Pharm Midterm

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Instructions for missed dose of oral contraception

two the next day (one missed dose), take two for the next 2 days (two missed doses), alternative contraception (three missed doses)

Calculate the infusion rate in mL/hr: 1000 mL of 0.9% normal saline over 8 hours <

125 mL/hr

Normal range for sodium

135-145 mEq/L

A nurse is caring for a 1-month-old infant who weighs 3500 g and is prescribed a dose of cephazolin 50 mg/kg by intermittent IV bolus three times daily. How many mg should the nurse administer per dose?

175mg

A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 88 lb. How many mg should the nurse administer per dose?

200mg

Calculate total intake: 1 cup of jello, 4 oz coffee, 30 mL water

390mL

A nurse is caring for a client who is postoperative following knee arthroplasty and has a new prescription for enoxaparin 1mg/kg/dose subcutaneous every 12 hr. The client weighs 185 lb. How many mg should the nurse administer per dose? SKIP / SEEANSWER 20 MED MATH for 300

84mg

Nursing considerations for sodium bicarbonate

Avoid use in those receiving continuous GI suctioning, monitor arterial blood gas, caution with renal and cardiac impairment

When monitoring a patient who has diabetes and is receiving a carbonic anhydrase inhibitor of edema, the nurse will monitor for which possible adverse effect?

Elevated blood glucose

Reduces the effects of phenytoin, anticoagulants, thyroid medications, and black cohosh (herb)

Estradiol (Estraderm) and conjugated estrogens (Premarin)

May not donate blood if taking this medication

Finasteride (Proscar)

Administration considerations for potassium chloride (K-Dur)

Give with food, do not crush extended-release tablets, do not give IV push, monitor for GI upset and esophagitis

Dietary recommendations for furosemide (Lasix)

High potassium (bananas)

Diuretic that works on the distal tublue

Hydrochlorothiazide (HCTZ)

Electrolyte imbalance associated with decreased or absent deep tendon reflexes (DTR)

Hypermagnesemia

Causes of respiratory alkalosis

Hyperventilation, excess CO2 loss

Causes of respiratory acidosis

Hypoventilation, anesthesia, obstructive respiratory disorders

Imbalances associated with furosemide (Lasix)

Hypovolemia and hypokalemia

Medication that is only effective up to 5 days after unprotected sex

Levonorgestrel (Plan B)

Manifestations of virilization

Males (acne, priapism, increased facial/body hair, penile enlargement); females (cessation of menses, hirutism, lowering of voice, overgrowth of clitoris)

Medication used to decreased intracranial pressure

Mannitol

Used to treat endometriorsis and dysfunctional uterine bleeding

Medroxyprogesterone acetate (Provera)

Major safety consideration for sodium imbalances

Neurologic changes (seizures, cerebral edema, acute mental status changes, confusion)

Tamsulosin (Flomax)

Relaxes smooth muscle of the bladder and prostate relieving obstruction

Signs and symptoms of hypokalemia

Shallow respirations, flat T waves on EKG, muscle weakness, cramps

Finasteride (Proscar)

Should not be handled by pregnant women

Diuretic that may result in hyperkalemia

Spironolactone (Aldactone)

Patient education regarding diuretic therapy

Take early in the day, monitor weight and blood pressure (orthostatic hypotension), report dehydration, dietary modification

Major adverse effect related to oral contraceptives

Thromboembolic event (stroke, pulmonary emboli)

Signs and symptoms of hypervolemia

bounding pulse, hypertension, crackles upon auscultation, pitting edema, weight gain

Slidenafil (Viagra)

Do not give with nitroglycerin


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