F & E DRUGS

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BHAVES
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84573
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F & E DRUGS
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2011-05-09 20:59:32
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DRUGS
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F & E DRUGS
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  1. PT on Pyridium what do you warn about?
    TURNS URINE ORANGISH RED
  2. What Electrolytes do you monitor for a PT on a Potassium Sparing diuretic?
    POTTASIUM LEVELS (3.5 - 5.0) NORMAL) IF ELEVATED HOLD DRUG CALL MD
  3. If Pottasium is mildly elevated?
    • HOLD DOSE CALL MD
    • IF ELEVATED BY 6 OR MORE NOTIFY MD MAY ORDER KAYEXOLATE (replaces Potassium & Sodium)
  4. PT on Macrodantin (nitrofurantoin / anti infectant) what are the S/E?
    COUGH, CHEST PAIN, RAULS (pulmonary edema)
  5. PT on any medication that has an upset stomach, what do you advice?
    TAKE WITH FOOD OR MILK
  6. What is the main S/E for NeGram (nalidixic acid)
    VISUAL DISTURBANCES
  7. If PT is on Mandelamine (Methenamine Hiprex) use cautiously in PT's with?
    • GOUT & LIVER DISEASE
    • FORMS CRYSTALS,
    • URINE TURNS BLUE
  8. PT is on Cipro (Bactrim) for a UTI in discharge Instructions what do you instruct?
    INCREASE FLUIDS 3000 ml / DAY REPORT ANY SORE THROAT (strep)
  9. What drig is Probanthine?
    • ANTISPASMOTIC
    • NEUROGENIC BALDDER
    • S/E: BLURRED VISION / VISUAL
  10. What drug is HYDROCHLOROTHIZIDE?
    A THIAZIDE DIURETIC (increases urine output)
  11. How should a PT take a Diuretic Medication?
    SAME TIME EVERYDAY IN THE AM
  12. How do Loop Diuretics work?
    BLOCK REABSORPTION OF WATER & CHLORIDE IN THE LOOP OF HENLEY
  13. PT has acute Pyelonephritis, taking macrodantin (anti-infective) for 10 days, how do you know medication is effective?
    WHEN WBC & BACTERIA LEVELS ARE DOWN
  14. PT is on Hydrodiuril (Hydrochlorothiazide) to decrease B/P what does PT have to Take?
    POTTASIUM SUPPLEMENT (or eat Banana & oranges)
  15. If PT is taking Loop Diuretic (amino glycoside decreases sugar in Blood) monitor for what?
    AUTOTOXICITY
  16. What is Bumex (diuretic)
    A LOOP DIURETIC
  17. What are the S/E to monitor for if PT on BUMEX?
    • HYPERNATREMIA
    • POLYURIA
    • HYPERKALEMIA
  18. PT has a UTI C/O dull abdominal pressure and dysuria (URGENCY & FREQUENCY) What should you give?
    PYRIDIUM (for Pain)
  19. What kind of activities could be assigned to a CNA?
    CAREFUL MONITORING OF I/O
  20. What Type of Diuretic should a PT with Glaucoma be on?
    • OSMOTIC DIURETIC
    • MANNITOL, GLYCEROL, DIAMOX (acetocolomide)
  21. What is the Diuretic for a Cerebral Edema?
    MANNITOL (osmotrol) - (if active bleeding do not give
  22. PT Taking Lasix 40 mg/day for 6 month, C/O muscle weakness & Lethargy what lab Test do you order to monitor?
    • causes HYPOKALEMIA
    • BMP (basic metabolic panel), CHEM 7 or CMP (complete metabolic panel)
  23. Male PT is getting Aldactone/Spiranolactone, what are the S/E?
    GYNOCOMASTIA (enlarge breasts)
  24. What Type of Drug is Aldactone?
    POTASSIUM SPARING DIURETIC
  25. PT not putting salt on food but says using a salt substitute is ok?
    NO SHOULD USE A POTASSIUM CHLORIDE
  26. PT taking any type of Diuretic, what do you monitor?
    DAILY WEIGHT
  27. How should a PT take Bactrim?
    ORALLY (PO) WITH 6-8 OZ H2O
  28. What is the most serious S/E of Diuretics?
    HYPOTENSION
  29. PT has Pulmonary Edema taking diurectics, how do you know its effective?
    LUNG SOUNDS ARE DIMINISHED (no carckles)
  30. 80 mEq Potassium daily BID come in 5 ml? How many do you give?
    20 ml dose (40 divided by 2) question order?
  31. What Type of PT's need monitoring if on a Loop of Diuretics
    DIABETICS (lower insulin levels increases glucose levels)
  32. If PT has a glaucoma what drug is contraindicated?
    ANTISPASMOTICS
  33. What drug will cause HYPOKALEMIA?
    • KAYEXOLATE
    • MACRODANTIN
    • HYDROCHLOROTHIAZIDE
  34. What drug will cause HYPERKALEMIA?
    ALDACTONE (spironolactone)
  35. PT is taking a diuretic C/O dry mouth, what do you do?
    • OFFER HARD CANDY
    • ICE CHIPS
  36. PT on diuretic for Hypertension what will you see?
    • B/P DOWN
    • INCREASED URINE OUTPUT
    • CLEAR LUNG SOUNDS
    • INCREASED THIRST
  37. What kind of Drug is Sandimmune?
    • IMMUNOSUPRESSANTS
    • monitor for: infection, chills(fever) elevated pulse, flank pain, sore throat
  38. When PT is having surgery on any part of Urinary system, we put them on a Phrophylactic antibiotics why?
    TO PREVENT INFECTION COMING FROM THE NORMAL FLEURA
  39. PT has a C-diffacile (CDIF) what medication?
    FLAGYL (eat a lot of yogurt)
  40. Talking about immunosupressants with PT. What is Immunosuppressants?
    • (ANYTHING BUT BACTRIM)
    • SANDIMMUNE (cyclosporine)
    • CELLCEPT (mycophenolate)
    • PROGRAF (tacrolimus)
  41. Reading lab Results for a PT on Prograft (immunosupressant) what would tell you if PT has had an adverse reaction?
    • FEVER
    • ELEVATED WBC (5000 - 10000)
  42. What Kind of Drug is Detrol
    ANTISPASMOTIC
  43. PT is incontinent has dementia Hx of Heart failure & HTN what S/E of Detrol are you concerned about?
    URINARY RETENTION

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