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Flashcards in MAR 2 DRUGS Deck (65):
1

NPH Insulin

Time/Frequency?

Once daily at least 30 min before breakfast

2

NPH Insulin

Therapeutic Classification?

Antidiabetic, pancreatic hormone

3

NPH Insulin

MOA?

Decreases blood glucose by transport of glucose into cells and the conversion of glucose to glycogen.

NPH - Intermediate Acting Insulin

4

NPH Insulin

Onset?

2-4 hours

5

NPH Insulin

Peak?

4-10 hours

6

NPH Insulin

Duration?

10-16 hours

7

NPH Insulin

What would you receive this medication for?

Type 1 diabetes mellitus, type 2 diabetes mellitus, gestational diabetes, hyperglycemia

8

NPH Insulin

Before admin, nurse will check:

Allergies, fasting blood glucose level; 2nd RN to verify dose

9

NPH Insulin

This med will be held if:

Hold if hypoglycemic or NPO

10

NPH Insulin

After this med is given, the following will be evaluated:

Ensure pt has had food within 30 minutes (if mixing with regular insulin) and monitor for signs and symptoms of hypoglycemia during effect of insulin (sweating, weakness, dizziness, chills, confusion, headache, tachycardia, tremors, fatigue, anxiety, hunger, blurred vision)

11

NPH Insulin

Additional info?

Instruct on how to measure and administer if sending home on insulin for the first time. Importance of a stable diet (diet restrictions) and sick day rules. How to measure/check glucose. How to recognize signs and symptoms of hypoglycemia and to carry a sugar source with them at all times (treat w/ 15 g of carbs if BG

12

Regular Insulin

Dose for: BG

0

13

Regular Insulin

Dose for: BG

2 units

14

Regular Insulin

Dose for: BG

4 units

15

Regular Insulin

Dose for: BG

2-3 hours

16

Regular Insulin

Dose for: BG

8 units AND CALL MD

17

Regular Insulin

Route?

Subcutaneous

18

Regular Insulin

Frequency?

Before meals and at bedtime.

19

Regular Insulin

Therapeutic classification?

Antidiabetic, pancreatic hormone

20

Regular Insulin

Safe Dose Range?

Varies per patient

21

Regular Insulin

MOA?

Decreases blood glucose by transport of glucose into cells and the conversion of glucose to glycogen.

Regular insulin: short acting insulin

22

Regular Insulin

Onset?

30 min - 1 hour

23

Regular Insulin

Peak?

2-3 hours

24

Regular Insulin

Duration?

3-6 hours

25

Regular Insulin

Why would a patient receive this medication?

Type 1 diabetes mellitus, type 2 diabetes mellitus, gestational diabetes, hyperglycemia

26

Regular Insulin

Before this medication is administered, check?

Allergies, fasting blood glucose level; 2nd RN to verify dose

27

Regular Insulin

This med will be held if:

Hold if hypoglycemic or NPO

28

Regular Insulin

Any additional info?

If pt unresponsive, treat hypoglycemia with IM glucagon or IV dextrose.

29

Regular Insulin

Pertinent client teaching?

Instruct on how to measure and administer if sending home on insulin for the first time. Importance of a stable diet (diet restriction) and sick day rules. How to measure/check glucose. How to recognize s/s of hypoglycemia and to carry a sugar source with them at all times (treat w/ 15 g of carbs if BG

30

Heparin

Route?

Subcutaneous

31

Heparin

Frequency?

Twice daily

32

Heparin

Therapeutic Classification?

Anticoagulant, antithrombotic

33

Heparin

MOA?

Prevents conversion of fibrinogen to fibrin and prothrombin to thrombin by enhancing inhibitory effects of antithrombin III.

34

Heparin

Why would your patient receive this medication?

Prophylaxis for Deep venous thrombosis/pulmonary embolism.

35

Heparin

Side Effects?

Fever, Hematuria Hemorrhage, bruising, Thombocytopenia (low Pit count), Anemia, rash, Anaphylaxis

36

Heparin

Before this medication is administered, check for:

Assess for any bleeding systemically (epistaxis, gums, stool, urine, changes in vitals): Assess blood studies (Hct, PT, aPTT, PLT count).

37

Heparin

Why would you hold?

Hold for any allergies, bleeding, or abnormal lab results (If blood is too thin as evidenced by elevated coagulation studies - aPTT, INR, or PT and if Hgb/Hct/Pit significantly low)

38

Regular Insulin

Pertinent client teaching?

Avoid OTC drugs unless approved by provider. Avoid using heparin if bleeding. Take precautions against bleeding. Report any bleeding to medical provider.

39

Regular Insulin

Any additional info?

Remind pt it prevents formation of blood clots or existing blood clots from growing but DOES NOT DISSOLVE existing clots

40

Tubersol (Mantoux)

Route?

Intradermal

41

Tubersol (Mantoux)

Frequency?

Once

42

Tubersol (Mantoux)

Safe Dose?

5 units (0.1 mL)

43

Tubersol (Mantoux)

MOA?

Tuberose is a purified protein derivative of Mycobacterium. It creates a local immune response that is visible to the eye in patients who have been infected with the organism.

44

Tubersol (Mantoux)

Why would a patient take this medication?

Tuberculosis skin test.

45

Tubersol (Mantoux)

Side Effects?

Allergic reaction; Can cause skin irritation and soreness around injection site. Potentially necrosis in highly sensitive patients.

46

Tubersol (Mantoux)

What would you asses before admin?

Assess that patient's medical history to determine if they have a sensitivity to TB skin test before or if they had a TB infection.

47

Tubersol (Mantoux)

Why would you hold?

Allergies or a confirmed TB infection

48

Tubersol (Mantoux)

What would you evaluate after medication is administered?

Reaction of induration around injection site. >15mm, >10m, or >5mm depending on risk factors of patient.

49

Tubersol (Mantoux)

Pertinent patient teaching?

Patient should be made aware of the importance of getting an accurate history, educated on how the test is performed, and that the results must be read by a health care professional 48-72 hours from test administration.

50

Rocephin (Ceftriaxone)

Route?

Intruder all

51

Rocephin (Ceftriaxone)

Frequency?

Twice daily (deep large muscle)

52

Rocephin (Ceftriaxone)

MOA?

Inhibits bacterial cell wall synthesis. Renders cell walls and unstable and leads to bacterial cell death.

53

Rocephin (Ceftriaxone)

Why would your pt take this med?

Doe infections with organisms sensitive to the drug.

54

Rocephin (Ceftriaxone)

Side Effects?

Candidiasis, nausea, vomiting, diarrhea, anorexia

Nephrotoxicity, anaphylaxis, Stevens-Johnsons syndrome

55

Rocephin (Ceftriaxone)

What do you assess before med admin?

Assess for severity of infection, renal function (creatinine, BUN, urine output), potential allergies to penicillin or other cephalosporins, severe diarrhea

56

Rocephin (Ceftriaxone)

Why would you hold?

Allergies, kidney failure, or pseudomembranous colitis.

57

Rocephin (Ceftriaxone)

After admin, what would you evaluate?

Evaluate change/improvement of infection through symptoms, assess for candidiasis

58

Rocephin (Ceftriaxone)

Pertinent client teaching?

Teach patient to report signs of extreme diarrhea, decreased urine output or signs of yeast infection

59

Rocephin (Ceftriaxone)

Safe dose?

1-2g; max 4g q12-24h

60

Rocephin (Ceftriaxone)

Any additional info?

Eat yogurt and drink plenty of fluids while taking antibiotics

61

Fluzone

Route?

Intramuscular

62

Flu zone

Frequency?

Once

63

Fluzone

Safe dose?

45 mcg (0.5 mL)

64

Fluzone

MOA?

Causes the formation of antibodies to specific influenza subtypes from an immunological response to inactivated forms of influenza A and B.

65

NPH Insulin

Route?

Subcateneous