MCN Meds Exam 3

Question 1

What is surfactant?

Answer 1

lipoprotein that coats lung tissue to prevents alveolar collapse

Question 2

What does surfactant do for the newborn?

Answer 2

decreases surface tension & keeps alveoli open for gas exchange

Question 3

When is surfactant made in weeks, and when is it complete?

Answer 3

made @ 24 weeks & complete @ 34 weeks

Question 4

Why is vitamin K given to the newborn?

Answer 4

o decrease risk for severe bleeding, and to synthesize clotting factors

Question 5

When is vitamin K given to the newborn?

Answer 5

within 1st hour after birth

Question 6

Why is erythromycin given to the newborn?

Answer 6

to prevent ophthalmia neonatorum conjunctivitis (eye infection)

Question 7

Why is the hepatitis b vaccine given to the newborn?

Answer 7

to protect child from hepatitis b

Question 8

When is the hepatitis b vaccine given?

Answer 8

within 12 hours after birth

Question 9

If mother is HBsAg negative, when can you give the hepatitis vaccine to a baby?

Answer 9

may defer to 1-2 month

Question 10

If mother is HBsAg positive, when can you give the hepatitis vaccine to a baby?

Answer 10

Hep B dose 1 and HBIG (Hepatitis B immunoglobulin) within 12 hours of birth

Question 11

What is an important consideration regarding breastfeeding as it relates to hepatitis b vaccination?

Answer 11

Both (Hepatitis B vaccine & HBIG) given before breastfeeding initiated

Question 12

What is the name of the medication that can prevent RDS in a newborn that is given to mom at <34 weeks?

Answer 12

betamethasone

Question 13

What kind of medication is betamethasone?

Answer 13

corticosteroid

Question 14

What does betamethasone do?

Answer 14

it can help speed up lung development in preterm babies, causes the release of surfactant, a substance that lubricates the lungs so that they do not stick together when the infant breathes

Question 15

Which medication class of meds can we give to babies with NAS?

Answer 15

Opiods

Question 16

What 3 opiod meds can we use for NAS scores ≥8?

Answer 16

• morphine
• buprenorphine
• methadone

Question 17

What anticonvulsant medication is used for NAS babies?

Answer 17

Phenobarbital

Question 18

How do acetic acid drops work?

Answer 18

(change pH)-between infections, It works by stopping the growth of bacteria and fungus

Question 19

What medication is used for the prevention of RSV in certain populations (that are immunocompromised)?

Answer 19

palivizumab

Question 20

How does palivizumab work?

Answer 20

This medicine works by giving your body antibodies to protect it against RSV infection

Question 21

What route, and how often is palivizumab given?

Answer 21

IM injection, 1x/month for 5 months

Question 22

What 2 medication classes can be used to treat allergic rhinitis?

Answer 22

• antihistamines

* leukotriene receptor antagonists

Question 23

What is an example of an antihistamine?

Answer 23

Benadryl (Diphenhydramine)

Question 24

What are 2 examples of leukotriene receptor antagonists?

Answer 24

• monte (montelukast)

* zarfir (zarfirlukast)

Question 25

How do leukotriene receptor antagonists work?

Answer 25

decreases inflammation by interfering with leukotrienes

Question 26

What is dornase alpha?

Answer 26

inhaled mucolytic

Question 27

What condition is dornase alpha used for?

Answer 27

Cystic fibrosis

Question 28

How does pancrelipase work?

Answer 28

breaks down fats, proteins and carbohydrates

Question 29

What condition is pancrelipased use for?

Answer 29

Cystic Fibrosis

Question 30

Which 3 inhaled antibiotics work directly on the lungs?

Answer 30

* tobramycin * ticarcillin * gentamicin

Question 31

What medication is used to treat tinea capitis?

Answer 31

oral griseofulvin

Question 32

What medication is used to treat tinea versicolor?

Answer 32

* selenium sulfide | * shampoo or topical antifungal

Question 33

How does benzoyl peroxide work?

Answer 33

Topical medication that inhibits the growth of P. acnes

Question 34

What is a nursing consideration with benzoyl peroxide?

Answer 34

avoid contact with eyes and mucous membranes; can bleach fabrics

Question 35

What kind of medication should you use in combination with benzoyl peroxide?

Answer 35

Antibiotics

Question 36

How does tretinoin work?

Answer 36

unblocks clogged follicles

Question 37

What is a nursing consideration for tretinoin?

Answer 37

usually used in combination with a topical antibiotic; Onset 2 weeks, peak effect 6 weeks

Question 38

What do combination oral contraceptive meds do?

Answer 38

reduces androgen production

Question 39

How does isotretinoin work?

Answer 39

Reduces sebaceous gland size and sebum production

Question 40

What are some nursing considerations for isotretinoin?

Answer 40

``` 1. Must use 2 forms of birth control 2. Have monthly pregnancy test 3. Cannot donate blood while using this drug or for 1month after discontinuing use ``` •Treatment generally lasts 20 weeks

Question 41

What are the adverse effects of isotretinoin?

Answer 41

* Suicidal Ideation * Aggression * Mood changes * Increased cholesteroland/or triglycerides

Question 42

Which congenital heart defect is IV ibuprofen and Indomethacin indicated?

Answer 42

PDA

Question 43

What class of medications are ibuprofen and indomethacin?

Answer 43

Prostaglandin inhibitors

Question 44

What other intervention can be used to close a PDA?

Answer 44

coil embolization

Question 45

Which congenital heart condition is morphine sulfate and IV propranolol indicated?

Answer 45

tetralogy of fallot

Question 46

How does morphine sulfate and IV propranolol*(only in severe cases) help treat tertralogy of fallot

Answer 46

relaxes pulmonary artery, decreases respiratory demands

Question 47

Which congenital heart defect is alprostadil indicated?

Answer 47

Transposition of the great vessels

Question 48

How does alprostadil help treat transposition of the great vessels?

Answer 48

direct vasodilator of ductal arteriosus (keeps open)

Question 49

Which 2 medications are used to treat rheumatic fever?

Answer 49

* penicillin | * corticosteroids

Question 50

Which antihypertensive medications work well for kids with HTN?

Answer 50

Ace/ARBS

Question 51

Which 2 medications are used to treat Kawasaki disease?

Answer 51

* IVIG | * Aspirin