medsplosion Flashcards Preview

z Here you go, Alexis! > medsplosion > Flashcards

Flashcards in medsplosion Deck (112):
1

while on warfarin limit...

green leafy vegetables and foods high in vitamin K (antidote to coumadin)

2

antidote to coumadin

vitamin K

3

warfarin: class

anticoagulant

4

heparin: class

anticoagulant

5

enoxaparin: class

anticoagulant

6

if heparin and warfarin are being given together...

bridge therapy - heparin covers for anticoagulation while Coumadin is reaching therapeutic levels

7

furosemide: class

loop diuretic

8

hydrochlorothiazide: class

potassium-wasting diuretic

9

spironolactone: class

potassium-sparing diuretic

10

calcium gluconate for what + how

hypermagnesemia
reverses decreased RR and potential arrhythmias

11

calcitonin for what + how

hypercalcemia; decreases serum Ca by returning Ca to the bones
- typically used for osteoporosis

12

Kayexalate

sodium poylystyrene sulfonate
- given for hyperkalemia
- exchanges Na for K in GI tract = VOLUMINOUS DIARRHEA!

13

do not give beta blockers to... x2

asthmatics or diabetics
- block catecholamine sites (epi, NE)

14

amiodarone (Cordarone): class

anti-arrhythmic

15

amiodarone + thyroid

contains high levels of iodine and may affect thyroid function

16

prophythiouracil (PTU): class

anti-thyroid

17

methimazole (Tapazole): class

anti-thyroid

18

fludrocortisone (Florinef)

mineralocorticoid replacement - aldosterone
- daily weights very important
- given for addison's disease

19

glipizide (Glucotrol): class

anti-diabetic

20

metformin (Glucophage): class

anti-diabetic

21

pioglitazone (Actos): class

anti-diabetic

22

sitagliptin (Januvia): class

anti-diabetic

23

D50W

for unconscious diabetic in hospital

requires large bore IV

24

injectable glucagon (GlucaGen)

for unconscious diabetic in hospital with no IV access

given IM

25

nitroglycerin (Nitrostat) given for

angina

26

beta blockers given for

angina prevention
hyperthyroidism (decrease HR, BP, anxiety)

27

Ca channel blockers given for

angina prevention

28

epinephrine class

vasopressor

29

streptokinase (Streptase) class

fibrinolytic

30

alteplase (t-PA) class

fibrinolytic
and other -ase drugs

31

acetylsalicylic acid (aspirin) class

anti-platelet

32

clopidogrel (Plavix) class

anti-platelet

33

abciximab (ReoPro IV) class

anti-platelet

34

eptifibatide (Integrilin IV)

anti-platelet

35

oxytocin/Pitocin

used to halt excessive postpartum hemorrhage

also augment contractions

36

methylergonovine maleate/Methergine

used to halt excessive postpartum hemorrhage

37

carboprost tromethamine/Hemabate

used to halt excessive postpartum hemorrhage

38

phytonadione/Aquamephyton

Vitamin K - given to newborns to promote formation of clotting factors

39

Rho(D) immunoglobulin/RhoGAM

given to Rh- mom before she develops Rh antibodies in response to Rh+ baby

40

methotrexate

given to mom experiencing ectopic pregnancy to stop growth of embryo to save fallopian tube

41

magnesium sulfate

anticonvulsant, sedative, vasodilator drug of choice given for preeclampsia

42

drug of choice for heart failure

ACE inhibitor

43

potassium increasing agents (mnemonic)

K sparing diuretic
B eta blocker
A CE inhibitor
N SAID
K supplement

44

sulfa drugs aka

sulfonamides

45

diuretics that should only be given with adequate renal perfusion

thiazides!

46

diuretic okay to give with low renal perfusion

loop

47

potassium sparing diuretics x2

spironolactone
triamterene

48

triamterene: class

potassium sparing diuretic

49

side effect

physiological effect unrelated to intended effect - usually not life threatening

measures can be taken to eliminate or alleviate; associate with nursing interventions!

50

adverse effect

more severe than side effect - can range from mild to severe; always undesired

always report to provider!!

51

toxic effect

medication exceeds therapeutic level due to
- overdosing
- accumulation

most often identified by monitoring blood level (think: therapeutic range)
monitor for specific s/s toxicity

always report to provider!!

52

ACE inhibitors
for, last name

hypertension, heart failure
- pril

53

anti-lipemic
for, last name

lower cholesterol and triglyceride
- statin

54

anti-viral
for, last name

viral infections including HIV
- vir

55

benzos
for, last name

anxiolytic, sedative hypnotic, muscle relaxant, anticonvulsant
- pam

56

beta blockers
for, last name

hypertension, angina, dysrhythmias
- lol

57

ca channel blockers
for, last name, exceptions x2

hypertension, angina, dysrhythmias
- pine
exceptions: diltiazem, verapamil

58

diltiazem: class

ca channel blocker

59

verapamil: class

ca channel blocker

60

glucocorticoids, corticosteroids
for, last name

alter normal immune response, suppress inflammation, replacement therapy for adrenal insufficiency, various others

- sone

61

h2 antagonists
for, last name

suppress secretion of gastric acid, alleviate heartburn, prevent ulcers, treat GERD

- dine (ranitidine, famotidine)

62

nitrates
for, name

vasodilation, reduce angina

nitr -

63

proton pump inhibitors
for, last name

suppress gastric acid secretion, treat ulcer disease, erosive esophagitis

- zole

64

sulfonamides
for, name

suppress bacterial growth, treat infections

sulf -

65

thiazide diuretics
for, last name

hypertension, peripheral edema

- zide

66

thrombolytic
for, last name

dissolve clots

- ase

67

thyroid hormones
for, name

replacement therapy, hypothyroidism

thy -

68

bronchodilators

respiratory disorders causing bronchoconstriction (asthma, bronchospasm, COPD, emphysema)

- line

69

populations at greater risk for toxicity x2

older adult, neonate

70

do not administer meds with x2

antacids
grapefruit juice

71

withholding med is only okay if...

nurse suspects adverse or toxic effect
- immediately contact physician for ae or toxicity!

72

antidote: digoxin

digibind

73

antidote: coumadin

vitamin K
keep PT and INR @ 1-1.5x normal

74

antidote: benzos

flumenazil

75

antidote: mag sulfate

calcium gluconate
- reverses decreased RR and potential arrhythmias

76

antidote: heparin

protamine sulfate
- keep aPTT and PTT @ 1.5 - 2.5x normal

77

antidote: tylenol

mucomyst
protective for liver, kidneys, lungs

78

antidote: opiates

narcan

this includes narcotic analgesics, heroin, morphine

79

antidote: cholinergic meds (myasthenic bradycardia)

atropine

80

antidote: methotrexate

leucovorin

81

drug of choice for pinworms

mebendazole

82

dobutamine

inotrope, vasopressor

83

levophed

inotrope, vasopressor

84

antidote: narcotic

naloxone
rapid onset, duration 3-5 hours
reverses respiratory depression

85

treatment for alcohol abuse

disulfiram
reacts with alcohol to cause flushing, headache, vomiting, palpitations, hypotension

86

treatment: drug abuse

methadone
narcotic analgesic used to detox addicts

87

epinephrine uses x3

asthma
anaphylactic reaction
cardiac arrest

88

antidote: nondepolarizing neuromuscular blocking agents

neostigmine (prostigmin): cholinergic agonist
also treats myasthenia gravis

89

chlorpromazine (Thorazine): class

anti-psychotic

90

thioridazine (Mellaril): class

anti-psychotic

91

fluphenazine (Prolixin): class

anti-psychotic

92

haloperidol (Haldol): class

anti-psychotic

93

clozapine (Clozaril): class

anti-psychotic

94

risperidone (Risperdal): class

anti-psychotic

95

trihexyphenidyl (Artane): class

antiparkinsonian

96

benzatropine (Cogentin): class

anticholinergic, antiparkinsonian

97

antidote: acute alcohol withdrawal

chlordiazepoxide (Librium) antianxiolytic

98

amitriptyline: class

antidepressant

99

furosemide: moa

loop diuretic; inhibits Na, Cal reabsorption at proximal and distal tubules and ascending loop of Henle

100

heparin: moa

anticoagulant; inactivates thrombin and prevents conversion of fibrinogen to fibrin

101

heparin: side effects

hemorrhage
thrombocytopenia
hypersensitivity

nursing: check PTT to monitor effect (1.5-2x good), SQ, never piggy back

102

drug of choice for a fib, a flutter

digoxin

103

warfarin: moa

long acting anticoagulant; inhibits vitamin k-dependent clotting factors

104

proton pump inhibitor moa

decrease acid secretions

105

ranitidine class

H2 antagonist

106

famotidine

H2 anagonist

107

phenothiazines: examples & uses

-azines (chlorpromzine, fluphenazine)

psychosis, schizophrenia, mania, tourette's

108

ace inhibitors: moa

suppress RAAS - stop angiotensin I to II

results in arterial dilation, increased SV

109

arbs: moa

block angiotensin II receptors
decrease in arterial resistance, BP

110

ace i and arb moa in common

block aldosterone = lose Na/H20, retain K+

111

digitalis (digoxin, lanoxin): moa

for sinus rhythm or a fib + chronic HF
positive inotrope, negative chronotrope

competes with K+ binding sites

high risk drug toxicity

112

terbutaline (brethine)

tocolytic