# Drug and drug math

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1. Bumetanide (Bumex)
Furosemide (Lasix)
Loop Diuretic
2. Amikacin-
Gentamicin
Kanamycin
Neomycin
Streptomycin
Tobramycin
Vancomycin
Aminoglycoside
3. Cimetidine
Famotidine
Nizatidine
Ranitidine
H2 blocker
4. Carvedilol
Labetalol
Propranolol
Metoprolol
Beta blocker-
5. Catopril
Enalapril
LIsinopril
Benazepril
ACE inhibitor
6. What classification is Protonix
anti-ulcer/ Proton pump inhibitor
7. Intermediate acting insulins
NPH- Humulin N, Nolvolin N, Relion N
8. Rapid acting
lispro-Humalog, aspart- Novolog, glulisine- Apidra
9. Regular insulin
Humulin R, Novolin R, ReliOn R
10. Long Acting insulin
glargine-Lantus, determir-Levemir
11. When mixing insulins, what do you always end with?
ALWAYS END WITH INTERMEDIATE ACTING WHEN MIXING (cloudy)
12. Gauge and length for ID
ID- 25,26 … 3/8, ½, 5/8… 10*-15*
13. Gauge and length for SubQ
SubQ- 23,25,26… 3/8, ½ , 5/8… 45*-90*
14. Gauge and length for IM
IM- 19,20,21,22… 1, 1 ½ , 2… 90o
15. IV calculations for gtts/ min and mL per hour
• A. Amount of fluid/ Hours= mL/hr
• B. mL/hr X gtts/mL / 60 min= gtts/min
16. 1gr=___ mg
60 or 65
17. 1 G=__gr
15
18. 1L=__oz
32
19. 1mL=___gtts
15
20. Aminoglycoside
Classification:
Anti-infective
21. Aminoglycoside
Indication:
serious gram negative infections, management of TB
22. Aminoglycoside
Action:
Inhibits protein synthesis of bacteria
23. Aminoglycoside
Nursing Implications
• Evaluate eighth cranial nerve function by audiometry before and throughout therapy. Hearing loss is usually in the high-frequency range. Prompt recognition and intervention are essential in preventing permanent damage.
• Also monitor for vestibular dysfunction (vertigo, ataxia, nausea, vomiting)
• Assess I &O and daily weights for renal function.
• Assess signs for super infection (fever, upper respiratory infection, vaginal itching or discharge, increasing malaise, diarrhea)
24. Aminoglycoside
Blood/lab work (overdose or toxicity)
Monitor blood levels periodically during therapy. Timing of blood levels is important in interpreting results. Draw blood peak levels 1hr after IM injection and 30min after a 30 min IV infusion is completed. Draw trough levels just before next dose.
25. Ace Inhibitor
classification
Antihypertensive
26. Ace Inhibitor
Indication:
• Hypertension
• CHF
• Slowed progression of left ventricular dysfunction
• Decreased progression of diabetic nephropathy
27. Ace Inhibitor
Action:
Blocks Angiotensin I to vasoconstrictor Angiotensin II. Increases plasma renin and decreases aldosterone.
28. Ace Inhibitor
Nursing Implications
• Montior pulse and BP frequently during first dose adjustment.
• Monitor for s/s of angioedema (dyspnea, facial swelling)
• Monitor weights and assess for fluid overfload
29. Ace Inhibitor
Blood/lab monitoring
Monitor BUN, Creatine and electrolyte levels periodically. Monitor CBC with differential prior to initiation of therapy, every 2 wks for the first 3 months and periodically for up to 1 year in patients at risk for neutropenia (pts with renal impairment or collagen-vascular disease) or at first sign of infection. Discontinue therapy if neutrophil count is <1000/mm3
30. Beta Blocker
Classification
• Antihypertensives
• Antianginals
31. Beta Blocker
Indication
• Hypertensive
• Prevention of MI
• Management of heart failure due to ichemic, hypertensive or cardiomyopathic origan.
32. Beta Blocker
Action
Blocks stimulation of beta (myocardial) adrenergic receptors. Does NOT block beta2 receptors.
33. Beta Blocker
Contraindications
• Pulmonary Edema
• Uncompensated CHF
34. Beta Blocker
Nursing implications
• Monitor BP and pulse frequently during dose adjustment period and periodically during therapy.
• Monitor I&O, daily weight.
• Assess patient routinely for evidence of fluid overload (peripheral edema, dyspnea, rales/crackles, fatigue, weight gain, jugular venous distention)
• Patients may experience worsening of symptoms during initiation of therapy for CHF
35. Beta Blocker
Overdose and Toxicity
Monitor patients receiving beta blockers for signs of overdose: bradycardia, severe dizziness or fainting, severe drowsiness, dyspnea, bluish fingernails or palms, seizures. Notify health care professional immediately if these signs occur. Montior vitals and ECG every 5-15 minutes during and for several hours after parenteral admin. If heart rate is <40 bpm, especially if cardiac output is also decreased, administer atropine 0.25-.5 mg IV. Take apical pulse prior to administering. If heart rate is <50 bpm or if arrhythmias occur, hold medication and notify doctor.
36. Loop Diuretic
Classification:
Diuretic
37. Loop diuretic
Indication:
Edema due to heart failure, hepatic impairment, renal disease, or hypertension
38. Loop diuretic
Action
Inhibits reabsorption of Na+ and Cl- from loop of henle
39. Loop diuretic
Nursing implications
• Montior daily weights
• Monitor BP and location of any edema
• Monitor patients taking digoxin for toxticity
• Assess for tinnitus and hearig loss
40. Proton-Pump Inibitor
Classification
Anti-ulcer agent
41. Proton pump inhibitor
Indication
Erosive esophagitis associated with GERD. Decreases relapse rates of heartburn with GERD.
42. Proton Pump Inhibitor
Action
Binds to an enzyme in the presence of acidic gaastric pH preventing final transport of H+ ions to gastric lumen
43. Proton Pump Inhibitor
Nursing Implications:
May increase bleeding with warfarin. Assess for epigastric or abdominal pain and frank or occult blood in the stool, emesis, or gastric aspirate
44. Histamine H2 Antagonists
Classifications
Anti-ulcer agents
45. Histamine H2 Antagonists
Indications
• Short term treatment of duodenal ulcers and benign gastric ulcers.
• Management of GERD.
• Treatment of heartburn, acid indigestion, and sour stomach.
46. Histamine H2 Antagonists
Action:
Inhibits the action of histamine at the H2 receptor site. Inhibits gastric acid secreation.
47. Histamine H2 Antagonists
Nursing Implications
Assess for epigastric or abdominal pain, occult blood, emesis, assess geriatric patients for confusion
48. Histamine H2 Antagonists
overdose or toxicity
Monitor CBC with differential periodically during therapy. May lead to increase levels and toxicity with benzodiazepines, some beta blockers, caffeine, calcium channel blockers, carbamazepine, cyclosporine, dofetilide, lidocaine, and MANY others..
 Author: Anonymous ID: 131204 Card Set: Drug and drug math Updated: 2012-01-28 20:56:56 Tags: brittany math cards Folders: Description: Np2 Math Show Answers: