NCLEX: Meds

123 cards

NCLEX: Meds


 
  
Created Aug 2, 2009
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typksn

 

 
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1
What is prazosin?
 
Alpha-adrenergic Blocker (Antagonist) Prazosin is in a class of drugs called alpha-adrenergic...
2
What is metoprolol?
 
Beta-adrenergic Blocker (Antagonist) Metoprolol is in a group of drugs called beta-blockers....
3
What is diazepam (Valium)
 
Benzodiazepine Diazepam is in a group of drugs called benzodiazepines (ben-zoe-dye-AZE-eh-peens). Diazepam...
4
What is lisinopril?
 
Lisinopril is in a group of drugs called ACE inhibitors. ACE stands for angiotensin converting...
5
What is candesartan?
 
ARB Candesartan is in a group of drugs called angiotensin II receptor antagonists....
6
What is amlodipine (Norvasc)?
 
Amlodipine is in a group of drugs called calcium channel blockers. Amlodipine relaxes (widens)...
7
What is atorvastatin (Lipitor)?
 
Lipid-lowering drug Atorvastatin is a cholesterol-lowering medication that blocks...
8
What is Alteplase
 
Thrombolytic Mechanism of Action converts plasminogen to plasmin, promoting fibrinolysis...
9
What is enoxaparin (Lovenox)
 
Anticoagulant Enoxaparin is a blood thinner, also called anticoagulant (an-tye-koe-AG-yoo-lant). Enoxaparin...
10
What is prednisone?
 
Corticosteroid Prednisone is in a class of drugs called steroids. Prednisone prevents...
11
What is alendronate (Fosamax)?
 
bisphosphonate for osteoporosis Alendronate is in the group of medicines called bisphosphonates...
12
What is albuterol?
 
Bronchodilator Albuterol works by relaxing muscles in the airways to improve breathing. ...
13
What is cimetidine (Tagamet)?


 
Histamine2 blocker - acid reducer Cimetidine is in a group of drugs called histamine...
14
What is omeprazole (Prilosec)?
 
Protein pump inhibitor - acid reducer Omeprazole decreases the amount of acid produced...
15
What is amoxicillin?
 
Penicillin antibiotic. Amoxicillin is an antibiotic in the penicillin group of drugs....
16
What is cefazolin (Ancef)?
 
Penicillin antibiotic. Amoxicillin is an antibiotic in the penicillin group of drugs....
17
What is cefazolin (Ancef)?
 
Penicillin antibiotic. Amoxicillin is an antibiotic in the penicillin group of drugs....
18
What is cefazolin (Ancef)
 
Cephalosporin antibiotic. Cefazolin is in a group of drugs called cephalosporin...
19
What is tetracycline?
 
Tetracycline antibiotic. Tetracycline is an antibiotic that fights bacteria in the...
20
What is levofloxacin (Levaquin)?
 
Fluoroquinolones antibiotic. Levofloxacin is in a group of antibiotics called fluoroquinolones...
21
What is azithromycin (Zithromax)?
 
Macrolide antibiotic. Azithromycin is in a group of drugs called macrolide antibiotics....
22
What is gentamicin?
 
Aminoglycoside antibiotic. Also look for -mycin Gentamicin is an antibiotic....
23
What is itraconazole?
 
Antifungal antibiotic. Itraconazole is an antifungal antibiotic. Itraconazole is...
24
What is alprazolam?
 
Benzodiazepine. Alprazolam is in a group of drugs called benzodiazepines (ben-zoe-dye-AZE-eh-peens). Alprazolam...
25
What is meperidine (Demerol)?
 
Narcotic analgesic. Don't confuse it with -tidine!!!! Meperidine is in a group of...
26
-zine:
 
can it be sedative / anti-psychotic med ???? - Trifluoperazine (Stelazine) ...
27
-zapine
 
olanzapine (Zyprexa) and clozapine (Clorazil) - anti-psychotic med - S/E: example...
28
Lithium (Lithane)
 
- regular sodium intake and adequate fluid intake
29
SULFA-
SULFO-
 
sulfasalazine (Azulfidine) sulfonamides used to treat inflammatory bowel disease ie....
30
What is butorphanol nasal (Stadol)?
 
Butorphanol is in a group of drugs called narcotic pain relievers. It is similar to morphine. ...
31
What is magnesium sulfate injection?
 
Magnesium is a naturally occurring mineral. Magnesium is important for many systems in the...
32
What is metronidazole (Flagyl)?
 
Metronidazole is an antibiotic. It fights bacteria in your body. Metronidazole is...
33
What is risperidone (Risperidal)?
 
Risperidone is an antipsychotic medication. It works by changing the effects of chemicals in...
34
What is tranylcypromine?
 
Parnate (tranylcypromine) - a MAO inhibitor - avoid food with tyramine (aged cheese, yogurt,...
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 - example: 0.9 % NaCl, LR 2. HYPERtonic...
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: -         Tinnitus...
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, have fine hand tremors, mild nausea, freq urination...
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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