Nursing Drug Reference Weeks 6 and 7

Card Set Information

Author:
sisterbarley
ID:
173298
Filename:
Nursing Drug Reference Weeks 6 and 7
Updated:
2012-10-12 19:33:34
Tags:
Medications
Folders:

Description:
NUR151 - Medication Flash Cards (Module 6 and 7)
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user sisterbarley on FreezingBlue Flashcards. What would you like to do?


  1. What is the generic name for Zofran, Zofran ODT, and Zuplenz?
    Ondansetron (Rx)
  2. What are the trade names for Ondansetron (Rx)?
    Zofran, Zofran ODT, and Zuplenz
  3. Why would you give injectable meds?
    • Patient cannot swallow
    • Decreased LOC
    • Drug inactivated by gastric juices
    • Desire to increase drug effectiveness 
    • Does not go through first pass
  4. What are the different types of Parenteral drugs?
    • Vials, ampules
    • Pre-filled syringes
    • Powder form
    • *These drugs are prepared, packaged, administered in ways to maitain sterility.
  5. What are the things you want to check prior to administering parenteral medications?
    • Check dates for possible expiration
    • Assess fluid for clarity and color
    • Wear gloves to administer
  6. What type of vials are there?
    • Glass or plastic with needle-accessible rubber stopper
    • Single use vial
    • Multiple dose vial
  7. What are the different parts of a Needle & Syringe?
    • Plunger
    • Barrel
    • Needle hit or hub
    • Needle
  8. What are the parts of the Needle?
    • Shaft
    • Lumen
    • Bevel
  9. What type of medication would you find in a glass or plastic vial?
    Ready solution or powder for reconstitution
  10. What type of medication would you find in a single use vial?
    No preservatives - discard after one use
  11. What type of medication would you find in a multiple dose vial?
    • May contain a preservative, used for several doses IF asepsis maintained
    • Must be laveled with date/time opened & initials of person who opened
    • If drug expires, this date & time must be labeled also
  12. How are syringes sized?
    • The larger the gauge number, the smaller the diameter of the lumen
    • The smaller the gauge number, the larger the diameter of the lumen
  13. What are the sizes of an Intradermal (i.e.: TB skin test) syringe?
    • Needle gauge 25, 26, 27
    • Needle length 3/8, 1/2, 5/8
  14. What are the sizes of a Subcutaneous (i.e.: Insulin, heparin) syringe?
    • Needle gauge 25, 26, 28
    • Needle length 3/8, 1/2, 5/8
  15. What are the sizes of a Intramuscular (IM) syringe?
    • Needle gauge 19, 20, 21, 22
    • Needle length 1, 1 1/2, 2
  16. At what angle do you deliver an intradermal injection?
    5 - 15 degrees, just under the epidermis, and create a bleb
  17. At what angle do you deliver an intramuscular injection?
    90 degree angle
  18. At what angles do you deliver a subcutaneous injection?
    45 and 90 degree angles
  19. After a nurse has administered a SubQ injection, what will be done with the syringe and needle?
    Do not recap the needle and place in sharps container
  20. How would you deliver an Intramuscular (IM) medication?
    • 1. Use appropriate sized syringe
    • 2. Use appropriate needle size
    • 3. Consider depth of site and type of solution
    • 4. Choose muscular sites
    •      a. Ventrogluteal, dorsogluteal, deltoid, and vastus lateralis
    •      b. Select by identifying anatomic landmarks
    •      c. Avoid use of same site repeatedly
  21. How would you deliver a Z-track Injection?
    • Used for IM injections ONLY
    • Move skin to one side
    • Administer medication
    • Withdraw needle
    • Once the needle is withdrawn, displaced tissue is allowed to return to its normal position, preventing the solutuion from escaping from the musle tissue
  22. What are the anatomic landmarks for the Ventrogluteal site?
    • Greater trochanter of femur
    • Anterior/Superior of iliac spine
    • Iliac crest
  23. Sites for injections are . . .
    • Ventrogluteal 
    • Vastus Lateralis
    • Deltoid
    • Dorsogluteal
  24. What are the anatomic landmarks for the Dorsogluteal site?
    • Posterior/Superior Iliac Spine
    • Greater trochanter of femur
    • Gluteous medias
    • OR BLESS THE BOOTY (horizontal line across anus - verticle line down from iliac crest)
    • Upper/Lateral quadrant
  25. How do you administer Intradermal medications?
    • Used for administration of diagnostic agents:
    • 1. Preferred site is the inner aspect of forearm
    •      a. Hairless, thinly keratinized
    •      b. Upper chest or back also used
    • 2. 1 mL tuberculin syringe, 26 gauge needle
    • 3. Position needle with bevel up
    • 4. Insert through epidermis so point of needle is almost visible under skin - advance needle 1/8 inch under skin
    • 5. Inject (0.1 mL) until wheal appears - withdraw needle
  26. If your patient is diabetic and the sugar is low, what would you give them with Orange Juice to reduce fluctuations?
    Crackers and Peanut Butter
  27. What is the Capillary Blood Glucose Procedure?
    • 1. Review Order
    • 2. Gather all supplies
    • 3. Wash hands, Explain procedure, don gloves
    • 4. Select a site (lateral aspect or side of finger)
    • 5. Cleanse with alcohol, let dry
    • 6. Activate monitor and insert regent strip
    • 7. Place the injector (lance) against the site & release needle
    • 8. Squeeze till "hanging drop" is obtained
    • 9. Hold the regent strip under the puncture site until adequate blood is applied
    • 10. Give patient tissue or gauze for puncture site
    • 11. Follow the monitor countdown and read the outcome
    • 12. Discard the regent strip & lancet into sharps container (cleanse glucometer with cleansing wipes if contaminated)
    • 13. Discard gloves, wash hands
    • 14. Record the outcome and report to nurse
  28. What are the nursing responsibilites for specimen collection of blood glucose?
    • 1. Explain the purpose of the specimen collection and the procedure
    • 2. Provide client comfort, privacy, and safety
    • 3. Use the correct procedure or ensure that client or staff follows the correct procedure
    • 4. Follow up on any need for insulin coverage for the patient
  29. Give an overview of how to use an Ampule?
    • The sealed glass container must be broken to allow insertion of needle and withdrawal of the medication (use safety precautions)
    • Use filter needle to prevent glass in solution
    • Discard unused portion
    • Discard broken ampule in sharps container
  30. Give an overview of how to use Pre-filled syringes
    • Single dose/Single use
    • Some have needle attached
    • Several forms of these
    • ***Often called "Tubexes"
    • ***May require adapter to administer
  31. What is the appropriate type of syringe for SubQ drugs?
    • Insulin or Heparin
    •      a. Small gauge
    •      b. Shorter needle
    • Never more than 1 mL at a site
    • Use angle of needle that insures infusion into SC and not muscle
    • Do NOT aspirate
    • ***Insulin is ONLY drawn up in Insulin syringes***
  32. How do you choose SubQ sites?
    • Rotate sites
    • Avoid overuse and damage
  33. What are the anatomic landmarks for the Vastus Lateralis Site?
    • Greater Trochanter of femur
    • Patella
  34. How would you find the Deltoid site?
    • Acromial process at the Head of the Humerus
    • Three fingers down
  35. ondansetron (Rx) Zofran, Zofran ODT, Zuplenz - What is the ACTION?
    Prevents nausea, vomiting by blocking serotonin peripherally, centrally, and in the small intestine
  36. ondansetron (Rx) Zofran, Zofran ODT, Zuplenz - What are the USES?
    Prevention of nausea, vomiting associated with cancer chemotherapy; radiotherapy; prevention of postoperative nausea, vomiting
  37. ondansetron (Rx) Zofran, Zofran ODT, Zuplenz - What are the side effects on the Central Nervous System (CNS)?
    Headache, dizziness, drowsiness, fatigue, EPS
  38. ondansetron (Rx) Zofran, Zofran ODT, Zuplenz - What are the side effects on the Gastro-Intestinal (GI)?
    Diarrhea, constipation, abdominal pain, dry mouth
  39. ondansetron (Rx) Zofran, Zofran ODT, Zuplenz - What are the additional side effects (beside CNS and GI)?
    Rash, bronchospasm (rare), musculoskeletal pain, wound problems, shivering, fever, hypoxia, urinary retention
  40. ondansetron (Rx) Zofran, Zofran ODT, Zuplenz - What are the nursing considerations for ASSESSMENT?
    • Absence of nausea, vomiting during chemotherapy
    • Hypersensitivity reaction: rash, bronchospasm (rare)
  41. ondansetron (Rx) Zofran, Zofran ODT, Zuplenz - What are the nursing considerations for EPS?
    Shuffling gait, tremors, grimacing, rigidity periodically
  42. ondansetron (Rx) Zofran, Zofran ODT, Zuplenz - What are the nursing considerations for PERFORM/PROVIDE:
    Storage at room temp for 48 hr after dilution
  43. ondansetron (Rx) Zofran, Zofran ODT, Zuplenz - What are the nursing considerations for EVALUATE?
    Therapeutic response: absence of nausea, vomiting during cancer chemotherapy
  44. ondansetron (Rx) Zofran, Zofran ODT, Zuplenz - What are the nursing considerations for TEACH PATIENT/FAMILY?
    • To report diarrhea, constipation, rash, changes in respirations, or discomfort at insertion site
    • Headache requiring analgesic is common
  45. aluminum hydroxide (OTC) - What is the functional class?
    Antacid, hypophosphatemic
  46. aluminum hydroxide (OTC) - What are the actions?
    Neutralizes gastric acidity; binds phosphates in GI tract, these phosphates are then excreted
  47. aluminum hydroxide (OTC) - What are the uses?
    • Antacid, hyperphosphatemia in chronic renal failure; adjunct in gastric, peptic, duodenal ulcers; hyperacidity, reflux esophagitis, heartburn, stress ulcer prevention in critically ill, GERD
    • NOTE: Unlabeled uses: GI bleeding
  48. aluminum hydroxide (OTC) - What are the side effects on the GI?
    Constipation, anorexia, obstruction, fecal impaction
  49. aluminum hydroxide (OTC) - What are the side effects on META?
    Hypopbosphatemia, hypercalciuria
  50. aluminum hydroxide (OTC) - What are the nursing considerations for ASSESS?
    • Pain: location, intensity, duration, character, aggravating, alleviating factors
    • Phosphate, calcium levels: Because product is bound in GI system
    • Hypophosphatemia: anorexia, weakness, fatigue, bone pain, hyporeflexia
    • Constipation: increase bulk in diet if needed
  51. aluminum hydroxide (OTC) - What are the nursing considerations for EVALUATE?
    Therapeutic response: absence of pain, decreased acidity, healed ulcers, decreased phosphate levels
  52. aluminum hydroxide (OTC) - What are the nursing considerations for TEACH PATIENT/FAMILY?
    • To increase fluids to 2 L/day unless contraindicated; measures to prevent constipation
    • Antacid: not to use for prolonged periods for patients with low serum phosphate or patients on low-sodium diets
    • That stools may appear white or speckled
    • To check with prescriber after 2 wk of self-prescribed antacid use
    • To separate from other medications by 2 hr
    • Hyperphosphatemia: To avoid phosphate foods (most dairy products, eggs, fruits, carbonated beverages) during product therapy
  53. What is the FDA Pregnancy Category A?
    No risk demonstrated to the fetus in any trimester
  54. What is the FDA Pregnancy Category B?
    No adverse effects in animals, no human studies available
  55. What is the FDA Pregnancy Category C?
    Only given after risks to the fetus are considered; animal studies have shown adverse reactions; no human studies available
  56. What is the FDA Pregnancy Category X?
    Definate fetal risks, may be given in spite of risks if needed in life threatening conditions
  57. What does half-life mean?
    The time it takes for 50% of the drug to get out of your system.
  58. What does peak mean?
    Time when the drug is the strongest.
  59. What is the FDA Pregnancy Category X?
    Absolute fetal abnormalities; not to be used anytime during a  pregnancy
  60. What falls under urinary symptoms?
    Frequency, urinary retention, dysuria
  61. What is a common trade name for diphenhydrAMINE (OTC, Rx)?
    Benadryl
  62. What is the generic name for Benadryl?
    diphenhydrAMINE (OTC, Rx)
  63. diphenhydrAMINE (Benadryl) - What are the ACTIONS?
    Acts on blood vessels, GI, respiratory system by competing with histamine for H1-receptor site; decreases allergic response by blocking histamine
  64. diphendydrAMINE (Benadryl) - What are the USES?
    Allergy symptoms, rhinitis, motion sickness, antiparkinsonism, night-time sedation, infant colic, nonproductive cough, insomnia in children
  65. diphendydrAMINE (Benadryl) - What are the UNLABELED USES?
    • Nystagmus 
    • A term to describe fast, uncontrollable movements of the eyes that may be:
    • Side to side (horizontal nystagmus)
    • Up and down (vertical nystagmus)
    • Rotary (rotary or torsional nystagmus)
    • Depending on the cause, these movements may be in both eyes or in just one eye. The term "dancing eyes" has been used to describe nystagmus.
  66. diphendydrAMINE (Benadryl) - What are the SIDE EFFECTS (DEADLY)?
    • CNS: seizures
    • HEMA: thrombocytopenia, agranulocytosis, hemolytic anemia
    • MISC: anaphylaxis
  67. zolpidem (Rx) Ambien - What are the SIDE EFFECTS (DEADLY)?
    • CNS: Suicidal ideation
    • HEMA: Leukopeia, granulocytopenia (rare)
    • SYST: Severe allergic reactions
  68. What are the liver tests we want to look at when checking for effects of a medication on the liver?
    • BUN
    • ALT
    • AST
  69. What is the TRADE name of zolpidem (Rx)?
    Ambien, Ambien CR, Edluar, Zolpimist
  70. What is the GENERIC name of Ambien?
    zolpidem (Rx)
  71. Is Ambien (zolpidem - Rx) a controlled substance?
    Yes/No, if so what schedule?
    Yes, Schedule IV
  72. What does lavage mean?
    To pump or leave the stomach
  73. What is the TRADE name for temazepam (Rx)?
    Restoril
  74. What is the GENERIC name for Restoril?
    temazepam (Rx)
  75. temazepam (Rx)/Restoril - What is the FUNCTIONAL CLASS?
    Sedative/hypnotic
  76. Is temazepam (Rx)/Restoril a controlled substance?
    Yes/No, if so, what schedule?
    Yes, schedule IV
  77. temazepam (Rx) Restoril - What are the USES?
    Insomnia
  78. What does pharmacokinetics mean?
    How a drug moves or works through the body.
  79. When a drug is protein bound, what LAB result do you want to focus on?
    • Albumin, to check protein levels
    • If protein is low, the drug will connect with receptor sites and the individual is at risk for drug toxicity!
  80. What does it mean if a drug is PROTEIN BOUND?
    It means the drug binds to the protein in the body.
  81. What are the risks, if a drug is PROTEIN BOUND?
    If the protein levels are low, the drug will bind to receptor sites and the individual is at risk for drug toxicity. CHECK ALBUMIN LEVELS (for protein).
  82. temazepam (Rx) Restoril - What is the ACTION?
    Produces CNS depression at limbic, thalamic, hypothalamic levels of the CNS; may be mediated by neurotransmitter y-aminobutyric acid (GABA); results are sedation, hypnosis, skeletal muscle relaxation, anticonvulsant activity, anxiolytic action.
  83. temazepam (Rx) Restoril - What are the CONTRAINDICATIONS?
    Pregnancy (X), breastfeeding, hypersensitivity to benzodiazepines, intermittent porphyria
  84. temazepam (Rx) Restoril - What are the SIDE EFFECTS (DEADLY)?
    SYST: Severe allergic reactions
  85. ondansetron (Rx) or Zofran, Zofran ODT, Zuplenz - What is the functional class?
    Antiemetic
  86. diphendydrAMINE (Benadryl) - What are the CONTRAINDICATIONS?
    Hypersensitivity to H1-receptor antagonist, acute asthma attack, lower respiratorytrack disease, neonates
  87. diphendydrAMINE (Benadryl) - What are the contraindication PRECAUTIONS?
    Pregnancy (B), breastfeeding, children <2 yr, increased intraocular pressure, cardiac/renal disease, hypertension, bronchial asthma, seizure disorder, stenosed peptic ulcers, hyperthyroidism, prostatic hypertrophy, bladder neck obstruction
  88. diphendydrAMINE (Benadryl) - How would the nurse ADMINISTER?
    • Avoid use in children <2 yr; death has occurred; overdose has occurred with topical gel taken orally (adult/child)
    • • With meals for GI symptoms; absorption rate may slightly decrease
    • • Deep IM in large muscle; rotate site
    • • At bedtime only if using for sleep aid
  89. diphendydrAMINE (Benadryl) - What are the PHARMACOKINETICS?
    • Metabolized in liver, excreted by kidneys, crosses placenta, excreted in breast milk, half-life 2-7 hr
    • PO: Peak 1-3 hr, duration 4-7 hr
    • IM: Onset 1/2 hr, peak 1-4 hr, duration 4-7 hr
    • IV: Onset immediate, duration 4-7 hr
  90. diphendydrAMINE (Benadryl) - What are the nursing considerations for ASSESS?
    • • Urinary retention, frequency, dysuria; product should be discontinued
    • • CBC during long-term therapy; blood dyscrasias may occur
    • • Respiratory status: rate, rhythm, increase in bronchial secretions, wheezing, chest tightness
  91. diphendydrAMINE (Benadryl) - What are the nursing considerations for PERFORM/PROVIDE?
    • • Hard candy, gum, frequent rinsing of mouth for dryness
    • • Storage in tight container at room temp
  92. diphendydrAMINE (Benadryl) - What are the nursing considerations for EVALUATE?
    • Therapeutic response: absence of running or congested nose or rashes, improved sleep
  93. diphendydrAMINE (Benadryl) - What are the nursing considerations for TEACH PATIENT/FAMILY?
    • • About all aspects of product use; to notify prescriber of confusion, sedation, hypotension
    • • To avoid driving, other hazardous activity if drowsiness occurs
    • • That photosensitivity may occur
    • • To avoid concurrent use of alcohol, other CNS depressants
    • • To avoid breastfeeding
  94. temazepam (Rx) Restoril - What are the contraindication PRECAUTIONS?
    Children <15 yr, geriatric patients, anemia, renal/hepatic disease, suicidal individuals, drug abuse, psychosis, acute closed-angle glaucoma, seizure disorders, angioedema, sleep-related behaviors (sleepwalking), pulmonary disease
  95. temazepam (Rx) Restoril - What are the ACTIONS?
    Produces CNS depression at limbic, thalamic, hypothalamic levels of the CNS; may be mediated by neurotransmitter γ-aminobutyric acid (GABA); results are sedation, hypnosis, skeletal muscle relaxation, anticonvulsant activity, anxiolytic action
  96. temazepam (Rx) Restoril - What are the PHARMACOKINETICS?
    Onset 30-60 min, duration 6-8 hr, half-life 10-20 hr, metabolized by liver, excreted by kidneys, crosses placenta, excreted in breast milk, 98% protein binding
  97. temazepam (Rx) Restoril - What is the treatment for an OVERDOSE?
    Lavage, activated charcoal; monitor electrolytes, VS
  98. temazepam (Rx) Restoril - What are the nursing considerations for ASSESS?
    • • Mental status: mood, sensorium, affect, memory (long, short)
    • • Type of sleep problem: falling asleep, staying asleep
    • Dependency: restrict amount given to patient, assess for physical/psychological dependency; high-level risk for abuse
  99. temazepam (Rx) Restoril - What are the nursing considerations for PERFORM/PROVIDE?
    • • Assistance with ambulation after receiving dose
    • • Safety measures: night-light, call bell within easy reach
    • • Checking to confirm that PO medication has been swallowed
    • • Storage in tight container in cool environment
  100. temazepam (Rx) Restoril - What are the nursing considerations for EVALUATE?
    • Therapeutic response: ability to sleep at night, decreased early morning awakening if taking product for insomnia
  101. temazepam (Rx) Restoril - What are the nursing considerations for TEACH PATIENT/FAMILY?
    • • To avoid driving, other activities requiring alertness until stabilized
    • • To avoid alcohol ingestion
    • • That effects may take 2 nights for benefits to be noticed
    • • To limit to 7-10 days of continuous use
    • • About alternative measures to improve sleep: reading, exercise several hours before bedtime, warm bath, warm milk, TV, self-hypnosis, deep breathing
    • • Not to discontinue abruptly, withdraw gradually
    • • That complex sleep-related behaviors may occur: sleep driving/eating
    • • That hangover, memory impairment are common in geriatric patients but less common than with barbiturates
    • To notify prescriber if pregnancy is planned or suspected, pregnancy (X); to use contraception while taking this product
  102. zolpidem (Rx) Ambien - What are the ACTIONS?
    Produces CNS depression at limbic, thalamic, hypothalamic levels of CNS; may be mediated by neurotransmitter γ-aminobutyric acid (GABA); results are sedation, hypnosis, skeletal muscle relaxation, anticonvulsant activity, anxiolytic action
  103. zolpidem (Rx) Ambien - What are the USES?
    Insomnia, short-term treatment; insomnia with difficulty of sleep onset/maintenance (ext rel)
  104. zolpidem (Rx) Ambien - What are the CONTRAINDICATIONS?
    Hypersensitivity to benzodiazepines
  105. zolpidem (Rx) Ambien - What are the contraindication PRECAUTIONS?
    Pregnancy (C), breastfeeding, children <18 yr, geriatric patients, anemia, renal/hepatic disease, suicidal individuals, drug abuse, psychosis, seizure disorders, angioedema, depression, respiratory disease, sleep apnea, sleep-related behaviors (sleepwalking), myasthenia gravis
  106. zolpidem (Rx) Ambien - How would the nurse ADMINISTER?
    • PO route:
    • • Do not break, crush, or chew ext rel
    • • After trying conservative measures for insomnia, take with full glass of water
    • • 1/2-1 hr before bedtime (PO); right before retiring (ext rel)
    • • On empty stomach for fast onset; may be taken with food if GI symptoms occur
    • • Avoid use with CNS depressants; serious CNS depression may result
    • Spray route:
    • • Prime before first use or if pump is not used for ≥14 days
    • • Do not use spray with or after a meal
    • Sublingual route:
    • • Separate blister pack at perforation, peel paper and push product through, place product under tongue, allow to dissolve before swallowing; do not take with water
  107. zolpidem (Rx) Ambien - What are the PHARMACOKINETICS?
    PO: Onset up to 1.5 hr, metabolized by liver, excreted by kidneys (inactive metabolites), crosses placenta, excreted in breast milk, half-life 2-3 hr
  108. zolpidem (Rx) Ambien - What are the nursing considerations for TEACH PATIENT/FAMILY?
    • • That dependence is possible after long-term use
    • That complex sleep-related behaviors may occur (sleep driving/eating)
    • • To avoid driving or other activities requiring alertness until dosage is stabilized
    • • To avoid alcohol ingestion
    • • That effects may take 2 nights for benefits to be noticed
    • • About alternative measures to improve sleep: reading, exercise several hours before bedtime, warm bath, warm milk, TV, self-hypnosis, deep breathing
    • • Not to use during pregnancy, breastfeeding
    • • That hangover is common in geriatric patients but less common than with barbiturates; that rebound insomnia may occur for 1-2 nights after discontinuing product; not to discontinue abruptly; to taper
  109. zolpidem (Rx) Ambien - What are the nursing considerations for ASSESS?
    • Mental status -  mood, sensorium, affect, memory (long, short term), excessive sedation, impaired coordination, suicidal thoughts/behaviors
    • • Blood dyscrasias: fever, sore throat, bruising, rash, jaundice, epistaxis (rare)
    • • Type of sleep problem: falling asleep, staying asleep
  110. zolpidem (Rx) Ambien - What are the nursing considerations for PERFORM/PROVIDE?
    • • Assistance with ambulation after receiving dose
    • • Storage in tight container in cool environment
  111. zolpidem (Rx) Ambien - What are the nursing considerations for EVALUATE?
    • Therapeutic response: ability to sleep at night, decreased amount of early morning awakening if taking product for insomnia
  112. zolpidem (Rx) Ambien - What is the treatment for an OVERDOSE?
    Lavage, activated charcoal; monitor electrolytes, VS
  113. ondansetron (Rx) Zofran, Zofran ODT, Zuplenz - What is the FUNCTIONAL CLASS?
    Antiemetic
  114. diphenhydrAMINE (Benadryl) - What is the FUNCTIONAL CLASS?
    Antihistamine (1st generation, nonselective)
  115. What may happen when you stop taking temazepam (Rx) Restoril?
    REM Rebound: May result in vivid dreams and nightmares.
  116. What is REM Rebound?
    When you are sleep deprived you lose out on two types of sleep, REM and NREM (non-REM).Typically when you have a chance to fall asleep after sleep deprivation you have a tendency to get more REM sleep than you would normally get. This is your body's way of trying to catch up on its REM sleep. (Prolonged period in REM can cause vivid dreams and nightmares).
  117. What does temasepam (Rx) Resoril do to your NREM sleep, if taken longer than 7 to 10 days?
    It suppresses stage 4 of NREM sleep (the deepest sleep) and may result in vivid dreams or nightmares and can delay REM sleep (causing you to be in REM longer than you should be).
  118. Is temasepam (Rx) Resoril protien bound? If so, what is the percentage and what does this mean?
    • Yes, 98%
    • This can be a cause for concern, if the patient's protein level is low, as it will result in more of the drug floating freely in their bodies, as it can result in Drug Toxicity.
  119. When giving temasepam (Rx) Restoril, what do you want to ensure, in regards to the patient?
    • Ensure they have swallowed the pill. 
    • The patient is at risk for suicide and if the pills are saved up and taken at once, can cause death.
    • XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
    • End of Module 6 and 7 medications
  120. How do Cardiac Glyosides affect cardiac functions?
    • Positive inotropic action
    • Negative chronotropic action
    • Negative dromotropic action
    • Increases stroke volume
    • NOTE: Gives your heart a little umph!
  121. What is the brand name of digoxin (Rx)?
    • Lanoxin
    • NOTE: Do not confuse with Levoxine!!!
  122. What is the generic name of Lanoxin?
    digoxin (Rx)
  123. What is the functional class of digoxin (Rx) Lanoxin?
    Cardiac glycoside, inotropic, antidysrhythmic

What would you like to do?

Home > Flashcards > Print Preview