Pharm Midterm
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
