MED COMP :(

Question 1

T: Antispasticity agent, skeletal muscle relaxants

Answer 1

baclofen

Question 2

SE: coordination difficulties, hyperglycemia, hypersensitivity, ataxia, weakness, seizures

Answer 2

baclofen

Question 3

NI:
-Assess muscle spasticity
-increased serum glucose, alkaline phosphatase, AST & ALT
-Take with food or milk
-(IT) use titran

Answer 3

baclofen

Question 4

action: inhibits reflexes at the spinal level and decreases muscle spasticity

Answer 4

baclofen

Question 5

this drug can be used for cerebral palsy, MS, or traumatic brain injuries

Answer 5

baclofen

Question 6

T: antiparkinson agent
P: dopamine agent

Answer 6

carbidopa/levodopa

Question 7

SE: darkening of urine/swear, involuntary movement, dry mouth

Answer 7

carbidopa/levodopa

Question 8

NI:
-“on-off phenomenon”
-assess BP
-increases blood glucose
-monitor liver, kidney function, & CBC
-assess toxicity (facial grimacing, protrusion of tongue)

Answer 8

carbidopa/levodopa

Question 9

what med should you teach your clients…
- eat after taking to avoid gastric irritation
-have good oral hygiene
-avoid vitamin B, iron, & protein

Answer 9

carbidopa/levodopa

Question 10

action: converts to dopamine in CNS, where it serves as a neurotransmitter

Answer 10

carbidopa/levodopa

Question 11

T: antiplatelet agent
P: platelet aggregation

Answer 11

clopidogrel

Question 12

what are the SE of clopidogrel

Answer 12

cough, chest pain, bleeding, neutropenia, thrombocytopenia

Question 13

NI:
-assess symptoms of a MI, stroke, PVD
-Monitor CBC with bleeding time
-increased: bilirubin, liver enzymes, cholesterol, uric acid levels

Answer 13

clopidogrel

Question 14

CT:
-notify HCP of other medications/herbal products

Answer 14

clopidogrel

Question 15

action: inhibits platelet aggregation by irreversibly inhibiting the binding of ATP to platelet receptors

Answer 15

clopidogrel

Question 16

what can clopidogrel be used for?

Answer 16

reduction of atherosclerotic events

Question 17

T: antiarrhythmic, inotropic
P: digitalis glycoside

Answer 17

digoxin

Question 18

SE: arrhythmias, bradycardia, anorexia

Answer 18

digoxin

Question 19

NI:
-take pulse 1 full minute before administering (<60-HCP)
-i/o, weight
-assess for edema
-lung sounds

Answer 19

digoxin

Question 20

CT: if miss a dose you must take within 12 hours or not at all

Answer 20

digoxin

Question 21

action: increase force of myocardial contraction and prolongs refractory period of the AV node

Answer 21

digoxin

Question 22

what can digoxin be used for?

Answer 22

tachyarrhythmias
CHF

Question 23

T: antianginal, antiarrhythmic, antihypertensive
P: calcium channel blockers

Answer 23

diltiazem

Question 24

SE: dizziness, edema, headache, bradycardia, hypotension, palpitations

Answer 24

diltiazem

Question 25

NI: -i/o, weight -pulse -ECG -edema -lung sounds -BP

Answer 25

diltiazem

Question 26

action: inhibits transport of calcium into myocardial & vascular smooth muscle cells which will inhibit excitation and contraction

Answer 26

diltiazem

Question 27

T: anti Alzheimer agent P:cholinergic

Answer 27

donepezil

Question 28

SE: n/v, GI bleeding, syncope, HYPO/HYPERtension, diarrhea, bradycardia, diaphoreses

Answer 28

donepezil

Question 29

NI: -cognitive function -heart rate and rhythm -notify HCP of drug before going under anesthesia

Answer 29

donepezil

Question 30

CT: -This drug may take weeks to work -diarrhea may last 1-3 days

Answer 30

donepezil

Question 31

action: inhibits acetylcholinesterase thus improving cholinergic function by making more acetylcholine available

Answer 31

donepezil

Question 32

T: anticoagulant P:antithombotic

Answer 32

enoxaparin

Question 33

low molecular weight heparin

Answer 33

enoxaparin

Question 34

SE: anemia, (LOCALIZED) erythema, hematoma, pain, ecchymosis

Answer 34

enoxaparin

Question 35

enoxaparin antidote?

Answer 35

protamine sulfate

Question 36

NI: -monitor CBC, Platelets, stool, HCT

Answer 36

enoxaparin

Question 37

when should the HCP discontinue enoxaparin?

Answer 37

<100,00 platelet count

Question 38

action: inhibits clot formation

Answer 38

enoxaparin

Question 39

AI: -Do NOT expel air bubble

Answer 39

enoxaparin

Question 40

T: lipid-lowering agent P: fabric acid deviate

Answer 40

fenofibrate

Question 41

SE: muscle pain, cholelithiasis, and pancreatitis

Answer 41

fenofibrate

Question 42

NI: -monitor lipid, AST, ALT, HGB, HCT, WBC -assess for cholelithiasis

Answer 42

fenofibrate

Question 43

what are the client teachings for fenofibrate

Answer 43

-eat a low triglyceride diet -encourage follow up labs

Question 44

action: inhibits triglyceride synthesis

Answer 44

fenofibrate

Question 45

what is fenofibrate used for

Answer 45

decreasing LDL, total cholesterol, and triglycerides

Question 46

when should a PT not take enoxaparin

Answer 46

when the PT has hypersensitivity to sulfates, benzyl, alcohol, or pork

Question 47

what is the T & P of heaparin

Answer 47

anticoagulant antithrombotic

Question 48

What should the nurse assess when giving a PT heparin

Answer 48

bleeding, bruising, platelet, PTT, HCT

Question 49

action: prevent the conversion of prothrombin to thrombin

Answer 49

heparin

Question 50

what is the normal APTT of heparin

Answer 50

20-35 seconds

Question 51

what is the therapeutic of heparin

Answer 51

1.5-2.5 the control

Question 52

what specific med should you stop taking 5-7 days before surgery

Answer 52

clopidogrel

Question 53

T: hormones P: thyroid preparation

Answer 53

levothyroxine

Question 54

what med could cause these side effects... insomnia, irritability, nervousness cardiovascular collapse, arrhythmias, tachycardia, weight loss

Answer 54

levothyroxine

Question 55

what needs assessed when using levothyroxine

Answer 55

-tachyarrhythmias & chest pain -Monitor thyroid function test -OVER DOSE (hyperthyroidism: tachycardia, chest pain, diaphoresis, etc.) ^ same as the SE

Question 56

what is the most important CT when prescribing levothyroxine

Answer 56

checking pulse before giving (must be over 100)

Question 57

should you take levothyroxine on a full or empty stomach

Answer 57

empty

Question 58

action: replacement or supplement to endogenous thyroid hormone

Answer 58

levothyroxine

Question 59

what is levothyroxine used for

Answer 59

thyroid cancer

Question 60

what is the therapeutic class of metoclopramide

Answer 60

antiemetic

Question 61

what is the #1 thing to look for when giving metoclopramide

Answer 61

extrapyramidal effects (involuntary movements, facial grimacing, trembling of hands)

Question 62

what must the client know when taking metoclopramide

Answer 62

NO driving avoid CNS depressants

Question 63

action: blocks dopamine in chemo receptor trigger zone in CNS

Answer 63

metoclopramide

Question 64

T: anti-infective, antiprotozoal

Answer 64

metronidazole

Question 65

SE: seizures, anorexia, headache

Answer 65

metronidazole

Question 66

what should the nurse assess/obtain when giving metronidazole?

Answer 66

assess infection assess neurological function obtain specimen

Question 67

action: disrupts DNA protein synthesis in susceptible organisms

Answer 67

metronidazole

Question 67

what bacteria does metronidazole work best for

Answer 67

anaerobic and gut