ATI pharm review

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Butterbug10
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153213
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ATI pharm review
Updated:
2012-05-09 23:27:46
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butterbug pharm review ati
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Ati pharm review
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  1. Nursing interventions for a mild allergic reaction
    • Administer diphenhydramine (Benadryl)
    • Before medication administration, take a complete medication hx
  2. Nurising interventions for an anaphylactic reaction
    • Tx with epinephrine, bronchodialtors, and antihistamines
    • provide respiratory support and notify provider
  3. gentamicin (Garamycin) is an example of what medication classification?
    aminoglycosides
  4. What labs should be monitored for gentamicin (Garamycin) or any other aminoglycoside to monitor nephrotoxicity?
    I&O, BUN, and creatinine levels
  5. tetracycline hydrochloride (Sumycin) is an example of what medication classification?
    tetracyclines
  6. What pt teaching is needed for patients taking tetracycline HCl (Sumycin) or any other tetracycline in regards to its side effects
    • Take at bedtime to reduce esophageal ulceration
    • Avoid administration in children less than 8 yrs of age
    • Take precautions when in the sun
    • Report these S/E: dizziness, light-headedness (minocycline)
  7. What pt teaching is needed for pts taking tetracycline (Sumycin) or any other tetracycline in regards to its medication/food interactions
    • Take on an empty stomach with a full glass of H2O
    • Take at least 1 hr before and 2 hr after taking food/supplements with calcium and magnesium
    • Advise an alternative form of birth control other than oral contraceptives
  8. erythromycin (E-Mycin) is an example of what medication classification?
    macrolides
  9. What teaching is necessary regarding meds/food interactions for pts taking Erythromycin (E-Mycin) or other macrolides?
    • No antihistamines, anticoagulants, asthmos meds, or anticonvulsants; could cause toxicity
    • No verapamil, diltiazem, HIV meds, antifungal meds; could cause toxicity
  10. What interactions with meds and food should the nurse be aware of for gentamicin (Garamycin) or other aminoglycosides?
    • Penicillin will inactivate aminoglycosides when in the same IV solution
    • Assess for ototoxicity when used with other ototoxic meds
  11. penicillin G (Bicillin LA), amoxicillin-clavulanate (Augmentin), and Methicillin are all examples of what medication classification?
    penicillins
  12. What are common s/sx fo an allergic response to a penicillin?
    • skin rash
    • itching/pruritis
    • hives
    • hypotension
    • dyspnea
  13. Name a medication from the cephalosporins and carbapenems that a patient with an allergy to penicillins might have a cross allergy to
    • cephalexin (Keflex); cephalosporin
    • imipenem (Primaxin); carbapenems
  14. imipenem (Primaxin) is an example of what medication classification?
    carbapenems
  15. cephalexin (Keflex) is an example of what medication classification?
    cephalosporins
  16. gemfibrozil (Lopid) is an example of what medication classification?
    fibrates, an antilipemic agent
  17. gemfibrozil (Lopid), a fibrate antilipemic agent, has what expected pharmacological action?
    • Decrease in triglyceride levels
    • Increase in HDL levels by promoting production of precursors to HDLs
  18. Therapeutic uses for gemfibrozil (Lopid), a fibrate antilipemic agent.
    • reduction of plasma triglycerides
    • increased levels of HDL
  19. Side effects of gemfibrozil (Lopid), a fibrate antilipemic agent
    • GI distress
    • Gallbladder stones
    • Myopathy
    • Hepatotoxicity
  20. Nursing interventions/client education for gemfibrozil (Lopid), a fibrate antilipemic agent
    • GI distress is usually mild and self-limiting
    • Observe for gallbadder disease: RUQ pain, fat intolerance, bloating
    • Obtain baseline CK levels and monitor, watch for muscle aches, pain, and tenderness
    • Obtain liver function tests, watch for anorexia, vomiting, nausea, jaundice
  21. Contraindications/ Precautions for gemfibrozil (Lopid), a fibrate antilipemic agent
    • pregnancy risk C
    • contraindicated for pts w/: liver disorders, severe renal dysfunction, and gallbladder disease
  22. mediation/food interations for gemfibrozil (Lopid), a fibrate antilipemic agent.
    • warfarin; increases risk of bleeding
    • statins; increase the risk of myopathy
    • bile acid sequestrants; interfere with absorption
  23. When should a patient take gemfibrozil (Lopid), a fibrate antilipemic agent?
    30 prior to breakfast and dinner

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