ATI pharmacology

71 cards

ati pharma @ lu


 
  
Created Mar 3, 2011
by
advankampen

 

 
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1
migraine medications
 
ergotamine (ergostat) triptans such as sumatriptan. beta blockers like propranolol. anticonvulsuants...
2
when do you want to alert the doctor with migraine medications? 
 
Ergotamine:Ergotism (muscle pain, parasthesias in fingers and toes, cold pale extremities....
3
when do you administer bacteriostatic inhibitors?what are examples of these
 
erythromycin: meal times. alert dr if GI affects. full glass of water. also says later...
4
when do you give tetracycline
 
2 hr before 2 hours after a meal. empty stomach. not near antacids. 
5
side effects of antilepemics. what are the antielipemics which cause these effects?
 
 hepatotoxicity myopathy and peripheral neuropathy
main one: atorvastatin (lipitor)....
6
gemfibrozil is a ? what are the SE
 
antilipemic:fibrate. gall stones, myopathy, hepatotoxicity. 
7
bile sequestrants. example. side effects
 
cholestyramine (questran). or  colestipol (colestid).   no system ic effects bc the...
8
mood stabalizing drugs
 
lithium. valproicacid. study these! 215-217 valproic
9
administering heparin
 
deep subq injection or iv infusion. dosage: check with another nurse before administering.for...
10
what should the aptt levels be for heparin. 
 
60-80 seconds
11
examples of aminoglycosides. 
 
gentamicin. amikacin. tobramycin sulfate. neomycin. streptomycin. paromomycin.
12
side effects of gentamicin. amikacin. tobramycin sulfate. neomycin. streptomycin. paromomycin.
 
ototoxicity. nephrotoxicity. intensified neuromuscular blockade resulting in respiratory depression....
13
adverse effects of opioid agonists
 
respiratory depression, constipation, orthostatic hypotension, urinary retention, cough suppression,...
14
teaching to prevent hypoglycemia
 
-monitor client for signs. abrupt onset includes sns symptoms (tachycardia, palpitations, diaphoresis,...
15
what do you give for anaphylaxis?
what route. blood brain barrier? action time?
 
adrenergic agonist: most often epinephrine. other names are catecholamine, dopamine, dobutamine....
16
epinephrine action on different receptors (alpha 1, b1 and b2)
 

alpha:vasoconstriction. decrease congestion. increas bpbeta1-increase heart rate, myocardial...
17
agonist-antagonist opioid examples:   what kinda pain to they work on?
considerations....
 
stadol  (butorphanol), pentazocine (talwin). mild to moderate pain.  high doses cause...
18
administering morphine: 
 
withold if RR is less than 12. follow controlled substance procedures. double check opioid...
19
hematopoietic growth factors: examples
evaluating clients response
 
epoetin alfa (epogen, procrit)increases the producton of rbc
monitor pt iron levels. take...
20
antipsychotics-atypical. what are examples of these?
 
clozapine (clozaril). risperidone, olanzpine, quetiapine, aripiprazole (abilify)
schizophrenia...
21
neostimine is what?
 
a cholinesterase inhibitor. used to increase muscle strength with myasthenia gravis.  can...
22
what is a cholinergic crisis?
 
excessive muscarinic stimulation and respiratory depression from neuromuscular blockage. interventions?:...
23
how do you evaluate the effects of clozapine (clozaril). risperidone, olanzpine, quetiapine,...
 
improved symptoms. absence of hallucinations, delusions, anxiety, hostility. improved adL's....
24
what is the antimycobacterial antituberculosis medication? main one? others?
considerations...
 
isoniazid. streptomycin. ethambutol. pyrazinamide...
25
considerations for long term use of isoniazid. streptomycin. ethambutol. pyrazinamide...
 
compliance! used DOT sometimes to ensure compliance. advise the client toa take on an empty...
26
what are cardiac glycosides? used for?
 
digoxin, lanoxin, lanoxicaps, and digitek. They  are a positive inotrope and a negative...
27
contraindications for cardiac glycosides?
 
pregnancy risk catagory C. contraindicated with disturbed ventricular rhythm: ventricular fib,...
28
who should you be cautious about giving an opiod too?
 
clients with asthma, emphysema, and or head injuries with the risk of resp depression. infants....
29
what can occur with repeated use of meperidine?
 
accumulation of normeperidine. this can result in seizures or neurotoxicity. do not give more...
30
MORPHINE IS CONTRAINDICATED WITH WHAT PT?
 
BILIARY TRACT SURGERY, OR PREMATURE INFANTS.  (BEFORE OR AFTER DELIVERY) RESP DEPRESSION....
31
what are the three things an opioid can dor(positiupve effects)
 
relief of pain. cough suppression. resolve diarrhea. 
32
what should those who take nitrates be aware of.?
 
NO alcohol. hypotensive effects. other antihypertensive meds.  VIAGRA,, heck no. you do...
33
treating an anginal attack with nitrates
 
stop activity. take does of rapid-acting nitroglycerine immediately. if pain is unrelieved...
34
 adrenergic  agonists? examples of the drugs?
 
epinephrine, catecholamines, dopamine. catehcolamine. dobutamine
35
how do you titrate adrenergic  agonists? how do you control?  what are the signs...
 
based on blood pressure. use iv pump to control.------improved perfusion aeb urine output of...
36
monitor for what with adrenergic agonists?
 
chest pain. also for infiltration. extravasation can be treated with a blocking agent, such...
37
oral hypoglycemics? what are the drugs
 
1st generation: tobutamide.  chlorpropamide 2nd? glipizide.  and glyburide
38
1st generation: tobutamide.  chlorpropamide 2nd? glipizide.  and glyburide: medicaltion...
 
alcohol. can cause disulfiram like reaction. (nausea, vomiting, flushing, palpitations....-----.....also...
39
what are examples of thrombolytic medications? how do they work?
 
streptokinase. alteplase, tenecteplase, reteplase. dissove clots that have ALREADY FORMED. 
40
adverse effects and how to minimize
 
bleeding: limit punctures. apply pressure. check vs. notify dr with changes. hypotension:...
41
Things to note with streptokinase. alteplase, tenecteplase, reteplase. 
 
-get baseline platelet, hemoglobin, hematocrit, aPTT, PT, INR, fibrinogen, and monitor t.-monitor...
42
biphosphonates: what are they? what are they for?
 
decrease the number and action of osteoclasts-therefore inhibiting bone reabsorption. 
alendronate...
43
alendronate sodium (fosamax) ibandronate sodium (boniva) risedronate (actonel) MEDICATION ADMINISTRATION:
 
take first thing in the mornign after getting out of bed. take with 8 oz of water. sit or stand...
44
Immunosuppressants: examples:
 
calcineurin inhibitors (cyclosporine, sandimmune, grengraf, neoral) glucocorticoids such as...
45
calcineurin inhibitors (cyclosporine, sandimmune, grengraf, neoral) glucocorticoids such as...
 
act on helper T lymphocytes to suppress production of immune response components resulting...
46
ANTICOAGULANTS-HEPARIN. WHAT LAB VALUES?
 
MONITOR  aPTT ever 4-6 hours until appropriate dose is determined. then daily. aPTT...
47
ANTICOAGULANTS-warfarin. WHAT LAB VALUES?
 
vitamin K is the antagonist. 
PT levels: 18-24. INR of 2-3.  most accurate.  HOLD...
48
glucocorticoids: client teaching for MDI's
 
Inhaled agents used for long term prophylaxis of asthma. Use spacer with MDI. advise the...
49
sedative hypnotic medications: non-benzo's examples
 
zolpidem *ambien.   also zalepion, ezopiclone (lunesta) and trazodone. 
enhance...
50
sedative hypnotic medications: non-benzo's evaluating. 221
 
take at bedtime.  not associated with dependance or tolerance. 
MONITOR PT for...
51
glucocorticoid drugs:
 
beclomethasone dipropionate. budesonide. fluticasone propionate (flovent) triamcinolone acetonide...
52
what to monitor with alpha adrenergic? prazosin. doxazosin. 
 
 signs of hypotension. lie down if you feel faint. advise to avoid OTC NSAIDS ( nsaids...
53
beta blockers: monitoring the client
 
monitor pulse. below 60-hold medication. use caution with DM.  use catutiously with HF....
54
WHEN DO YOU increase and decrease insulin in pt?
 
increase with caloric intake, infection, stress, growth spurts, and in the second and third...
55
TIPS WITH iron ferous sulfate or iron dextranto 
 
used to treate iron deficiency anemia. administer with food only if nausea. may need to dosage...
56
**MORE CLIENT TEACHING WITH IRON..
 
empty stomach. 1 hr before meals to max absorption. dark green/black stool. increase water...
57
 Selective serotonin reuptake inhibitors are what meds?
 
fluoxetine (prozac)  citalopram, (celexa---escitalopram oxalate (lexero, paroxetine, sertraline
58
fluoxetine (prozac)  citalopram, celexa---escitalopram oxalate (lexero, paroxetine,csertralineera...
 
MAOI'S: SEROTONIN SYNDROMEWarfarin: displaces the warfarin bound protein. increased warfarin...
59
tocalyptic medication: what are they? for? adverse reactions:
 
terbutaline sulfate, and mag sultachycardia, palpitations, chest pain: monitor. intervene based...
60
leukotriene modifiers:
 
montelukast (singulair)  supresses inflammation, bronchoconstriction, airway edema, and...
61
RISKS FOR OPIOID USE-RESP DEPRESSION
 
monitor vs. stop use if less than 12 rr. notify dr. avoid use of opioids with cns depressand...
62
what are anti parkinson meds? whats the MOA?
 
levadopa, pramipexole, benztropine, amatadine

63
cerebral palsy: theuraputic effects of meds. 
 
meds: diazepam (valium)  dantrolene, baclofen, cylobenzaprine, metaxalone. for cerebral...
64
contraindication of anticoagulants:
 
low platelet counts, uncontrollable bleeding, surguries on eyes, spinal cord, lumbar puncture,...
65
antilipemics. drugs?   client teaching.
 
atorvastatin (lipitor) simvistatin...etc.give after evening meal.  most without food-but...
66
tetracycline interacts with what?
 
milk products, calcium iron magnesium containing laxatives, and most antacids. (therefore give...
67
nitrates interactions
 
alcohol. antihypertensive meds (use cautiously) and viagrap( life threatening hypotension....
68
cardiact glycosidesss
 
Digoxin! interactions: thiazide diuretics. HCTZ: and loop diuretics increase the risk of digoxin...
69
opioid PCA pump?
 
closely monitor. dose, lockout interval. and 4 hour limit. reasure the client to the safety...
70
when does a pt need an opioid?
 
releif of moderate to severe pain. postoperative. myocardial infarction, cancer pain.  assess...
71
side effects of opioids?
 
respiratory depression. constipation (increase fluid intake and physical activity. admin laxative)....

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