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A pt with a history of sinus infection dr will order?
intra nasal steroid antibiotic
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decilne in total body water and lean body mass affect drugs in elderly
renal and hepatic changes dosage less
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non compliant in taking antibiotic what do u tell the pt.
take till gone can cause resistant infection 2 antibiotics MRSA superinfection
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what would u tell pt about weight loss and food has history angina
low cal low fat low sodium small meals excersise plan
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theophyline taken regularly 4yr old pt monitored for?
adverse reactions, it is a bronchiodiolator
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what is nystatin what does it treat
vaginal infections and thrush gone in 2 days
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long term uses of dopaminergic drugs often leds to
tartive dyskinesia
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u r observing a nursing home pt on dompaminergic agent:early signs of toxicity that would be displayed?
muscle twitching and blepharospasm
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fat soluable vitamins? most toxic least toxic?
A D E K:Vitamin A most toxic hypervitaminosis turn yellow-Least toxic E
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which immunizations are given to kids?
DTAP, tetnaus, petusis, hep B MMR Varicella
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what r thazides what supplements should be given?
diuretic: potassium
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17 yr old wrestler needs management of asthma prophylaticaly. what is treatment?
cromolyn sodium (Intal)
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what is penicilliamine? what condition? what should be monitored?
a chemical breakdown of penicllian binds to heavy metals: helps in 30% pt with arthritis. Compliance is necessary. blood dsycarias and skin reactions. 50%pt have fatal adverse reaction
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what is methotrimpeazine?
used in schizophrenia depression, mental illness: will cause dry mouth, wt gain urinary retention, adverse: tardive dyskinesia, liver damge
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what is important about P450 enzyme what's important antiroviral?
metabolized med in liver compliance is esential.
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an antibiotic with high degree of activity against many organisims would be called an
antibiotic: penicillian, tetracycline
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Heprin is to be given at same time as coumidin:
not drawn for PT for 5 hours with IV or 24 hours subq
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what wil dr. order if pt has red eyes no infection
opthalmic drug, antiseptic of artificial tears,
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what is mydrasis
opening of pupil paralyzed sphincter of iris blocking abiltiy to switch from near to far sightedness. happens glucoma pts
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what is vitamin a?
If toxic:hypervitaminosis helps in night blindness: foods are eggs organ meats orange and yellow fruits and veg
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which of the following is ussed as an antidysrthmyic drug
verapmil (Calan)
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vassopressin is?
used to icrease smooth muscle contraction of the digestive tract and vascular bed
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after taking penicilliminase for four weeks the pt has not noticed any improvement why?
theraputic effects may not be seen for several weeks
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the most common adverse reactions to antiinfective meds are
ototoxicity, nephrotoxicity, visual disturbances
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treatment for active tb includes
chemoprophylaxis with bacteriostatic meds
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an alcohic comes into clinic vomiting fatigue anorexia what does dr. order?
thyamine B6
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what s/s do u expect to see in pt who abused narcotics
constricted pupils, mood changes constipation and needle scars
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what is Januvia what used to treat how adm?
oral antidyabetic type II diabites once a day 100mg based on creatine clearance
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what if nurse adms wrong drug to pt
check pt imeadiately, notify dr. of error admins any new orders, notify nurse supevisior, fill out reports
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how does ethol affect meds
affect if work effectively or have adverse reactions
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CNS depression decreades respiratory rate, constricted pupils. tachycardia, and aflexia are symptoms of?
barbituate overdose
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what are progesterins?
used 4 contraception, control menapausal symptoms ovrian failure post ophorectomy
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a pt with heavy menstral periods fatigue and generally lacks energy most likely has?
iron deficiency
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what is a natural remedy used to ease aches and pains and rebuild cartilage?
chondroitin glucossamine
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how and when should you document drug adm
after giving medication
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pt has non-productive cough no s/s of infection and unable to sleep at night. dr orders?
antitussive
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describe Glp1 action adm side effects
inhibits glucagon secretions stimulate insulin production
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a pt is recovering from bronchitis. producing large amounts of thick mucus. the dr. orders?
suggest he drink a glass of water with each meal
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a pt has sinus pressure head ache and no temp but history of sinus infections. dr would order?
decongestant
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a pt regularly seen 4 hypertension comes in dr office for a bad cold. the dr would?
not order decongestant, because it may increase pts hypertension.
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important teaching point 2 pt about taking expectorants, antitussives or bronchiodialtors is:
med effectiveness will be enhanced with adequate hydration of 2 quarts of H2O per day
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a 70 yr old pt weighs 300 lbs. complaing pain in hips and knees dr. tells her?
orders anti-inflamatory analgesic and gives info on low cal diet to lose weight
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pt complaing low back pain after beng knocked to floor at basketball game he is in good health dr. orders?
a salicylate or nosteroidial antiinflamitory (NSAID)
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pt competed in marathon had to drop out after 16 miles due to muscle spasm dr will order?
Flexeril cyclobenzaprne: muscle relaxer
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53 yr old man severe pain in big toe. the tests reveal uric acid in joint.never had this before. dr will order?
colchine (Cholchicine) for acute gout
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63 yr old declining from arthritis dr. writes Rx for penicillamine because nothing else has worked. this drug is an example of:
SAARD slow acting antirheumatic drug
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after taking penicillamine Depen, Cuprimine, for 4 weeks the pt has not noticed any improvement why?
theraputic effects may not be seen for several more weeks
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46 yrold has chronic ethol abuse and has been taking asprin on regular basis. entered clinic complaining of sever abdominal pain, weak and dizzy lasting 7 days. u might suspect?
pt has GI bleeding due to combination of asprin and alcohol
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the nurse should include which of the following when teaching an adult pt about an antivertigo agent?
take 30-60 minutes before an airplane or boat departure
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what disease would a dr. tell a pt to take ginko
Alzheimers diease: helps blood flow to brain
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pernicious is treated with
vitamin b12
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what is verapamil? what disease does it treat
calcium channel blocker treat dysrythmias
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what effect does salicylate have on prostaglandin synthesis. Which slaicylate is most effective
stop prostaglandin synthesis:most effective is asprin.
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what is burrow solution how is it used?
open wet dressings: keep wet change every 15-30 minutes for the first 4-8 hours
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what is the procedure for spill or contamination controll substance
clean up and have two nursed sign off
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medications for malaria may be given
prophylactically when people travel outside us to areas where it is common INH 6-12 months
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what is an oral troche? how should pt use it?
a lozenge containg med in the center. not take it for longer than3-4 days
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Peicillian is the drug of choice to treat
group A beta-hemolytic streptococci
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how and why should dr discontinue pt diuretic med?
BP low. low serum potassium dehydrttion
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a teenager who has asthma since childhood takes her meds regularly is now reporting lack of appetite, insomnia, anxiety and shaky. symptoms could be caused by which drugs?
xanthine derivstives
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what is the common drug for labor induction? what should be monitored?
oxytocin:should not be over 50 mm Hg, no longer than 90 seconds in duration and no longer than every 2 minutes
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what is methotrexate what does it treat?
ihibits cellular reproduction severe rheumatoid arthritis that is unresponsive to other treatments
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the dr tells u pt. is hypokalemic and taking thiazide med for high blood pressure. what food will u tell him to eat?
bananas and citrus fruit
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a pt is admitied to er with CHF which med will be used to treat?
digoxin (Lanoxin)
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80 yr old takes digoxin and HTCZ complains of blured vission and nausea confused and disoriented what is the problem?
digitalis toxicity
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a pt taking phenazopyridine (Pyridium) for uti a nursing consideration would be
urine may turn orange or red and pt will have reief from pain temp.
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what is an adverse effect of quinidine
cinchonism and tinnitus
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With any asprin regimine what is an overdose symptom
tinitus, ringing in ears
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dehydration in infants consits of:
suken fontanells and no tear production
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what is a type of acne medication
Differen wash face apply thin film once a day 8-12 weeks see results.
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what is pyridoxine hydrochloride?
Vitamin B6 turns urine bright yellow. Found in organ meats whole grain breads and cereals
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what do u watch for in immune serums?
adverse effects and what is being injected into body
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an intravenous antibiotic has what advantage over a sublingual admin?
non irratating, direct route, not disloved in GI tract
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pt has sever abdominal pain45-60 minutes after eating. when drinks milk is better. eats mexican worse. Dr. will order?
antacid: mylanta
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pt has duodenal ulcer which drugs first line of therapy?
cimetidine (Tagamet)
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pt complains of abominal bloating and dicomfort and is an alcoholic what meds should be used?
antispasmodic and anticholinergics
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a frail 67 yr old man came to clinic for barium enema has no bowel movements following procedure what will dr. order
stool softener
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if a pt hasan apparent cold and comes in for flu shot what would u do?
do not vaccinte immune comprimised pts.
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how do u determine if a pt is immunized
blood titers
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a pt is taking st johns wort what info should he know about it?
herbal antidepressant toxic with other antidepressants 300mg TID
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calcium needs vitamind and sunlight for body to use
1200 mg daily 3 8 ounce glasses of milk 100,000 international units or more a day normal range
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Pnemocicial vaccines would produce immunity to?
menengitis, strephtecoccus A and Pneumonia
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what type of immunity does a breastfed infant recieve from the mother?
naturally acquired passive immunity
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The pts chart is?
A legal document property of hospital but you can get a copy
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what is PVD? What wil dr order?
Perphiral vascular disease. thrombolytic agents
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Primaquine is used for treatment of?
malaria. can be used prophlatically
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