Meds

Question 1

Lasix (furosemide) or Bumetanide
7points

1. )A ______ diuretic
2. )most efficient and _____ acting
3. )Given ___ or ___
4. )Watch for ____ ??
5. )May cause ?Chance Increases with what?
6. )-Used for __ ( ____ or ____)
7. )-can’t take Lasix if allergic to ______?

Answer 1

A loop diuretic

• most efficient fast acting
• PO or IV
• Watch for hypokalemia
• May cause decrease ototoxicity (The chances will increase when given with an aminoglycoside)
• Used for edema ( pulmonary or CHF)
• can’t take Lasix is allergic to sulfa drugs

Question 2

Hydro chlorothiazide

9 teaching points

What kind of diuretic is this ?

• is _____acting diuretic?
• what route do you use this ?
• Acts mainly on the ?
• Watch for _______ potassium levels?
• do not give to clients with ?
• decreases effectiveness of ____?
• Increases toxicity in what heart meds ?
• Use for?

Answer 2

Thiazide diuretic

• is slow acting diuretic
• use orally
• Acts mainly on the distal tube
• Watch for decreased potassium levels
• do not give to clients with renal failure
• Decreased effectiveness of antidiabetic agents
• Increases Toxicity in heart meds; quinidine ( quit -a-deen )and digoxin
• used for chronic hypertension

Question 3

Mannitol

these are used more to get rid of _____?

Great for ___?

Answer 3

Osmotic diuretic

-these are used more to get rid of water instead of sodium.
Great for increased ICP

Question 4

Spironolactone 5 teaching

Spy-ron-no -lac-tone

-not as _______ as the others diuretics,

is given which route ?

• Watch for_____potassium levels
• teach patient to avoid foods that are_____?
• do not give to clients with ______?
• Best diuretic for __
• May cause ___

Answer 4

Potassium sparing diuretic

• not as strong as the others,
• used orally,
• Watch for increased potassium levels
• teach patient to avoid foods that are high in potassium
• do not give to clients with diabetic mellitus
• May cause agranulocytosis
• Best diuretic for hyperaldosteronism

Question 5

(Acetazolamide) 2 teaching

a-seat-a-ZOLE-a-mide)

• blocks _________ in the ________?
• not much use as a diuretic, better for ________ (why) or ______?

increase loss of ______ can lead to metabolic ______

Answer 5

End in -Lamide

Carbonic Anhydrase inhibitors (diuretic)

• blocks carbonic Anhydrase in the proximal tubes
• not much use as a diuretic, better for open angle glaucoma When you are trying to get the ocular pressure down or metabolic alkalosis
• increase loss of bicarbonate can lead to metabolic acidosis

Question 6

Diuretic 4 tips

• Strict ___? And Monitor ________daily(do daily _______ at the same time)
• give diuretics in the _______ to avoid nocturia
• Most diuretics will cause ________?
• normal potassium level is ________?

Answer 6

• Monitor weight(do daily weights at the same time)
• Strick I and Os
• give diuretics in the morning to avoid nocturia
• Most diuretics will cause orthostatic hypertension
• normal potassium level is 3.5-5

Question 7

What is the antidote for Acetaminophen?

Answer 7

N-acetylycysteine

Question 8

What is the antidote for insulin

Answer 8

Glucagon

Question 9

What is antidote for morphine (other narcotics)

Answer 9

Naloxone

Na-locks-zone

Question 10

What is the antidote for warfarin

Answer 10

Vitamin K

Question 11

What is an antidote for heparin

Answer 11

Protamine sulfate

Question 12

What is an antidote for high potassium

Answer 12

Insulin , kayexalate (Sodium Polystyrene Sulfonate)

Question 13

What is antidote for magnesium sulfate

Answer 13

Calcium Gluconate

Question 14

What is the antidote for a Aminoglycosides

Answer 14

Calcium gluconate

Question 15

What is the antidote for Penicillin

Answer 15

epinephrine

Question 16

Phenobarbital (barbiturate)

Pheno-bar-bital

_______ medication

It causes -_____ BP and ______?

What supplements maybe be needed?

Answer 16

Anticonvulsant medication

-decrease BP and ; respiration

May need a Vitamin D supplement

Question 17

phenytoin (Dilantin)

Fendi-tow-in

_________ medication

• do not give with ______, do not take with ____( they will not work)
• if you are give this medication and IV, you can only give with ____?

Answer 17

Anticonvulsant medication

• do not give with food, do not take with oral birth control ( they will not work)
• if you are give this medication and IV, you can only give with NS

Question 18

Depakene (valproic acid)

_________ medication

• can cause ______?
• Watch for_______?

May cause

Answer 18

Anticonvulsant medication

• Hepatotoxic ( liver damage)
• Watch for abdominal cramping

May cause suicidal thought

Question 19

diazepam (Valium)

_____ medication

• this is a ______ medication they can also be used for seizures
• this is the drug of choice for _________?

Answer 19

Anticonvulsant medication

• this is a psych medication they can also be used for seizures
• this is the drug of choice for status epilepticus

Question 20

Anti-convulsant 7 tips

In general all. anticonvulsant :

• can become _______ in the body system
• can elevate the blood glucose
• cause ______?
• should not be taken with an ___, this will ______ absorption

Do not give any of these medications before _______ therapy

• May change that urine into a _______color, but it is not dangerous to the patient
• will still allow the patient to have a _________ despite being on medication watch for them!!!

Answer 20

In general all. anticonvulsant :

• can become toxic in the body system
• can _______ the blood glucose
• cause drowsiness
• should not be taken with an antacid, this will decrease absorption
• Do not give any of these medications before electroconvusive therapy
• May change that urine into a light rust color, but it is not dangerous to the patient
• will still allow the patient to have a seizure despite being on medication watch for them!!!

Question 21

Natural alternative 3 tips

All herbal medications that start with the letter ______and feverfew thin the blood, do not give with Warfarin , aspirin, heparin

All herbal medications are contraindicated during ?

herbal medication should be stopped ?

Answer 21

All herbal medications that start with the letter G and feverfew thin the blood, do not give with Coumadin, heparin,aspirin,

All herbal medications are contraindicated in pregnancy and lactation

herbal medication should be stopped 2 weeks before surgery due to possible interaction with anesthesia

Question 22

Garlic

Action -______/_______?

Patient teaching–don’t take with _____ and _____?

1 clove=

Answer 22

Action -Lowers BP/cholesterol

Patient teaching–thin the blood, do not give with Coumadin, heparin,aspirin

1 clove =4 grams of garlic

Question 23

Ginkgo biloba

Action-______

Patient teaching-
don’t take with __ and ___,

thins the blood,

Can interfere with?

Answer 23

Action-improves memory

Patient teaching-thins the blood,
don’t take with warfarin and aspirin,
Can Interfere with with seizure medications

Question 24

Ginger

Action -Relieve ____and ____

Dont take with _____ ______ or

Patient teaching-do not take if history of ___

Answer 24

Action -Relieve nausea and vomiting

thin the blood,

do not give with Coumadin, heparin,aspirin

Patient teaching-if history of DVT

Question 25

Ginseng Don’t take with _ Increases _____ reduces ___? Can cause _____? Increase risk for ____?

Answer 25

Increases physical stamina reduces tinnitus/ringing in ears Can cause hypertension when mixed with caffeine Increase risk for bleeding

Question 27

St. John's wort Action-treat _____ Patient teaching-don’t take with __? Can cause _____senitivity? Decreases effect =

Answer 27

Action-treat depression/anxiety Patient teaching-interacts with SSRI, Sun senitivity Decreases effect =digoxin

Question 28

Echinacca Action-________ Patient teaching-can cause_______in ______ patients, not effective with _____?

Answer 28

Action-prevents cold and flu and has immune boosting function Patient teaching-can cause liver toxicity in Renal patients, not effective with HIV

Question 29

Black cohosh Action-treat ________ symptoms Patient teaching-contraindicated in ____, we will cause _____? Can cause ____?

Answer 29

Action-treat menopausal symptoms Patient teaching-contraindicated in pregnancy, we will cause premature labor Can cause hot flashes

Question 30

Kava kava Action-treats ________ and _______? Can increase risk of ? Can cause Severe? Patient teaching-decrease _______meds

Answer 30

Action-treats insomnia, muscle pain Can increase risk of suicide in patients with depression Can cause Severe liver damage decrease Parkson disease meds

Question 30

Saw Palmetto Action________ Patient teaching-reduces absorption of ______ risk for false ______. Will have a _____ effect

Answer 30

Action-you for prostate health Patient teaching-reduces absorption of iron risk for false positive prostate Specific antigen test. Will have a diuretic effect

Question 31

Nolog ( insulin aspart) ____ acting insulin Onset-Less than _____ minutes Peak -____ hour duration -___ hours Given with meals

Answer 31

Rapid acting insulin Onset-Less than 15 minutes Peak -1 hour duration -3 hours Given with meals

Question 32

Humalog ( insulin lispro) _____ acting insulin Onset-Less than _____ minutes Peak -____ hour duration -___ hours Given with meals

Answer 32

Rapid acting insulin Onset-Less in 15 minutes Peak -1hr Duration-3hrs

Question 33

Novolin R (regular) insuslin _____ acting insulin What color is it____ Onset- ___hr Peak- ____hrs Duration- ____hrs This is the only one that can be given ____ Clear before the cloudy ( regular insulin first )

Answer 33

Rapid Short acting insulin "clear" Onset- 1hr Peak- 2hrs Duration- 4hrs This is the only one that can be given IV

Question 34

NPH _____ insulin "" What color is it___? Onset-___hrs Peak- _hrs duration-___hrs Given ___a day

Answer 34

Intermediate insulin "cloudy" Onset-4hrs Peak- 8hrs duration-12 hours Given twice a day

Question 35

Glargine ____ acting insulin Onset-____ absorption ____peak Duration-___ hrs given ___?

Answer 35

long acting insulin Onset-slow absorption (1.5-2hrs) No peak Duration-24 hrs Given the same time each day

Question 36

Glulisine _____ acting insulin Onset-Less than _____ minutes Peak -____ hour duration -___ hours Given with means

Answer 36

Rapid acting insulin Onset-Less than 15 minutes Peak -1 hour duration -3 hours Given with meals

Question 37

What comes first regular or NPH

Answer 37

NPH insulin and regular insulin may be safely mixed and administered as a single injection. Regular insulin should be drawn into the syringe before intermediate-acting insulin to decrease the risk of cross-contaminating multidose vials (mnemonic – RN: Regular comes before NPH).

Question 38

Pre mixed insulin is what ratio ? Onset? Peak ? Duration?

Answer 38

70/30 Humulin 70/30 70% NPH/ 30 % is Regular Onset? 30 minutes Peak ? 2 hours Duration? 16 hours

Question 39

You don’t give Glucophage before ? Why

Answer 39

Do not give before or 48 hrs after an intravenous pyelogram (IVP) because both these meds combined can cause kidney damage

Question 40

Glipizide When do you take it ? What can it cause to drop? Have what available? This med can cause ?

Answer 40

Take in the morning. May drop glucose levels quickly. Have a snack available. This medication can cause jaundice.

Question 41

Glyburide When do you take it ? What can it cause to drop? Have what available? This med can cause ?

Answer 41

Take in the morning. May drop glucose levels quickly. Have a snack available. This medication can cause jaundice.

Question 42

Rosiglitazone This med can cause ? May decrease the effectiveness of ?

Answer 42

Can cause jaundice May decrease the effectiveness of oral contraceptives.

Question 43

Exenatide What kind of med ? May cause what ? Not recommended due what clients?

Answer 43

*subcutaneous injectable medication May cause GI distress Not recommended for clients taking insulin

Question 44

3 medications Contraindicated to give with oral antidiabetic agents

Answer 44

COW 1. ) Corticosteroids 2. ) ORAL contraceptive 3. ) Warfarin