Medication Review

Question 1

Anticoagulants prevent

Answer 1

DVT

Question 2

Anticoagulants examples

Answer 2

Enoxaparin, Lovenox

Question 3

How to administer anticoagulants

Answer 3

90º angle
In love handles with skin bunched

Question 4

What to monitor for anticoagulants

Answer 4

For bleeding (can bleed easily)
Platelet count (150,000–450,000)

Question 5

HIT

Answer 5

Heparin induced Thrombocytopenia

Question 6

Heparin induced thrombocytopenia

Answer 6

Fatal immune mediated disorder characterized by reduced platelets (less than 100,000) & paradoxical increase in thrombotic events

Question 7

Heparin induced thrombocytopenia is caused by

Answer 7

Development of antibodies against heparin

Question 8

Treatment for heparin induced thrombocytopenia

Answer 8

Stop heparin

Question 9

Diuretics block—

Answer 9

Sodium and chloride reabsorption

Question 10

There are __ classes of diuretics

Answer 10

4

Question 11

Loop diuretics example

Answer 11

Furosemide (Lasix)
MOST POTENT

Question 12

Loop diuretics adverse effects

Answer 12

Hypokalemia, dehydration, hypotension, ototoxcity

Question 13

For diuretics you must monitor

Answer 13

I&O: weigh daily, monitor BP (orthostatic hypotension)
Electrolytes (K+, Na+, Mg+, renal fxn (BUN, Creatinine))

Question 14

Thiazide diuretics

Answer 14

Hydroclorothiazide (HCTZ)

Question 15

Thiazide monitors

Answer 15

Electrolytes and blood glucose levels in diabetic

Question 16

Osmotic diuretics

Answer 16

Mannitol
Diuresis without K+ loss

Question 17

K+ sparing

Answer 17

Spironolactone

Question 18

analgesic

Answer 18

Opioids

Question 19

Morphine— monitor what?

Answer 19

Bowel habits!!
Respiratory rate
Level of consciousness
Abuse and dependency

Question 20

Opioids can cause someone to become

Answer 20

Very constipated, give stool softener

Question 21

Opioids can cause respiratory

Answer 21

Depression
Count breaths before admin to establish base line

Question 22

Make sure pt _______ _____ __________ before getting out of bed when taking opioids

Answer 22

Calls for help

Question 23

Ace inhibitors examples

Answer 23

“Prils”
Lisinopril
Monopril
Quinapril
Ramipril

Question 24

Ace inhibitors are used for

Answer 24

Hypertension, heart failure, MI

Question 25

Ace inhibitors adverse effects

Answer 25

Cough Angioedema- rare! Hyperkalemia Monitor renal status (BUN, Creatinine)

Question 26

Beta blockers are used for

Answer 26

Dysrhythmias, angina, migraines, stage fright, anxiety

Question 27

Beta blockers adverse effects

Answer 27

Bradycardia Bronchoconstriction Masks signs of hypoglycemia

Question 28

Bradycardia with beta blockers

Answer 28

Check manual radial pulse/ apical pulse HOLD if HR less than 60

Question 29

What can happen if beta blockers are abruptly stopped after long term use?

Answer 29

Angina pain and ventricular dysrhythmias can occur

Question 30

Which patients should not take beta blockers and why?

Answer 30

COPD and asthma pts due to bronchoconstrictions Metoprolol can be used

Question 31

Calcium channel blockers regulates

Answer 31

Calcium ions into cells

Question 32

Calcium channel blockers play a critical role in

Answer 32

Function of vascular smooth muscle and the heart

Question 33

Adverse effects of calcium channel blockers

Answer 33

Swelling of limbs (Use diuretic to decrease swelling)

Question 34

Avoid _____________ with calcium channel blockers

Answer 34

Grapefruit

Question 35

3 classes of calcium channel blockers

Answer 35

Dihydropyridines — amlodipine Phenylalkylamine — verapamil — VSM/heart Benzothiazepine — diltiazem — VSM/heart

Question 36

Calcium channel blockers end in _____ a lot of the time

Answer 36

“Pine”

Question 37

Gastrointestinal drugs are

Answer 37

Proton pump inhibitors “azole”

Question 38

Most common side effects for gastrointestinal drugs (PPI)

Answer 38

Headache and diarrhea

Question 39

Omeprazole (Prilosec)

Answer 39

1st ppi available

Question 40

Pantoprazole (Protonix)

Answer 40

IVP!! Reconstitute in 10 mL sterile saline or water

Question 41

Administer pantoprazole (Protonix)

Answer 41

Over 2-4 minutes

Question 42

Pantoprazole (Protonix) is the only PPI in ____ form

Answer 42

IV

Question 43

Proton pump inhibitors suppress

Answer 43

Gastric acid secretion (GERD, gastric and duodenal ulcers)

Question 44

Gastrointestinal drugs (PPI) should be taken

Answer 44

Short term

Question 45

If gastrointestinal drugs (PPI) are taken long term, pt is at risk for

Answer 45

Pneumonia Fractures Thrombocytopenia Low magnesium