Medications 1- Kaplan

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Sarahndipity81
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224889
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Medications 1- Kaplan
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2013-06-24 18:33:48
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Medications
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Medications
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  1. Where are most drugs metabolized?
    In the liver
  2. Where are most drugs excreted from?
    The kidneys
  3. What do andrenergics do?
    They increase peripheral resistance by activating beta-2 receptors in the lungs and cause bronchodilation
  4. What are andrenergics used for?
    2
    Cardiac arrest and COPD
  5. Examples of andrenergics?
    4
    • Levophed (norepinephrine)
    • Intropin (dopamine)
    • Adrenalin (epinephrine)
    • Dobutrex (dobutamine)
  6. Side effects of andrenergics?
    3
    • Dysrhythmias
    • Tremors
    • Anticholinergic effects- dry mouth, urinary retention
  7. Nursing considerations for andrenergics?
    4
    • Monitor BP
    • Monitor peripheral pulses
    • Monitor urinary output
    • Pt may be drowsy
  8. What do anti-anxiety agents do?
    Affect neurotransmitters
  9. What are anti-anxiety agents used for?
    3
    • Anxiety disorders
    • Manic episodes
    • Panic attacks
  10. Examples of anti-anxiety agents?
    5
    • Librium (chlordiazepoxide)
    • Xanax (alprazolam)
    • Ativan (lorazepam)
    • Vistaril (hydroxyzine)
    • Equanil
  11. Side effects of anti-anxiety agents?
    3
    • Sedation
    • Confusion
    • Hepatic dysfunction
  12. Nursing considerations for anti-anxiety agents?
    4
    • Addiction/overdose
    • Avoid alcohol
    • Monitor liver fx (AST, LST)
    • Caffiene and Nicotine decreases effects of med
  13. What is a subgroup of anti-anxiety agents and how can they be identified?
    • Benzodiazapines
    • -pam
  14. Action of Antacids?
    Neutralize gastric acid systemically (not by coating stomach)
  15. What are antacids used for?
    3
    • Peptic ulcers
    • Indigestion
    • Reflex esophagitis
  16. Antacid examples?
    3
    • Amphogel (aluminum hydroxide)
    • Milk of Mag (magnesium hydroxide)
    • Maalox (both)
  17. Side effects of antacids?
    3
    • Constipation
    • Diarrhea
    • Acid rebound
  18. Nursing considerations for antacids?
    2
    • Interferes with absorption of:
    • antibiotics, iron preps, INH, oral contraceptives
    • Monitor bowel fx
  19. Timing of antacids?
    1-2 hr after eating or taking other meds
  20. Action of antidysrhythmics?
    Interferes with electrical excitability of heart (dampens process)
  21. Uses of antidysrhythmics?
    4
    • A-fib
    • A-flutter
    • Tachycardia
    • PVCs
  22. Antidysrhythmic examples?
    5
    • Atropine sulfate
    • Lidocaine
    • Pronestyl (procainamide)
    • Quinidine
    • Isuprel (isoproterenol)
  23. Side effects of antidysrhythmics?
    4
    • Lightheadedness
    • Bradycardia
    • Hypotension
    • Urinary retention
  24. Nursing considerations for antidysrhythmics?
    • Monitor vital signs (esp pulse & BP)
    • Monitor cardiac rhythm
  25. Beta blockers can be identified by ?
    -lol
  26. Unique property of beta blockers?
    Can cause bronchospasm
  27. Antibiotics: Aminoglycosides
    Uses?
    2
    • Pseudomonas
    • E. coli
  28. Antibiotics: Aminoglycosides
    Examples?
    4
    • Gentamycin
    • Neomycin
    • Streptomycin
    • Tobramycin
  29. Antibiotics: Aminoglycosides
    Identified by?
    -mycin
  30. Antibiotics: Aminoglycosides
    Side effects?
    4
    • Ototoxicity
    • Nephrotoxicity (mice have big ears, ear look like kidneys)
    • Nausea/Vomiting
    • Diarrhea
  31. Antibiotics: Aminoglycosides
    Nursing considerations?
    4
    • Checking 8th cranial nerve (hearing)
    • Check renal fx (BUN, renal output [1200ml/day])
    • 3000mL daily fluids
    • Peak & Trough (1hr after dose given, just before next dose)
  32. Antibiotics: Cephalosporins
    Uses?
    4
    • Tonsillitis
    • Otitis media
    • Peri-operative prophylaxis
    • Meningitis
  33. Antibiotics: Cephalosporins
    Examples?
    5
    • Ceclor (cefaclor)
    • Ancef (cefazolin)
    • Keflex (cephalexin)
    • Rocephin (cetriaxone)
    • Mefoxin (cefoxitin)
  34. Antibiotics: Cephalosporins
    Identified by?
    ceph, kef
  35. Antibiotics: Cephalosporins
    Side effects?
    3
    • Bone marrow depression
    • Super infection
    • Rash
  36. Antibiotics: Cephalosporins
    Nursing considerations?
    3
    • GI upset- give with food!
    • Cross allergy with PCN!!
    • Do not take with alcohol (flushing, dizziness, muscle cramps)
    • False + for protein/glucose
  37. Antibiotics: Fluoroquinolones
    Uses?
    3
    • E. coli
    • Pseudomonas
    • S. aureus
  38. Antibiotics: Fluoroquinolones
    Example?
    Cipro (ciprofloxin)
  39. Antibiotics: Fluoroquinolones
    Side effects?
    5
    • Diarrhea
    • Decreased WBC
    • Decreased hematocrit
    • Elevated liver enzymes (ALT, AST)
    • Elevated alkaline phosphatase
  40. Antibiotics: Fluoroquinolones
    Nursing considerations?
    4
    • Encourage fluids (3000mL daily)
    • 1hr before or 2 hrs after meals
    • Don't take with antacids or iron preperation
    • Probenicid increases effect of Cipro
  41. Antibiotics: Macrolide
    Uses?
    4
    • Acute infections
    • Acne
    • U Respiratory Infections
    • Dental prophylaxis if allergic to PCN
  42. Antibiotics: Fluoroquinolones
    Examples?
    • Erythromycin
    • Cleocin (clindamycin)
  43. Antibiotics: Fluoroquinolones
    Side Effects?
    4
    • Diarrhea
    • Confusion
    • Hepatotoxicity
    • Superinfections
  44. Antibiotics: Fluoroquinolones
    Nursing considerations?
    • Increases effects of coumadin, theophalin
    • Take with full glass of water, never fruit juice
  45. Antibiotics: Penicillins
    Uses?
    4
    • Moderate to severe infections
    • Syphilis
    • Gonococcus infections
    • Lyme disease
  46. Antibiotics: Penicillins
    Examples?
    3
    • Amoxil (amoxicillin)
    • Ampicilin
    • Augmentin (amoxicillin/clauvillin)
  47. Antibiotics: Penicillins
    Identified by?
    cilin
  48. Antibiotics: Penicillins
    Side effects?
    4
    • Stomatitis
    • Diarrhea
    • Allergic reaction
    • Renal/Hepatic changes
  49. Antibiotics: Penicillins
    Nursing considerations?
    • Cross allergy with cephalosporins
    • Liver fx (AST, ALT)
    • Kidney fx (BUN, output)
  50. Antibiotics: Sulfonamides
    Uses?
    4
    • Ulcerative colitis
    • Crohn's
    • Otitis media
    • UTI
  51. Antibiotics: Sulfonamides
    Examples?
    3
    • Gantrisin (acetyl sulfisoxazole)
    • Bactrim (co-trimoxazole)
    • Azulfidine (Sulfasalaxine)
  52. Antibiotics: Sulfonamides
    Side effects?
    4
    • Peripheral neuropathy
    • Crystalluria
    • Photosensitive
    • Stomatitis
  53. Antibiotics: Sulfonamides
    Nursing Considerations?
    4
    • Take with meals/food
    • Encourage fluids (3000mL)
    • Good mouth care
    • Don't take with antacids
  54. Antibiotics: Tetracyclines
    Uses?
    3
    • Infections
    • Acne
    • Prophylaxis for aphthalmia neonatorum
  55. Antibiotics: Tetracyclines
    Examples?
    2
    • Vibramycin (doxycycline)
    • Panmycin (tetracycline)
  56. Antibiotics: Tetracyclines
    Side effects?
    • Discoloration of primary teeth if taken during pregnancy or in early childhood
    • Golssitis
    • Phototoxic reaction
  57. Antibiotics: Tetracyclines
    Nursing considerations?
    • Sunblock/Avoid sun as much as possible
    • Don't take with antacids, mild, iron (3hr separation)
    • Toxic beyond expiration date

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