Mark K Medications from https://youtu.be/Q8E56ffbPV8?si=EDbMjaffbe3Z_f4z

Unfamiliar meds that were in the list

What is a key NCLEX safety concern with Hydromorphone an what is it?

Dilaudid

Potent opioid analgesic → monitor for respiratory depression, hypotension, constipation. Antidote is naloxone. NCLEX tip: check respirations before giving.

What is the major adverse effect of Risperidone and what is it?

It is an Antipsychotic

EPS:

NMS:

Weight gain, diabetes, dyslipidemia, EPS, NMS. NCLEX tip: monitor for movement disorders and increased blood glucose.

What is Methylergonovine?

Controls postpartum hemorrhage by increasing uterine contraction. Contraindicated in HTN, preeclampsia. NCLEX tip: monitor BP closely.

Why would Methotrexate be prescribed, and what is the NCLEX priority?

Methotrexate is an anticancer drug that interferes with folic acid, an essential vitamin for cell division and growth

Used for ectopic pregnancy and cancers. Teratogenic. NCLEX tip: monitor for bone marrow suppression, hepatotoxicity; avoid alcohol and folic acid deficiency.

What is the nursing consideration for Gabapentin?

Used for seizures and neuropathic pain. Can cause sedation, dizziness, fatigue.

NCLEX tip: do not stop abruptly; can cause withdrawal seizures.

What does Pantoprazole increase the risk of with long-term use?

PPI: helps with GERD

Osteoporosis, C. diff, pneumonia.

NCLEX tip: used for GERD, stress ulcers in hospital patients.

What are NCLEX nursing considerations for Methylprednisolone?

It is a glucocorticoid

Can cause immunosuppression, hyperglycemia, osteoporosis. Do not stop abruptly → risk of adrenal crisis.

What teaching is important for Budesonide/Formoterol?

Combination inhaled corticosteroid + LABA for asthma/COPD. NCLEX tip: rinse mouth after use (risk of oral candidiasis); not for acute attacks.

What is the purpose of Clopidogrel?

Antiplatelet used to prevent MI, stroke. NCLEX tip: monitor for bleeding, bruising; hold before surgery.

What is the most dangerous adverse effect of Haloperidol?

Extrapyramidal symptoms, tardive dyskinesia, NMS (fever, rigidity, altered mental status, autonomic instability).

What is the main NCLEX teaching for Zolpidem?

Sedative-hypnotic for insomnia. Can cause daytime drowsiness, sleepwalking. Short-term use only.

What is the mechanism of Esomeprazole?

PPI that reduces gastric acid. NCLEX tip: risk of osteoporosis, C. diff, hypomagnesemia with long-term use.

What condition is Aripiprazole used for, and what’s a key side effect?

Atypical antipsychotic for schizophrenia, bipolar, depression. NCLEX tip: increased risk of suicide, akathisia, metabolic changes.

What is an important NCLEX teaching point for Risedronate?

Bisphosphonate for osteoporosis. Take in the morning with water, sit upright 30 min, NPO before/after. Prevents esophagitis.

What is a major NCLEX concern with Pregabalin (Lyrica)?

Treats neuropathic pain, fibromyalgia, partial seizures. Causes drowsiness, dizziness, edema. Risk for abuse/dependence.

What is the onset of action for Insulin Aspart?

Rapid-acting insulin: onset ~15 min, peak 1–3 hr, duration 3–5 hr. NCLEX tip: give with meals, monitor for hypoglycemia.

What is Varenicline used for, and what is the NCLEX warning?

Smoking cessation helps with withdrawal symptoms. NCLEX tip: risk of depression, suicidal ideation, vivid dreams.

What is the black box warning for Levofloxacin?

-floxacin abx

Risk of tendon rupture, neuropathy, QT prolongation. Avoid with antacids, iron.

What are important considerations for Sertraline? Drug Class?

SSRI

Antidepressant; takes weeks for effect. Side effects: sexual dysfunction, insomnia, serotonin syndrome. Do not mix with MAOIs or St. John’s wort.

What is a key NCLEX tip for Fluticasone?

Used for asthma/allergic rhinitis. Rinse mouth after use (risk of oral thrush). May take several weeks for full effect.

What is the purpose of Donepezil?

used for acetylcholinesterase inhibition

reduces breakdown of ACH for dementia and Alzheimer

Improves cognition, slows decline. NCLEX tip: can cause GI upset, bradycardia, fainting.

What is the NCLEX teaching for Rifampin what does it treat?

TB!!

Causes orange body fluids, decreases effectiveness of oral contraceptives, hepatotoxic.

What is the safety consideration for Dutasteride?

Used for BPH. Pregnant women should not handle crushed tablets (teratogenic). Side effect: decreased libido, ED.

What are NCLEX teachings for Metronidazole?

Used for infections (C. diff, trichomoniasis). No alcohol → severe disulfiram-like reaction. Side effects: metallic taste, dark urine.

What is the purpose of Memantine?

used for Alzheimer’s

NMDA receptor antagonist; slows progression. NCLEX tip: may cause dizziness, headache, confusion.

When is Montelukast most effective, and what is its NCLEX teaching?

Leukotriene receptor antagonist for asthma/allergies. Take in the evening. Not for acute attack