Med admin checkoff drugs

Question 1

acetaminophen (oral), drug type and uses

Answer 1

Analgesic & Antipyretic

• Reduce mild to moderate pain or fever
• Arthritis

Question 2

Acetaminophen Adverse Reactions and Side Effects

Answer 2

• Hepatotoxicity
• Renal failure
• Constipation
• Nausea/Vomiting
• Hypo- Hypertension
• Toxic epidermal necrolysis
• Stevens-Johnson syndrome
• Acute Generalized exanthematous pustulosis
• Nausea/Vomiting

Question 3

Acetaminophen Contraindications

Answer 3

• Acetaminophen hypersensitivity
• severe hepatic disease
• actve renal disease
• alcoholism

Question 4

Acetaminophen - Max dosages

Answer 4

4000mg per day

1000mg per dose

Question 5

Acetaminophen Nursing Implications

Answer 5

• Malnourishment or alchonolism - higher risk for hepatotoxicity
• Prolonged use increases risk for renal effects.
• Do not exceed rec. dose of either acetaminophin and salicylates
• Increased serum bilirubin, LDH, AST, ALT and prothrombin time may indicate hepatotoxicity.

Question 6

Lisinopril type, uses/indications

Answer 6

antihypertensives (ACE inhibitor)

• Hypertension
• Management of HF
• Reduction of risk of death or development of HF following MI

Question 7

Lisinopril Contraindications

Answer 7

• Hypersensitivity to ACE inhibitors
• Use cautiously with renal impairment, hepatic impairment, hypovolemia, hyponatremia, concurrent diabetic therapy

Question 8

Lisinopril Adverse Reactions and Side Effects

Answer 8

• Hyperkalemia
• Hypotension
• Taste disturbance
• Agranulocytosis
• Angioedema
• renal disfunction/failure
• constipation
• cough
• nausea/ vomiting
• diarrhea
• dizziness
• weakness

Question 9

Lisinopril Max Dosages

Answer 9

Max daily dose 80mg/d

Dose of 2.5mg is indicated as initial therapy with renal failure

Question 10

Lisinophril Nursing Implications

Answer 10

• Monitor BP and pulse frequently
• Assess patient for signs of angioedema (dyspnea, facial swelling)
• HF - monitor for fluid overload (edema, rales/crackles, dyspnea, weight gain, jugular venous distension)
• Discontinue use if pt is hypokalemic or hypotensive

Question 11

Ciprofloxacin Type and Uses

Answer 11

Antibacterial

• UTI
• lower respiratory infection
• bone infection
• joint infections
• skin infections
• soft-tisssue infection
• Gynecological Infection
  *

Question 12

Ciprofloxacin Contraindications

Answer 12

• Hypersensitivity
• History of myasthenia gravis (may worsen muscle weakness and breathing)

Question 13

Ciprofloxacin Adverse and Side Effects

Answer 13

• Elevated intracranial pressure
• seizures
• dizziness
• headache
• insomnia
• Torsade de pointes
• anaphylaxis
• stevens-johnson syndrome
• hepatotoxicity
• pseudomembranous colitis
• nauzea
• diarrhea
• hyperglycemia, hypoglycemia
• peripheral neuropathy

Question 14

Ciprofloxacin Nursing Implications

Answer 14

• Observe for signs and symptoms of anaphylaxis
  
  • keep epinephrine and antihistamine on hand
• Monitor bowel function. Diarrhea, abdominal cramping, fever and bloody stools are signs of pseudomembranous colitis
• Assess for rash during therapy as sign of Stevens-Johnson syndrome. Discontinue therapy if severe or accompanied with fever, general malaise, fatigue, muscle or joint aches, blisters, oral lesions, conjunctivitis, hepatitis or eosinophilia.

Question 15

Ciprofloxacin max dosage

Answer 15

400 mg/mL

Question 16

Furosemide Type, Uses

Answer 16

Diuretic

• Edema due to HF
• Hepatic impairment
• Renal disease
• Hypertension

Question 17

Furosemide Contraindications

Answer 17

• Hypersensitivity
• Hepatic coma or anuria
• Use cautiously in:
  
  • Severe liver disease
  • Electrolyte depletion
  • diabetes mellitus
  • hypoproteinemia
  • severe renal impairment

Question 18

Furosemide Adverse and Side Effects

Answer 18

• erythema multiforme
• stevens-johnson syndrome
• toxic epidermal necrolysis
• aplastic anemia
• agranulocytosis
• dehydration
• hypocalcemia
• hypochloremia
• hypokalemia
• hypomagnesemia
• hypomagnesemia
• hyponatremia
• hypovolemia
• metabolic alkalosis

Question 19

Furosemide Max Dosages

Answer 19

Max daily 600 mg

Max dose 40mg (Hypertension)

Max dose 80mg (Edema)

Question 20

Furosemide Nursing Implications

Answer 20

• Assess pt for skin rash frequently during therapy. Discontinue at first sight of rash.
• Diuretic use is associate with increased falls in geriatric pts
• Monitor BP
• Monitor daily weights, I and Os, lung sounds, turgor and mucous membranes