Term
| DOC for Thyroid Storm AKA: Thyrotoxicosis |
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Definition
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Term
| Patient Education Thyroid Replacement |
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Definition
| Taken on an empty stomach 30 min b/4 breakfast Routine Labs-CV status Side Affects: HA, insomnia, nervousness, tremors, tachycardia, angina, intensify effects of warfarin (blood thinner) |
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Term
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Definition
| Inform females of voice change, acne, changes in body/facial hair, menstrual irregularities, signs of liver dysfunction (jaundice, malise, anorexia); teach about water retention (swelling of extremeties), unusual weight gain, warn women about becomming pregnant. |
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Term
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Definition
| Anti-diuretic hormone; therapeutic uses-diabetes insipidus, cardiac arrest, post-op abdominal distention, prep for abdominal radiography, bedwetting, hemophilia A, Von Willebrand's disease (bleeding disorder) |
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Term
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Definition
| Produces clinical remission with destruction of thyroid gland |
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Term
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Definition
| Pediatric / adult growth hormone deficiency, pediatric non growth hormone-short stature, pediatric shhort stature associated with Prader-Willi syndrome (PWS), tx of non-healing fractures, AIDS wasting, panhypopiuitarism |
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Term
| Nsg. Dx for patients taking Desmopressin |
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Definition
| Risk for water intoxication r/t beginning desmopressin therapy |
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Term
| Side Effects of LT Steroid Use |
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Definition
| LT side effects-heart disease, diabetes, obesity, GERD, osteoporosis, myopathy, Cushing Syndrome Short-term SE-increased appetite, insomnia, changes in mood/behavior, flushing of the face, ST weight gain |
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Term
| Patient Ed. Antihistamines |
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Definition
| Can cause dry mouth, blurred vision, urinary retention, constipation, insomnia, tremors, sedation. Take with meals/snacks, do not opperate machinery (drousy), increase fluids, avoid alcohol, contraindicated-glaucoma, BPH, pregnancy, bladder neck obstruction and PUD. |
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Term
| Benadryl - When to take the drug |
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Definition
| 1st generation; take in the pm; causes sedation effect; affective treating allergic disorders; can reduce sneezing, itching of the eyes, nose & throat. |
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Term
| SE of Sympathomimetic drugs |
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Definition
| Rebound congestion (worse than before), CNS stimulation, cardiovascular effects and stroke, potential for abuse |
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Term
| Who should NOT take sympathomimetic drugs? Which are better-ORAL or TOPICAL? |
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Definition
| Not recommended for children under the age of 4-there is no proof of efficacy or safety; there is proof of the potential for seriou harm. ORAL is better suited for LT use-because there is not rebound congestion. |
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Term
| Assessment patient taking codiene and an antitussive for cough supression. |
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Definition
| Codeine suppresses respiration; sometimes we want to suppress a cough and other times we do not; no good evidence says that antitussive tx is beneficial with the common cold |
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Term
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Definition
| Acts as expectorant by increasing the volume and reducing the viscosity of secretions in the trachea and bronchi. This may increase the efficiency of the cough reflex and facilitate removal of the secretions |
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Term
| Ptnt education OTC meds for viral rhinitis |
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Definition
| No treatment; can just treat the symptoms; use caution in children under the age of 2 |
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Term
| SE of 1st generation antihistamines |
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Definition
| CNS depression; drowsiness, impaired thinking, dry mouth, dizziness. Less common are insomnia, nightmares, hallucinations, itchy skin |
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Term
| Pt. teaching - Inhallers PLEASE READ INFORMATION IN BOOK-pg 904 |
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Definition
| How to use inhaller, use a spacer device, delivery can be inhanced by inhaling a SABA 5min. prior. Gargle after each administration, switch from oral to inhaled, must take supplemental clucocorticoids at times of severe stress, adequate calcium & Vit D intake to minimize bone loss, perform weight baring exercises |
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Term
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Definition
| Opportunistic infection. Candida found in oral cavity; most immune systems can control unless compermissed. LT enhaler use |
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Term
| C&S-when to obtain and purpose |
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Definition
| When there is a relapse/reinfection of UTI. Purpose is to determine the type of bacteria-we can then select the right treatment. |
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Term
| Patient education-antibiotics |
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Definition
| Take entire Rx, do not share, do not store "left-overs," taken @ evenly spaced intervals around the clock, know whether to take with food/H2O, if dose missed-do not double-up, report N/V, rash, diarrhea, signs of new infection, allergy, effectiveness of OC, drug/drug interactions (OTC) |
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Term
| Definition of selective toxicity |
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Definition
| Ability of the drug to injur target cell without hurting normal, healthy cells |
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Term
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Definition
| Serum levels to determine peak levels/dosing appropriate. Labs drawn 1.5-2.5 hours after infusion |
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Term
| Definition of broad spectrum antibiotics |
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Definition
| Covers a wide range of microbes; covers gram (+) and gram (-) |
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Term
| Definition of bacteriocidal |
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Definition
| Directly kills bacteria/micro organisms |
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Term
| Goal of antibiotic therapy |
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Definition
| Want level of antibiotic to be at steady state; if drops down-the bacteria will further multiply |
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Term
| Labs to determine Antibiotic therapy working |
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Definition
| WBC; CBC with differential, serum drug levels (toxicity) |
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Term
| Pyridoxine w/INH/TB drugs...why are they given together |
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Definition
| INH depletes vitamin B6; therefore B6 replacement is taken to reduce neuropathy/numbness, tingling in the hands |
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Term
| Reasons for tx failure with TB drugs |
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Definition
| Cause severe side effects, symptoms resolve in a few weeks-do not have motivation to continue, tablets bulky, difficult to take on empty stomach, |
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Term
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Definition
| At one time, may have been responsive to a particular drug and then becomes less susceptible to one or more of those drugs |
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Term
| Patient assessment prior to antibiotic therapy |
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Definition
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Term
| Side Effects of Aminoglycosides (Amikacin) |
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Definition
| Nephrotoxicity, serious injury to the inner ear and kidney (ototoxicity), hypersensativity, blood dyscrasias, some type of paralysis. Check BUN/Cr. every AM |
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Term
| Why do we pretreat with Amphotericin B |
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Definition
| Mild reactions can be reduced. Include rigor, fever, chills, nausea and HA. |
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Term
| Patient education for INH |
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Definition
| SGOT & SGPT levels need to be monitored, Vitamin B6 to reverse symptoms of numbness/tingling or pain in the hands |
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Term
| Expected outcome of pharmacotherapy and HIV |
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Definition
| Lab value-Viral load is low and CD4 cell count is high |
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Term
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Definition
| HIV "Highly active antiretroviral therapy" A strict protocl treatment with 3 drugs. Therapy has increased life expectancy to that of "normal" |
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Term
| Best approach to tx of influenza |
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Definition
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Term
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Definition
| Weakens the bacterial cell wall causing the bacteria to take up excessive water and rupture. Only active against bacteria that are undergoing growth and division. |
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Term
| Plan for desensitize a patient to an antibiotic |
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Definition
| Careful supervision, small doses of antibiotic administered, if patient tolerates, the dose is slowly increased to the recommended dosage. |
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Term
| Vancomycin and "Red Man Syndrome" |
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Definition
| Red man syndrome caused by infusing vanc too rapidy. Flushing rash, pruritus, urticaria, tachycardia and hypotension. Result from the release of histamine-can be avoided by infusing slower (60 minuetes or more) |
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Term
| Side effects of Tetracyclines |
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Definition
| GI irritation, discoloration of teeth and bone, superinfection, hepatotoxicity, renal toxicity, photosensitivity |
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Term
| Alternative drug to give to patient with penicillin allergy |
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Definition
Cephalosporin-if mild allergy
If allergy is severe - Eurythromycin |
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Term
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Definition
Primary use-uncomplicated UTI
Other uses-E-coli, chlamydia, ulcerative colitis |
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Term
| UTI-Bacterium When should it not be given to a patient? |
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Definition
| Patient is pregnant or lactating |
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Term
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Definition
| All body fluids are "pumpkin orange," interferes with OC, take on time with a full glass of H2O on an empty stomach |
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Term
| Why multi drug therapy with TB |
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Definition
| Resistance and reduce incidence of relapse |
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Term
Labs with INH
What to do if labs are abnormal |
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Definition
INH=Isoniazid
LABS-Liver Function Studies
SGOT & SGPT |
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Term
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Definition
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Term
| Side Effects of levofloxacin |
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Definition
| Tendon rupture/achilles tendon pain in the same class as DOC for anthrax |
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Term
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Definition
| Candidal infections (thrush), intestinal, skin, esophagus and vagina. Ptnts w/Cancer propholactically |
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Term
| Patient education with TMP-SMZ |
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Definition
| Complete course of treatment, report sore throat, fever, pallor-indicitative of severe blood disorder |
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Term
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Definition
| Tx of Herpes Simplex; inhibits viral replication by suppressing synthesis of viral DNA |
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Term
| Patient education - Flu shots |
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Definition
| Fever-defer, contraindicated for allergy to eggs, protection 1-2 after vaccination and lasts for 4-6m. Small risk for Gillain-Barre' Syndrome |
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Term
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Definition
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Term
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Definition
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Term
| Patient education for family with pinworms |
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Definition
| Entire family treated 1x pill; change bed linens, towels, undergarments daily, shower-don't take baths, good handwashing |
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Term
| Epidemiology of head lice |
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Definition
| Parasites live on surface of the host |
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Term
| Patient education for scabies and the use of Elimite |
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Definition
| AKA-Permethrin; can be liquid/cream. Adverse Affects: burning, stinging, itching, numbness, pain, rash, edema. Toxic to mites and ova; generally one application |
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Term
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Definition
| Many forms of Malaria High activity-erythrocytic forms Low activity-exoerythrocytic forms |
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Term
| How to convert patient from oral to inhaled steroids |
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Definition
| When converting, patients must receive an IV & increased dose of glucocorticoids during times of stress. Failure to do so-FATAL. Do for several months. |
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Term
Controller drugs - Abruptor drugs
When to use? |
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Definition
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Term
| Pyrazinamide & INH Tx together |
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Definition
| INH is effective against actively dividing bacilli; pyrazinamide is active against intracellular bacilli. We increase the chances of killing all tubercle bacilli present-whether they are multiplying or dormant. Risk of relapse is lower |
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