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Remar Review > Meds > Flashcards

Flashcards in Meds Deck (36):
1

Lasix (furosemide)


A ______ diuretic

-most efficient _____ acting

-Given ___ or ___

-Watch for ____ potassium and ____?

-can't take Lasix if allergic to ______?

A loop diuretic

-most efficient fast acting

-PO or IV

-Watch for decreased potassium

-Watch for decreased blood pressure

-can't take Lasix is allergic to sulfa death

2

Hydro chlorothiazide


5 teaching points

-is this a fast acting diuretic?

-what route do you use this ?

-Acts mainly on the ?

-Watch for _______ potassium levels?

-do not give to clients with ?

Thiazide diuretic

-is not a fast acting diuretic

-use orally

-Acts mainly on the distal tube

-Watch for decreased potassium levels

-do not give to clients with renal failure

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



-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 ______?

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

5


(Acetazolamide) 2 teaching

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

-blocks _________ in the ________?

-not much use as a diuretic, better for ________or ______?

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 or metabolic alkalosis

6


Diuretic 5 tips

-Monitor ________daily(do daily _______ at the same time)

-Strict ___?

-give diuretics in the _______ to avoid nocturia

-Moes 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

-Moes diuretics will cause orthostatic hypertension


-normal potassium level is 3.5-5

7

What is the antidote for Tylenol

Mycomyst

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

Phenobarbital (barbiturate)


_______ medication

It causes -_____ BP and ______?

Anticonvulsant medication

-decrease BP and ; respiration

15

phenytoin (Dilantin)


_________ 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

16

Depakene (valproic acid)


_________ medication

-can cause ______?
-Watch for_______?

Anticonvulsant medication


-Hepatotoxic ( liver damage)
-Watch for abdominal cramping

17

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

18

Anti-convulsant 6 tips


In general all. anticonvulsant :

-can become _______ in the body system

-cause ______?

-should not be taken with an ___, this will ______ absorption


-can _______ the blood glucose

-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

-cause drowsiness

-should not be taken with an antacid, this will decrease absorption


-can elevate the blood glucose

-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!!!


19

St. John's wort

Action-treat _____

Patient teaching-interacts with __, _____ senitivity?

Action-treat depression/anxiety

Patient teaching-interacts with SSRI, Sun senitivity

20

Garlic

Action -______/_______?


Patient teaching--interacts with _____ and _____?

Action -Lowers BP/cholesterol


Patient teaching--interacts with warfarin and aspirin

21

Ginkgo biloba


Action-______


Patient teaching-thins the blood,
don't take with __ and ___,
Do not take with ___ history

Action-improves memory


Patient teaching-thins the blood,
don't take with warfarin and aspirin,
Do not take with seizures history

22

Echinacca

Action-________

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

Action-immune boosting function

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

23

Ginger

Action -Relieve ____and ____


Patient teaching-do not take if history of ___
Interacts with _____ ______

Action -Relieve nausea and vomiting


Patient teaching-do not take if history of DVT
Interacts with blood thinners

24

Black cohosh


Action-treat ________ symptoms


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

Action-treat menopausal symptoms


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

25

Kava kava


Action-treats ________ and _______?

Patient teaching-decrease _______meds

Action-treats insomnia, muscle pain


Patient teaching-decrease Parkson disease meds

Severe liver damage

26

Saw Palmetto


Action________


Patient teaching-________ patient teaching

Action-you for prostate health


Patient teaching-no specific patient teaching

27

Natural alternative tips

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

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

28

Nolog

____ 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

29

Humalog



_____ 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

30

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 )

Short acting insulin "clear"
Onset- 1hr

Peak- 2hrs

Duration- 4hrs


This is the only one that can be given IV

31

NPH

_____ insulin ""

What color is it___?
Onset-___hrs

Peak- _hrs

duration-___hrs

Intermediate insulin "cloudy"

Onset-4hrs

Peak- 8hrs

duration-12hrs

32

Glargine

____ acting insulin

Onset-____ absorption

____peak

Duration-___ hrs


long acting insulin

Onset-slow absorption

No peak

Duration-24 hrs


33

Lispro



_____ 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

34

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

35

Glulisine

_____ 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

36

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).

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