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Remar Review > Meds > Flashcards

Flashcards in Meds Deck (44)
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 ______?

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

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?

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

3

Mannitol

these are used more to get rid of _____?

Great for ___?

Osmotic diuretic

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

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 ___

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

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 ______

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

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 ________?

-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

7

What is the antidote for Acetaminophen?

N-acetylycysteine

8

What is the antidote for insulin

Glucagon

9

What is antidote for morphine (other narcotics)

Naloxone

Na-locks-zone

10

What is the antidote for warfarin

Vitamin K

11

What is an antidote for heparin

Protamine sulfate

12

What is an antidote for high potassium

Insulin , kayexalate (Sodium Polystyrene Sulfonate)

13

What is antidote for magnesium sulfate

Calcium Gluconate

14

What is the antidote for a Aminoglycosides

Calcium gluconate

15

What is the antidote for Penicillin

epinephrine

16

Phenobarbital (barbiturate)

Pheno-bar-bital


_______ medication

It causes -_____ BP and ______?

What supplements maybe be needed?

Anticonvulsant medication

-decrease BP and ; respiration

May need a Vitamin D supplement

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 ____?

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

18

Depakene (valproic acid)


_________ medication

-can cause ______?
-Watch for_______?

May cause

Anticonvulsant medication


-Hepatotoxic ( liver damage)
-Watch for abdominal cramping

May cause suicidal thought

19

diazepam (Valium)

_____ medication

-this is a ______ medication they can also be used for seizures


- this is the drug of choice for _________?

Anticonvulsant medication

-this is a psych medication they can also be used for seizures


- this is the drug of choice for status epilepticus

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!!!

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!!!

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 ?

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

22

Garlic

Action -______/_______?


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

1 clove=

Action -Lowers BP/cholesterol


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

1 clove =4 grams of garlic

23

Ginkgo biloba


Action-______


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

thins the blood,

Can interfere with?

Action-improves memory


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

24

Ginger

Action -Relieve ____and ____


Dont take with _____ ______ or

Patient teaching-do not take if history of ___

Action -Relieve nausea and vomiting

thin the blood,

do not give with Coumadin, heparin,aspirin


Patient teaching-if history of DVT

25

Ginseng


Don’t take with _
Increases _____
reduces ___?

Can cause _____?

Increase risk for ____?

Increases physical stamina reduces tinnitus/ringing in ears



Can cause hypertension when mixed with caffeine

Increase risk for bleeding

27

St. John's wort

Action-treat _____

Patient teaching-don’t take with __?

Can cause _____senitivity?

Decreases effect =

Action-treat depression/anxiety

Patient teaching-interacts with SSRI, Sun senitivity

Decreases effect =digoxin

28

Echinacca

Action-________

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

Action-prevents cold and flu and has immune boosting function

Patient teaching-can cause liver toxicity in Renal patients,
not effective with HIV

29

Black cohosh


Action-treat ________ symptoms


Patient teaching-contraindicated in ____, we will cause _____?

Can cause ____?

Action-treat menopausal symptoms


Patient teaching-contraindicated in pregnancy, we will cause premature labor

Can cause hot flashes

30

Kava kava


Action-treats ________ and _______?

Can increase risk of ?

Can cause Severe?

Patient teaching-decrease _______meds

Action-treats insomnia, muscle pain



Can increase risk of suicide in patients with depression

Can cause Severe liver damage

decrease Parkson disease meds

30

Saw Palmetto


Action________


Patient teaching-reduces absorption of ______
risk for false ______.

Will have a _____ effect

Action-you for prostate health


Patient teaching-reduces absorption of iron
risk for false positive prostate Specific antigen test.

Will have a diuretic effect

31

Nolog ( insulin aspart)

____ acting insulin

Onset-Less than _____ minutes

Peak -____ hour

duration -___ hours

Given with meals

Rapid acting insulin

Onset-Less than 15 minutes

Peak -1 hour

duration -3 hours

Given with meals

32

Humalog ( insulin lispro)


_____ acting insulin

Onset-Less than _____ minutes

Peak -____ hour

duration -___ hours

Given with meals

Rapid acting insulin

Onset-Less in 15 minutes

Peak -1hr

Duration-3hrs

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 )

Rapid Short acting insulin "clear"
Onset- 1hr

Peak- 2hrs

Duration- 4hrs


This is the only one that can be given IV

34

NPH

_____ insulin ""

What color is it___?
Onset-___hrs

Peak- _hrs

duration-___hrs

Given ___a day

Intermediate insulin "cloudy"

Onset-4hrs

Peak- 8hrs

duration-12 hours

Given twice a day

35

Glargine

____ acting insulin

Onset-____ absorption

____peak

Duration-___ hrs

given ___?

long acting insulin

Onset-slow absorption (1.5-2hrs)

No peak

Duration-24 hrs

Given the same time each day

36

Glulisine

_____ acting insulin

Onset-Less than _____ minutes

Peak -____ hour

duration -___ hours

Given with means

Rapid acting insulin

Onset-Less than 15 minutes

Peak -1 hour

duration -3 hours

Given with meals

37

What comes first regular or NPH

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).

38

Pre mixed insulin is what ratio ?

Onset?

Peak ?

Duration?

70/30

Humulin 70/30

70% NPH/ 30 % is Regular

Onset? 30 minutes

Peak ? 2 hours

Duration? 16 hours

39

You don’t give Glucophage before ?

Why

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

40

Glipizide

When do you take it ?

What can it cause to drop?

Have what available?

This med can cause ?

Take in the morning.

May drop glucose levels quickly.

Have a snack available.

This medication can cause jaundice.

41

Glyburide

When do you take it ?

What can it cause to drop?

Have what available?

This med can cause ?

Take in the morning.

May drop glucose levels quickly.

Have a snack available.

This medication can cause jaundice.

42

Rosiglitazone



This med can cause ?


May decrease the effectiveness of ?

Can cause jaundice

May decrease the effectiveness of oral contraceptives.

43

Exenatide

What kind of med ?

May cause what ?

Not recommended due what clients?

*subcutaneous injectable medication

May cause GI distress

Not recommended for clients taking insulin

44

3 medications Contraindicated to give with oral antidiabetic agents

COW

1.) Corticosteroids

2.) ORAL contraceptive

3.) Warfarin

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