Nur 110 Study Questions

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  1. Which analgesics are anti-inflammatories
    asprin, NSAIDS
  2. What are the assessments for someone receiving narcotics?
    LOC, Pain, RR, Pulse ox
  3. What are the signs of ASA (asprin) overdose?
    Tennitis, Vertigo
  4. How are laxatives taken?
    Oral, Rectal
  5. 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
  6. 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
  7. What are steroids used for?
    • Anti - inflamitory response / flare-ups
    • asthma
  8. What does low albumin do for drug metabolism inthe elderly?
    Protien is down so drugs can't bind properly, may lead to toxicity.
  9. What happens if women smoke while on hormones?
    At risk for blood clotts, PE, Stroke
  10. What does epinephrine do in the body?
    Fight or Flight, HR up,broncho dilates, GI decreases motility & secreations, dilates pupils
  11. What are the effects of an anticholinergic?
    • dry mouth
    • blurred vision
  12. When is lithium given?
    Bipolar disorder 1x perday low theraputic margin
  13. What are the signs of digoxin toxicity?
    Confusion, N/V, Yellow vision
  14. What happens with an overdose of Parkinson's meds?
    BP down, lethergy
  15. How do you monitor the use of Digoxin?
    HR apical 1 min before given, hold if <60
  16. 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)
  17. What do you monitor with heparin and warfarin?
    • Heparin - PTT
    • Warfarin - PT/INR
  18. How do you give and monitor nitroglycerin?
    Wear gloves, apply above the waitst, apply worm like strip
  19. How do you evaluate the action of diuretics?
    • ***Weight
    • Edema / I&O
  20. What is the actio of the respiratory inhalers?
    Broncho dialation / anticholernergics, decrease spasms
  21. What happens when a patient takes pyridium?
    Urine turns orange
  22. How do yo administer topical medications?
    • Wear Gloves
    • Apply to intact skin, clean dry area, no hair
  23. What drug should you not take Viagra with?
  24. What does codeine do for a cough?
    Calms - depresses the caugh center
  25. What should a patient receiving Alzheimer's medications be monitored for?
    • Behavior - is it working?
    • Theraputic effect
  26. What does the FDA do?
    Regulates Food & Drugs
  27. How do yo give oral meds safely?
    • Patient is sitting up, alert, able to swalllow
    • (give a drink of water prior to meds.)
  28. What is the advantage of enteric coated meds?
    easier to swallow, protects the stomach
  29. Which antibiotics are safe for the elderly?
    • Penicillin
    • Cephalosporins
  30. What does altered liver and rnal funciton mean for medication administration?
    High risk for toxicity
  31. What is drug tolerance?
    Built up resistance to a drug, not addiction
  32. What are the signs of allergic reactions?
    Rash, itching, anaphalxis, resp.
  33. What drugs can be given as a patch?
    Nitro, Narcotic, pain, capolimine, contraceptives
  34. What is the Controlled Substance Act?
    • Act that classifies controlled substance into diff. catagories.
    • Schedule 2 - locked drugs
  35. How do you treat Parkinson's?
    Dopaminergics - Anticholenergics
  36. Why should you postpone an immunization?
    Fulu Symptoms, Fever, illness
  37. What are the side effects of Dilantin?
    Hypertorphy of the gums (swollen)
  38. What is a broad spectrum antibiotic?
    • used on gram neg & gram posorganisms.
    • Kills normal flora..mouth, vag, eyes.
  39. WHat are the signs of a super-infection?
    • Fever, Diarrhea (C-diff)
    • presents while treating for primary infection
  40. Which drugs have a cross sensitivity?
    Penicillins / Cephalosporins
  41. Which drugs are used to treat UTI's?
    Pyridium / antibiotics
  42. What are the side effects of antipsychotics?
    sedation, photophobia, dry mouth, dyskinesia, fine tremor, ridgity
  43. How do we treat TB?
    • Take more than one drug, 6 mo or longer
    • Isolation, sputum sample 3x per day
  44. What cells does chemo effect?
    • Bonemarrow/blood forming cells
    • RBC / WBC/ Platelets
  45. What are the side effects of Chemo therapy?
    • anemia
    • appetite changes
    • bleeding problems
    • constipation, diarrhea, N/V, fatigue
    • hair loss, infection, memory changes
    • Skin changes, swelling, urinary changes
  46. What are the benefits of a PCA?
    No breakthrough pain
  47. Who is at risk for addiciton to opiates?
    Addictive personalities
  48. Where are eye meds given?
    Lower conjuntival sac
  49. Which drugs should not be mixed with alcohol?
    Narcotics, antiseizure, hypnotics
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Nur 110 Study Questions
Pharm 110
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