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NCLEX

The flashcards below were created by user aubsact on FreezingBlue Flashcards.

  1. CNS depressants
    • Antianxiety
    • MoM
    • Anticonvulsants
    • Vinca Alkaloids*
    • Antiparkinson
    • Slow Mag*
    • Terazosin (UA)
    • Narcotics*
    • Antidepressants

    • * dec DTRs
    • Al cause dec RR and bronchospasm
  2. Sedation (not CNS depressants)
    • Antidepressants (Tricyclics and heterocyclic trazadone)
    • Antiemetics
    • Antihistamines
    • Centrally Acting Alpha-Adrenergics (anti-HTN)
    • Antipsychotics
  3. Confusion
    • Macrolide ABX
    • Tricyclic Antidepressants
    • ASA (toxicity)
  4. Heparin antidote
    Protamine sulfate
  5. Coumadin antidote
    Vitamin K
  6. Dec RR and bronchospasm (Not CNS depressants)
    • Antitussive/Expectorants
    • Slow-K
    • Kaon liquid
    • Laxatives/ Stool softeners
    • Musculoskeletal meds
    • BB
    • Nitrofuantoin (GU- anti-infective)
    • Glucagon
    • Antihistamine
    • Miotic Eye Meds
    • Folic Acid
    • Cayenne Pepper
  7. HoTN
    • Nitropress
    • Antianxiety
    • Antidysrhthmics
    • Anti-impotence
    • Anti-depressants
    • Glucagon
    • Anti-HTN (1st dose phenomenon)
    • Antipsychotics
    • Diuretics
    • Slow Mag
    • Miotic Eye Meds
    • Narcotics
    • Nitrates
    • Terazosin (UA)
    • Flomax
  8. NEVER use anti-impotence meds with ...
    nitrates or alpha blockers --> Fatal HoTN
  9. NEVER use Dilantin...
    IV --> cardiac arrest
  10. NEVER use Metformin (Glucophage) with...
    IVP --> Life threatening lactic acidosis (D/C 48 hrs prior)
  11. NEVER use Antidiarrheals with...
    abdominal pain of unknown origin
  12. NEVER use antiemetics with ...
    viral infections --> Reye's syndrome
  13. NEVER use ASA if...
    you are under 21 years --> Reye's syndrome
  14. NEVER use antithyroids with...
    surgery --> D/C 2 weeks prior
  15. Don't D/C abruptly
    • Anticonvulsants
    • Antidepressants
    • BB
    • Centrally acting alpha adrenergics
    • Glucocorticoids
    • Nitrates
  16. Do NOT use if pregnant/ BF
    • Kava
    • Tegretol
    • Antipsychotics
  17. Liver toxicity
    • Antianxiety
    • Antidysrhthmics Class III (Amiodarone, Covert, Tikosyn)
    • ABX
    • Antifungals
    • Tegretol
    • Antineoplastics
    • Antipyretics
    • Antitubercular
    • ADHD meds
    • Immunosuppressants
    • NSAIDs
    • Ulcer meds
  18. Kidney toxicity
    • Xanax
    • Klonopin
    • Ativan
    • Serax
    • Antacids
    • ABX
    • CCB
    • Heavy metal antagonists
    • Immunosuppressants
    • NSAIDs
  19. BM depression
    • Cephalosporins
    • Antineoplastics
  20. Thrombocytopenia
    • Antifungals
    • Antineoplastics
    • Antiplatelets
    • Antithyroid
    • Immunosuppressant
    • NSAIDs
    • Thrombolytics
  21. Leukopenia
    • Hydroxyzine (AA-nonbenzo)
    • Fluroquinolone ABX
    • Antifungal
    • Antipsychotics
    • Antithyroid
    • Diuretics
    • Immunosuppressants
  22. Extravasation= necrosis
    • Dopamine
    • Vinca alkaloids
    • Phenergan (antiemetic, antihistamine)
    • Gentamycin, penicillin
    • Vancomycin (warm compress)
    • Dilantin
    • calcium, potassium
    • Epinephrine

    cool compress
  23. K+ diet
    • apricots
    • bananas
    • beans
    • carrots
    • celery
    • oranges
    • potatoes
    • raisins
  24. Empty stomach
    • ABX (except ceph and sulfas)
    • anticholinergics
    • ACE Inhibitors
    • cytoprotective agents
    • iron
    • musculoskeletal
    • OHAs
  25. Encourage fluids
    • maalox
    • ABX
    • antidiarrheals
    • antigout
    • bipolar
    • alkylating agents
    • antivirals
  26. with food
    • ABX (Ceph and Sulfas only)
    • pyridium (GU analgesic)
    • anticonvulsant
    • antfungals
    • antihistamines
    • BB
    • bipolar
    • antithyroid
    • diuretics
    • mineralcorticoids
    • NSAIDs
    • ulcer meds
    • women's/men's health
  27. Do not take with grapefruit juice
    • anticonvulsants
    • anti-impotence
    • buspar
    • lipitor
    • verapamil
  28. Rapid Insulin
    Humalog/ Novolog

    • ONSET:              5 - 15 m
    • PEAK:               40 - 60 m
    • DURATION:         3 - 6 h
    • ADVERSE RXN:   Mid-AM

    NSG: Eat 5- 15 min after!
  29. Short Insulin
    Regular

    • ONSET:           30 - 60 m
    • PEAK:               2 - 4 h
    • DURATION:       4 - 6 h
    • ADVERSE RXN:  Mid-AM, afternoon

    NSG: Clear, IV, 20 - 30 m before breakfast
  30. Intermediate Insulin
    NPH

    • ONSET:               2 - 4 h
    • PEAK:                 6 - 12 h
    • DURATION:        16 - 20 h
    • ADVERSE RXN:   Early-PM

    NSG: White and cloudy. Give after meals.
  31. Very long acting Insulin
    Lantus (glargine)

    • ONSET:             1 h
    • PEAK:               continuous
    • DURATION:        24 h
    • ADVERSE RXN:   none

    NSG: Don't mix! Give at bedtime.
  32. NEVER give Depakote with...
    carbonated beverages
  33. Can give with MILK
    • antigout
    • antiplatelet
    • diuretic
  34. When breastfeeding, ^ calories by...
    500 a day
  35. Calorie requirements
    • F:  1200 - 1500 kcal/day
    • M: 1500 - 1800 kcal/day
  36. Iron requirements
    • M: 10 mg/day
    • F:  15 mg/day

    F- pregnant: 30 mg/ day
  37. Food progression in infants
    @ 4 - 6 months introduce solid food.

    Rice cereal --> fruits and veggies (yellow --> green) --> meat --> egg yolk --> cheese --> egg white (1 yr) --> fruit juice

    • whole milk @ 1 yr
    • skim milk @ 2 yrs
  38. Tyramine
    • aged cheese
    • bananas
    • beer
    • bologna
    • figs
    • pepperoni
    • raisins
    • red wine
    • salami
  39. Vitamin K
    • cheese
    • fish
    • green veggies
    • milk
    • pork
    • rice
  40. mineralcorticoid diet
    • ^ protein
    • ^ K+

    low Na
  41. Hypoparathyroidism diet
    ^ Calcium

    low phosphorus
  42. Lead poisoning diet
    Give milk --> ^ Vit D --> draws lead out
  43. Renal diet
    low protein, K+, and Na

    NO beans, cereals, or citrus fruits
  44. CVA diet
    No milk or peanut butter
  45. Gout diet
    low purine
  46. Celiac disease diet
    Gluten free
  47. Hepatobiliary diet
    • ^ protein
    • ^ vitamins

    low fat
  48. Cystic fibrosis diet
    • ^ protein
    • ^ calories
  49. Protein
    • red meat
    • seafood
    • cheese
    • legumes (cheap)
  50. Gluten
    • wheat
    • oats
    • rye
    • barley
  51. Purine
    • red & organ meat
    • shellfish
    • oily fish w/ bones
  52. Kosher diet
    • No meat/poultry @ same meal as dairy or using same utensils (6 hours between)
    • No pork
    • No gelatin (marshmallows)
    • No scavenger fish or shellfish (must have scales)
  53. Salt substitutes have...
    K+!
  54. Iron
    • meat
    • almonds
    • apricots
    • bagel
    • beans
    • bread
    • broccoli
    • oatmeal
    • peas
    • prune juice
    • raisins
    • rice
    • spaghetti
    • spinach
    • tofu

    (Inc Vit C availability w/ potatoes and salad)
  55. Anticholinergic-like symptoms
    • Shock, cardiac arrest, anaphylaxis meds
    • antianxiety
    • antidysrhthmics
    • anticholinergics
    • antidepressants
    • antidiarrheals
    • antiemetics
    • antiparkinson
    • antipsychotics
    • antitussive/ expectorants
    • bronchodilator
    • mydriatic eye meds
  56. Urine changes color
    • Pyridium (GU analgesic) --> orange
    • Anticonvulsants --> pink or brown
    • SSRIs--> Pink
  57. Photosensitivity
    • Antidysrhythmics Class III (amiodarone, covert, tikosyn)
    • sulfonamide ABX
    • tetracycline ABX
    • antidepressants
    • antihistamines
    • antipsychotics
    • diuretics
    • miotics eye meds
    • Myotic eye meds
    • St. John's Wort
  58. Stomatitis
    • penicillin
    • sulfonamide ABX
    • antineoplastics
  59. Give in AM
    • SSRIs
    • Wellbutrin (Antidepressant heterocyclic)
    • Thyroid replacements
    • ADHD meds
    • Bone-Reabsorption Inhibitors (w/water)
    • Diuretics
    • Immunosuppressants
  60. Give at night
    • Tricyclic antidepressants
    • Trazadone (heterocyclic antidepressant)
    • antihyperlipidemic agents
    • ulcer meds
    • terazosin (UA)
  61. Antianxiety ending
    "-pam"
  62. ABX- Aminoglycoside ending
    "-mycin"

    MICE!
  63. ABX- Cephalosporin prefix
    "Ceph-" or "Cef-"
  64. ABX- Fluroquinolone ending
    "-floxacin"
  65. ABX- Macrolide ending
    "mycin" NOT mice

    • Clindamycin
    • Erythromycin
    • Azethromycin
  66. ABX- penicillin ending
    "-cillin"
  67. ABX- Sulfonamide prefix
    "Sulf-"
  68. ABX- Tetracyclines ending
    "-cycline"
  69. ACE Inhibitors ending
    "-pril"
  70. BB ending
    "-lol"
  71. CCB ending
    "-dipine"
  72. Ang II Receptor Antagonist ending
    "-sartan"
  73. Alpha 1 adrenergic blocker ending
    "-zosin"
  74. Vinca Alkaloids prefix
    "Vin-"
  75. Topoisomerase (antineoplastic) ending
    "-tecan"
  76. Antiparkinson ending
    "-dopa"
  77. Antiviral ending
    "-vir"
  78. Glucocorticoid ending
    "-sone"
  79. contusion care
    cold for 24 hrs then moist heat
  80. strain/sprain care
    intermittent ice for 24 hrs then heat
  81. Fx/ dislocation care
    immobilization
  82. After cast care
    baby powder, cornstarch, baby oil
  83. Full term nutrition
    120 cal/kg/day
  84. Preterm nutrition
    100 - 200 cal/kg/day
  85. Baby diapers
    6 - 8 wet and one poop daily
  86. Preg wt gain
    24 - 28 lbs
  87. Dilantin
    10 - 20 g/mL

    Urine pink/brown

    OD- nystagmus (20 g/mL); ataxia & slurred speech (30 g/mL)
  88. Bronchial noises
    Loud and coarse

    heard over trachea
  89. Bronchovesicular sounds
    harsh

    heard over mainstem bronchi
  90. Vesicular sounds
    soft and low, breezy

    heard over most of peripheral lung fields
  91. UA specific gravity
    1.010 - 1.030
  92. Urine pH
    4.5 - 8
  93. K+
    3.5 - 5.0 mEq/L
  94. Na
    135 - 145 mEq/L
  95. Calcium
    4.5 - 5.2 mEq/L
  96. Magnesium
    1.5 - 2.5 mEq/L
  97. WBC
    5 - 10,000 /mm3
  98. CO
    5 - 6 L/min
  99. BUN
    10 - 30 mg/dL
  100. Cr
    0.6 - 1.2 mg/dL
  101. Cr clearance
    85 - 135 mL/min
  102. RBC
    4.2 - 6.2 million/mm3
  103. Hgb
    12 - 18 g/dL
  104. Hct
    35 - 52 %
  105. PTT
    20 - 39 sec
  106. PT
    9.5 - 12.0 sec
  107. INR
    1
  108. ESR
    < 30 mm/h
  109. Alkaline phosphatase
    50 - 150 units/L
  110. CK
    50 - 250 U/L
  111. Albumin
    3.5 - 5.5 g/dL
  112. Triglycerides
    100 - 200 mg/dL
  113. Glucose Tolerance Test
    • Fasting: 60 - 110 mg/dL
    • 1 hr: 190
    • 2 hr: 140
    • 3 hr: 125
  114. Total cholesterol
    • No CAD & < 2 RF: < 160
    • No CAD & 2+ RF: < 130
    • CAD: < 100
  115. LDL
    < 139
  116. HDL
    35 - 85
  117. AST/ALT
    8 - 40 units
  118. Ammonia (Blood)
    15 - 40 mcg/dL
  119. Amylase
    6 - 160 U/dL
  120. Lipase
    < 200 m/mcL
  121. UA Cx
    < 100,000 colonies
  122. Platelet
    150 - 450,000 /mm3
  123. pH
    7.35 - 7.45
  124. paO2
    80 - 100 mmHg
  125. PaCO2
    35 - 45 mmHg
  126. HCO3
    22 - 26 mEq/L
  127. ASA has a cross allergy with...
    Tartrazine
  128. Central line introduced to air??
    AIR EMBOLISM!

    Turn on left side, trendelenburg, give O2
  129. Aminophylline (Theophylline) levels
    10 - 20 mcg/L
  130. 1 - 6 wks after spinal injury above T6
    AUTONOMIC DYSREFLEXIA!!

    Sitting position, assess bladder distention, assess for fecas mass, assess for skin stimuli, apresoline
  131. NEVER use morphine if...
    head injury is present --> masks ^ ICP
  132. Placenta previa
    PAINLESS vag bleeding
  133. MS in L&D
    less pain meds needed
  134. Digoxin level
    0.5 - 2.0 ng/mL
  135. Lithium level
    1.0 - 1.5 mEq/L
  136. NEVER use visine with...
    closed angle glaucoma
  137. Lung cancer at risk for
    SIADH!

    ^ fluid, low sodium. Give lasix!
  138. Cushings Triad
    Sign of ^ ICP

    • HTN or widening pulse pressure
    • Bradycardia
    • Irregular respirations
  139. KVO rate
    20 mL/hr
  140. Dig toxicity could be caused by
    low K+
  141. Head injury expectations
    Expected: HA, nausea, dizziness

    Unexpected: Vomiting, blurred vision, ear or nose drainage, weakness, slurred speech, worsening HA
  142. infiltration care
    warm compress
  143. phlebitis care
    warm moist compress
  144. hematoma care from IV
    cool compress x 24 hrs, then warm
  145. Maternal HoTN or late decels
    turn to L side w/ knees flexed
  146. First dose phenomenon
    Anti-HTN (ACE Inhibitors)

    Especially when used w/ diuretics
  147. quickening
    first fetal movement

    • 18 weeks if first baby
    • 20 weeks if more
  148. breast development
    9 - 13
  149. High fowlers does what to BP?
    Increases BP
  150. Erikson Infant
    birth to 18 months

    Trust vs. mistrust
  151. Erikson early childhood
    18 months to 3 years

    Autonomy vs shame and doubt
  152. Erikson late childhood
    3 to 6 yrs

    initiative vs guilt
  153. Erikson school age
    6 - 12 yrs

    industry vs inferiority
  154. Erikson adolescence
    12 to 20 yrs

    identity vs role confusion
  155. Erikson early adulthood
    20 to 35 yrs

    intimacy vs isolation
  156. Erikson middle adulthood
    35 to 65 yrs

    Generativity vs stagnation
  157. Erikson late adulthood
    65+

    integrity vs despair
  158. Eye trauma
    nonpenetrating abrasion: eye patch x 24 hrs

    nonpenetrating contusion: cold compress, analgesics

    penetrating: patch, surgeon
  159. Stabismus
    lazy eye
  160. Detatched retina
    light, floaters, curtain, blind

    patch
  161. Glaucoma
    ^ IOP --> blind

    NO MYDRIATICS!!!!

     5 danger signs: Brow arching, halos around lights, blurry vision, dec peripheral vision, HA or eye pain
  162. Menieres disease diet
    Low sodium (2000 mg/day)

    Avoid caffeine, nicotine, ETOH
  163. DM sick day
    • Take insulin as ordered.
    • Check BG and urine ketones Q 3-4 hrs.
  164. Prevent dumping syndrome
    • Restrict fluids w/ meals.
    • Lie down 20 - 30 min after eating.
    • Eat smaller frequent meals.
    • Low carbs and fiber.
  165. 5 P's of circulation
    • pain
    • pallor
    • paralysis
    • paresthesia
    • pulselessness
  166. C&DB prevents...
    respiratory acidosis (removes CO2)
  167. Trach suctioning pressure
    80 - 120 mmHg
  168. Chest tube bubbling
    water seal --> air leak

    suction control--> normal
  169. ASA toxicity symptoms
    tinnitus! HA, hyperventilation, agitation, confusion, diarrhea, sweating
Author
aubsact
ID
212816
Card Set
NCLEX
Description
Pharmacology, Diets, and Labs
Updated
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