NCLEX: Meds

123 cards

NCLEX: Meds


 
  
Created Aug 2, 2009
by
typksn

 

 
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1
What is prazosin?
 

Alpha-adrenergic Blocker (Antagonist)

2

What is metoprolol?

 

Beta-adrenergic Blocker (Antagonist)

3
What is diazepam (Valium)
 

Benzodiazepine

4

What is lisinopril?

 

Lisinopril is in a group of drugs called ACE inhibitors. ACE...

5
What is candesartan?
 

ARB

6

What is amlodipine (Norvasc)?

 

Amlodipine is in a group of drugs called calcium channel blockers....

7
What is atorvastatin (Lipitor)?
 

Lipid-lowering drug

8
What is Alteplase
 

Thrombolytic

9
What is enoxaparin (Lovenox)
 

Anticoagulant

10
What is prednisone?
 

Corticosteroid

11
What is alendronate (Fosamax)?
 

bisphosphonate for osteoporosis

12
What is albuterol?
 

Bronchodilator

13
What is cimetidine (Tagamet)?


 

Histamine2 blocker - acid reducer

14
What is omeprazole (Prilosec)?
 

Protein pump inhibitor - acid reducer

15
What is amoxicillin?
 

Penicillin antibiotic.

...

16
What is cefazolin (Ancef)?
 

Penicillin antibiotic.

...

17
What is cefazolin (Ancef)?
 

Penicillin antibiotic.

...

18
What is cefazolin (Ancef)
 

Cephalosporin antibiotic.

19
What is tetracycline?
 

Tetracycline antibiotic.

...

20
What is levofloxacin (Levaquin)?
 

Fluoroquinolones antibiotic.

...

21
What is azithromycin (Zithromax)?
 

Macrolide antibiotic.

...

22
What is gentamicin?
 

Aminoglycoside antibiotic. Also look for -mycin

23
What is itraconazole?
 

Antifungal antibiotic.

...

24
What is alprazolam?
 

Benzodiazepine.

25
What is meperidine (Demerol)?
 

Narcotic analgesic. Don't confuse it with -tidine!!!!

26
-zine:
 

can it be sedative / anti-psychotic med ????

27
-zapine
 

olanzapine (Zyprexa) and clozapine (Clorazil)

28

Lithium (Lithane)

 

- regular sodium intake and adequate fluid intake

29
SULFA-
SULFO-
 

sulfasalazine (Azulfidine)

sulfonamides used...

30

What is butorphanol nasal (Stadol)?

 

Butorphanol is in a group of drugs called narcotic pain relievers....

31

What is magnesium sulfate injection?

 

Magnesium is a naturally occurring mineral. Magnesium is important...

32

What is metronidazole (Flagyl)?

 

Metronidazole is an antibiotic. It fights bacteria in your body.

33

What is risperidone (Risperidal)?

 

Risperidone is an antipsychotic medication. It works by changing...

34

What is tranylcypromine?

 

Parnate (tranylcypromine)

...

35
Amphojel
 
an antacid
36
Aminophylline
 
a bronchodilator drug combination that contains theophylline and ethylenediamine in 2:1 ratio
37
NSAIDS i.e. Motrin
 
- can cause GI distress, take with meals.
38
FLUID (SOLUTION) TYPES:
 

1. Isotonic used to replace electrolytes

39
IF stool turns very dark
 
indicates GI bleeding
40
Anti-dote for anti-pyschotic meds is
 
Congentin or Artane
41
Beta blockers may mask what symptoms?
 
May mask symptoms of HYPOglycemia (Diabetes)
42
ACE inhibitors can cause what symptoms?
 
ACE inhibitors can cause low blood sugar (hypoglycemia)
43
Drug of choice for PVC's?
 
Lidocaine
44
Drug of choice for MI?
 
Morphine sulfate.
45
NSAIDS S/E:
 

like ibuprofen (Motrin) S/E:

46

Enalapril maleate (Vasotec)

What can it be used for?
 
ACE Inhibitor

- for mild hypertension
47
Demerol can mask ???
 
If pt in accident, be careful when giving Demerol.

Pt may have increased ICP. Demerol...
48
Drug of choice for diabetes insipidus
 
desmopressin acetate (DDAVP)
49

Amoxicillin trihydrate (Amoxil): administration

 
remember to shake bottle; particles aren’t totally dissolved in a suspension.
50
Prednisone causes ???
- administration
- long term use
 
HYPERglycemia
- should be taken with meals (causes gastric irritation).
- Long term use...
51
Sorbitol
 
(natural laxative and sweetener) may be in liquid medication; may cause diarrhea
52
Med for HYPERkalemia
 
sodium polystyrene sulfonate (Kayexalate)
53
Insulin NPH peak
 
8 – 12 hrs
54
Insulin Semilente peaks
 
8 – 12 hrs
55
Insulin Lente effective for
 
24 – 36 hrs
56
Reg insulin onset
 
0.5 – 1 hr
57
African Americans – Heart meds
 
- Beta blockers and ACE inhibitors less effective with African Americans
- Better to use...
58
Beta blockers contraindicated for those with
 
1. hx of bronchial asthma > may cause bronchospasm.
2. uncompensated Heart Failure and...
59
Antidote for Bblocker toxicity
 
Glucagon
60

How Glucagon can help Beta Blocker OD's?

 
Glucagon receptor is found in the heart. You cannot use epi in treatment since epi needs Beta...
61
What is glucagon?
 
Glucagon is a hormone produced in the pancreas. It increases blood sugar levels.

Glucagon...
62
How BB “mask” signs of ???
 
The reason for B-blocker masking the hypoglycemia is b/c B-blockers inhibit flight, fright...
63
How does BB cause ???
 
How does BB cause HYPERglycemia?

Note: B2 (via Epi) stimulation causes increase gycogenolysis,...
64
What is Glucophage (Metformin)?
 
Metformin is an oral diabetes medicine that helps control blood sugar levels.

Metformin...
65
If taking anti-anxiety meds, S&S to be concerned
 
drowsiness
66
Flu vaccine
 
egg allergy
67
Pain med okay for hemophilia pts?
 

Percodan = oxycodone with aspirin; No for hemophilia

68
Pain meds (2) NOT okay for hemophilia pts?
 
1. oxycodone with acetaminophen; ok for hemophilia pts.

2. Motrin = No for hemophilia,...
69
Indomethacin (Indocin)  - drug class?
 
NSAID
70
Bethanechol (Urecholine)
 
cholinergic (parasympathomimetic):
- treat functional urinary retention > help pee
71
Dicyclomine (Bentyl)
 
An anti-cholinergic. Promotes urinary retention
72
Carbamazepine (Tegretol) - drug class?
 
anticonvulsant med
73
Doxorubicin hydrochloride (Adriamycin) - S&S to be concerned?
 
fever & sore throat > sign of infection >  bone marrow depression
74
phenelzine sulfate (Nardil) - Diet & S&S
 
MAOi
- NO eating food with tyramine.
  - ex: aged cheese, beer, wine, yogurt AND...
75
Vit B6
 
TB
76
Vit B12
 
pernicious anemia
77
ethacrynic acid (Edecrin) and furosemide (Lasix)
 
Loop diuretics:
- K wasting; encourage pt to eat K rich foods like OJ, bananas, broccoli,...
78
Clonidine (Catapres) transdermal patch
 
- alpha-adrenergic for HYPERtension

- change q 7 days
79
Lithium - Expected S&S
 

Anti-manic med.

Pt expected to be thirsty,...

80
Lithium: EARLY sign of tox
 
N/V, slurred speech, muscle weakness
81
Lithium: LATE sign of tox
 
Ataxia
82
Clozapine (Clorazil) - drug class?
 
antipsychotic med
83
If pt is going to surgery is on prednisone, anticipate increase or decrease of dosage ???
 
Anticipate the INCREASE of dosage before surgery because surgery INCREASES the demand for...
84
What is disulfiram (Antabuse):?

 
Disulfiram interferes with the metabolism of alcohol resulting in unpleasant effects when alcohol...
85
Theophylline (aminophylline) - drug class and S&S?
 
bronchodilator

S/E: tachy
86
MI > Morphine sulfate
 
decrease blood to heart > decrease peripheral resistance
87
Dopamine (vasoactive med) > if HYPOtensive
 

increase blood to heart  > increase peripheral resistance

88
Prochlorperazine (Compazine) - drug class?
 
anti-emetic
89
Hydralazine hydrochloride (Apresoline)
 
Vasodilator = anti-hypertensive
90
Diazepam (Valium)
 
benzodiazepine for anxiety, seizures
91
Pentamidine isethionate (Pentam) - drug class?
 
antiprotozal agent
92
Chlorpromazine (Thorazine) - drug class?
 
anti-psychotic and anti-emetic
93
Metoclopramide hydrochloride (Reglan)
 
stimulates motility of upper GI tract; used for nausea for chemotherapy.
94
What is cisplatin (Platinol)?

 
Cisplatin is an antineoplastic medication. Cisplatin interferes with the growth of cancer cells...
95
What is phenazopyridine (Pyridium)?

 
Phenazopyridine is a pain reliever that affects the lower part of your urinary tract (bladder...
96

Topiramate (Topamax) - drug class?

 

anti-convulsant

97
Insulin scenario:
  Before NPH 40 units @ 7am
  After NPH 30 units, Reg insulin...
 
Answer = 11:00 am
98
Aluminum hydroxide gel (Amphojel) - drug class and what is it used for?
 
antacid > prevents epigastric pain.
- take 1 hr AFTER meal.
99
Aspirin - Nursing considerations
 
Do not give together with other anticoagulants.

Stop taking Aspirin some days before...
100
NSAID’s - Nursing considerations
 
e.g. Ibuprofen

Take with food;

contraindicated for people with GI ulcers
101
Morphine - Concerned S/E?
 
A respiratory depressant. It should be withheld if the respirations are below 10.

102
Dilantin - S/E?
 
Causes gum hyperplasia. Advice client to visit dentist frequently.
103
Predisone: S&S and S/E?
 
An anti-inflammatory / steroid

Causes Cushing like symptoms.

Common side effects...
104
Heparin: Lab and antidote?
 
PTT.

Antidote is protamine sulfate
105
Coumadin: Lab and antidote?
 
PT.

Antidote is Vitamin K
106
Cogentin
 
Anti-Parkinsonian meds

Cogentin: Used to treat EPS
107
Sinemet
 
Anti-Parkinsonian meds

Sinemet: Drug is effective when tremors are not observed
108
Theophylline/Aminophylline
 
Resp. Side effects: Tachycardia
109
Digoxin (Lanoxin): Signs of toxicity:
 
Pt will complaint of visual change in colors.

They would also complain of loss of appetite.
110
Magnesium Sulfate: Monitor for ???
 
Anti-hypertensive (Pre-eclampsia)

Monitor for deep tendon reflex and respiratory depression...
111
Hydrochlothiazide: Monitor
 
potassium levels
112
Lasix: Monitor
 
potassium levels
113
Aldactone:
 
Potassium sparing
114
Lithium Carbonate:

Ther. range
Diet
 
(0.8 to 1.2mEq).

Also know symptoms of toxicity.

Adequate fluid and salt intake...
115
Disulfiram (Antabuse) - Used for and nursing considerations?
 
Used for alcohol aversion therapy.

Clients started on Disulfiram must avoid any form...
116
Oxytocin: Assess ???
 
Assess uterus frequently for tetanic contraction.
117
Narcan - Used for?
 
Reverses the effects of narcotics
118
Calcium Gluconate - Used for?
 
Antidote for magnesium sulfate
119
Vitamin K - Used for?
 
Antidote for Coumadin
120
carbamazepine (Tegretol): side effects.
 
signs of an allergic reaction
fever, sore throat
confusion, headache
N/V
121
Atropine - drug class? Used for?
 
anti-spasmodic / anticholinergic.

used for tx of spastic bladder and bowel; diverticulitis,...
122
Epogen - Used for?
 
Used in treating anemia because it increases RBC production.
123
Acyclovir - drug class and used for?
 
anti-viral medication; used in treating herpes zoster (shingles).

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