn't work, try another one

uterine stimulants

nursing considerations for oseltamivir

1. start within 48 hrs | 2. don't give until 2 weeks after live attenuated flu vaccine (nasal mist)

Nursing consideration for hydrocortisone

- ween off!! | - educate on decreased immune system = attenuated vaccines

when to take cyclosporine

1. at same time every day

goal of romiplostim

get platelet count above 50,000

nursing consideration for tamoxifen

wear gloves!!!!

do you want to take efavirenz with or without food

without on empty stomach | - high-fat meals increase absorption = toxicity

antidote for doxorubicin

dexrazoxane (monitor ECG)

_____ is not a sugar, it is a compound to break down glycogen

glucagon

what do you want to monitor with lopinavir with ritonavir

BS (diabetes)

What to give with hydrocortisone to prevent osetoporosis

vit. D

is amphotericin long or short term therapy

long-term

Give route & duration for Aspart

- SQ: 15 min | - Duration: 3-5 hrs

nursing consideration for cyclosporine

NO GRAPEFRUIT | - lab monitoring crucial, including serum drug level

Diltiazem: | - severe formulation: be careful c _____

administration

amphotericin B effects _____

ergosterol

make sure _____ if not too low below administering nifedipine

calcium channel blockers

- no grapefruit

normal serum magnesium level

4-8

give route & duration for regular insulin

- IV: 150 min - SQ: 30-60 min - Duration: 6-10 hrs

when do administer lantus

- 30 min. before first meal of day | - at same time each day

do you take isoniazide with or without food

with

methylergonovine is strictly for...

post-partum

nursing consideration for efavirenz

1. 1-2 reliable forms of birth control | 2. resistance if HUGE with this one

where to administer D50W

in large vein

what to monitor for amphotericin

monitor labs all day = CBC

Lantus: | - no defined peak = maintenance of steady blood levels = < risk of _____

hypoglycemia

BLACK BOX cyclosporine

infection malignancy

Filgrastin: | Neutropenic _____ + _____ ANC = GO TO ER

fever | low

what does metformin to to vancomycin

increase risk of lactic acidosis

Give route & duration for NPH

- slower onset than regular | - Duration: 18-24 hrs

who can have oseltamivir

only pt's 12+

Give route & duration for Lispro

- SQ: 15-20 min | - Duration: 5 or less hrs

_____ crystalloid solution is rarely used. Why?

hypertonic | - high risk for shrinking brain cells

absolutely no _____ with amnidoarone

grapefruit

what route is best for misoprostol

rectal

route for romiplostim

SQ, PO

do you want to take metronidazole before or after a meal

before, take on empty stomach

what to monitor for wth regular insulin

hypokalemia

only use vancomycin if...

other things are not working

perk to levofloxacin

once a day dosing | - know baseline cardiac rhythm

nursing consideration for ciprofloxacin

no high impact sports because of risk of tendon rupture

methylergonovine route is IM is not actively _____

hemorrhaging

Herpes: they have that virus in their body forever (_____ in 50% of infants who get it - lives in _____ _____)

fatal | nerve ganglia

what to monitor for aminoglycosides

BUN & creatinine

- supine position during IV administration due to severe hypotension - Terminate if QRS widens more than 50% - report excessive bruising or bleeding - discontinue at first sign of blood dyscrasias

procainamide

- start IV bolus then go to drip | - careful to use the correct _____ formulation

lidocaine

what to monitor when taking magnesium sulfate

reflexes

antidote for isoniazide

pyridoxine (vit. B6)

antidote for methotrexate

levoleucovorin = decreased toxic effects (rescue from MTX toxicity) ***can be fatal if not given in correct dose at correct time during methotrexate therapy

When do you want to administer Aspart (novolog)

5-10 min. before melas

- agranulocytes more frequently > 40 yrs

methimazole

what to administer for torsades

magnesium

with vincristine: most common problems is with people giving intrathecally instead of _____

which antidiabetic meds is 1xday dosing

glargine

which medication can you give ice packs with

doxorubicin

carbapenems have to be given every _____ hrs

Final - Nursing Considerations/Routes/Antidotes Flashcards

(82 cards)