Lecture Notes Review

Flashcards based on Analgesic, Thyroid, Cardiac, Respiratory, Muscle Relaxants, Acid Reducing, Antiemetic, Bowel, and Psych Drugs Review Notes

What properties does Tylenol have?

Analgesic and antipyretic

Mixing opioids with other 'downers' can put you at risk for what?

Respiratory depression

What medication can you give if someone overdoses on opioids?

Naloxone

What medication can you give if someone is withdrawing from opioids?

Methadone

List out opioid side effects.

Constipation, sedation, drowsiness, N/V, itching, respiratory depression

NSAIDS have a black box warning regarding high risk of what?

Stroke/MI

NSAIDS like ibuprofen have what properties?

Analgesic, antipyretic, and anti-inflammatory

Aspirin should not be given to children as there is a risk for what?

Reye's syndrome

List out aspirin side effects.

Ototoxicity, GI bleeds, increased risk of bleeding

True or false: PTU is for hypothyroidism and I should avoid dairy when on this medication

False

True or false: Synthroid is known for its adverse effects of bone marrow suppression and liver toxicity

False

True or false: I can discontinue corticosteroids as soon as I feel relief of symptoms.

False

True or false: Corticosteroids might cause a drop in my blood sugar

False

True or false: NPH is a rapid acting insulin that should be given 15 minutes prior to eating.

False

What are some nursing interventions when administering insulin?

Roll vial between palms, check BS before giving, rotate sites, SubQ into fat tissue, never freeze insulin

What is included in the hypoglycemic protocol?

Hold insulin if BS low. If Awake: Take po 15gm carbs/RECHECK BS. IF UNCONSCIOUS/AMS: I'm Glucagon or IV Dex 50%

The drug class that is known to cause dry cough, hyperkalemia, and angioedema is called?

ACE inhibitors

Alpha adrenergic blockers (Doxazosin) can cause dizziness, sedation, orthostatic hypotension, and first dose syncope, so you should take this medication at what time?

Evening/Bedtime

The drug class that can cause dizziness, UTI, hyperkalemia, diarrhea, and weakness is called?

ARBS

Verapimil is a CCB for HTN and dysrhythmias that can cause what side effects?

Hypotension/Dizziness, Constipation

Digoxin is used as a last resort for heart failure due to high risk of what?

Toxicity

Milrinone is a potent inotrope used in emergency situations for acute heart failure and is only available in which route?

IV

For acute chest pain, I should take a nitroglycerin and place under my tongue.

Sublingual

I know nitroglycerin is effective when it does what?

Relieves chest pain, improves workload & activity tolerance

Which medication requires that I monitor my PTT every 6 hours?

Heparin

Which medication requires that I monitor my PT/INR?

Warfarin

Which medication requires that I should be careful not to eat too much vitamin K foods such as spinach, broccoli, kale, and collard greens?

Warfarin

The antidote for which anticoagulant is protamine sulfate?

Heparin

The antidote for which anticoagulant is vitamin K?

Warfarin

Which medications are used SubQ to treat and prevent DVTs?

Heparin, enoxaparin

Spironolactone is what kind of diuretic?

Potassium sparing diuretic

What is important patient education for Spironolactone?

Monitor K+, Na+, avoid foods high in potassium.

Which diuretic is primarily used to treat cerebral edema?

Mannitol

What is important patient education for Mannitol?

Can crystallize when exposed to cold temp! Inspect for crystals.

What is the 1st line diuretic for treating blood pressure?

Hydrochlorothiazide

What is important patient education for Hydrochlorothiazide?

Monitor electrolytes, orthostatic hypotension

Which diuretic is known for potent rapid diuresis and to treat heart failure?

Furosemide

What is important patient education for Furosemide?

Monitor electrolytes, orthostatic hypotension, give in AM.

I am a SABA rescue inhaler that opens up airways and can be used for exercise-induced asthma. What am I?

Albuterol

True or False: Albuterol and Salmeterol have side effects of tremors, nervousness, tachycardia and palpitations.

True

Which TB drug has an adverse effect of jaundice?

Isoniazid

Which TB drug has an adverse effect of red-orange body secretions?

Rifampin

I am a xanthine derivative is taken orally and might cause adverse effects such as palpitations and dysrhythmias. What am I?

Theophylline

I am an antihistamine that causes constipation, dry mouth, urinary retention, dizziness and drowsiness and can be taken closer to the evening if drowsiness occurs. What am I?

Diphenhydramine

This oral pill is a nonbronchodilating medication is used for maintenance tx of asthma/reduces nasal congestion and can cause behavioral issues. What am I?

Montelukast

What are two medications that are used to treat muscle spasms?

Baclofen & Cyclobenzaprine

All antileptics carry a what warning?

Risk for suicidal ideation

I must monitor AST/ALT with this antiepileptic drug as it is very hepatoxic. What am I?

Valproic Acid/Divalproex

Name two medications that are used to treat Parkinson's?

Carbidopa-Levodopa, Benztropine

Benztropine has an anticholinergic effect. Name key pt education to address this.

Increase fiber, increase H2O, chew/suck on hard candy and sugarless gum