MED QUIZ

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tatekj
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290645
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MED QUIZ
Updated:
2014-12-04 18:34:15
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MED
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med
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  1. docusate sodium
    • (Colace)
    • Drug Classification: Stool softener
    • Side Effect(s) mild cramps
    • Give with a full glass of water
  2. acetylsalicylic
    acid or aspirin
    • (Ascriptin,ASA)
    • Drug Classification: Nonopioid analgesic, NSAID, antipyretic
    • S/E: GI distress (cramping, heartburn, abdominal distension, mild nausea)
    • a. Advise patient to report tinnitus, unusual bleeding of gums, bruising, or black, tarry
    • stools.
    • b. Administer pc meals or with food or antacid to decrease gastric irritation.
  3. Ibuprofin
    • (Motrin)
    • Drug Class: Nonsteroidal anti-inflammatory drug (NSAID)
    • S/E:
    • drowsiness
    • headache
    • dyspepsia
    • constipation
    • a. Administer with food or antacids.
    • b. Advise pt. to take this medication with full glass of water and remain in upright position for 15-30 min. after administration.
    • c. Caution pt. to avoid concurrent use of alcohol, aspirin, acetaminophen or other over-the-counter medications without consultation with physician or pharmacist
  4. acetaminophen
    • (Tylenol)
    • Drug Class: Nonopioid analgesic
    • Antipyretic
    • S/E :rash, urticaria
    • a.  Administer with a full glass of water.
    • b.  May be taken with food or on an empty stomach.






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  5. hydrocodone/acetominophen
    • (Vicodin)
    • Class : Opioid agonist/Nonopioid analgesic combination
    • S/E
    • confusion
    • sedation
    • constipation
    • hypotension
    • a.  Assess pain before and after dose.
    • b.  Asses BP, P, R before and during administration.
    • c.  Measures to prevent constipation: increase bulk, increase activity, increase fluids.
  6. digoxin
    • (Lanoxin)
    • Drug Class: Cardiac glycoside
    • S/E: Nausea, vomiting,
    • anorexia, bradycardia
    •  a. Monitor apical pulse 1 full minute before administering; withhold & notify MD
    • if  <60 bpm.
    • b. Monitor for therapeutic plasma level
    • (0.5-2.0 mg/ml)
  7. furosemide
    • (Lasix)
    • Drug Class: Diuretic
    • S/E: Hypokalemia(muscle weakness, abdominal cramping); hypovolemia (weight loss, increase .R & P, decrease BP,
    • dry mucous membranes)
    • a. Weigh daily
    • b. I & O
    • c. Monitor electrolytes-K
    • d. Encourage patient to eat foods naturally high in potassium
  8. Promethiazine
    • (Phenergan)
    • Drug Class:Antihistamine
    • Sedative/hypnotic
    • Antiemetic
    • S/E:
    • Confusion,
    • Disorientation
    • Sedation
    • a. Assess patient for profound sedation and provide safety precautions. Supervise
    • ambulation
    • b. Administer deep IM
  9. Levofloxacin
    • (Levaquin)
    • Drug Class: Anti-infective
    • S/E
    • diarrhea
    • stomach cramps
    • a. Instruct pt. to continue taking medication around the clock until finished completely,
    • even if feeling better.
    • b. Assess patient for infection (VS;
    • appearance of wound, sputum, urine; WBC,)
  10. albuterol
    • (Proventil)
    • Drug Class: Bronchodilator
    • S/E:
    • nervousness
    • restlessness
    • tremor
    • a. Caution pt. not to exceed recommended dose, may cause adverse effects, paradoxical,
    • broncho spasm, or loss of effectiveness of medication.
    • b. Advise to use Albuterol first if using other inhalation medication and allow 5 min.
    • to elapse before administering other inhalant medications, unless otherwise
    • directed.
    • c. Advise pt. to rinse mouth with water
    • after each inhalation dose to minimize dry mouth.
  11. Insulin
    • (Novolog)
    • Drug Class: Hormone
    • S/E:
    • Hypoglycemia
    • Lypodystrophy
    • a. Encourage patient to follow prescribed diet, exercise and medication regimen to prevent
    • hypo and hyperglycemia.
    • b. Do not inject in the same site for at
    • least one month.
  12. Metformin
    • (Glucophage)
    • Drug Class: Antidiabetic
    • S/E:
    • Hypoglycemia
    • Abdominal
    • bloating, diarrhea
    • a. Monitor serum glucose and glycosylated hemoglobin periodically.
    • b. Observe for signs and symptoms of
    • hypoglycemic reaction.
  13. metoprolol
    • (Lopressor)
    • Drug Class :Antihypertensive
    • S/E
    • Fatigue
    • Weakness
    • Dizziness
    • a. Monitor blood pressure, ECG, and pulse frequently during dose adjustment and during
    • therapy.
    • b. Administer with meals or directly after
    • eating.
  14. aprazolam
    • (Xanax)
    • Drug Class: Sedative/Hypnotic
    • S/E:
    • Drowsiness
    • Light
    • headedness
    • Dry
    • mouth
    • a. Teach patient that abrupt withdrawal may result in pronounced restlessness,
    • insomnia, tremors, and seizures.
    • b. If dizziness occurs, change positions slowly, and avoid tasks that require
    • alertness.
  15. potassium chloride
    • (K-Dur, Micro-K)
    • Drug Class: Electrolyte
    • S/E:Cardiac arrhythmias and ECG changes such as tall-peaked T waves demonstrating hyperkalemia.
    • a. Assess patient for signs of hypokalemia such as weakness, fatigue, arrhythmias.
    • b. Monitor for hyperkalemia such as
    • fatigue, muscle weakness, paresthesia and tall-peaked T wave.
  16. carbanazepine
    • (Tegretol)
    • Drug Class: Anticonvulsant
    • S/E:
    • Ataxia
    • Drowsiness
    • Dry mouth
    • A.Give with food
    • B. Implement seizure precautions as indicated
  17. cefazolin
    • (Ancef, Kefzol)
    • Drug Class: Anti-infective
    • Cephalosporin
    • S/E: N & V, Diarrhea, Rash
    • a. Determine previous use of and sensitivity to penicillins or other cephalosporins.
    • b. Assess IV site for phlebitis
  18. clozapine
    • (Clozaril)
    • Drug Class: Atypical, Antipsychotic
    • S/E: Agranulocytosis
    • a. Monitor weekly WBCs.  Report WBC of <3000mm3 and withhold clozapine.
    • b. Monitor patient for signs and symptoms of
    • infection.
  19. diltiazem
    • (Cardizem)
    • Drug Class: Calcium channel blocker, Antianginal Coronary Vasodilator
    • S/E:
    • Dysrhythmia
    • Hypotension
    • a. Orthostatic BP monitoring.
    • b. Monitor pulse before administration for bradycardia.
  20. estrogens, conjugated
    • (Premarin)
    • Drug Class: Hormone
    • S/E:
    • Edema
    • Thromboembolism
    • a. Monitor intake and output ratios and weekly weight.
    • b. Assess blood pressure prior to and periodically through therapy.
  21. fluoxetine
    • (Prozac)
    • Drug Class: Antidepressant
    • S/E:
    • Headache
    • Nervousness
    • Insomnia
    • a. Supervise suicidal-risk patient closely
    • during early therapy for increased suicide potential.
    • b. Assess speech pattern, mood; assist with ambulation if dizziness
    • occurs.
  22. lithium
    • (Lithobid)
    • Drug Class: Mood stabilizer
    • S/E:
    • Weight gain,
    • fine hand tremor,
    • polyuria
    • increased thirst,
    • nausea
    • A. Monitor blood levels
    • B. Eat diet with normal salt and fluid intake – do not take diuretics
    • C. Take with food
  23. morphine sulfate
    • (Roxanol)
    • Drug Class: Opioid, Analgesic
    • S/E
    • Confusion
    • Constipation
    • a.  Assess VS for decreased BP, P and R.
    • b.  Assess type, location and intensity of pain
    • prior to and 30-60 min. following administration.
    • c. Implement measures to prevent constipation – increase bulk, increase
    • activity and increase fluids
  24. trimethoprimsulfamethoxazole/ TMP-SMZ
    • (Bactrim, Septra)
    • Drug Class: Antiinfective Sulfonamide
    • S/E:
    • Rashes which should be reported STAT
    • a.  Advise patient to take PO med with full
    • glass of desired fluid.
    • b. Fluid intake should be sufficient to maintain a urine output of
    • 1200-1500 ml daily to prevent stone formation.
  25. warfarin
    • (Coumadin)
    • Drug Class: Anticoagulant
    • S/E:Bleeding
    • a. Check prothrombin time (therapeutic time is 1.5 to 2 X control, or INR – therapeutic level is 2-3).
    • b.  Check patient for signs of bleeding,
    • (bleeding gums, bruising, tarry stools, hematuria).

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