Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

pharm III > peds: GU & Neuro > Flashcards

peds: GU & Neuro Flashcards

1
Q

medications used to treat ADHD

A
  • methylphenidate (Ritalin)
  • amphetamine/dextroamphetamine (Adderall)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how does Ritalin improve symptoms of ADHD?

A
  • increases attention span and cognitive performance
  • decreases impulsivity, restlessness, hyperactivity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

side effects of Ritalin

A
  • GI disturbance
  • anorexia
  • headache
  • confusion
  • euphoria
  • tremors
  • hyperhidrosis
  • irritability, restlessness, anxiety
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

nursing considerations for Ritalin

A
  • risk for dependence
  • do not take at bedtime
  • take 30-45 mins before meals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

describe how prolonged use of Amphetamine/Dextroamphetamine (Adderall) can affect the heart.

A
  • tachycardia, palpitations, dysrhythmia, HTN
  • adderall=stimulant, which causes an increase in heart rate, blood pressure, and temperature
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

identify common side effects of Amphetamine/Dextroamphetamine (Adderall).

A

GI disturbance, weight loss, xerostomia (production of not enough saliva), increased alertness, euphoria, insomnia, irritability/restlessness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

list important patient education for taking Methylphenidate (Ritalin).

A
  • Possible risk for dependence
  • Do not take in evening or at bedtime
  • Take 30-45 mins before meals
  • Drug interactions: MAOIs, psychostimulants, sympathomimetics, barbiturates, anticonvulsants, anticoagulants
  • Food interactions: caffeine, ginseng
  • Monitor CBC and liver enzymes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

MOA for Methylphenidate (Ritalin)

A
  • treatment for ADHD
  • increases attention span and cognitive performance
  • decreases impulsivity, restlessness, hyperactivity
  • inhibits reuptake of dopamine and norepinephrine; augments serotonin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

MOA for Amphetamine/Dextroamphetamine (Adderall)

A
  • treats ADD/ADHD
  • stimulates release of neurotransmitters, then blocks reuptake
  • norepinephrine + dopamine
  • triggered in brain and sympathetic nervous system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

identify the side effects of Baclofen (Lioresal) and list important assessment findings for those side effects.

A
  • Dizziness- change in gait
  • Drowsiness- change in LOC
  • Confusion- failed neuro assessment, wandering
  • h/a- complaints of pain, request for pain medication
  • GI upset- tender abdomen, loose stools, nausea, complaints of pain, hyperactive bowel sounds
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

discuss some important nursing considerations for patients taking Baclofen (Lioresal).

A
  • Notable sedative effect
  • Cautious use with other depressant agents (barbiturates, narcotics, alcohol)
  • Risk of drug dependence
  • Gradual withdrawal of medication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

explain how Baclofen (Lioresal) works to produce therapeutic effects.

A
  • Treats skeletal muscle spasticity
  • MOA is unknown, depresses neuron activity on spinal cord (CNS)
    i. Suppresses hyperactivity reflexivity
    ii. Decreases pain and improves mobility-
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  1. Review and know the indications, side effects, and nursing considerations for the following:
    a. Aspirin – Reye’s syndrome
    b. Folic acid – neural tube defects
    c. Tetracycline antibiotics
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

first-generation antihistamines properties and medications

A
  • Anticholinergic properties:
     Useful in cold treatment
     s/e: dry mouth, blurred vision
     avoid with narrow angle glaucoma
  • CNS properties:
     Sedative effect
     s/e: drowsiness, dizziness, fatigue
  • Medications:
     Diphenhydramine (Benadryl)
     Chlorpheniramine (ChlorTrimeton)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

second-generation antihistamines properties and medications

A
  • Minimal anticholinergic effects
  • “non-sedating” antihistamine
  • Medications:
     Cetirizine (Zyrtec)
     Loratadine (Claritin)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

identify the common side effects of anti-histamines.

A
  • Drowsiness
  • Dizziness
  • Fatigue
  • Ataxia (loss of muscle control)
  • Hypotension
  • Wheezing/SOB
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

identify an indication for using an anti-histamine medication.

A
  • Allergic rhinitis
  • Allergic conjunctivitis
  • Allergic dermatological reaction
  • Sinusitis
  • Urticaria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

identify 2 advantages of second-generation antihistamine medications:

A
  • minimal anticholinergic effects
  • “non-sedating”
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

identify 2 disadvantages of first-generation antihistamine medications:

A
  • anticholinergic side effects
  • sedative effect
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

list an indication for using Fluconazole (Nystatin).

A

yeast infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

discuss important nursing considerations for administering Fluconazole (Nystatin).

A
  • monitor liver, kidney, and cardiac function
  • evaluate for medication/food interactions:
    o Warfarin- increased INR
    o Phenytoin- potentiation of effect
    o Sulfonylureas- increased hypoglycemia
    o Caffeine- increased serum levels
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

identify the route of administration for Fluconazole (Nystatin) and some important lab test the nurse should monitor.

A
  • PO, IV, topical
  • monitor liver, kidney, cardiac function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

explain how Permethrin (Eliminate, Nix) works in the treatment of scabies and head lice.

A
  • damages the nerve cell membrane, which causes paralysis of parasite
24
Q

identify and discuss important patient teaching for administering topical Permethrin (Eliminate, Nix).

A
  • all areas of body from neck down
  • avoid contact with eyes
  • apply to clean, cool, dry skin
  • remain on for 8-14 hours
  • thoroughly wash off
25
Q

identify an important drug-drug interaction that can occur when using Ivermectin.

A

warfarin- may slow clotting time when taken concurrently

26
Q

identify and discuss the contraindications for using Ivermectin.

A
  • breastfeeding
  • immunosuppression
  • liver disease
  • asthma
27
Q

antihistamine class

A

h1 blocker

28
Q

antihistamine indication

A

treatment of allergic rhinits, n/v

29
Q

fluconazole indication

A

treatment of yeast infections

30
Q

fluconazole s/e

A
  • GI upset
  • h/a
  • rash
31
Q

fluconazole nursing considerations

A
  • monitor liver, kidney, cardiac function
  • contraindicated w pregnancy
32
Q

permethrin s/e

A
  • skin rxn (burning, itching, stinging)
  • numbness/tingling
33
Q

ivermectin class

A

broad-spectrum anthelmintic (antiparasitic)

34
Q

ivermectin s/e

A
  • pruritus/urticaria
  • n/v/d
  • arthralgia
  • vertigo
  • drowsiness
  • ocular irritation
35
Q

palivizumab (synagis) indication

A

prevention of RSV

36
Q

palivizumab s/e

A
  • hypersensitivity: urticaria/angioedema, dyspnea, respiratory failure, hypotonia, hypotension
37
Q

palivizumab nursing considerations

A
  • indicated for infants born <29 weeks gestation
    -infants >29 weeks may qualify if: CLD, CHD, CF, neuromuscular disorders
  • contraindicated w thrombocytopenia
  • not indicated for treatment of active RSV
38
Q

acetylcysteine class

A

mucolytic agent

39
Q

acetylcysteine indication

A

copious, thick, or tenacious respiratory secretions

40
Q

acetylcysteine s/e

A
  • runny nose
  • n/v
  • rash
  • wheezing
  • chest tightness
  • respiratory distress
41
Q

acetylcysteine is the antidote for. . .

A

acetaminophen

42
Q

indomethacin indication

A

treatment of PDA, pain, fever, inflammation

43
Q

indomethacin s/e

A
  • bleeding
  • decreased urine output
  • tachycardia/arrhythmia
44
Q

prostaglandin-E1 s/e

A
  • apnea
  • fever
  • flushing
45
Q

prostaglandin-E1 nursing considerations

A
  • life-saving intervention
  • evaluate ABGs
  • monitor RR, BP, temp
    surgery req to correct
46
Q

immunoglobulin class

A

antibody

47
Q

immunoglobulin indication

A

management of Kawasaki Disease

48
Q

immunoglobulin s/e

A
  • flushing
  • h/a
  • fever
  • chills
  • malaise
  • muscle cramps
  • injection site rxn
49
Q

methylphenidate indication

A

treatment of ADHD

50
Q

methylphenidate s/e

A
  • GI upset
  • anorexia/weight loss
  • h/a
  • confusion
  • euphoria
  • tremors
  • hyperhidrosis
  • irritability, restlessness, anxiety
51
Q

methylphenidate nursing considerations

A
  • controlled substance
    II
  • do not take at bedtime
  • take 30-45 mins before meals
  • avoid caffeine
  • monitor CBC and liver enzymes
52
Q

amphetamine indication

A

treatment of ADD/ADHD

53
Q

amphetamine s/e

A
  • GI upset
  • weight loss
  • xerostomia
  • increased alertness
  • euphoria
  • insomnia
  • irritability/restlessness
54
Q

baclofen s/e

A
  • dizziness
  • drowsiness
  • confusion
  • h/a
  • GI upset
55
Q

baclofen nursing considerations

A
  • do not take with other CNS deoressants
  • cautious use with other depressants

pharm III (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions