ATI content mastery pharm

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Metformins brand names

Glumetza, Glucophage, Fortamet

Ranitidine is a

H2 blocker inhibits gastric acid secretion

Simvastatin is a

HMG-CoA reductase inhibitor, lipid lowering agent

cromolyn works by

Stabilizes mast cells, which inhibits the release of histamine and other inflammatory mediators

therapeutic range for digoxin

0.5-2.0

Desired Lithium Level

1 to 1.5

lithium toxicity occurs at serum over

1.5

how old for children to get the DTAP vaccine

2 months old

lithium is given how many times a day

2-3

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take?

Administer the medication outside the 5-cm (2in) radius of the umbilicus

interactions for ferrous sulfate

Antacids TCA (separate by at least 2 hr)

fentanyl has drug interactions with

Benzos CNS depressants

The nurse gives metformin instead of metoprolol, what should the nurse monitor for?

Blood sugar

A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise-induced asthma. Which of the following medications should the nurse plan to instruct the client to use prior to physical activity?

Cromolyn

A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in the teaching?

Drink a glass of milk with each dose of medication

meds that decrease stomach acid secretions

Famotidine (H2 antagonists)

diazepam antidote

Flumazenil

lithium side effects

GI upset tremors POLYURIA hypotension renal toxicity

isosorbide mononitrate is contraindicated with

Hypotension

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates understanding of the teaching?

I will remove patch after my evening meal

Digoxin drug interactions

Loop and thiazide diuretics ACE & ARBS Quinidine Verapamil Antacids

norm values of electrolytes

Na: 135-145 K- 3.5-5 Mg: 1.8-3 Ca: 9-10

Zidovudine (AZT) is

Nucleoside Reverse Transcriptase Inhibitors (HIV med)

TB meds

Piranzimide Rifampin Isoniazid Ethambutol Streptomycin (PREIST)

Hydroxyurea (for sickle cell) monitor

Plts Hgb Potassium

Metoclopramide side effects

Sedation fatigue dizzy

Furosemide side effects

Skin (SJ syndrome, toxic epidermal necrolysis) assess for rash frequently

acetazolamide side effect

Tingling in fingers/ toes (paresthesia)

gentamicin toxicity s/s

Tinnitus hearing loss OLIGURIA paresthesia muscle twitching

s/s of serotonin syndrome

agitation, confusion, difficulty concentrating, anxiety, hallucinations, myoclonus (spastic muscle movement)

Bupropion side effects

agitation, mania, tremors, INSOMNIA

PTU side effects

agranulocytosis (WBC) Hepatitis (^LFT's) light colored stools

haloperidol adverse effect

akathisia

with amphotericin B, avoid

alcohol

ferrous gluconate is

an iron supplement used to prevent or treat iron deficiency

Isosorbide Mononitrate is used for

angina

enalapril side effects

angioedema HYPERKALEMIA cough

meds that neutralize the stomach acid

antacids aluminum hydroxide

Amphotericin B is an

anti fungal

Amitryptyline has what kind of effects

anti-cholinergic

lithium carbonate is a ____ and used to treat

anti-manic used to treat bipolar disorder

drug interactions of PTU

anti-thyroid meds anticoagulants (INR, aPTT)

for a cholinergic crisis, one should administer

atropine

Ferrous sulfate side effects

constipation dark stools (monitor bowel movements)

atropine eye drops can cause

blurred vision

prednisone nurse should monitor

bone density scans (causes bone loss)

Fentanyl is used to treat

breakthrough pain in cancer patients >18 yo

Tamoxifen (Nolvadex) is used for side effects

breast cancer (blocks estrogen receptors) hot flashes (menopause-like s/s)

mannitol the nurse should monitor

breath sounds for bibasilar crackles

Ketorolac, the nurse should monitor for

bruising/ bleeding (interferes with plt. aggregation)

erythromycin side effects

cardiac dysrhythmias

allopurinol can cause

cataracts

Pt. is taking clozapine and reports feelings of lethargy and myalgia the nurse should

check WBC (causes neutropenia)

sumatriptan, tell pt to report

chest pain (can cause angina)

docuste sodium is used to prevent/treat

constipation

when administering amphotericin b IV monitor pt after 1-3 hours for

fever chills headache

cefazolin should be questioned when pt is on

gentamicin (Nephrotoxicity)

allopurinol is used to treat

gout

Baclofen effectiveness

decrease in extensor and flexor spasticity

when taking hydrocodone/acetaminophen, monitor for

decreased respirations

acyclovir should be avoided with

dehydration (nephrotoxicity)

Chlordiazepoxide prevents

delirium tremens (alcohol withdrawal)

Selective Serotonin Reuptake Inhibitor (SSRI), can treat

depression anxiety disorders (OCD) premenstrual dysphoric disorder (PMDD)

allopurinol pt. education

drink 2L of water daily

Trimethoprim/Sulfamethoxazole pt education

drink 8-10 glasses of water to prevent crystallization

Pt education for ferrous sulfate

drink with straw to prevent staining of teeth dilute in juice/water rinse mouth after

oxybutynin side effects

dry mouth dry eyes blurred vision

Amitryptyline causes

dry mouth urinary retention constipation

donepezil side effects

dyspnea (alzheimer med)

Cromolyn is used to treat

exercise induced asthma

when taking simvastatin you should avoid

grapefruit

Propylthiouracil (PTU) is used for

graves (hyperthyroid)

simvastatin can treat

high cholesterol and triglycerides

Salicylism

hyperventilation (resp. alkalosis) tinnitus

amphotericin b can cause

hypokalemia bone marrow suppression(CBC) thrombophlebitis

vancomycin side effects

hypotension wheezing indigestion pruritis

if on captopril the patient should report what to the provider

if they develop a sore throat

dopamine works by

increase cardiac output increases tissue perfusion

Guafenesin is used to treat URI, teach patient to

increase fluids

A nurse is assessing a client who is taking propylthiouracil for treatment of Grave's disease. Which of the following findings should the nurse identify as an indication that the medication has been effective?

increased ability to focus

adverse effect of epoetin alfa

increased blood pressure

nursing considerations for paroxetine

insomnia weight gain GI bleeding hyponatremia serotonin syndrome suicidal ideation

isoniazid the nurse should monitor for

jaundice, LFT's (hepatotoxic)

amphotericin b is toxic to the

kidneys (give IV of 0.9 NS to avoid toxicity)

AZT side effects

lactic acidosis neuropathy LIPOATROPHY (muscle wasting on extremities, face, butt)

ARBS increase the risk of

lithium toxicity

contraindications for PTU

liver disease/failure bone marrow suppression

gentamicin ____ should be avoided

loop diuretics (ototoxicity)

Neostigmine is used for side effects

myasthenia gravis (cholinergic) Miosis, urinary urgency, bradycardia, increased salivation

Paroxetine (SSRI) side effects

nausea sweating tremors fatigue/drowsiness

captopril can cause

neutropenia

bethamethasone, effectiveness =

normal respirations of newborn

when taking amphotericin B, report

oliguria

glyburide is an

oral anti-diabetic check blood sugar

A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. The nurse should include that the spacer decreased the risk for which of the following?

oral candidas

spacer inhalers decrease the risk for

oral candidiasis

do not take carbamazepine with

oral contraceptives

Oprelvekin, the nurse should monitor what for effectiveness

platelets (drug stimulates bone marrow to produce platelets)

Lithium toxicity side effects

polyuria chronic thirst tinnitus seizures coma hypotension

A nurse is caring for a 28 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required?

pregnancy test

Isotrentinoin (Accutane),prior to administration the nurse should get a

pregnancy test

nitroglycerin is used to

prevent angina (chest pain)

pt in surgery with malignant hyperthermia, the nurse should

reconstitute initial dose with 60 mL of sterile water w/o bacteriostatic agent

decussate sodium action

reduces surface tension of stools to change their consistency

pt. education for risedronate

remain upright for 30 mins avoid w/ esophageal erosion

A nurse is teaching about self-administration of transdermal medication with a male-client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicated an understanding of the teaching?

remove the patch after 14 hours

Acycolvir causes

renal toxicity (BUN, Creatinine)

Pt. taking amoxicillin/clavulanate acid reports urticaria (hives), the nurse should

request a change in meds (allergy)

fentanyl side effects

respiratory depression

AZT works by

reverse transcriptase inhibitor

fentanyl is contraindicated in pt with

seizures hypotension

adverse effect of fluoxetine

sexual dysfunction

Lithium has a ____ half life

short

zolpidem pt. education

short term use ONLY

With MAOIs avoid

smoked sausage (tyramine foods bc HTN crisis)

ranitidine pt. teaching

smoking makes drug less effective

when taking fluoxetine, pt. education is

take Tylenol for pain NOT ibuprofen may take 1-4 weeks to work St. Johns Wort will cause serotonin syndrome

Pt. education for ergotamine

take at onset of migraine

fentanyl patches pt education

take stool softness daily (prevent constipation)

to avoid GI upset with AZT, pt should

take with food

paroxetine pt education

takes 4 weeks to reach therapeutic level

Ciproflaxin side effect

tendon rupture

for clozapine we should monitor

total cholesterol because it causes hyperlipidemia

Pt. given oxytocin, fetal heart rate shows deceleration what should the nurse do

turn in side lying position

Sucralfate is used for

ulcers, forms a protective barrier over ulcers

oxybutynin is used for

urinary incontinence

pt is taking clindamycin, pt. should report

watery diarrhea (C.Diff)

AZT action

works on earlier aspects of viral life cycle preventing virus RNA from attaching to our RNA


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