Pharmacology

Card Set Information

Author:
PNP9
ID:
254656
Filename:
Pharmacology
Updated:
2014-01-10 12:27:20
Tags:
Pharm
Folders:
NCLEX
Description:
Pharm
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  1. Aloe can interact with
    • Steroids
    • Antidysrhthmic
    • Digitalis
    • Diuretics
    • Chamomille
  2. Echinacea can interact with
    • Anabolic Steroids
    • Immunosuppresants
  3. Garlic interacts with
    • Aspirin
    • Anticoagulant
    • NSAIDS
    • Antiplatelets
  4. Ginko interacts with
    • Anticoagulants
    • Thrombolytics
    • MAO inhibitors
    • NSAIDS
    • Antiplatelets
    • Anticonvulsants
    • TCA
  5. Ginseng interacts with
    • Warfarin
    • MAO inhibitors
    • NSAIDS
    • Estrogen
  6. St John's Wort interacts with
    • Alcohol
    • Antidepressants
  7. Kava-kava interacts with
    • Xanax
    • CNS depressants
    • Antiplatelets
  8. Saw palmetto interacts with
    hormonal agents
  9. Feverfew interacts with
    • Anticoagulants
    • Antiplatelets
    • Thrombolytics
    • Antibiotics
    • NSAIDS
  10. Nonopioid Analgesics Meds.
    - How do they work? / What are they used for?
    Examples
    - What do I need to know about them? / Pt teaching
    - treats pain, reduce fever and/or inflammation

    • Ex:
    • - aspirin, tylenol, NSAIDS

    • FYI: 
    • - C/I w/ clients who have bleeding disorders and gatric ulcers
    • - NO ASPIRIN for children due to Reye's syndrome
    • - Use cautiously with pts w/ liver pbs and w/ hx of chronic alcohol use
    • - More than 4g of acetaminophen qd can lead to liver toxicity in any client
    • - Take with food or after food to avoid upset stomach or w/ full glass of water
    • - Remain in an upright position for 15-30 mins after taking meds to empty stomach ( helps decrease GI upset)

  11. Opioid Analgesics

    Used for?
    Example?
    What to look for?
    Antidote?
    • prevent pain by binding to opiate receptors in the CNS
    • - treat pain that is not relieved by nonopiod, cough relief, to enhance anesthesia effects
    • - EX: Demerol, morphine, codeine, dilaudid, fentanyl
    • - What to look for: BP, P RR during, before and after admin
    • - Adv effects: sedation, orthostatic hypotension, hallucinations, resp depression, lightheadedness, dizziness
    • ( elderly may rq a lower dosage)
    • - Antidote: Narcan
    • - Pt teaching: take w/ foods, take med before pain gets severe
  12. Opioid Antagonists
    • - block the effect of opioid without causing analgesic effects
    • - used to reverse effects of overdose opiod analgesics : resp dep, dec of CNS
    • - EX: Narcan, Revec
    • - Adv effects: n/v/arrhythmias, hyper-hypotension
  13. Anesthetic Medications
    • - they depress the CNS causing loss of pain perception and other sensation
    • - used for medical anesthesia
    • - Ex - IV meds- : Versed, fentanyl, propofol, nitrous oxide ( inhalation), lidocaine ( local or topical)
    • Adv ef: resp depression, apnea, hypotension, arrhythmias, hypothermia ( administer oxygen)
  14. Sedative/ Hypnotic meds
    • - complete depression of CNS, but do not affect pain receptors
    • - provide sedation and use to treat insomnia
    • - also used as anticonvulsants, alcohol withdrawal, enhancement of general anesthesia, or amnesics, antianxiety meds
    • - Ex: Lorazepam, Phenobarbitol, Valium, Ambien
    • - C/I: pts w/ uncontrolled pain or pre-existive CNS depression condition.
  15. Bronchodilators
    • Assess VS before, during and after admin
    • Adv ef: anxiety, nervoussness, tremors, shaking, HA, palpitations, tachycardia, HTN, and arrhythmias.
    • PT teaching: encourage absorption of fluid, at least 2k / day to facilitate coughing up of excretions
    • C/I: pts w/ uncontrolled arrhythmias
  16. Corticosteroid Meds
    • - reduce edema that creates airway obstruction
    • - Treat: chronic asthma, bronchitis, allergic rhinitis
    • - Good for: LT mngt of asthma
    • - EX: aerobid, flovent, nasonex
    • - Adv effects: mostly r/t resp system: pharyngeal irritation, coughing, dry mouth, oral fungal infections.
    • - Pt teaching: rinse mouth after use to prevent candididis
    • Use caution w/: immunosuppresed pts, pts taking other steroids, pts w/ clinical tb, pts w/ other viral infections
  17. Antitussive Meds
    • Adv. effects: drowsiness, drying of resp secretions, dizziness, nausea, vomitting, pruritus and sedation
    • Pt teaching: wait 30 mins before drinking fluid, drink at least 2000 ml of fluid to keep secretions thin
  18. Expectorants
    • meds that help cough up secretions
    • Make sure airway patent, and have suction available, assess BS before and during treatment using expectorant

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