What are the toxicity sx for methylxanthine? >/ 20mcg/mL
*N,V,D
*Restlessness
*Dysrhythmias
*Cardioresp collapse
*Convulsions
*Insomnia
Caffeine is cousin of what kind of resp drug?
Methylxanthine
What are the long term effects of steroid use?
*increased glucose
*moon face
*osteoporosis
*mask infxn
*Cushing's syndrome
How are steroids used in asthma?
What special instructions should be given when giving oral steroids?
* Treat the inflammation part of asthma. Steroids are used as prophylaxis of chronic asthma
* Oral should be brief if possible. Taper it down
T or F?
Antihistamine drugs have anticholinergic side effects
TRUE
What is the drug of choice for MRSA?
Vancomycin
Dr. Ludicrous prescribe your patient with extended Penicillin & Gentamycin. What is one thing that is critical for you to emphasize to your pt regarding these 2 drugs?
DON'T GIVE AT THE SAME TIME!!!
Your patient is prescribed with Gentamycin? What are some things that you'd anticipate on your "to-do" list?
* Monitor serum levels
* Peak (P: high enough to kill bacteria) & trough (T: low enough to minimize toxicity)
* Monitor for s/s of ototoxicity & nephrotoxicity
You saw in the computer that you're supposed to administer Erythromycin IV but the computer didn't give you further instruction. Such a smart nurse that you are, you remember that you can only reconstitute E-mycin with what?
At what rate should you administer it?
Reconstitute E-Mycin w/ sterile water only
30-60 jin since it's very irritating to veins
Uh Oh, you prepared the infusion solutions of E-mycin & the left it out there in room temp for 6 hrs. Should you discard it?
No, it's OK, as long as you use it within 8 hrs it should be OK
Pt. taking Linezolid for MRA & VRE are taught to avoid alcohol, caffeine & food containing tyramine. Why?
To avoid htn crisis. That's why BP readings are obtained throughout therapy
Dr. Ludicrous prescribed your patient with Cipro 1st generation. But your pt. has C.Diff =( ... Why is it that you have to go confront him?
Cipro 1st generation is for UTI, not C.Diff
After that Cipro & UTI incident, your pt. started to show sx of arthropathy & it's really painful. He's very upset & asks you why that is. What do you say to him?
"Cipro's side effects are arthropathy, GI upset, restlessness (which explains why you're irritated right now, I understand), & headache. I'll monitor closely for Candidal organism, give you small but frequent meals to prevent GI effects"
Monitor CNS b/c he might get confused
What happen when you administer Proebenecid & penicillin G?
Proebenecid will prolong penicillin G
Besides MRSA, what other infxns do Vanco treat?
*bacterial septicemia
*endocarditis
*bone & joint infxn
Which drug causes greying & discoloration of teeth in children? It also has the adverse effect of photosensitivity
Tetracycline
What drug & food interactions should you take precautions for when taken tetrycycline?
*DON'T TAKE WITH PENICILLIN
*DON'T TAKE WTIH MILK
What's one a/e of sulfonamides & what can you do as a nurse to prevent it??
crystalluria & encourage fluid intake
What's one important thing to teach pt. taking Tessalon for cough? & if you don't teach this chances are they may cause choking
DON'T CHEW!!!! or it'l numb your throat & may cause choking
When do you not want to use Pitocin for uterine contraction, adj therapy in mgt of abortion, control of postpartum bleeding?
NOT USED:
*Placenta previa: baby can't get out of vagin
*Fetal distress
*Abnormal lie
*Active, primary HSV infxn
*Whenever C-section is needed
*Cord collapse
Any contraindications to vag deliver
What is a drug for postpartum that prevents postpartum bleeding?
What drugs do they counteract?
Methergine
-azole
You don't want to use Methergine in what kind of conditions?
*increased BP
You don't want to IV administer b/c it'll induce sudden hypertensive crisis
What are the benefits of hormone therapy?
What ar the risks?
* reduces menopausal sx, hot flashes. Protects against osteoporisis & colon cancer
*Risks: increased risk of breast cancer, stroke, thromboembolism, coronary heart dz
