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Med surg 2 > Medication Cards: 1-15 > Flashcards

Medication Cards: 1-15 Flashcards

(88 cards)

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1
Q

What is the classification of adalimumab

A

antirheumatic, NSAID

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2
Q

What is the route of adalimumab

A

Subcutaneously

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3
Q

What is the side effects of adalimumab

A

reaction to injection site, agranulocytosis (dangerously low number of granulocytes) , sepsis

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4
Q

What are the nursing implications of adalimumab

A

A TB test must be done before and during drug therapy
do not give to children under the age of 4

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5
Q

What are the client teachings for adalimumab

A

must be refrigerated
change injections sites each time (thigh and abdomen)

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6
Q

What is the action of adalimumab

A

binds to TNF- alpha

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7
Q

What is the classification of amlodipine

A

antihypertensive

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8
Q

What is the route of amlopidipine

A

PO

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9
Q

What are the side effects of amlopidipine

A

bradycardia, hypotension, flushing

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10
Q

What are the nursing implications of amlodipine

A

Closely watch: blood pressure, pulse, edema, weight, I/o, lung sounds

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11
Q

What are the client teachings for amlodipine

A

Assist with ambulation may cause orthostatic hypotension
educate on other htn interventions (low sodium diet, stress, mobility)

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12
Q

What is the action of amlodipine

A

transports calcium to myocardial

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13
Q

What is additional information for amlodipine

A

treats hypertension and angina

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14
Q

What is the classification for ceftriaxone

A

anti infective

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15
Q

What is the route for ceftriaxone

A

IM, IV

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16
Q

What are side effects of ceftriaxone

A

pancreatitis, renal failure, stevens johnson syndrome, seizures, super infection

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17
Q

What are nursing implications for ceftriaxone

A

allergy to drug, anaphylaxis or rash, AST/ ALT labs, BUN/ creatinine, bilirubin, bleeding with warfin

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18
Q

What are some client teachings for ceftriaxone

A

contact provider if rash, fever or diarrhea occur

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19
Q

What is the action of ceftriaxone

A

attaches to cell wall and causes cell death

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20
Q

What is additional information for ceftriaxone

A

hyperbilirubin and jaundice (in children) may occur

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21
Q

what is the classification for cephalexin

A

anti- infective

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22
Q

What is the route for cephalexin

A

PO

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23
Q

What are side effects of cephalexin

A

nausea, vomiting, diarrhea, rash

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24
Q

what are nursing implications for cephalexin

A

assess for allergy of penicillin or cephalosporins
assess for signs of anaphylaxis or rash
assess bowel function

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25
What are some client teachings of cephalexin
complete entire prescription
26
What is the action of cephalexin
binds to bacterial cell wall membrane causing cell death. gram- positive cocci, not active against MRSA
27
what is the classification of ciprofloxacin
anti- infective
28
what is the route for ciprofloxacin
po, iv
29
what is the side effects of ciprofloxacin
acute psychosis, hepatotoxicity, tendonitis, pseudomembranous colitis, venous irritation
30
What are some nursing implications of ciprofloxcin
monitor liver labs (AST/ ALT) administer IV over 60 minutes in a large vein obtain specimens for culture and sensitivity prior to administration or first dose of antibiotic do not crush or chew
31
What are some client teachings of ciprofloxcin
monitor bowel function do not crush or chew maintain fluid intake of at least 1500-2000 ml/ day use sunscreen when outdoors, the start of through 5 days after therapy complete entire prescription
32
What is the action of ciprofloxcin
inhibits bacterial DNA synthesis by inhibiting DNA gyrase
33
What is the classification of famotidine
anti ulcer
34
what is the route of famotidine
PO, IV
35
What are some side effects of famotidine
confusion
36
What are some nursing implications of famotidine
assess for epigastric and abdominal pain adminster iv rate of 10 mg/ minute
37
what are some client teachings of famotidine
report black tarry stool encourage client to quit smoking as it interferes with action of medication take full course of treatment
38
What is the action of famotidine
inhibits the action of histamine at the H2 receptor site
39
What is additional information for famotidine
iv doses are to be given over at least 15-30 minutes
40
What is the classification of fluconazole
anti fungal
41
what is the route of fluconazole
po
42
What are side effects of fluconazole
hepatotoxicity, stevens johnson syndrome, diarrhea, dizziness, rash, headache
43
what are some nursing implications of fluconazole
monitor renal and liver labs
44
what are some client teachings of fluconazole
report any symptoms of liver dysfunction (jaundice, dark urine, pale stool, anorexia, nausea)
45
what is the action of fluconazole
inhibits synthesis of fungal sterols
46
what is additional information for fluconazole
iv must be infused between 1-2 hours
47
what is the classification of glyburide
anti diabetic
48
what is the route for glyburide
po
49
what are some side effects of glyburide
hypoglycemia, aplastic anemia, photosensitivity, pancytopenia
50
what are some nursing implications of glyburide
wear sunscreen must have some pancreatic function
51
what are some client teachings for glyburide
assess for signs and symptoms of hypoglycemia and hyperglycemia instruct patient on healthy diet, exercise, and medication to also help manage diabetes avoid alcohol monitor blood sugar and ketones
52
what is the action of glyburide
decreases blood glucose by increasing the sensitivity to insulin at receptor sites
53
what is additional information for glyburide
assess for allergy to sulfonamides monitor CBC: may increase AST, LDH, BUN, creatine
54
what is the classification of insulin glargine, insulin lispro, and insulin regular
antidiabetic hormone
55
what is the route of insulin glargine, insulin lispro, and insulin regular
subq
56
what are side effects of insulin glargine, insulin lispro, and insulin regular
hypoglycemia, anaphylaxis, lipodystrophy, pruritus, erythema, swelling
57
what are nursing implications of insulin glargine, insulin lispro, and insulin regular
control hyperglycemia with type one or type two diabetes
58
what are some clients teachings with insulin glargine, insulin lispro, and insulin regular
check blood sugar every 6 hours watch for signs and symptoms of hyperglycemia and hypoglycemia
59
what is the action of insulin glargine, insulin lispro, and insulin regular
stimulating glucose uptake in skeletal muscle and fat
60
what is some additional information for insulin glargine
high alert medication do not mix with other insulin onset: 3-4 hours, peak: none, duration: 24 hours
61
what is some additional information for insulin lispro
onset: 10-20 minutes; peak: 1-3 hours (adults); duration: 3-5 hours
62
what is some additional information for insulin regular
onset: 30-60 minutes; peak: 2-4 hours; duration: 5-7 hours
63
what is the classification of metformin
antidiabetic hormone
64
what is the route of metformin
po
65
what are the side effects of metformin
hypoglycemia, abdominal bloating, diarrhea, nausea, vomiting, decreased b12 levels
66
what are client teachings with metformin
monitor blood glucose risk for lactic acidosis report gastrointestinal symptoms take with meal to minimize gi effects
67
what are some nursing implications with metformin
monitor b12 levels assess renal function monitor blood glucose
68
what is the action of metformin
decrease hepatic glucose production
69
what is additional information for metformin
hold during stress, trauma, surgeries eliminated almost entirely by kidney duration: 12 hours
70
what is the classification of omeprazole
anti ucler
71
what is the route for omeprazole
po
72
what are the side effects of omeprazole
abdominal pain
73
what are some nursing implications of omeprazole
assess for epigastric and abdominal pain administer on an empty stomach
74
what are some client teachings for omeprazole
do not crush or chew take before meals avoid alcohol, and nsaids
75
what is the action of omeprazole
prevents the final transport of hydrogen into the stomach
76
what is the classification of sitagliptin
antidiabetic
77
what is the route of sitagliptin
po
78
what are the side effects of sitagliptin
upper respiratory infections, rash, urticaria, pancreatitis
79
what are the nursing implications of sitagliptin
may be used alone or combination with metformin monitor blood glucose and Hgb A1C
80
what are the client teachings of sitagliptin
increase levels of active incretin hormones
81
what is additional information for sitagliptin
may be administered without regard to food renal impairment requires lower dose onset: rapid; peak: 1-4 hours; duration: 24 hours
82
what is the classification of vancomycin
anti infective
83
what is the route for vancomycin
po, iv
84
what is the side effects of vancomycin
ototoxicity, nephrotoxicity, phlebitis, suprainfection, red man syndrome, rash
85
what are the nursing implications for vancomycin
causes necrosis use large vein, and switch site frequently monitor outputs and watch for pale pink urine monitor bun and creatinine levels monitor blood pressure during infusion monitor for red man syndrome infusion should run over 1 hour
86
what are some client teachings for vancomycin
report signs of hypersensitivity, tinnitus, vertigo, or hearing loss
87
what is the action of vancomycin
binds to bacterial cell wall, resulting in cell death
88
what is some additional information for vancomycin
active against gram- positive pathogens, including MRSA

Med surg 2 (6 decks)

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