NRSG 2700 all units

Class and MOA of furosemide

loop diuretic, prevents reabsorption of Na+ in loop of henle and water follows

What do you want to teach your client on if they are taking furosemide

eat potassium, monitor for peripheral edema, do daily weights, no sun exposure

What is the class of spironolactone

potassium sparing diuretic

What are the s/s of hypokalemia with a pt that is on fludrocortisone

n/v, muscle cramps, fatigue, prolonged QT level

How to store a nitroglycerin pill

store in the original container since it can break down in the light

What drug used with digoxin can cause a AV heart block

atenolol

What are signs of digoxin toxicity

blurred vision, halo vision, photophobia, changes in color, malaise, bradycardia

What is the class of milirone and what is the TE

phosphodiesterase 3 inhibitor, positive inotropic

What does lithium carbonate help treat

controls acute manic episodes and prevents mania or depression

What are signs and symptoms of lithium toxicity that you should report

excessive thirst, urination, dizzy muscle weakness, tachycardia, palpitations, confusion

What are SE of haloperidol

anticholinergic effects, blurred vision, EPS, NMS

Aripiprazole is what type of medication

a 3rd generation anti-psycholtic

What medication should you use for a acute asthma attack and in what device

albuterol and in a inhaler with spacer

What should you teach a pt that is going to be taking ipratropium for COPD

wait 5 minutes between this med and other inhaled meds, rinse mouth after

A patient is on a med for long term asthma and has yeast infections and white in their mouth as a SE, what med causes this SE

beclomethasone causes YI

What should you report to the doctor if your patient is on montelukast

depression and anxiety

What to teach to a pt that is going to start taking medication theophylline

• Avoid charcoal broiled meats 

• Avoid high protein 

• Timing of the dose is critical

• Increase fluids

• Caffeine causes increase CNS

TE of furosemide

decreases fluid retention aka edema, HTN, increases urine output

What is the TE of HCTZ

HTN management

True or false, you can NOT take K+ supplements or foods high in K+ while on spirolactone

true, K+ is not good for this drug

If my pt has already taken a nitroglycerin pill for a HTN emergency, what would you do then to relief the pain

if pain is not relieved in 5 minutes of the first pill, administer another pill in 5 minutes. Call 911. Can give up to 3 pills in 15 minutes

You are teaching a pt about atenolol and what shows that the pt needs more education about their medication

They say that they can get off of their drug anytime, the drug should be tapered off

A pt says that they like your yellow shirt, but your shirt is white, this is a sign of what

digoxin toxicity

What is a super common SE of milirone

headache

What medications that are taken with lithium can cause toxicity/neurotoxicity

Diuretics, NSAIDS, Haloperiodol

What is akathisia

inability to sit still and lots of movement

What is a BBW of aripiprazole

Increased risk of suicide

What is the preferred drug to treat COPD

ipratropium

True or false, you can give beclomethasone in a acute attack

false, DO NOT use in a acute asthma attack

What lab tests should you do for if you are on montelukast

ALT and AST

What to look out for with furosemide with SE

dysrhythmias, increased blood glucose, hyperuricemia/gout

What drug with furosemide can cause dysrhythmias

digoxin

What drugs are not good to take with furosemide

lithium, digoxin, amph B, corticosteroids

What is the most prescribed diuretic

Thiazide diuretics/HCTZ

If a pt is on theophylline and is a smoker, how much of the medication should you give to the pt

more/larger doses

What happens to a pt that is on theophylline if they drink too much caffiene

tachycardia happens and seizures 

Montelukast class

leukotriene

What medication is 1st line use for asthma long term

beclomethasone, not for emergency

You give a pt ipratropium and beclomethasone, which medication do you give first

ipratropium then beclomethasone since I is a bronchodilator and B is a corticosteroid

What is the class and MOA of ipratropium

a anticholinergic/bronchodilator, blocks cholinergic receptors in bronchial smooth muscle 

True or false, you can take lithium when you are on haloperidol

false, do not give lithium since it can cause irreversible brain damage

What are negative symptoms

withdrawal from other people and social environment, diminished or missing affect

What do you teach and what is most important to teach to a pt with schizophrenia in discharge teaching on their medications

take your medications EXACTLY as prescribed or written

What should lithium serum levels be

0.8-1.4

A pt’s pulse is 53 and they need to take their digoxin, what should you do as the nurse

hold their medication and call the provider, you hold digoxin if it is less than 60

What does digoxin do with treating

positive inotropic/increases the strength of heart contractions 

Heart failure treatment objectives is what

• Increases the effectiveness of the heart

• Decreases the workload of the heart

If you have a decrease in bp, what effect does it have on the heart

decreases peripheral resistance

A pt that has hypokalemia and should eat K+ rich foods, what drug is preferred to take 1st

HCTZ

What is a TE of spironolactone

treats HTN for pts with hypokalemia, EDEMA or ASCITES

A pt has high K+ levels aka hyperkalemia as a SE, what med might they be on that caused this

Spiraolactone

What is a finding that you want to look out for with a pt that is on HCTZ

their blood pressure was reduced by 10-20

True or false, you can NOT take K+ supplements or foods high in K+ while on spirolactone

true, K+ is not good for this drug TRUE

Nitroglyceine is a medication that is used to help treat what

HTN emergency, angina pain, treat HF, maintain htn during surgery

Atenolol class and TE

beta adrenergic antagonist, reduces cardiovascular mortality and MI prophylaxis, HTN, angina

If you stop your atenolol drug abruptly, what side effects will occur and what to monitor for

can cause dysrhythmias when not tapered off, monitor diabetes closely

What can be caused by digoxin that is a AE

ventricular dysrhythmias

What to teach a pt that is taking digoxin

take the med as prescribed and do not discontinue it or change brands without talking to prescriber

What do you do before administering a p-5 inhibitor medication like milrinone

check fluids and electrolytes balance

What route is milirone only given by

IV

What are positive TE that come from 2nd and 3rd generation meds that is not in 1st generation antipsychotic meds

decreased EPS, decreased ACE, improved compliance, better at treating negative s/s

With haloperidol, what AE/SE would you see in a pt taking in

blurred vision 

What is a anticholinergic effect you would see when taking haloperidol

dry mouth and chew gum

Another name for albuterol

sympathomimetic

What class if albuterol and why would you give it over epinephrine for a asthma attack

it is a selective beta 2 adrenergic agonist and causes bronchodilation

What is a SE of using ipratropium in a inhaler

has a bitter taste SE

Beclomethasone class and MOA

corticosteroid, reduces inflammation and immune response

What are contraindications of beclomethasone

active infections, hypersensitivity 

What is montelukast used for to treat

long term prevention of s/s of asthma 

What are the two most common SE of montelukast

headache and rhinitis

What is the class for theophylline

methylxanthine

What do you need to teach your pt on if they are going to take spirolactone

The maximum diuretic effect may take a few days

A contraindication and SE of nitroglycerin would be what

hypotension

What medication taken with nitroglycerin can cause CV collapse

p-5 inhibitors/mildrone

Atenolol side effects would include what

bradycardia, htn, loss of glycemic control

What is digoxins antidote

digoxin immune FAB/Digibind

The medication quetiapine is most similar to what 2 other medications

risperidone and ziprasidone

What is a short term SE of lithium

tremors

What is a long term SE of lithium

CV toxicity aka dysrhythmias and circulatory collapse

What is a SE of quetiapine

lens changes

A pt is having s/s of tachycardia, palpitation, nervousness, and a dry mouth, what medication should they take to treat this

albuterol

What drink do you NOT GIVE to a pt that is on theophylline

caffeine

Diphenhydramine treats what

EPS and parkinsons aka benadryl

Fexofenadine TE

treats allergic rhinitis aka its allegra

What should you not drink with fexofenadine

apple, orange, or grapefruit juice

True or false, is allegra/fexofenadine sedating

false, it is non-sedating 

Fluticasone class

coricosteroid

Fluticasone MOA

decreases secretions of inflammatory mediators, reduces tissue edema, causes mild vasoconstriction 

Pseudoephedrine class and MOA

sympathomimetic, causes vasoconstriction that relieves congestion of nasal passages and Eustachian tubes

What should you monitor for while on pseudoephedrine

CV status aka BP and HR

Guaifenesin MOA and TE

expectorant, reduces the thickness of respiratory secretions aka THINS respiratory secretions

What pt is on a anti-depressant med and waits 2-4 weeks for TE effects, what should they do while they wait

cognitive/behavior therapy, nature therapy, social support

S/S of serotonin syndrome

mental status changes, HTN, tremors, sweating, shaking, hyperpyrexia, ataxia

Phenelzine can cause what SE if you eat high tyramine foods

HTN crisis

PT and fam teaching for phenelzine

monitor vision, don’t take other meds, monitor bg, minimize tyramine foods, no caffeine or chocolate

What SE to look out for while on imipramine

ACE, orthostatic htn, dysrhythmias, suicide

Fluoxetine class

SSRI 

You give a pt venlafaxine, what would make you want to hold the med instead

having a increased bp by 10-15, aka bp of 180/98

What is the SE of duloxetine

abnormal vision, photosensitivity 

Does bupropion cause sexual dysfunction

no it does NOT