Exam 6 pharm

Units 12, 13, and 14

Kava patient education

Do not drive or operate heavy equipment machinery until you know how this product will affect you

Diazepam (valium) example of when you would take

Panicking, need help to settle after receiving traumatic news

Suvoresant (Belsomra) side effect

Next day drowsiness

Nonbenzodiazepine

Eszopiclone (Lunesta)

Barbiturates are contraindicated in

Pregnancy, severe COPD, severe liver disease

Barbiturates additive effects

Alcohol, antihistamines, benzodiazepines, opioids, tranquilizers, anticoagulants, and oral contraceptives

Most commonly relaxer used for a musculoskeletal injury

Cyclobenzaprine (Flexeril)

CNS stimulants appropriate human needs statement?

Altered need for sleep

Give 4-6 hours before bedtime to help prevent insomnia

Methylphenidate (Ritalin)

Mechanism of action and drug effects for Triptans

Intended to relieve the migraine and not to prevent it or reduce the number of attacks

Estrogen contraindications and why

thromboembolic disorder active or history and smoking due to increased risk for thrombosis

What must you do before starting contraceptive drugs?

Have a pregnancy test

Drug that stimulates labor contractions during childbirth via IV infusion pump at a consistent rate

Oxytocin (Pitocin)

Used for prevention of preterm labor in the 22nd week of pregnancy

Indomethacin (Indocin)

Osteoporosis risk factors

White or Asian descent

Contraindication for selective estrogen receptor modulators (SERMs)

Venous thromboembolism

Fertility drug

Clomiphene (Serophene)

Adverse reaction of fertility drugs

headache

Why use transdermal androgens

Because it allows for better absorption of the medication

Androgens mechanism of action

Must monitor for fluid retention

ED drugs are contraindicated with nitrates. What can happen?

Severe drop in blood pressure can occur when combined

Saw palmetto

Patients should have a PSA blood test and a digital rectal exam prior to starting any herbal products

Mupirocin (Bactroban) used for

Impetigo and MRSA

Patients need two contraceptive methods while on this medication

Antiacne Drugs

Tretinoin (retinoic acid, vitamin A acid) (Renova, Retin-A) adverse effects

Crusted skin, altered skin pigmentation, and red and edematous blisters

Spinosad topical dermatologic drugs and instructions

Anti parasite used to treat head lice. It is not necessary to comb the nits. Educate that all personal belongings including clothes will have to be decontaminated

Wound care drugs when surgery is contraindicated related to anticoagulants. Removes necrotic tissue

Collangenase (Santyl)

Wound care drug for 2nd and 3rd degree burns. Antibiotic ointment. Caution in patients with sulfa drugs

Silver sulfadiazine (Silvadene)

Antibacterial and Antifungal Otic Drugs topical applied where?

external ear

Name of antibacterial and antifungal otic drugs

Floxin Otic and Cipro HC Otic Drops

Medication combined with other drugs, such as glycerin, to loosen and help remove cerumen

Carbamide peroxide (Debrox)

What anatomically is important to keep in mind for otic drug contraindications

Perforated eardrums

Nursing Implications Contraindications for the ear

Drainage from the ear canal

Nursing implications for refrigerated ear drops

Remove from fridge one hour before the dose is due

When administering eardrops to adults hold the

pinna up and back

Nursing Implications for ear drops administration

Have patient lie on the opposite to the side of the affected ear for about 5 minutes after instilling ear drops and remain sitting for abut 5 minutes

Which lubricant and moisturizer for the eyes should be used first

Cyclosporine (Restasis)

When can artificial tears be used after cyclosporine drops

15 minutes

Where should be ophthalmic drugs be administered?

in the conjunctival sac and NOT directly in the eye

What glaucoma medication can be given intravenously to reduce intraocular pressure when other medications are not successful

Mannitol

Proparacaine eye drops are use for?

Local anesthesia in ocular surgical cases

Sympathomimetics adverse effects

Burning and stinging

May cause permanent eye color to change i.e. blue eyes to turn brown

Prostaglandin Agonists