NCLEX: Meds

NCLEX: Meds
Created Aug 2, 2009
by typksn
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What is prazosin?
Alpha-adrenergic Blocker (Antagonist) Prazosin is in a class of drugs called alpha-adrenergic...
What is metoprolol?
Beta-adrenergic Blocker (Antagonist) Metoprolol is in a group of drugs called beta-blockers....
What is diazepam (Valium)
Benzodiazepine Diazepam is in a group of drugs called benzodiazepines (ben-zoe-dye-AZE-eh-peens). Diazepam...
What is lisinopril?
Lisinopril is in a group of drugs called ACE inhibitors. ACE stands for angiotensin converting...
What is candesartan?
ARB Candesartan is in a group of drugs called angiotensin II receptor antagonists....
What is amlodipine (Norvasc)?
Amlodipine is in a group of drugs called calcium channel blockers. Amlodipine relaxes (widens)...
What is atorvastatin (Lipitor)?
Lipid-lowering drug Atorvastatin is a cholesterol-lowering medication that blocks...
What is Alteplase
Thrombolytic Mechanism of Action converts plasminogen to plasmin, promoting fibrinolysis...
What is enoxaparin (Lovenox)
Anticoagulant Enoxaparin is a blood thinner, also called anticoagulant (an-tye-koe-AG-yoo-lant). Enoxaparin...
What is prednisone?
Corticosteroid Prednisone is in a class of drugs called steroids. Prednisone prevents...
What is alendronate (Fosamax)?
bisphosphonate for osteoporosis Alendronate is in the group of medicines called bisphosphonates...
What is albuterol?
Bronchodilator Albuterol works by relaxing muscles in the airways to improve breathing. ...
What is cimetidine (Tagamet)?
Histamine2 blocker - acid reducer Cimetidine is in a group of drugs called histamine...
What is omeprazole (Prilosec)?
Protein pump inhibitor - acid reducer Omeprazole decreases the amount of acid produced...
What is amoxicillin?
Penicillin antibiotic. Amoxicillin is an antibiotic in the penicillin group of drugs....
What is cefazolin (Ancef)?
Penicillin antibiotic. Amoxicillin is an antibiotic in the penicillin group of drugs....
What is cefazolin (Ancef)?
Penicillin antibiotic. Amoxicillin is an antibiotic in the penicillin group of drugs....
What is cefazolin (Ancef)
Cephalosporin antibiotic. Cefazolin is in a group of drugs called cephalosporin...
What is tetracycline?
Tetracycline antibiotic. Tetracycline is an antibiotic that fights bacteria in the...
What is levofloxacin (Levaquin)?
Fluoroquinolones antibiotic. Levofloxacin is in a group of antibiotics called fluoroquinolones...
What is azithromycin (Zithromax)?
Macrolide antibiotic. Azithromycin is in a group of drugs called macrolide antibiotics....
What is gentamicin?
Aminoglycoside antibiotic. Also look for -mycin Gentamicin is an antibiotic....
What is itraconazole?
Antifungal antibiotic. Itraconazole is an antifungal antibiotic. Itraconazole is...
What is alprazolam?
Benzodiazepine. Alprazolam is in a group of drugs called benzodiazepines (ben-zoe-dye-AZE-eh-peens). Alprazolam...
What is meperidine (Demerol)?
Narcotic analgesic. Don't confuse it with -tidine!!!! Meperidine is in a group of...
-zine:
can it be sedative / anti-psychotic med ???? - Trifluoperazine (Stelazine) ...
-zapine
olanzapine (Zyprexa) and clozapine (Clorazil) - anti-psychotic med - S/E: example...
Lithium (Lithane)
- regular sodium intake and adequate fluid intake
SULFA- SULFO-
sulfasalazine (Azulfidine) sulfonamides used to treat inflammatory bowel disease ie....
What is butorphanol nasal (Stadol)?
Butorphanol is in a group of drugs called narcotic pain relievers. It is similar to morphine. ...
What is magnesium sulfate injection?
Magnesium is a naturally occurring mineral. Magnesium is important for many systems in the...
What is metronidazole (Flagyl)?
Metronidazole is an antibiotic. It fights bacteria in your body. Metronidazole is...
What is risperidone (Risperidal)?
Risperidone is an antipsychotic medication. It works by changing the effects of chemicals in...
What is tranylcypromine?
Parnate (tranylcypromine) - a MAO inhibitor - avoid food with tyramine (aged cheese, yogurt,...
Amphojel
an antacid
Aminophylline
a bronchodilator drug combination that contains theophylline and ethylenediamine in 2:1 ratio
NSAIDS i.e. Motrin
- can cause GI distress, take with meals.
FLUID (SOLUTION) TYPES:
1. Isotonic used to replace electrolytes - example: 0.9 % NaCl, LR 2. HYPERtonic...
IF stool turns very dark
indicates GI bleeding
Anti-dote for anti-pyschotic meds is
Congentin or Artane
Beta blockers may mask what symptoms?
May mask symptoms of HYPOglycemia (Diabetes)
ACE inhibitors can cause what symptoms?
ACE inhibitors can cause low blood sugar (hypoglycemia)
Drug of choice for PVC's?
Lidocaine
Drug of choice for MI?
Morphine sulfate.
NSAIDS S/E:
like ibuprofen (Motrin) S/E: -         Tinnitus...
Enalapril maleate (Vasotec) What can it be used for?
ACE Inhibitor- for mild hypertension
Demerol can mask ???
If pt in accident, be careful when giving Demerol. Pt may have increased ICP. Demerol masks...
Drug of choice for diabetes insipidus
desmopressin acetate (DDAVP)
Amoxicillin trihydrate (Amoxil): administration
remember to shake bottle; particles aren’t totally dissolved in a suspension.
Prednisone causes ???- administration- long term use
HYPERglycemia- should be taken with meals (causes gastric irritation).- Long term use can cause...
Sorbitol
(natural laxative and sweetener) may be in liquid medication; may cause diarrhea
Med for HYPERkalemia
sodium polystyrene sulfonate (Kayexalate)
Insulin NPH peak
8 – 12 hrs
Insulin Semilente peaks
8 – 12 hrs
Insulin Lente effective for
24 – 36 hrs
Reg insulin onset
0.5 – 1 hr
African Americans – Heart meds
- Beta blockers and ACE inhibitors less effective with African Americans- Better to use CCB...
Beta blockers contraindicated for those with
1. hx of bronchial asthma > may cause bronchospasm.2. uncompensated Heart Failure and pulmonary...
Antidote for Bblocker toxicity
Glucagon
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...
What is glucagon?
Glucagon is a hormone produced in the pancreas. It increases blood sugar levels.Glucagon is...
How BB “mask” signs of ???
The reason for B-blocker masking the hypoglycemia is b/c B-blockers inhibit flight, fright...
How does BB cause ???
How does BB cause HYPERglycemia?Note: B2 (via Epi) stimulation causes increase gycogenolysis,...
What is Glucophage (Metformin)?
Metformin is an oral diabetes medicine that helps control blood sugar levels. Metformin...
If taking anti-anxiety meds, S&S to be concerned
drowsiness
Flu vaccine
egg allergy
Pain med okay for hemophilia pts?
Percodan = oxycodone with aspirin; No for hemophilia
Pain meds (2) NOT okay for hemophilia pts?
1. oxycodone with acetaminophen; ok for hemophilia pts.2. Motrin = No for hemophilia, decrease...
Indomethacin (Indocin)  - drug class?
NSAID
Bethanechol (Urecholine)
cholinergic (parasympathomimetic):- treat functional urinary retention > help pee
Dicyclomine (Bentyl)
An anti-cholinergic. Promotes urinary retention
Carbamazepine (Tegretol) - drug class?
anticonvulsant med
Doxorubicin hydrochloride (Adriamycin) - S&S to be concerned?
fever & sore throat > sign of infection >  bone marrow depression
phenelzine sulfate (Nardil) - Diet & S&S
MAOi - NO eating food with tyramine.   - ex: aged cheese, beer, wine, yogurt AND bananas,...
Vit B6
TB
Vit B12
pernicious anemia
ethacrynic acid (Edecrin) and furosemide (Lasix)
Loop diuretics:- K wasting; encourage pt to eat K rich foods like OJ, bananas, broccoli, spinach,...
Clonidine (Catapres) transdermal patch
- alpha-adrenergic for HYPERtension- change q 7 days
Lithium - Expected S&S
Anti-manic med.Pt expected to be thirsty, have fine hand tremors, mild nausea, freq urination...
Lithium: EARLY sign of tox
N/V, slurred speech, muscle weakness
Lithium: LATE sign of tox
Ataxia
Clozapine (Clorazil) - drug class?
antipsychotic med
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...
What is disulfiram (Antabuse):?
Disulfiram interferes with the metabolism of alcohol resulting in unpleasant effects when alcohol...
Theophylline (aminophylline) - drug class and S&S?
bronchodilatorS/E: tachy
MI > Morphine sulfate
decrease blood to heart > decrease peripheral resistance
Dopamine (vasoactive med) > if HYPOtensive
increase blood to heart  > increase peripheral resistance
Prochlorperazine (Compazine) - drug class?
anti-emetic
Hydralazine hydrochloride (Apresoline)
Vasodilator = anti-hypertensive
Diazepam (Valium)
benzodiazepine for anxiety, seizures
Pentamidine isethionate (Pentam) - drug class?
antiprotozal agent
Chlorpromazine (Thorazine) - drug class?
anti-psychotic and anti-emetic
Metoclopramide hydrochloride (Reglan)
stimulates motility of upper GI tract; used for nausea for chemotherapy.
What is cisplatin (Platinol)?
Cisplatin is an antineoplastic medication. Cisplatin interferes with the growth of cancer cells...
What is phenazopyridine (Pyridium)?
Phenazopyridine is a pain reliever that affects the lower part of your urinary tract (bladder...
Topiramate (Topamax) - drug class?
anti-convulsant
Insulin scenario:  Before NPH 40 units @ 7am  After NPH 30 units, Reg insulin 10...
Answer = 11:00 am
Aluminum hydroxide gel (Amphojel) - drug class and what is it used for?
antacid > prevents epigastric pain.- take 1 hr AFTER meal.
Aspirin - Nursing considerations
Do not give together with other anticoagulants. Stop taking Aspirin some days before surgery....
NSAID’s - Nursing considerations
e.g. IbuprofenTake with food; contraindicated for people with GI ulcers
Morphine - Concerned S/E?
A respiratory depressant. It should be withheld if the respirations are below 10.
Dilantin - S/E?
Causes gum hyperplasia. Advice client to visit dentist frequently.
Predisone: S&S and S/E?
An anti-inflammatory / steroidCauses Cushing like symptoms. Common side effects are immunosupression(monitor...
Heparin: Lab and antidote?
PTT. Antidote is protamine sulfate
Coumadin: Lab and antidote?
PT. Antidote is Vitamin K
Cogentin
Anti-Parkinsonian medsCogentin: Used to treat EPS
Sinemet
Anti-Parkinsonian medsSinemet: Drug is effective when tremors are not observed
Theophylline/Aminophylline
Resp. Side effects: Tachycardia
Digoxin (Lanoxin): Signs of toxicity:
Pt will complaint of visual change in colors. They would also complain of loss of appetite.
Magnesium Sulfate: Monitor for ???
Anti-hypertensive (Pre-eclampsia)Monitor for deep tendon reflex and respiratory depression...
Hydrochlothiazide: Monitor
potassium levels
Lasix: Monitor
potassium levels
Aldactone:
Potassium sparing
Lithium Carbonate: Ther. rangeDiet
(0.8 to 1.2mEq). Also know symptoms of toxicity. Adequate fluid and salt intake is important.
Disulfiram (Antabuse) - Used for and nursing considerations?
Used for alcohol aversion therapy. Clients started on Disulfiram must avoid any form of alcohol...
Oxytocin: Assess ???
Assess uterus frequently for tetanic contraction.
Narcan - Used for?
Reverses the effects of narcotics
Calcium Gluconate - Used for?
Antidote for magnesium sulfate
Vitamin K - Used for?
Antidote for Coumadin
carbamazepine (Tegretol): side effects.
signs of an allergic reactionfever, sore throatconfusion, headacheN/V
Atropine - drug class? Used for?
anti-spasmodic / anticholinergic.used for tx of spastic bladder and bowel; diverticulitis,...
Epogen - Used for?
Used in treating anemia because it increases RBC production.
Acyclovir - drug class and used for?
anti-viral medication; used in treating herpes zoster (shingles).


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