Term
| What should be monitored in a patient receiving ANDROGENS? Why? |
|
Definition
-HEMOGLOBIN & HEMATOCRIT should be monitored.
-Needs to be monitored because an adverse side effect of androgens in POLYCYTHEMIA |
|
|
Term
| Combining NITRO & _____________ can lead to serious HYPOTENSION |
|
Definition
Tadalafil (Cialis)
HYPOTENSION |
|
|
Term
| After taking the first dose of this drug (it's specifically for males), the client may become HYPOTENSIVE |
|
Definition
|
|
Term
TERAZOSIN
(HYTRIN)
1)Type of Drug?
2) Actions (2) |
|
Definition
1) Alpha1-adrenergic blocker
2) a. Relaxes smooth muscle in prostate and b. can reduce blood pressure. |
|
|
Term
2 common symptoms of
BENIGN PROSTATIC HYPERPLASIA
(BPH) |
|
Definition
NOCTURIA
&
Non-Specific FULLNESS in the lower pelvis region. |
|
|
Term
Which hormone regulates
SPERM PRODUCTION? |
|
Definition
FOLLICLE-STIMULATING HORMONE
(FSH) |
|
|
Term
How do drugs designed for
DYSFUNCTIONAL UTERINE BLEEDING
work (in the body)? |
|
Definition
| They inhibit the effects of estrogen in the uterus, thus restoring balance. |
|
|
Term
How long is
DEPO-PROVERA
effective for? |
|
Definition
|
|
Term
What is a common/adverse effect of
ZIDOVUDINE (RETROVIR)? |
|
Definition
|
|
Term
What is an important ADVERSE effect of
GENTAMICIN?
(It can become permanent) |
|
Definition
OTOTOXICITY
(becomes permanent with prolonged use) |
|
|
Term
| MILK products can REDUCE the EFFECTIVENESS of which drug? |
|
Definition
Tetracycline
(No milk for 4 guys on a bike..hehe dumb way to remember) |
|
|
Term
| What is the best way to identify the causitive organism of a systemic infection? |
|
Definition
|
|
Term
| A HIGH FEVER is usually indicative of what? (Among a million other things) |
|
Definition
|
|
Term
| Which drug used for pain, inflammation, fever INHIBITS Warfarin (Coumadin) METABOLISM? |
|
Definition
|
|
Term
| What is the MAX AMOUNT of IBUPROFEN (MOTRIN) that can be taken in 24 hours? |
|
Definition
|
|
Term
| Should you take DARVOCET OR ADVIL for your ARTHRITIS pain, you old cogger.. Why? |
|
Definition
ADVIL (Ibuprofen) should be taken because it is an anti-inflammatory.
Darvocet (Propoxyphene) is not as effective because it is NOT an anti-inflammatory |
|
|
Term
| BONE MARROW SUPPRESSION & LIVER DAMAGE can be caused by which type of drug? |
|
Definition
|
|
Term
| BLOOD DYSCRASIA is an adverse effect of what therapy (med)? |
|
Definition
|
|
Term
If a patient is taking
CYCLOSPORINE (NEORAL) they should not consume what? Why not? |
|
Definition
| GRAPEFRUIT because it increases the drug's level in the blood. |
|
|
Term
How often doe the extended release/sustained form of
METFORMIN (GLUMETZA) need to be taken? |
|
Definition
|
|
Term
3 major advantages of
METFORMIN? |
|
Definition
1) Most side effects are MINOR; mainly GI RELATED
2) Does not cause hypoglycemia
3) Does not cause weight gain |
|
|
Term
Patient's taking
IMMUNOSUPPRESSANTS
should avoid? |
|
Definition
CROWDS
(No New Kids Reunion or Charlie Sheen show for you buddy..) |
|
|
Term
| These type of drugs SUPPRESS the IMMUNE RESPONSE so the nurse will need to ASSESS FOR INFECTION |
|
Definition
|
|
Term
| Combining this drug with ALCOHOL will produce a DISULFIRAM (ANTABUSE) like reaction |
|
Definition
LEVAMISOL (ERGAMISOL)
U shoulda LEVA alcohol alone ERGA..
(Wow, my memory tricks are getting pretty bad, huh?) |
|
|
Term
Which Anti-diabetic (hypoglycemic) drug
does NOT promote insulin release from pancreas? |
|
Definition
|
|
Term
METFORMIN (GLUCOPHAGE)
1) What class is it in?
2) 2 forms it comes in?
3) Mechanism of Action? |
|
Definition
1) BIGUANIDES class
2) Immediate release & Extended or Sustained release
3) Decreases hepatic production of glucose (gluconeogenesis) and reduces insulin resistance |
|
|
Term
What is the only drug in the
BIGUANIDE class? |
|
Definition
|
|
Term
| How long is DEPO-PROVERA effective for? |
|
Definition
|
|
Term
How do drugs designed for
DYSFUNCTIONAL UTERINE BLEEDING
work in the body? |
|
Definition
| They INHIBIT the effects of ESTROGEN in the UTERUS; thus restoring balance.. |
|
|
Term
Which HORMONE regulates
SPERM PRODUCTION? |
|
Definition
FOLLICLE-STIMULATING HORMONE (FSH)
*Sperm are like little FiSH |
|
|
Term
2 common symptoms of
BENIGN PROSTATIC HYPERPLASIA (BPH) |
|
Definition
Nocturia
&
Non-specific fullness in lower pelvis region |
|
|
Term
TERAZOSIN (HYTRIN)
1. Type of drug?
2. Actions in the body (2) |
|
Definition
1. ALPHA1-ADRENERGIC BLOCKER
2. Relaxes smooth muscles in the Prostate &
can also lower B/P |
|
|
Term
| What are the GENERIC and BRAND names for a drug used to promote hair growth? |
|
Definition
Generic: FINASTERIDE (PROSCAR)
Brand: PROPECIA |
|
|
Term
| After taking the first dose of this drug (spec. for males), the client may become HYPOTENSIVE |
|
Definition
|
|
Term
What happens to the body when
OXYTOCIN is given post-partum? |
|
Definition
| The smooth muscle of the uterus contracts |
|
|
Term
| Which PEPTIC ULCER MEDICINE is sometimes used to TERMINATE PREGNANCY? (Thus also contraindicated during pregnancy) |
|
Definition
|
|
Term
What is an expected effect of
IRON (FERROUS SULFATE) therapy? |
|
Definition
|
|
Term
What are the
4 FAT SOLUBLE VITAMINS?
What is DANGEROUS about them? |
|
Definition
VITAMIN'S A, D, E & K
-They can be STORED in large quantities in the LIVER & ADIPOSE TISSUE = Leads to dangerously HIGH LEVELS |
|
|
Term
PHENOTHIAZINES
1. What do they BLOCK?
2. What can they cause? |
|
Definition
1. They block DOPAMINE
2. Can cause DRY MOUTH |
|
|
Term
2 actions of ANTIDIARRHEALS
(such as ATROPINE) |
|
Definition
1. SLOW PERISTALSIS
2. ALLOW WATER ABSORPTION |
|
|
Term
What is the ANTIDOTE for
PERCHLORPERAZINE (COMPAZINE)?
When is it taken? |
|
Definition
-Antidote: An ANTICHOLINERGIC drug such as BENZTROPINE (COGENTIN)
-Taken when client is experiencing DYSTONIA (sustained muscle contractions, twisting, abnormal postures and repetative movements) |
|
|
Term
DYSTONIA
1. What is this?
2. What drug may cause this as an extrapyramidal side effect?
3. What is the antidote? |
|
Definition
1. Sustained muscle contractions, twisting, abnormal postures & repetative motions.
2. PERCHLORPERAZINE (COMPAZINE) can cause.
3. Antidote: An ANTICHOLINERGIC DRUG such as BENZOTROPINE (COGENTIN) |
|
|
Term
PERCHLORPERAZINE
(COMPAZINE)
What type of drug is this? |
|
Definition
|
|
Term
OPIOID that is unique because it
DOES NOT HAVE ANALGESIC PROPERTIES |
|
Definition
|
|
Term
When a patient is taking
METAMUCIL (MUCILLOID)
what must they do? |
|
Definition
|
|
Term
(Think pH/homeostasis for this one)
1. What 3 things WILL NOT occur as a result of vomiting?
2. What WILL OCCUR & why? |
|
Definition
1. Respiratory acidosis, Respiratory alkalosis and Metabolic acidosis WILL NOT OCCUR as a result of vomiting.
2. METABOLIC ALKALOSIS WILL OCCUR due to excessive loss of HYDROCHLORIC ACID from the stomach. |
|
|
Term
|
Definition
A medication and a process
-MEDICATIONS such as LAXATIVES that are used to "clean a patient out".
-Process used to clean colon with enemas &/or special drinks, laxatives. |
|
|
Term
When is
BOWEL PREP
indicated (3 procedures)? |
|
Definition
Indicated prior to
COLON SURGERY
COLONOSCOPY
BARIUM X-RAY |
|
|
Term
When using a BOWEL PREP the client must be able to what?
-Due to this, what must be ASSESSED? |
|
Definition
-Client must be able to
EXCRETE LARGE AMOUNTS OF FLUID
therefore
KIDNEY FUNCTION & CREATININE LEVELS must be assessed. (This is CRITICAL prior to giving Bowel Prep) |
|
|
Term
After giving
SIBUTRAMINE (MERIDIA)
the nurse must assess for? Why? |
|
Definition
Nurse must assess the client's
BLOOD PRESSURE
because HTN is a side effect of
sibutramine (Meridia) |
|
|
Term
CHRONIC
PANCREATITIS
1. Eventually leads to?
2. What treatment will be needed? |
|
Definition
1. Will lead to PANCREATIC INSUFFICIENCY
2. May need to replace PANCREATIC ENZYMES |
|
|
Term
| Can H2 RECEPTORS BLOCKERS be taken with FOOD? |
|
Definition
| Yes, they can be taken WITH or WITHOUT FOOD. |
|
|
Term
SUCRALFATE
(CARAFATE)
1. Class?
2. What does it do?
(I.E. why can't take with food, milk, H20) |
|
Definition
1. ANTIULCER, GASTROADHESIVE
2. Drug & gastric acid blend to create a viscous, adhesive, paste-like substance that protect damaged mucosa against further destruction from additional H+ acid, ulcergenic secretions.
*If excess food, milk, H20 present then PASTE CAN'T FORM |
|
|
Term
PROTON PUMP INHIBITORS
Mechanism of Action |
|
Definition
| Reduces acid secretion in stomach |
|
|
Term
RANITIDINE (ZANTAC)
1. Class?
2. Mechanism of Action?
3. Primary Use?
4. Adverse Effects (2)? |
|
Definition
1. H2-RECEPTOR BLOCKER
2. Blocks H2 receptors in stomach to decrease acid production
3. Treat peptic ulcer disease
4. -Possible reduction of RBC, WBC & Platelet counts
-Impotence of loss of libido in men |
|
|
Term
H2-RECEPTOR BLOCKERS
(Name 4 brands) |
|
Definition
1. Zantac
2. Tagament
3. Axid
4. Pepcid |
|
|
Term
| What are the drugs of FIRST CHOICE to TREAT PEPTIC ULCERS? |
|
Definition
|
|
Term
SUCRALFATE (CARAFATE)
1. What does it do?
2. 4 things to consider in regards to administration |
|
Definition
1. Provides a protective coating
2. Should be administered before meals
-Administering sucralfate after meals will inhibit it's ability to adhere to the ulcer.
-Administering with milk will inhibit it's action
-Administering with 8 oz. of water will decrease it's bioavailability and effectiveness |
|
|
Term
| Even after a patient is given MEDS TO CONTROL MELANA AND/OR A GI BLEED, a patient may still what? |
|
Definition
| They may still experience PAIN for several days. |
|
|
Term
| MELANA (OR MELENA) COULD INDICATE _______ _________ & should be reported immediately |
|
Definition
|
|
Term
Define
MELANA (OR MELEANA, MELENA - I've seen all differ. spellings) |
|
Definition
|
|
Term
If a patient has been taking
GERD MEDICATIONS for a long time & is showing S & S of ANEMIA, FATIGUE & WEAKNESS, what might you suspect the causative agent to be? |
|
Definition
-Their stomach may no longer be able to absorb Vit B12.
-They may have pernicious anemia.
(All side effects of CHRONIC SUPPRESSION of STOMACH ACID) |
|
|
Term
| 2 ADVERSE EFFECTS of taking GERD MEDICATIONS on a LONG TERM BASIS? (Chronically suppressing stomach acid) |
|
Definition
-Stomach may not be able to absorb Vit B12
-There is possibility of PERNICIOUS ANEMIA |
|
|
Term
| 3 common signs of PERNICIOUS ANEMIA OR VIT. B12 DEFICIENCY |
|
Definition
1. ANEMIA
2. FATIGUE
3. WEAKNESS |
|
|
Term
What type of drug is
NEXIUM? |
|
Definition
|
|
Term
PROTON-PUMP INHIBITORS
VS.
H2-RECEPTOR ANTAGONISTS |
|
Definition
| PROTON PUMP INHIBITORS reduce acid secretion to a greater extent and have a longer duration of action than H2-Receptor Antagonists. |
|
|
Term
| If a patient is given OXYTOCIN (PITOCIN), what should be assessed for and why? |
|
Definition
HEADACHE
-This side effect could indicate HYPONATREMIA due to water intoxication and their FLUID BALANCE should then be assessed. |
|
|
Term
CLOMIPHENE (CLOMID)
1. What does it stimulate?
2. This stimulation results in? |
|
Definition
| Stimulates LEUTEINIZING HORMONE (LH), which results in the MATURATION of more OVARIAN FOLLICLES than would normally occur. |
|
|
Term
| How is PROSTATE CANCER treated/controlled? |
|
Definition
ESTROGENS are administered to suppress androgen secretion.
*Prostate cancer is usually dependent on androgens for growth |
|
|
Term
What is the mechanism of action of REGULAR INSULIN
(How does it work?) |
|
Definition
| Regular insulin promotes entry of glucose into the cells, thereby lowering glucose. |
|
|
Term
| What is the only insulin that can be given IV? |
|
Definition
|
|
Term
| What does INSULIN do to POTASSIUM in the body? This may cause? |
|
Definition
| Insulin causes POTASSIUM to move into the cell and may cause HYPOKALEMIA |
|
|
Term
| TYPE II DM, what happens in the body (in regards to insulin) |
|
Definition
The PANCREAS produces INSULIN,
but the CELLS CANNOT USE it. |
|
|
Term
| 3 actions that need to be taken by the nurse when they find a DM Type I patient UNRESPONSIVE? |
|
Definition
1. The nurse must act immediately (BEFORE CALLING DOC) to treat HYPOGLYCEMIA
2. Assessment for ABC's should be done prior to calling a CODE
3. The vital signs are taken AFTER the patient has been treated for HYPOGLYCEMIA |
|
|
Term
| If you find a DM TYPE I patient unresponsive, you should treat for ______ rather than __________ |
|
Definition
| HYPOGLYCEMIA rather than HYPERGLYCEMIA |
|
|
Term
How often is
LANTUS INSULIN
usually prescribed |
|
Definition
|
|
Term
| How must INSULIN LIPRO (HUMALOG) be given? Why? |
|
Definition
Must be given with food to prevent HYPOGLYCEMIA.
*The onset of action for this glucose is only 10-15 minutes. |
|
|
Term
What is the primary goal of pharmacotherapy in
HYPERTHYROIDISM (GRAVE'S DISEASE)? |
|
Definition
| To LOWER the ACTIVITY of THYROID HORMONE |
|
|
Term
HYPERTHYROIDISM is
A.K.A. |
|
Definition
|
|
Term
2 Drugs used to treat
DIABETES INSIPIDUS |
|
Definition
|
|
Term
| What is important to know if you are taking GLUCOCORTICOIDS (as far as administration) |
|
Definition
| The drug must be taken at the SAME TIME OF DAY to maintain serum levels |
|
|
Term
| When a client is receiving GLUCOCORTICOID therapy, the nurse should assess for? Why? |
|
Definition
-HYPERTENSION
-The medications can INCREASE ANGIOTENSIN II production? |
|
|
Term
ALDOSTERONE effects from ADRENAL MEDS (i.e. mineralcorticoid activity)
1. Causes?
2. Which can result in? |
|
Definition
1. Sodium & Fluid retention and Increased Blood Glucose due to promotion of gluconeogenesis
2. Hypernatremia & Hyperglycemia |
|
|
Term
Adverse effect of
LEVOTHYROXINE (SYNTHOID)?
What is a necessary assessment that needs to be made if patient is taking? |
|
Definition
INSOMNIA
Nurse must assess for ALTERED SLEEP PATTERNS |
|
|
Term
VASOPRESSIN (PITRESSIN)
-This is the same as?
-Acts on? |
|
Definition
1. Same as ADH (ANTI-DIURETIC HORMONE)
2. Acts on the collecting ducts in the kidneys to increase water absorption |
|
|
Term
| Why is FOLIC ACID so important during PREGNANCY? |
|
Definition
| It is ESSENTIAL for the PREVENTION of NEURAL TUBE DEFECTS in a fetus. |
|
|
Term
| Clients with LOW MAGNESIUM LEVELS will be at risk for? |
|
Definition
| SEIZURES; related to preeclampsia. (Look for a decrease in Deep Tendon Reflexes) |
|
|
Term
| If a patient is exhibiting seizures (related to preclampsia) and/or decreased deep tendon reflexes, what might you suspect? |
|
Definition
|
|
Term
| What DEFICIENCY will ALCOHOLICS commonly have? |
|
Definition
|
|
Term
| What is used to detect or provide information about VITAMIN A TOXICITY? Why? |
|
Definition
| SERUM ALBUMIN LEVEL because BINDING PROTEINS can become SATURATED WITH VITAMIN A |
|
|
Term
When should a
VITAMIN K injection
be used on an
INFANT? |
|
Definition
BEFORE bleeding is observed.
(Newborns routinely receive VITAMIN K shots shortly after birth) |
|
|
Term
| How should BLOOD CLOTTING be promoted in INFANTS? |
|
Definition
| With a VITAMIN K STIMULUS INJECTION (liquid form WILL NOT work) |
|
|
Term
| Will BREAST FEEDING PROTECT an INFANT from BLEEDING (i.e. excessive, hemorrhage)? |
|
Definition
| NO - because Vit. K is not present in high enough amounts in breast milk |
|
|
Term
| An INFANT'S GUT IS STERILE, therefore.. |
|
Definition
| There is not enough bacteria to synthesize Vit. K (which is essential to promote blood clotting). This is why they get the Vit. K injection |
|
|
Term
What are used to soften/eliminate
CERUMEN? |
|
Definition
WAX SOFTENERS
(Hard one, I know...) |
|
|
Term
| These drugs DILATE THE PUPIL for BETTER VISUALIZATION |
|
Definition
|
|
Term
| What type of drugs DECREASE PRODUCTION OF AQUEOUS HUMOR? |
|
Definition
|
|
Term
3 ADVERSE effects of
PROSTAGLANDINS |
|
Definition
1. Eye Pain
2. Eye Burning
3. Dry Eyes |
|
|
Term
| With what GLAUCOMA drug is the use of OTC COLD REMEDIES CONTRAINDICATED & why? |
|
Definition
TIMOLOL (TIMOPTIC) because the OTC's can contain sympathetic nervous system drugs that can interact with Timolol
*Bulgy-eyed Timmy can't take cold medicine! |
|
|
Term
| What drugs are used to treat MIDDLE EAR INFECTIONS? |
|
Definition
|
|
Term
| How should you administer Eye Drops? |
|
Definition
| Place the drop in the CONJUNCTIVAL SAC below the eye |
|
|
Term
| Which class/type of drugs can CONTRIBUTE TO GLAUCOMA? |
|
Definition
|
|
Term
| Which types of EYE DROPS would be used if you want to INSPECT THE RETINA? |
|
Definition
|
|
Term
| CYCLOPLEGIC EYE DROPS do what to the eye? Why is this important? |
|
Definition
They dilate the pupil and PARALYZE THE CILIARY MUSCLE.
Important because the paralyzation of the ciliary muscle is necessary for visualization of the retina. |
|
|
Term
| Which Skin Disorder drug is contraindicated in clients with a known Seizure Disorder? |
|
Definition
|
|
Term
Best way to treat
PSORIASIS
(How/with what?) |
|
Definition
| Apply a TOPICAL CREAM with a GLOVED hand |
|
|
Term
| Parent's whose children are taking ISOTRETINOIN (ACCUTANE) must watch for? Why? |
|
Definition
| They must watch for mood changes/DEPRESSION because this drug can lead to SUICIDAL IDEATION |
|
|
Term
| Which skin disorder drug can lead to SEVERE DEPRESSION; even SUICIDAL IDEATION? |
|
Definition
|
|
Term
| Which skin disorder drug must be left on the body for 8-12 hours in order to be effective? |
|
Definition
|
|
Term
| When a client is taking this drug, MUSCLE SPASMS & FACIAL TWITCHING must be reported IMMEDIATELY & why? |
|
Definition
ALENDRONATE (FOSAMAX)
-These signs indicate LOW CALCIUM LEVELS & this must be reported before the patient has SEIZURES. |
|
|
Term
2 indicators of a FOSAMAX induced
LOW CALCIUM LEVEL ? |
|
Definition
| MUSCLE SPASMS AND FACIAL TWITCHING |
|
|
Term
| If a patient is receiving an IV of CALCIUM, what must be assessed and why? |
|
Definition
| The site must be assessed because EXTRAVASATION may lead to TISSUE NECROSIS at the insertion site |
|
|
Term
| Low levels of ________ will put a patient at RISK FOR SEIZURES |
|
Definition
|
|
Term
What is the BEST assessment tool to determine the effectiveness of
ETIDRONATE DISODIUM (DIDRONEL) |
|
Definition
BONY DENSITY
*DID ETID get her bone density scan? |
|
|
Term
3 signs of
COLCHICINE (COLSALIDE) TOXICITY |
|
Definition
1. Nausea
2. Vomiting
3. Abdominal Pain |
|
|
Term
| With what joint disorder drug must a patient get regular eye exams and why? |
|
Definition
HYDROXYCHLOROQUINE SULFATE (PLAQUENIL)
because it can cause BLURRED VISION, INABILITY TO READ & VISUAL FIELD DISTURBANCES. |
|
|
Term
HYDROXYCHLOROQUINE SULFATE (PLAQUENIL)
-What is this drug used for?
-What are some adverse effects (3)? |
|
Definition
-Used for rheumatoid arthritis
-Can cause blurred vision, inability to read, and visual field disturbances |
|
|
Term
What are the only 2 types of drugs contraindicated with the use of
RALOXIFENE (EVISTA)? |
|
Definition
|
|
Term
| TAMOXIFEN (NOLVADEX) is used with what disease and why? |
|
Definition
BREAST CANCER
Used because the drug BLOCKS ESTROGEN
receptors, therefore the tumor is deprived of estrogen
*My aunt Tami blocked her estrogen and no longer has breast cancer.. |
|
|
Term
| BREAST CANCER is dependent on what for growth? |
|
Definition
|
|
Term
|
Definition
| A test that gives an ACTUAL COUNT of viral presence and is the BEST TEST |
|
|
Term
SERUM CREATININE
should be monitored with which anti-viral drug? Why? |
|
Definition
ACYCLOVIR (ZOVIRAX)
-The drug is NEPHROTOXIC |
|
|
Term
| What test should be performed on patients taking ZIDOVUDINE (RETROVIR) & why? |
|
Definition
WBC COUNT
-The drug can cause BONE MARROW SUPPRESSION |
|
|
Term
ZIDOVUDINE = what test?
vs.
ACYCLOVIR ='s what test? |
|
Definition
ZIDOVUDINE = WBC COUNT
&
ACYCLOVIR = serum CREATININE |
|
|
