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NLN pharmacology
pharmacology NLN
74
Nursing
Professional
08/29/2010

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Cards

Term
Flagyl: patient teaching
Definition
- It is an antibiotic
- Do not drink alcohol during therapy
Term
ASA: side effects
Definition
- bleeding
Term
What drug can cause an atonic bladder?
Definition
Urocholine
Term
A client with hepatitis B gives birth. What should be ordered, and when should it be done?
Definition
Hepatitis B immunization injection should be given to the baby as soon as it is born.
Term
Elderly client on IV therapy reports shortness of breath and tachycardia. What is probably happening, and what should be done.
Definition
Fluid overload suspected. Reduce or slow IV, contact doctor. Expect an order for diuretics.
Term
Navane: indication
Definition
treatment of schizophrenia
Term
Navane: side effects
Definition
• constipation
• decreased sexual ability
• menstrual changes
• nausea or vomiting
• skin rash
• weight gain
Term
Navane: adverse reactions
Definition
•blurred vision
•difficulty breathing
•difficulty in speaking or swallowing
Term
Client has chest pains and takes nitrostat. No effect. What's next?
Definition
Wait 5 minutes, give it again. If it fails 3 times, THEN call 911
Term
A client is on antibiotic therapy, and is complaining of diarrhea? Should they stop treatment?
Definition
No.
Term
Client on tagamet and maalox. What is the best way to administer both meds?
Definition
Give one hour apart, Maalox first.
Term
Client on antihistamines. How do we reduce the side effects (drowsiness)?
Definition
Term
Needle guage for SQ
Definition
25
Term
Correct procedure for giving mixed insulin
Definition
1. inject air into cloudy
2. inject air into clear
3. draw med from clear
4. draw med from cloudy
Term
keflex (CEPHALEXIN): classification
Definition
antibiotic (2nd generation penicillin)
Term
Keflex: contraindication
Definition
allergy to penicillin
Term
NSAIDS: side effect
Definition
- bleeding
Term
What should you be watching for with a client on morphine, and what should you keep handy?
Definition
Respiratory depression. Have Narcan ready in case RR drops below 12.
Term
Verapamil: what to monitor
Definition
BP and HR
Term
PPD: route and angle
Definition
intradermal: 15 degrees
Term
Client is put on a medication and shows an allergic reaction. What is given?
Definition
epinephrine
Term
How to mix NPH
Definition
roll, don't shake.
Term
Why would a nurse change needles after drawing up a med?
Definition
residual in the needle can be irritating going in.
Term
Client on digoxin is due for next dose. HR=52? What do you do?
Definition
Hold and report.
Term
Iron tablets: nursing education
Definition
- black stools are normal
- enteric coated, so don't crush/chew
- slow absorption rate
Term
Benadryl: therapeutic effect
Definition
antihistamine, for allergy treatment
Term
Hydrochlorothiazide: dosage instructions
Definition
- take in AM
- monitor serum K+
Term
Sign of ASA toxicity
Definition
tinnitus (ringing in ears)
Term
Where to give infant injection shot
Definition
vastus lateralus (outer portion of thigh)
Term
side effects of nitrstat
Definition
headache, lower BP (hypotention)
Term
what is Narcan used for?
Definition
opioid antagonist
Term
what do you monitor when giving procardia?
Definition
BP
Term
Theophylline (Theolair)is used as?
Definition
Bronchodilator. S/E: Tachycardia (dysrhythmia)
Term
s/sx of Allergies of penicillin
Definition
hive, rash ,uicaria, dyspnea
Term
When to give rubella vaccine?
Definition
Given subQ before the mother hospital discharge to nonimmune postpartum clients.
NI: Teach about contraception; the client should avoid pregnancy for 1 to 3 months after immunization
Term
Adverse reactions of Zocor
Definition
It binds with acids in intestine which prevents reabsorption of cholesterol.
S/E: constipation, GI distubances: heart burn, N, bleching, bloating
Term
why to be careful about giving meds to elderly?
Definition
elderly patients have lesser absorption and slower metabolism
Term
what are the anti-diarrhea drugs?
Definition
Codeine phosphate Difenoxin with atropine sulfate (Motofen) Diphenoxylate hydrochloride with atropine sulfate (Lomotil) Loperaminde hydrochloride (Imodium) Tincture of opium Bismuth subsalicylate (Pepto-Bismol, Kaopectate) Kaolin and pectin (Kapectolin)
Term
How to give drugs to 5 year old?
Definition
put med into a small cup and let the child take it by himself
Term
Why we give Vit K to newborns?
Definition
Newborn are deficient in Vit K for the first 5 to 8 days of life because of the lack of intestinal flora that are necessary to absorb Vit K.
Term
Side effect of Prednisone?
Definition
increased risk injury; bleeding, Cushing's syndrom
Term
what is NI for Orthonovum (bith control)
Definition
S/E: weight gain, headache, nausea, depression, breast tenderness, loss of or irregular menses
NI: tell the patients that antibiotics may dcrease effectively of birthcontrol pills, so must use additional protection while taking antibiotics
Term
Allergic to Aspirin, what other drugs not to take
Definition
Look for answers related to drugs that contain Aspirin or NSAIDs.
Term
How and when to read TB testing?
Definition
After 2 or 3 days of injection, if induration is over 5mm, then it is positive.
Term
How long tricyclic antidepressant will be effective?
Definition
effective in 30 days
Term
Why not taking Na bicarb and antacids together?
Definition
this would make too alkaline in the GI.
Term
Mechanism of Zovirax (acyclovir)
Definition
Antiviral that inhibits DNA replication in the virus for herpes 1 and 2
Term
Inferon
Definition
Term
adverse effect of estrogen therapy
Definition
blood clots
Term
what food to avoid for MAOI inhibitors?
Definition
milk products
Term
Why insulin given SubQ but not orally?
Definition
Because insulin is made of amino acid that can be absorbed in the stomach
Term
What to do with contaiminated med?
Definition
disregard the med and get a new one
Term
Action of Pitosin
Definition
Dxytocic/hormone that induces labor, control postpartum hemmorrage
Term
NI for Coumadin therapy
Definition
Don't take with NSAIDs
Term
What is heparin antidote?
Definition
Protamine sulfate
Term
What you do with bubbles in the syringe?
Definition
expel bubbles from syringe for proper measurement
Term
NI for nitro patch
Definition
wear the gloves, clean the old side completely, apply a new patch on the new side, date and time
Need to check BP.
Term
Instructions for administering sublinqual meds
Definition
No water afterwards so meds can be absorbed
Term
What do you give after giving Epicach
Definition
take with lots of water
Term
How to administer ointments in eyes
Definition
apply in middle portion of lower lid of eyes and put pressure on inner cannthus (which closed to teardcuts)
Term
what is salycilic toxicity
Definition
tinnitus
Term
what do you need to watch for giving hydroclorothiazi
Definition
watch for potassium level
Term
what is therapeutic purposes of benadryl
Definition
antihistamine
s/e: drowsiness
Term
Nursing instruction for iron tablets
Definition
it gives black stool. It is enteric med, so do not chew or crush
Term
Dig with low pulse
Definition
hold if it is less than 60
Theapuetic range: 0.5 to 2
Term
What is classification of Tigan
Definition
antiemetic
Term
What is classification of Tagamet
Definition
H2 blocker
Term
correct procedure for storing narcotic drugs
Definition
2 nurses and 2 locks
Term
NI, precautions for antibiotic
Definition
take whole prescribed medication
Term
NI, precautions for antibiotic (drug-drug interaction, starting/stopping therapy)
Definition

use additional protection if patient is on birth control pills.

 

take whole prescribed medication; don't stop abruptly.

Term
Vit B12
Definition
take forever
Term
mechanism of Pilocarpine
Definition
Miotic drug that cuases contraction of the pupil which is for glaucoma treatment
Term
The max of solution for deltoid
Definition
2 ML
Term
How do you know if iron supplment works?
Definition
patients have more energy and less fatigue
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