YOU NEED TO FUCKING PASS Flashcards
(146 cards)
1
Q
classifications of acetaminophen
A
T: antipyretic, non-opiod analgesics
2
Q
important side effects of acetaminophen
A
hepatotoxicity, hepatic failure, renal failure, neutropenia, pancytopenia, leukopenia, urticaria
3
Q
antidote for acetaminophen
A
N-acetylcysteine
4
Q
maximum dose of acetaminophen
-pediatric
A
4000mg
10-15mg
5
Q
classifications of acetylsalicylic acid
A
T: antipyretic, non-opiod analgesicscs
P: salicylates
6
Q
important side effects of acetylsalicylic acid
A
tinnitus, GI upset, increased bleeding
7
Q
action of acetylsalicylic acid
A
inhibits prostaglandins, decreases platelet aggregation
8
Q
what can aspirin be used for
A
prophylaxis of ISA and MI attacks
also as a blood thinner
9
Q
albuterol classifications
A
T: bronchodilator
P: adrenergic
10
Q
important side effects of albuterol
A
tremors, insomnia, palpitations, anxiety
11
Q
action of albuterol
A
binds to beta2-adrenergic receptors in airway smoothing the muscle
12
Q
is albuterol long or quick relief
A
quick
13
Q
classifications of calcium carbonate and vitamin D
A
T: mineral and electrolyte replacement
14
Q
important side effects of calcium carbonate and vitamin D
A
arrhythmia, consipation
15
Q
important client teaching of calcium carbonate and vitamin D
A
do not take withing 1-2 hours of other medications
16
Q
can you administer calcium carbonate and vitamin D IM?
A
NO!
17
Q
maximum does of calcium carbonate and vitamin D
A
500mg at one time
18
Q
high IV concentrations of calcium carbonate and vitamin D can cause?
A
cardiac arrest
19
Q
classifications of celecoxib
A
T: antirheumatic, NSAID
P: COX-2 inhibitor
20
Q
important side effects of celecoxib
A
all GI complications
21
Q
expected side effects of opioids
A
respiratory depression, GI complications, sedation
22
Q
what is most important to assess before giving opioids
A
respirations
23
Q
antidote for opioids
A
naloxone
24
Q
what is the action of opioids
A
binds to opiate receptors in the CNS which alters perception and response to pain
25
docusate classifications
T: laxatives
P: stool softener
26
which medication must health providers teach that you need to avoid straining during BM
docusate (may cause Valsalva maneuver)
27
draws water into stool resulting in a softer fecal mass
docusates action
28
what important side effects may fentanyl cause
facial itching
29
ferrous sulfate classifications
T: antianemic
P: iron supplement
30
side effects of ferrous sulfate
dark stools, staining of the teeth, GI upset
31
what labs to monitor when taking ferrous sulfate
hemoglobin, hematocrit
32
what aids with absorption when taking ferrous sulfate
vitamin C
33
enters the bloodstream and goes to organs such as the liver, spleen, and bone marrow where it becomes part of iron stores
ferrous sulfate action
34
folic acid classifications
T: antianemic, vitamin
P: water soluble vitamin
35
side effects of folic acid
rash, irritability, difficulty sleeping, malaise, confusion, fever, INTENSE YELLOW URINE
36
what labs need monitored while taking folic acid
hemoglobin, hematocrit, reticulocyte count
37
what may decrease when taking folic acid
serum concentrations of other B complex vitamins
38
required for protein synthesis and red blood cell function
folic acid action
39
furosemide classifications
T: diuretic
P: loop diuretic
40
side effects of furosemide
dehydration, hypokalemia, hyponatremia, hypovolemia
41
what should clients consume more of when taking furosemide
potassium
42
inhibits the reabsorption of sodium and chloride form the loop of henle and distal tubule
furosemides action
43
hydrochlorothiazide classifications
T: antihypertensive, diuretic
P: thiazide diuretic
44
side effects of hydrochlorothiazide
dizziness, hypotension, hypokalemia, dehydration
45
increases excretion of sodium and water by inhibiting sodium reabsorption in the distal tubule
hydrochlorothiazide action
46
who is commonly prescribed hydrochlorothiazide
patients with hypertension, edema, CHF
47
what does hydrocodone and APAP also do
suppresses cough
48
ibuprofen classifications
T: antipyretic, antirheumatic, non opioid analgesic, NSAID
P: nonopioid analgesic
49
what is ibuprofen commonly used for
dysmenorrhea and arthritis
50
ketorolac classifications
T: NSAID, nonopioid analgesics
P: pyrrolizidine carboxylic acid
51
loperamide classifications
T: antidiarrheal
52
side effects of ketorolac
drowsiness, GI bleeding, dizziness, headache
53
inhibits peristalsis and prolongs transit time by direct effect on nerves in the intestinal muscle wall
loperamide action
54
who is commonly prescribed loperamide
IBD patients
55
magnesium hydroxide & aluminum hydroxide classifications
T: antiulcer
P: antiacid
56
side effects of magnesium hydroxide & aluminum hydroxide
constipation, diarrhea, fluid and electrolyte imbalance, TARRY STOOLS; COFFEE GROUND EMESIS
57
advise patients to wait how long before other meds while taking magnesium hydroxide & aluminum hydroxide
2 hours
58
what patients are commonly prescribed magnesium hydroxide & aluminum hydroxide
GERD
59
magnesium sulfate classifications
T: mineral
P: mineral/electrolyte
60
side effects of magnesium sulfate
muscle weakness, flushing, bradycardia, arrhythmia, diarrhea, hypothermia, drowsiness
LETHARGY, SWEATING
61
antidote for magnesium sulfate
calcium gluconate
62
what is important to monitor when giving magnesium sulfate
BP
63
what must be assessed hourly when given magnesium sulfate
patellar reflex
64
metoprolol classifications
T: antianginal, antihypertensive
P: beta blocker
65
morphine sulfate classification
T: opiod analgesics
P: opiod agonist
66
specific side effects of morphine sulfate
itching at the site (IV), urinary retention
67
what medications do you need to be cautious with when giving opioids
MAOI's
68
naloxone classifications
T: antidote
P: opioid antagonist
69
side effects of naloxone
hypertension, hypotension, tachycardia, nausea, vomiting
70
nursing implications of naloxone
LOC
repeat if needed
rebound pain
withdrawal may occur
71
polyethylene glycol classifications
T: laxatives
P: osmotics
72
side effects of polyethylene glycol
bloating, cramping, flatulence, nausea, diarrhea
73
acts as osmotic drawing water into the GI tract
polyethylene glycol
74
potassium chloride classifications
T: mineral and electrolyte replacement/supplement
75
what to monitor when giving potassium chloride
labs
hypokalemia/hyperkalemia
76
maintain acid-base balance, isotonicity, and electrophysiologic balance if the cell
potassium chloride action
77
sennosides classification
T: laxative
P: stimulant laxative
78
what should patients do to ensure a rapid result of sennosides
take on an empty stomach
79
alter water and electrolyte transport in the large intestine, resulting in an accumulation of water and increased peristalsis
sennosides action
80
adalimumab classifications
T: antirheumatic
P: DMARD, immunomodulator
81
adalimumab side effects
itching at the site, agranulocytosis, sepsis
82
what is needed before giving adalimumab
TB test
83
can use give adalimumab to patients under 4
NO!
84
client teaching of adalimumab
rotate sites, store in refrigerator, avoid live vaccines
85
binds to TNF- alpha to decrease inflammation and decrease ESR levels
adalimumab action
86
amlodipine classifications
T: antihypertensive
P: calcium channel blocker
87
side effects of amlodipine
headache, dizziness, fatigue, edema, bradycardia, hypotension, flushing
88
inhibits the transport of calcium into myocardial and vascular smooth muscle cells which will inhibit excitation and contraction
amlodipine action
89
what is amlodipine usually prescribed for
angina, hypertension
90
ceftriaxone classifications
T: anti-infective
P: 3rd generation cephalosporins
91
specific side effect of ceftriaxone
clostridium difficile, agranulocytosis, seizures, suprainfection
92
what allergy do you need to assess for when giving cephalosporins
penicillin and cephalosporins
93
bind to bacterial cell wall membranes, causing cell death. Active against many gram + and gram - pathogens
ceftriaxone action
94
cephalexin classifications
T: anti-infective
P: 1st generation cephalosporins
95
side effects of cephalexin
diarrhea, nausea, vomiting
96
what specific side effects should be monitored when giving cephalosporins
RASH/ANAPHYLAXIS
97
binds to the bacterial wall membrane, causing cell death. active against gram +
cephalexin action
98
ciprofloxacin classifications
T: anti-infective
P: fluoroquinolone
99
side effects of ciprofloxacin
acute psychoses, agitation, hepatotoxicity, pseudomembranous colitis, photosensitivity, venous irritation, tendonitis, tendon rupture, SUPRAINFECTION
100
what labs need to be monitored when giving ciprofloxacin
AST/ALT (liver)
101
what needs to be done/taught before giving ciprofloxacin
specimen culture and sensitivity
DO NOT CRUSH OR CHEW
102
what will decrease the absorption of ciprofloxacin
iron or zinc
if taking take 2 hours before or after
103
when taking which medication should patients where sunscreen when going outside
ciprofloxacin
104
inhibits bacterial DNA synthesis by inhibiting DNA gyrase. Broad spectrum antibiotic against gram +
ciprofloxacin
105
famotidine classifications
T: anti-ulcer
P: Histamine H2 antagonists
106
side effects of famotidine
confusion, black tarry stools
107
what may interfere with famotidine
smoking
108
inhibits the action of histamine at H2 receptor site
famotidine
109
fluconazole classifications
T: antifungal
110
side effects of fluconazole
GI upset, headache, dizziness, rash
dark urine, PALE STOOLS
111
monitor what functions when giving fluconazole
renal and liver
112
inhibits synthesis of fungal sterols, a necessary component of the cell membrane
fluxonazole action
113
fluconazole:
IV
children
1-2 hours (200mg/hr)
2 hours (>6mg/kg/day)
114
glyburide classifications
T: antidiabetic
P: sulfonylurea
115
side effects of glyburide
hypoglycemia, dizziness, aplastic anemia, pancytopenia, PHOTOSENSITIVITY, weight gain, swelling, drowsiness, SOB, cramps, sore throat, unusual bleeding
116
important for clients to know about glyburide
hypoglycemia and hyperglycemia
117
stimulate the release of insulin from the pancreas and increase the sensitivity to inulin at receptor sites
glyburide
118
important labs to monitor in glyburide
AST, LDH, BUN, creatinine
119
insulin glargine classifications
LONG ACTING
T: antidiabetic
P: pancreatic
120
decrease blood glucose by stimulating glucose uptake in skeletal muscle and fat
all insulin
121
HYPOGLYCEMIA, anaphylaxis, lipodystrophy, pruritus, erythema, swelling
all insulin side effects
122
insulin lispro classifications
RAPID ACTING
T: antidiabetic
P: pancreatic
123
insulin regular classifications
SHORT ACTING
T: antidiabetic
P: pancreatic
124
which insulin can be IV or SubQ
insulin regular
125
metformin classifications
T: antidiabetic
P: biguanide
126
specific side effects of metformin
decreased B12, metallic taste
127
what to monitor when giving metformin
Hgb, A1C, renal function, B12
128
what are patients on metformin at risk for
lactic acidosis (chills, low BP, sleepiness, bradycardia, dyspnea)
129
decrease hepatic glucose production, decrease intestinal glucose absorption, increase sensitivity to insulin
metformin action
130
48 hour study
metformin
131
what drug should be temporarily stopped before surgery
metformin
132
omeprazole classifications
T: anti-ulcer agent
P: proton-pump inhibitors
133
side effects of omeprazole
GI upset
134
client teachings of ompeprazole
do not crush or chew
avoid alcohol, NSAIDS
135
prevents the final transport of hydrogen into the stomach, diminishing stomach acid
ompeprazole
136
sitagliptin classifications
T: antidiabetic
P: enzyme inhibitor
137
side effects of sitagliptin
upper respiratory infection, rash, urticaria, pancreatitis
138
what can sitagliptin be combined with
metformin, sulfonylure, thiazolidinediones
139
what to monitor when giving sitagliptin
ketones, BGM
140
increase levels of active incretin hormones
sitagliptin
141
vancomycin classifications
T: anti-infective
142
side effects of vancomycin
ototoxicity, nephrotoxicity, phlebitis, suprainfection, red-man syndrome
143
what lab to monitor when giving vancomycin
creatine serum
144
what can vancomycin cause at IV site
necrosis
145
signs and symptoms of nephrotoxicity
pink, cloudy urine
146
binds to the bacterial cell walls, resulting in cell death
vancomycin
