ATI content mastery pharm
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
