MEDS Flashcards

(60 cards)

1
Q

Morphine is what category of medication?

A

Analgesic

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2
Q

Adverse effects of Morphine (2)

A
  • respiratory depression

- constipation

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3
Q

Vancomycin is…

A

Vancocin

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4
Q

Levofloxacin is…

A

Levaquin

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5
Q

Aminoglycoside is…

A

Gentamicin

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6
Q

Vancomycin has what kind of properties?

A

Vesicant properties

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7
Q

What do you need to monitor with Levofloxacin (Levaquin)?

A

Symptoms of allergic reaction

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8
Q

Which has a longer effect, Enoxaparin (Lovenox) or Heparin?

A

Lovenox

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9
Q

What do you need to monitor with Warfarin (Coumadin)?

A

PT and INR

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10
Q

Divalproex (Depakote) black box warning

A

Hepatic failure

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11
Q

Gabapentin (Neurontin)

A

Used to treat peripheral neuropathy

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12
Q

Adverse effects of Albuterol (Proventil) (2)

A
  • tachycardia

- anxiety

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13
Q

What lab tests do you need to have for Atorvastatin (Lipitor)?

A

Liver function

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14
Q

What meds need to be tapered when discontinuing?

A
  • Labetalol (Normodyne)
  • Glucocorticosteroids
  • Psychoactive meds (Fluoxetine (Prozac))
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15
Q

With metoprolol (Lopressor) what do you need to monitor?

A

BP

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16
Q

Clonidine (Catapres) has to be calculated using…

A

Tablets

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17
Q

SR meds can’t be…

A

Crushed

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18
Q

Possible effects of first dose of ACE Inhibitor Enalapril (Vasotec)

A

Dizziness upon standing

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19
Q

If the patient is NPO can they take Metformin (Glucophage)?

A

Metformin (Glucophage) should be held

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20
Q

Caution Metformin with what condition?

A

Hepatic impairment

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21
Q

Prednisone adverse effect

A

GI Irritation

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22
Q

Glucocorticosteroids can be given with what to avoid adverse effects?

A

Food/milk

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23
Q

What lab needs to be monitored with ionated contrast media?

A

Serum creatinine

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24
Q

Reversal agent for Benzodiazepines

A

Flumazenil (Romazicon)

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25
Reversal agent for opioids
Naloxone (Narcan)
26
Antidote for heparin
Protamine sulfate
27
Benzodiazepines and elderly
RISK FOR FALLS
28
Lorazepam (Ativan) can have what kind of effects
- respiratory depression | - CO 2 retention
29
When giving Midazolam (Versed), you should have what available?
Flumazenil
30
Max safe rate for Potassium Chloride
10 mEq/hr
31
Calculation drops per minute
(Volume to be infused mL/hr) / (Drop factor constant) = gtt/min
32
With heparin, monitor
aPTT
33
Warfarin, monitor
PT , INR
34
Monitor Liver Function Tests with..
- statins - Divalproex (Depakote) - Metformin (Glucophage)
35
Monitor what with ABX therapy?
Peaks and troughs
36
Monitor what with iodinated contrast media?
Creatinine
37
Monitor what with digoxin (Lanoxin) and furosemide (Lasix)
Serum electrolytes (POTASSIUM)
38
Downstream occlusion message on IV pump
Kink in tubing or clamp may be closed
39
Drop factor constant for 10 gtt/mL
6
40
Drop factor constant for 15 gtt/mL
4
41
Drop factor constant for 60 gtt/mL
1
42
Post ear drop administration position
Remain on side for 5-10 minutes
43
What must you do with every enteral feeding tube?
FLUSH
44
What is an extravasation
Infiltration of vesicant fluid from IV into surrounding IV site
45
Eye drop administration
Drop in lower conjunctival sac / 3-5 min between drops
46
IM injection angle
72-90 degree
47
What is an infiltration
Escape of non-vesicant fluid from IV into subq tissue
48
Insulin sliding scale protocol
- discouraged for lack of effective glycemic control | - greater incidence of hypoglycemia
49
Intermediate acting insulin
- NPH (Humilin N) - Lante (Humilin L) TAKE PC
50
IV piggyback administration
- clean port - flush line with 2-3 mL NS - administer med - flush again
51
Long acting insuline
Glargine (Lantus) 1 hr onset
52
Lorazepam (Ativan) disease interaction
COPD
53
Meds that cause GI irritation
Oral potassium chloride, prednisone
54
Morphine nursing care
- cough and deep breathe q 2 hr
55
PCA pump morphine levels
0.01 - 0.04 mg/kg/hr
56
Rapid acting insulin name and onset
Humalog (Lispro) 10-15 min
57
SubQ injection
45-90 degree angle, rotate sites to prevent fibrous tissue buildup
58
Total dosage with morphine drip + resuce boluses
2.5 - 15 mg q 4 hrs
59
What to monitor for beta blockers
- BP - hold if systolic < 90 - hold if HR < 50 - taper to avoid arrhythmias, MI
60
What insulin can you NOT mix with any other
Lantus - long acting