Pharmacology week 4 review
CALCULATE THE INFUSION RATE IN ML/HR: 1000 ML OF 0.9% NORMAL SALINE OVER 8 HOURS
125 mL//hr
MAJOR ADVERSE EFFECT RELATED TO ORAL CONTRACEPTIVES
THROMBOEMBOLIC EVENT (STROKE, PULMONARY EMBOLI)
INSTRUCTIONS FOR MISSED DOSE OF ORAL CONTRACEPTION
-1 MISSED DOSE; TAKE 2 THE NEXT DAY -2 MISSED DOSES; TAKE 2 THE NEXT DAY & 2 MORE THE FOLLOWING DAY -3 MISSED DOSES; USE ALTERNATIVE CONTRACEPTION
NURSING CONSIDERATIONS FOR SODIUM BICARBONATE
-AVOID USE IN THOSE RECEIVING CONTINUOUS GI SUCTIONING -MONITOR ARTERIAL BLOOD GAS -CAUTION WITH RENAL & CARDIAC IMPAIRMENT
SIGNS AND SYMPTOMS OF HYPERVOLEMIA
-BOUNDING PULSE -HYPERTENSION -CRACKLES UPON AUSCULTATION -PITTING EDEMA -WEIGHT GAIN
REDUCES THE EFFECTS OF PHENYTOIN, ANTICOAGULANTS, THYROID MEDICATIONS, AND BLACK COHOSH (HERB)
-ESTRADIOL (ESTRADERM) AND -CONJUGATED ESTROGENS (PREMARIN)
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 & ESOPHAGITIS
CAUSES OF RESPIRATORY ALKALOSIS
-HYPERVENTILATION (EXCESS CO2 LOSS)
MANIFESTATIONS OF VIRILIZATION
-MALES (ACNE, PRIAPISM, INCREASED FACIAL/BODY HAIR, PENILE ENLARGEMENT) -FEMALES (CESSATION OF MENSES, HIRUTISM, LOWERING OF VOICE, OVERGROWTH OF CLITORIS)
SIGNS AND SYMPTOMS OF HYPOKALEMIA
-SHALLOW RESPIRATIONS -FLAT T WAVES ON EK -MUSCLE WEAKNESS -CRAMPS
PATIENT EDUCATION REGARDING DIURETIC THERAPY
-TAKE EARLY IN THE DAY -MONITOR WEIGHT & BP (ORTHOSTATIC HYPOTENSION) -REPORT DEHYDRATION DIETARY MODIFICATION
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
FINASTERIDE (PROSCAR)
BPH
MAY NOT DONATE BLOOD IF TAKING THIS MEDICATION
FINASTERIDE (PROSCAR)
SHOULD NOT BE HANDLED BY PREGNANT WOMEN
FINASTERIDE (PROSCAR)
DIURETIC THAT WORKS ON THE DISTAL TUBLUE
HYDROCHLOROTHIAZIDE (HCTZ)
ELECTROLYTE IMBALANCE ASSOCIATED WITH DECREASED OR ABSENT DEEP TENDON REFLEXES (DTR)
HYPERMAGNESEMIA
CAUSES OF RESPIRATORY ACIDOSIS
HYPOVENTILATION, ANESTHESIA, OBSTRUCTIVE RESPIRATORY DISORDERS
IMBALANCES ASSOCIATED WITH FUROSEMIDE (LASIX)
HYPOVOLEMIA & HYPOKALEMIA
MEDICATION THAT IS ONLY EFFECTIVE UP TO 5 DAYS AFTER UNPROTECTED SEX
LEVONORGRESTREL (PLAN B)
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)
FINASTERIDE (PROSCAR)
Prostate Anti-inflammatory
TAMSULOSIN (FLOMAX)
RELAXES SMOOTH MUSCLE OF THE BLADDER AND PROSTATE RELIEVING OBSTRUCTION
DO NOT GIVE WITH NITROGLYCERIN
SLIDENAFIL (VIAGRA)
DIURETIC THAT MAY RESULT IN HYPERKALEMIA
SPIRONOLACTONE (ALDACTONE)
Tamsulosin (Flomax) adverse effects
headache abnormal ejaculation rhinitis hypotension
CALCULATE TOTAL INTAKE: 1 CUP OF JELLO, 4 OZ COFFEE, 30 ML WATER
390 mL
DIETARY RECOMMENDATIONS FOR FUROSEMIDE (LASIX)
HIGH POTASSIUM (BANANAS)
MEDICATION USED TO DECREASED INTRACRANIAL PRESSURE
MANNITOL