TEST 2 Flashcards by lindsay mckenzie

MEDICATION USED FOR treatment for endometriocis and fibrocystic breast disease

danazol (danocream)

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ANABOLIC STEROIDS CAN CAUSE THIS LIFE THREATENING CONDITION?

PELIOSIS OF THE LIVER

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5 α-Reductase Inhibitors ARE GIVEN TO MEN TO REDUCE THIS:

PROSTATE SIZE

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2 INDICATIONS FOR 5 α-Reductase Inhibitors

DIFFICULTY PEEING

2. ALLOPECIA

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ADVERSE EFFECT OF 5 α-Reductase Inhibitors

EJACULATION DISFUNCTION

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NURSING CONSIDERATION FOR FINASTRIDE:

CAUSES TERATROGENIC EFFECTS

- WEAR GLOVES

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CONTRAINDICATION FOR DRUGS THAT TREAT ERECTILE DYSFUNCTION:

NITROGLYCERINE

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ADVERSE EFFECT OF VIAGRA:

PRIAPISM (LONG-LASTING BONER)

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NURSING CONSIDERATION FOR INTRAMUSCULAR TESTOSTERONE:

SHOULD BE GIVEN DEEPLY
CHOOSE LANDMARK CAREFULLY
OILY SOLUTION
GIVE EVERY 2-10 WEEKS

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THIS is always added if patient has an intact uterus to prevent endometrial cancer

progesterone

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ADVERSE EFFECT OF FERTILITY DRUGS:

DIZZINESS

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BISPHOSPHONATES SHOULD NEVER BE TAKEN ___________ ___________ BECAUSE OF ESOPHAGEAL BURNS

LYING DOWN

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NURSING CONSIDERATION WITH BISPHOSPHONATES:

ENSURE PATIENT IS SITTING UP FOR 30 MINUTES AFTER DOSE

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WHEN IS THE BEST TIME TO TAKE BISPHOSPHONATES?

FIRST THING IN THE MORNING

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PATIENTS TAKING ESTROGEN SHOULD BE TOLD TO REPORT WHAT?

WEIGHT GAIN (2.25 KG)

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_________________ of formulas may cause GI problems - big complications

Hyperosmolarity

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_________________ is the biggest problem with enteral nutrition

Diarrhea

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WHO needs a high concentration of amino acids

BURN VICTIMS

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DEFINITION: provision of food through the GI tract

Enteral Nutrition

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DEFINITION:

Nutrients are delivered directly into the circulation by means of an intravenous solution

PARENTERAL NUTRITION

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MOST DEVASTATING ADVERSE EFFECT OF PERIPHERAL ADMINISTRATION OF NUTRITION

PHLEBITIS

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NURSING CONSIDERATION FOR CENTRAL ADMINISTRATION:

USE ASEPTIC TECHNIQUE

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WHAT SOLUTION must be given to prevent hypoglycemic if the bag runs out and there is no order for another.

5% DEXTROSE

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SIGN OF FLUID OVERLOAD

POUNDING PULSE

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WHICH OTCs are restricted and kept behind the counter through pharmacist

Schedule III

TRUE OR FALSE? OTCs may relieve symptoms of a disorder but not the cause

TRUE

PROPER ADMINISTRATION OF NICORETTE?

Chew nicotine gum slowly and place gum between cheek, let saliva absorb

most commonly purchased topical cream

polysporin

WHO ensure safe assess to effective health products in Canada

Natural health products directory

TRUE OR FALSE? NATURAL HEALTH PRODUCTS ARE SAFE FOR EVERYONE.

FALSE | may not be safe for pregnant or breastfeeding women, infants, or children

____________ can cause malignant hyperthermia crisis

dantrolene

HEALTH TEACHING FOR SOMEONE TAKING MUSCLE RELAXANT

BE CAREFUL OF FALLS

ANTIDOTE FOR COUMADIN

VITAMIN K

SIGN OF VITAMIN B2 DEFICIENCY:

ANEMIA

VITAMIN B12 DEFICIENCY LEADS TO:

pernicious anemia

clients that take calcium supplements need to be told to limit foods high in ___________ and ___________ - slows calcium absorption

OXALATE & ZINC

CALCIUM TOXICITY OCCURS AS A RESULT OF WHAT MEDICATION:

tetracyclines

what should nurses keep in mind when administering finasteride?

bad for pregnant women - teratogenic effects - WEAR GLOVES

what should the nurse tell pt on estrogen therapy to report?

weight gain more than 2.25kg

what is estrogen therapy contraindicated with?

pregnancy, allergies, breast cancer

medication used to treat primary & secondary ammenorrhea?

medroxyprogesterone (depo-provera)

Contraindications for estrogen administration:

active thromboembolic disorder (e.g., stroke, thrombophlebitis)

side effect fertility drugs

dizziness

method of administration for oxytocin

PUMP

action of topolytic drug

relaxes uterus

contraindications of raloxifene

BLOOD CLOTS

BENIGN LIVER TUMORS CAN BE CAUSED BY WHAT?

ORAL CONTRACEPTIVES

indications for bisphosphonates

the prevention and treatment of osteoporosis

instructions to give bisphosphonates

- TAKE FIRST THING IN THE MORNING | - DON'T TAKE LYING DOWN

indication of vitamin D

is important for people who live in the north

deficiency of vitamin D:

rickets and osteomalasia

deficiency of vitamin A

night blindness

sign of vitamin D toxicity

annorexia

signs and symptoms of vitamin A toxicity

* vertigo | * delirium

food interaction with calcium supplements

people taking calcium supplements should stay away from foods high in oxalate and zinc: nuts, fibre, spinach

nursing consideration for calcium IV

don't give it too fast - CARDIAC ARREST

what vitamin is given to newborns within the 1st hour?

vitamin K is given to newborns within 1st hour to help with clotting

vitamin B1 insufficiency common in what population

ALCOHOLICS

food high in B1 (thiamine)

ORGAN MEATS

food high in vitamin E

CHICKEN

best source of Vitamin A carotene

yellow/orange fruits and vegetables

most common side effect of nutritional supplements on GI

diarrhea

formula that provides complex nutrients for the elderly

POLYMERIC FORMULATIONS | EG. ENSURE

CENTRAL OR PERIPHERAL TPN? | delivers total dietary nutrients to patients who require nutritional supplementation

CENTRAL

CENTRAL OR PERIPHERAL TPN? used to supplement nutrients to patients who need more nutrients than their current oral intake can provide or to provide entire daily nutrition.

PERIPHERAL

adverse effects of TPN that need to be monitored

- HYPERGLYCEMIA | - INFECTION

adverse effects of PPN that need to be monitored

- FLUID OVERLOAD | - PHLEBITIS

things to do to make sure someone is absorbing a GI feed

ASPIRATE If the volume is more than what has been consistent over the previous 2 hours of continuous feeding, the nurse should return the aspirate, withhold the feeding, and contact the physician; the head of the bed should be kept elevated.

complications of longterm use of peripheral TPN

phlebitis

if TPN runs out what should you hang up

5% dextrose

DEFINITION: Feeding tube surgically inserted directly into the stomach

Gastrostomy

DEFINITION:Feeding tube surgically inserted into the jejunum

Jejunostomy

DEFINITION: Feeding tube placed from the nose to the duodenum

Nasoduodenal

DEFINITION: Feeding tube placed from the nose to the stomach

Nasogastric

DEFINITION: Feeding tube placed from the nose to the jejunum

Nasojejunal

lipid emulsions: why given in TPN?

- to meet caloric needs - prevents potentially harmful conditions, such as hyperglycemia, hyperinsulinemia, and hyperosmolarity, that can occur when a patient's entire caloric needs are being met solely by dextrose

side effects of cyclobenzaprine

Euphoria, lightheadedness, dizziness, drowsiness, fatigue, and muscle weakness are often experienced early in treatment

tests to monitor if someone is put on dantrolene

LIVER TESTS FOR HEPATOTOXICITY

______________ relieve pain, headache, and inflammation by blocking the chemical activity of either or both of the enzymes cycooxygenase (PG pathway) and leukotriene (LT pathway)

NSAIDs

which medication will have possible interactions with NSAIDs

anticoagulants - increased bleeding antihyperglycemic drugs - reduced blood glucose asa - increased GI toxicity corticosteroids - increased ulcer effect cyclosporine - increased nephrotoxicity phenytoin

side effects of NSAIDs

GI PROBLEMS

what is allopurinol used for?

RELIEF OF GOUT

what needs to be monitored with colchicine?

increased pain, blood in the urine, excessive fatigue and lethargy, and chills or fever

how is gold sodium thiomalate therapy given?

* parenterally administered anti arthritic drug * currently available only in an injectable form * administered by the intramuscular route only

Misoprostol causes what and when do we give it?

adverse effects: headache, gastrointestinal distress, and vaginal bleeding taken four times daily with meals for the duration of NSAID therapy in patients at high risk for ulceration.