NCLEX Med Review

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Author:
foxyt14
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295714
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NCLEX Med Review
Updated:
2015-02-18 12:58:08
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Meds
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Review by classiffication......good luck
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  1. What do these drugs treat?  
    Norepi
    Dopamine
    Isoproteerenol
    Phenylephrine
    Dobutamine
    Sodium nitroprusside
    Diphenhydramine HCL
    Shock, Cardiac Arrest and anaphylaxis
  2. Nursing considerations for:
    Norepi
    Dopamine
    Isoproterenol
    Phenylephrine
    Dobutamine
    Sodium nitroprusside
    Diphenhydramine HCL
    • Serious rebound effects....
    • watch VS
    • monitor urine output
    • assess for extravasation
    • observe extremities for color and perfusion
  3. What do these drugs treat?
    Chloriazepoxide
    Diazepam....all "pam"s
    Midazolam
    Buspirone
    Hydroxizine
    Anxiety disorders
  4. All anxiety disorder meds Nursing considerations....
    • causes.....sedation
    • depression/confusion
    • dry mouth
    • brady
    • Elevate LDH, AST, ALT
    • **Avoid alcohol, monitor liver function**
  5. 2 Herbals that are used to treat anxiety disorders and what are their nursing considerations?
    • Kava and Melatonin....
    • similar to benzos, dont take with CNS depressants
    • dont take if prego or under 12
  6. What do these drugs treat?
    Gentamicin
    Neomycin
    Streptomycin
    Tobramycin
    Amikacin
    Bacterial infections
  7. Nursing considerations when taking:
    Gentamicin
    Neomycin
    Streptomycin
    Tobramycin
    Amikacin
    • Ototoxicity...check CN #8
    • Nephrotoxicity....check renal fxn
    • Anorexia, N/V/D
    • Encourage fluids and eating small frequent meals because it is hard on the GI tract
  8. Nursing considerations for Cephalexin, Cefaclor, Ceftriaxone and Cefepime
    • Take with food
    • No alcohol while taking these meds....and for 3 days after done
    • **Cross allergy with penicillins
    • Watch renal and hepatic fxn
    • Increased risk for bleeding
  9. Nursing considerations for Ciprofloxacin, Levooxacin, Norfloxacin
    • Take 1 hr before or 2 hours after meals with water....encourage fluids
    • Photosensitivity
    • Decreases WBC and HCT
    • Elevates BUN AND ALT, AST
  10. Prior to administering all antibiotics....
    take blood for culture and sensitivity
  11. Nursing considerations for Vancymcin
    • Nephrotoxicity
    • Ototoxicity
    • Abscess formation
    • Thrombophlebitis...extravasation
  12. Vancomycin can cause this.....what do I give?
    Red Man Syndrome....decreased blood pressure, flushed face and neck, sore throat, fever, fatigue

    give antihistamine
  13. Nursing considerations for Clindamycin
    • take with a full glass of water
    • watch for N/V/D, fever and super infections
  14. Nursing considerations for Erythyromycin and Azithromycin
    • Take 1 hour before or 2 hours after meals with full glass of water
    • Abd. cramps
    • Diarrhea
    • Hepatotoxicity
    • Superinfections
  15. Nursing considerations for all of the penicillins
    • Gastritis....so eat dairy
    • Good mouth care
    • Monitor for electrolytes and cardiac problems if given IV
    • Dont double dose if forget
  16. Nursing considerations for:
    Sulfisoxazole
    Sulfasalazine
    Trimethoprim/Sulfamethoxazole
    • PHOTOSENSITIVITY
    • GI upset
    • Stomatitis
  17. Nursing considerations for
    Doxycycline
    Minocycline
    Tetracycline
    • discolors teeth of baby if take while prego
    • Phototoxic reactions
    • Super infections
    • Take 1 hr before or 2 hrs after meals
    • Dont take with antacids, milk or iron
    • Protect from sunlight
    • Monitor renal fxn
    • Use other BC methods if on the pill
  18. Nursing considerations for
    Propantheline
    Atropine Sulfate
    Ipratropium
    Benztropine
    Scopolamine
    ANTICHOLINERGICS....cant see, pee, spit, shit

    Contraindicated for clients with glaucoma
  19. Nursing considerations for 
    Clomazepam
    Diazepam
    Fosphenytoin
    Levetiracetam
    Phenytoin
    Phenobarbitol
    Primidone
    Mag Sulfate
    Valproic Acid
    Carbamazepine
    Gabapentin
    Anti seizure meds

    • Watch for cardio and resp. depression
    • Anemia
    • DONT D/C abruptly
    • Dangerous for older adults
  20. Nursing considerations for 
    Phenelzine Sulfate
    Isocarboxaid
    Tranylcypromine
    Anti depressants

    • Hypertensive crisis when taken with aged cheese, bologna, salami, bananas, beer, wine or with OTC meds with ephedrine, seudophedrine
    • photosensitivity
    • weight gain
    • sexual dysfunction
    • Orthostatic hypotension
    • Dont take with other CNS Depressants
  21. Nursing considerations for
    Fluoxetine
    Citalopram
    Escitalopram
    Paroxetine
    Sertraline
    • anti depressant/OCD/Bulimia
    • Take in AM
    • Take 4 weeks to get full effect
    • monitor weight
    • good mouth care
    • Thrombocytopenia, leukopenia, anemia
  22. Nursing considerations for patients on St. John Warts
    • causes HTN, dizziness
    • Phototoxicity
    • Dont take MAOI's within 2 weeks of each other
    • NO alcohol
    • D/C 1-2 weeks before surgery
  23. Nursing considerations for Amphotericin B
    • Seizures
    • IV Infiltrates
    • Hematological, renal, hepatic abnormalities
    • Skin irritation
    • Refrigerate and keep out of the sun
    • Check for HYPOKALEMIA
  24. Nursing considerations for Colchicine, Probenecid and Allopurinol
    Antigout meds

    • GI upset
    • Take with meals/milk
    • Watch renal fxn
  25. Nursing considerations for Chlorpheniraminemaleate
    Promethazine HCL
    Loratadine
    Cetrizine
    Fexofenadine
    Anti-histamines

    • Drowsy
    • Dry mouth
    • Photosensitivity
    • Avoid alcohol
    • Take with food
  26. Nursing considerations for
    Cholestyramine
    Colestipol
    Nicotinic Acid
    Lovastatin, Pravastatin...all statins
    Niacin
    Fenofibrate
    Gemfibrozil
    Lowers cholesterol

    • Varies by med....but watch for constipation
    • Increased liver enzymes
    • gout
    • Make sure they exercise and stop smoking and eat better too
  27. What does flax seed do?
    decreases the absorption of other meds
  28. What does garlic do?
    increases the effects of anticoagulants and increases the hypoglycemic effects of insulin
  29. What does green tea do?
    Increases the stimulant effect if the tea contains caffeine soy
  30. Nursing considerations for 
    Catopril
    Enalapril
    Fosinopril.....all ACE Inhibitors
    • Give 1 our before or 2 hours after eating
    • eat small/frequent meals
    • change positions slowly
    • Watch for tachycardia, MI and persistent dry non productive cough
  31. Nursing considerations for 
    Atenolol
    Aceputolol.....all Beta Blockers
    • Bronchospasm
    • Dont d/c abruptly...do gradually over 2 weeks
    • Take with meals
    • Monitor blood glucose cuz blocks normal signs of hypoglycemia
    • Has antianginal and antiarrhythmic actions
  32. Nursing considerations for 
    Nifedipine
    Verapamil
    Diltiazem
    Amlodipine....All Calcium Channel Blockers
    • Dont use if have heart block
    • Call Dr. if BP is less than 90/60
    • NO GRAPEFRUIT JUICE
    • Monitor VS and watch for signs of CHF
  33. Nursing considerations for 
    Candesartan
    Eprosartan
    Losartan
    Valsartan
    Angiotensin II Blockers

    • Watch for edema and call Dr. if it happens
    • Change positions slowly
  34. Nursing considerations for
    Doxazosin
    Prazosin
    Terazosin
    Apresoline
    Alpha Adrenergic Blockers-HTN

    • Watch for reflex tachy
    • Give 1st dose at bedtime to avoid fainting
    • Monitor weight, BUN/Creatinine
  35. Nursing considerations for
    Clonidine
    Methyldopa
    Centrally acting alpha adrenergics-HTN

    • Dont D/c abruptly
    • Watch for fluid retention
    • Watch for orthos....especially in elderly
  36. Ma-huang and anti hypertensives
    decreases the effects
  37. Ephedra....
    increases htn when taken with beta blockers
  38. Black Cohosh.....
    increases hypotensive effects of all anti hypertensives
  39. Goldenseal.....
    counteracts the effects of all antihypertensives
  40. Nursing considerations for 
    Lithium
    Carbamazepine
    Divalproex sodium
    Treat bi polar disorder

    • watch for dizziness
    • Hand tremors
    • Watch for blood disorders, leukocytosis, aplastic anemia, thrombocytopenia
    • Pancreatitis
  41. Levodopa nursing considerations
    • causes N/V...GIVE WITH FOOD
    • twitching
    • Contraindicated in glaucoma and hemolytic anemia
    • AVOID OTC meds and foods with V. B
    • Orthos
    • Avoid other CNS depressants
  42. Nursing Considerations for
    Holoperidol
    Fluphenazine
    Risperidone and Ziprasidone
    Quetiapine, Clozapine, Olanzapine
    Apriprazole
    Antipsychotics

    • High incidence of EPS
    • Orthos
    • Dry mouth
    • Sleepy
    • Akathesia
  43. Nursing considerations for INH
    • hepatitis
    • no alcohol
    • watch for orthos
    • Take BEFORE Meals
  44. Nursing considerations for Ethambutol
    • Optic neuritis...check visual acuity
    • use cautiously with renal disease
  45. Nursing considerations for Rifampin
    • Hepatitis
    • Fever
    • Orange urine, tears, saliva
    • check LFT
    • TAKE WITH FOOD
  46. Nursing considerations for Streptomycin
    • neprotoxicity
    • CN #8 damage
  47. Nursing considerations for
    Dextromethorphan
    Guaifenesin
    Cough meds

    • Drowsy/Dizzy
    • Respiratory depression
    • Hypotension/Brady
    • Anti cholinergic effects
    • Photosensitivity
    • NO alcohol
  48. Nursing considerations for 
    Acyclovir
    Ribavarin
    Zidovudine
    Zalcitabine
    Famciclovir
    Ganciclovir
    Amantadine and Rimantadine
    Oseltamivir and Zanamivir
    Anti Virals

    • Watch for vertigo
    • Depression
    • Headache
    • Hematuria
    • Encourage fluids and sm. frequent meals
    • Wear gloves when applying
  49. Nursing considerations for Digoxin
    • Anorexia
    • Brady
    • Visual disturbances/Confusion
    • Abdominal pain
    • Monitor renal and elelctrolytes
    • TAKE APICAL pulse for 1 full min. before giving...hold if <60
  50. Important things to teach about Digoxin
    • Give a loading PO dose of 0.5-0.75 then 0.25 q6-8 hrs after
    • Low K increases risk of dig toxicity
    • Serum therapeutic levels 0.5-2
    • Toxic levels are > or = to 2
  51. Licorice and Digoxin
    potentiates the action of dig by increasing K loss
  52. Hawthorn and dig...
    increases the effects of digoxin
  53. Ma Huang and digoxin
    can increase the risk of dig toxicity
  54. What does digoxin do?
    increase force of contraction and slows the HR
  55. Nursing considerations for Sucralfate
    taken for duodenal ulcers

    • take 1 hr before breakfast and dont take with antacids or H2 blockers
    • Give 2 hours before or after most meds
  56. Gingko and thiazide diuretics
    can increase B/P
  57. Nursing considerations for Cortisone.....
    Hydrocortisone
    Dexamethasone....all steroid/Glucocorticoids
    • infection risk
    • Delayed wound healing
    • Hypokalemia/Hypocalcemia
    • Peptic Ulcers
    • Psychosis
    • Growth retardation
    • Addisons/Cushings
    • GIVE WITH ANTACIDS
    • Dont stop abruptly
  58. Nursing considerations for 
    Fludrocortisone...Mineralcorticoid/Steroid
    • causes HTN
    • Sodium retention
    • muscle weakness and dysrhythmia from hypokalemia
    • Monitor BP and electrolytes
  59. Which meds will increase their serum drug levels with the drinking of grapefruit juice?
    • CCB----Amlodi"pine", Diltiazem, Verapamil
    • SSRI's---Fluoxetine, Fluvoxamine, Sertraline

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