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Which analgesics are anti-inflammatories
What are the assessments for someone receiving narcotics?
LOC, Pain, RR, Pulse ox
What are the signs of ASA (asprin) overdose?
How are laxatives taken?
How does insulin work?
- helps the cells use glucose
- helps glucose enter muscles and fat tissue cells
- stimulates the synthesis of glycogen by the liver - promoting conversion of glucose to glycogen (stored glucose)
- also promotes protein synthesis and helps store body fat
When do the insulin's peak?
- Fast Acting:
- Humalog - 30 - 75 min
- Novolog - 1 - 3 hrs
- Reg - Short Acting:
- Humulin R - 2-5hrs
- Novalin $ - 2-5hrs
- NPH - Intermediate:
- Humulin N - 4-6 hrs
- Novalin N - 4-6 hrs
- Lantus (very long acting) 1x day evenly for 24hrs
- NPH & REG mix 2 -12 hrs
What are steroids used for?
- Anti - inflamitory response / flare-ups
What does low albumin do for drug metabolism inthe elderly?
Protien is down so drugs can't bind properly, may lead to toxicity.
What happens if women smoke while on hormones?
At risk for blood clotts, PE, Stroke
What does epinephrine do in the body?
Fight or Flight, HR up,broncho dilates, GI decreases motility & secreations, dilates pupils
What are the effects of an anticholinergic?
When is lithium given?
Bipolar disorder 1x perday low theraputic margin
What are the signs of digoxin toxicity?
Confusion, N/V, Yellow vision
What happens with an overdose of Parkinson's meds?
BP down, lethergy
How do you monitor the use of Digoxin?
HR apical 1 min before given, hold if <60
What are the actions of the various cardiac medications?
- Cardio-tonic drug: increases contractability, decreases HR, controls arrhythmias
- Beta Blockers: Slow HR, Decrease contractility (rest & digest)
- ACE Inhibitors: Vasodilation, Decrease release of aldosterone
- Alpha Blockers: HTN, improves urinary flow in BPH
- Calcium Channel Blockers: control fast sarrhythmias, HTN, prevent coronary spasm
- Nitroglycerin: Coronary vasodilator, peripheral vasodilator, arterial vasodilator at high doses
- Diuretics: remove sodium and water from the body for HTN, CHF, Renal Disease
- Potassium Supps: replace potassium
- Antiplatelet Agents: prevent and treat HA, prevent re-occlusion of stents, prevent stroke
- Anticoagulants: prevent the formation and extentsion of thrombus
- Antihyperlipidemic: decrease levels of lipids (cholesterol, triglycerides)
What do you monitor with heparin and warfarin?
- Heparin - PTT
- Warfarin - PT/INR
How do you give and monitor nitroglycerin?
Wear gloves, apply above the waitst, apply worm like strip
How do you evaluate the action of diuretics?
What is the actio of the respiratory inhalers?
Broncho dialation / anticholernergics, decrease spasms
What happens when a patient takes pyridium?
Urine turns orange
How do yo administer topical medications?
- Wear Gloves
- Apply to intact skin, clean dry area, no hair
What drug should you not take Viagra with?
What does codeine do for a cough?
Calms - depresses the caugh center
What should a patient receiving Alzheimer's medications be monitored for?
- Behavior - is it working?
- Theraputic effect
What does the FDA do?
Regulates Food & Drugs
How do yo give oral meds safely?
- Patient is sitting up, alert, able to swalllow
- (give a drink of water prior to meds.)
What is the advantage of enteric coated meds?
easier to swallow, protects the stomach
Which antibiotics are safe for the elderly?
What does altered liver and rnal funciton mean for medication administration?
High risk for toxicity
What is drug tolerance?
Built up resistance to a drug, not addiction
What are the signs of allergic reactions?
Rash, itching, anaphalxis, resp.
What drugs can be given as a patch?
Nitro, Narcotic, pain, capolimine, contraceptives
What is the Controlled Substance Act?
- Act that classifies controlled substance into diff. catagories.
- Schedule 2 - locked drugs
How do you treat Parkinson's?
Dopaminergics - Anticholenergics
Why should you postpone an immunization?
Fulu Symptoms, Fever, illness
What are the side effects of Dilantin?
Hypertorphy of the gums (swollen)
What is a broad spectrum antibiotic?
- used on gram neg & gram posorganisms.
- Kills normal flora..mouth, vag, eyes.
WHat are the signs of a super-infection?
- Fever, Diarrhea (C-diff)
- presents while treating for primary infection
Which drugs have a cross sensitivity?
Penicillins / Cephalosporins
Which drugs are used to treat UTI's?
Pyridium / antibiotics
What are the side effects of antipsychotics?
sedation, photophobia, dry mouth, dyskinesia, fine tremor, ridgity
How do we treat TB?
- Take more than one drug, 6 mo or longer
- Isolation, sputum sample 3x per day
What cells does chemo effect?
- Bonemarrow/blood forming cells
- RBC / WBC/ Platelets
What are the side effects of Chemo therapy?
- appetite changes
- bleeding problems
- constipation, diarrhea, N/V, fatigue
- hair loss, infection, memory changes
- Skin changes, swelling, urinary changes
What are the benefits of a PCA?
No breakthrough pain
Who is at risk for addiciton to opiates?
Where are eye meds given?
Lower conjuntival sac
Which drugs should not be mixed with alcohol?
Narcotics, antiseizure, hypnotics