Card Set Information
A pt with a history of sinus infection dr will order?
intra nasal steroid antibiotic
decilne in total body water and lean body mass affect drugs in elderly
renal and hepatic changes dosage less
non compliant in taking antibiotic what do u tell the pt.
take till gone can cause resistant infection 2 antibiotics MRSA superinfection
what would u tell pt about weight loss and food has history angina
low cal low fat low sodium small meals excersise plan
theophyline taken regularly 4yr old pt monitored for?
adverse reactions, it is a bronchiodiolator
what is nystatin what does it treat
vaginal infections and thrush gone in 2 days
long term uses of dopaminergic drugs often leds to
u r observing a nursing home pt on dompaminergic agent:early signs of toxicity that would be displayed?
muscle twitching and blepharospasm
fat soluable vitamins? most toxic least toxic?
A D E K:Vitamin A most toxic hypervitaminosis turn yellow-Least toxic E
which immunizations are given to kids?
DTAP, tetnaus, petusis, hep B MMR Varicella
what r thazides what supplements should be given?
17 yr old wrestler needs management of asthma prophylaticaly. what is treatment?
cromolyn sodium (Intal)
what is penicilliamine? what condition? what should be monitored?
a chemical breakdown of penicllian binds to heavy metals: helps in 30% pt with arthritis. Compliance is necessary. blood dsycarias and skin reactions. 50%pt have fatal adverse reaction
what is methotrimpeazine?
used in schizophrenia depression, mental illness: will cause dry mouth, wt gain urinary retention, adverse: tardive dyskinesia, liver damge
what is important about P450 enzyme what's important antiroviral?
metabolized med in liver compliance is esential.
an antibiotic with high degree of activity against many organisims would be called an
antibiotic: penicillian, tetracycline
Heprin is to be given at same time as coumidin:
not drawn for PT for 5 hours with IV or 24 hours subq
what wil dr. order if pt has red eyes no infection
opthalmic drug, antiseptic of artificial tears,
what is mydrasis
opening of pupil paralyzed sphincter of iris blocking abiltiy to switch from near to far sightedness. happens glucoma pts
what is vitamin a?
If toxic:hypervitaminosis helps in night blindness: foods are eggs organ meats orange and yellow fruits and veg
which of the following is ussed as an antidysrthmyic drug
used to icrease smooth muscle contraction of the digestive tract and vascular bed
after taking penicilliminase for four weeks the pt has not noticed any improvement why?
theraputic effects may not be seen for several weeks
the most common adverse reactions to antiinfective meds are
ototoxicity, nephrotoxicity, visual disturbances
treatment for active tb includes
chemoprophylaxis with bacteriostatic meds
an alcohic comes into clinic vomiting fatigue anorexia what does dr. order?
what s/s do u expect to see in pt who abused narcotics
constricted pupils, mood changes constipation and needle scars
what is Januvia what used to treat how adm?
oral antidyabetic type II diabites once a day 100mg based on creatine clearance
what if nurse adms wrong drug to pt
check pt imeadiately, notify dr. of error admins any new orders, notify nurse supevisior, fill out reports
how does ethol affect meds
affect if work effectively or have adverse reactions
CNS depression decreades respiratory rate, constricted pupils. tachycardia, and aflexia are symptoms of?
what are progesterins?
used 4 contraception, control menapausal symptoms ovrian failure post ophorectomy
a pt with heavy menstral periods fatigue and generally lacks energy most likely has?
what is a natural remedy used to ease aches and pains and rebuild cartilage?
how and when should you document drug adm
after giving medication
pt has non-productive cough no s/s of infection and unable to sleep at night. dr orders?
describe Glp1 action adm side effects
inhibits glucagon secretions stimulate insulin production
a pt is recovering from bronchitis. producing large amounts of thick mucus. the dr. orders?
suggest he drink a glass of water with each meal
a pt has sinus pressure head ache and no temp but history of sinus infections. dr would order?
a pt regularly seen 4 hypertension comes in dr office for a bad cold. the dr would?
not order decongestant, because it may increase pts hypertension.
important teaching point 2 pt about taking expectorants, antitussives or bronchiodialtors is:
med effectiveness will be enhanced with adequate hydration of 2 quarts of H2O per day
a 70 yr old pt weighs 300 lbs. complaing pain in hips and knees dr. tells her?
orders anti-inflamatory analgesic and gives info on low cal diet to lose weight
pt complaing low back pain after beng knocked to floor at basketball game he is in good health dr. orders?
a salicylate or nosteroidial antiinflamitory (NSAID)
pt competed in marathon had to drop out after 16 miles due to muscle spasm dr will order?
Flexeril cyclobenzaprne: muscle relaxer
53 yr old man severe pain in big toe. the tests reveal uric acid in joint.never had this before. dr will order?
colchine (Cholchicine) for acute gout
63 yr old declining from arthritis dr. writes Rx for penicillamine because nothing else has worked. this drug is an example of:
SAARD slow acting antirheumatic drug
after taking penicillamine Depen, Cuprimine, for 4 weeks the pt has not noticed any improvement why?
theraputic effects may not be seen for several more weeks
46 yrold has chronic ethol abuse and has been taking asprin on regular basis. entered clinic complaining of sever abdominal pain, weak and dizzy lasting 7 days. u might suspect?
pt has GI bleeding due to combination of asprin and alcohol
the nurse should include which of the following when teaching an adult pt about an antivertigo agent?
take 30-60 minutes before an airplane or boat departure
what disease would a dr. tell a pt to take ginko
Alzheimers diease: helps blood flow to brain
pernicious is treated with
what is verapamil? what disease does it treat
calcium channel blocker treat dysrythmias
what effect does salicylate have on prostaglandin synthesis. Which slaicylate is most effective
stop prostaglandin synthesis:most effective is asprin.
what is burrow solution how is it used?
open wet dressings: keep wet change every 15-30 minutes for the first 4-8 hours
what is the procedure for spill or contamination controll substance
clean up and have two nursed sign off
medications for malaria may be given
prophylactically when people travel outside us to areas where it is common INH 6-12 months
what is an oral troche? how should pt use it?
a lozenge containg med in the center. not take it for longer than3-4 days
Peicillian is the drug of choice to treat
group A beta-hemolytic streptococci
how and why should dr discontinue pt diuretic med?
BP low. low serum potassium dehydrttion
a teenager who has asthma since childhood takes her meds regularly is now reporting lack of appetite, insomnia, anxiety and shaky. symptoms could be caused by which drugs?
what is the common drug for labor induction? what should be monitored?
oxytocin:should not be over 50 mm Hg, no longer than 90 seconds in duration and no longer than every 2 minutes
what is methotrexate what does it treat?
ihibits cellular reproduction severe rheumatoid arthritis that is unresponsive to other treatments
the dr tells u pt. is hypokalemic and taking thiazide med for high blood pressure. what food will u tell him to eat?
bananas and citrus fruit
a pt is admitied to er with CHF which med will be used to treat?
80 yr old takes digoxin and HTCZ complains of blured vission and nausea confused and disoriented what is the problem?
a pt taking phenazopyridine (Pyridium) for uti a nursing consideration would be
urine may turn orange or red and pt will have reief from pain temp.
what is an adverse effect of quinidine
cinchonism and tinnitus
With any asprin regimine what is an overdose symptom
tinitus, ringing in ears
dehydration in infants consits of:
suken fontanells and no tear production
what is a type of acne medication
Differen wash face apply thin film once a day 8-12 weeks see results.
what is pyridoxine hydrochloride?
Vitamin B6 turns urine bright yellow. Found in organ meats whole grain breads and cereals
what do u watch for in immune serums?
adverse effects and what is being injected into body
an intravenous antibiotic has what advantage over a sublingual admin?
non irratating, direct route, not disloved in GI tract
pt has sever abdominal pain45-60 minutes after eating. when drinks milk is better. eats mexican worse. Dr. will order?
pt has duodenal ulcer which drugs first line of therapy?
pt complains of abominal bloating and dicomfort and is an alcoholic what meds should be used?
antispasmodic and anticholinergics
a frail 67 yr old man came to clinic for barium enema has no bowel movements following procedure what will dr. order
if a pt hasan apparent cold and comes in for flu shot what would u do?
do not vaccinte immune comprimised pts.
how do u determine if a pt is immunized
a pt is taking st johns wort what info should he know about it?
herbal antidepressant toxic with other antidepressants 300mg TID
calcium needs vitamind and sunlight for body to use
1200 mg daily 3 8 ounce glasses of milk 100,000 international units or more a day normal range
Pnemocicial vaccines would produce immunity to?
menengitis, strephtecoccus A and Pneumonia
what type of immunity does a breastfed infant recieve from the mother?
naturally acquired passive immunity
The pts chart is?
A legal document property of hospital but you can get a copy
what is PVD? What wil dr order?
Perphiral vascular disease. thrombolytic agents
Primaquine is used for treatment of?
malaria. can be used prophlatically