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Universities » Armstrong Atlantic State Univers.. » NURS - Nursing » 4313 - PHARMACOLOGICAL CONC. NSG.. » Flash Cards

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Class:NURS 4313 - PHARMACOLOGICAL CONC. NSG II
Subject:Nursing
University:Armstrong Atlantic State University
Term:Spring 2010
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Major Immunoglobulin in Blood IgG
Paralysis of the Ciliary Muscle will affect what? Accommodation
Impaired Oral Membranes due to Stomatitis... Soothing foods, cold liquids, popsicles
Gompertzian Growth Rapid growth of cancer in the early stages, until it nearly outgrows its blood supply followed by decreased growth or plateau
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Allopurinol action Decreases uric acid synthesis
Antidysrhythmic drug patients should avoid... caffeine
Contraindicated food for pt taking colchicine for gout grapefruit
Epinephrine and norepinephrine effects on the heart increase force of contractility
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To receive max results from epoetin, pt. should eat foods high in ______. Iron
Somatrem (protropin) does what? Increases growth of long bones
DDAVP intranasally for pt. who ______ primary nocturnal enuresis
Nasal Cannula Oxygen delivery range 1-6 L/m
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alendronate (fosamax) pt. should do what after taking? Sit upright for 30 minutes
Timolol should be withheld when heart rate is < ___. 50
Cause of reversible dementia vit b12 deficiency
Parasympathetic Nervous System does what for female sexual response? Increased introitus lubrication
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Pt. taking Factrel should report which symptom immediately? Labored breathing
Ritodrine does not need to be questioned for who? Client <4 cm dilation
Methergine Postpartum hemorrhage
Proscar side effect Impotence
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Proscar indication to increase urinary stream, bph
Alendronate Indications Used to treat osteoporosis. Paget's disease
Alendronate Contraindications Renal Failure
Digoxin Indications Used to treat heart failure, slow ventricular rates in a fib and a flutter
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Digoxin Adverse Effects Dig toxicity: n/v, diarrhea, visual disturbances, rash, hallucinations, confusion, dizziness, delerium...
Digoxin Therapeutic Level 0.8-2.0 ng/dl
First Sign of Digoxin Toxicity Loss of appetite
Rapid digitalization first dose is typically how many MG 0.5
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Quinidine Group 1a drug. Bind to sodium channels and interfere with sodium influx during action potential. Decreases conduction velocity. Atropine-like effect. Cholinergic antagonist. Digoxin is usually administered before to prevent ventricular acceleration. Promotes vasodilation.
Quinidine Indications Prophylaxis to maintain normal sinus rhythm after cardioversion. Prevention of PSVT, ventricular tachydysrhythmia.
Quinidine Adverse Effects anorexia, diarrhea, bitter taste, n/v, flushing, hypotension, heart failure, torsades de pointes
Quinidine Drug/Food Interactions Do not use with grapefruit. Increases dig levels.
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Do not use Quinidine in a client with ______ _______. Myasthenia Gravis
Baclofen Class Skeletal Muscle Relaxer
Baclofen Indications Used to treat spasticity resulting from multiple sclerosis or injuries to the spinal cord.
Baclofen Adverse Effects Vertigo
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Steroid Pt. Education Can mask symptoms of infection. Immunosuppression. Can cause eye damage. Take drug with meals or milk in morning. Can cause GI problems. Changes in appearance that will disappear when drug is stopped. High potassium, low sodium diet. Limit gastric irritants. Report changes in mental status. Menstrual irregularities. Unsafe during pregnancy. Do not rapidly withdraw treatment.
Prednisone Administration 2/3 in morning, 1/3 in evening
Prednisone Adverse Effect Euphoria
Prednisone Effect on Glucose Increases
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Dexamethasone... reduce intake of _____. Alcohol
Colchicine... at least ____ days to see reduction in swelling. 3
When do you discontinue Colchicine use? After the pain subsides
Allopurinol Education Drink large quantities of water. Eat food to make urine alkaline. Avoid vitamins and alcohol.
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Desmopressin (DDVAP) Adverse Effect Water intoxication (weight gain, headache, confusion, drowsiness)
Disopyramide Anticholinergic effects. Second line agent.
DDAVP Expected Effect Decreased urine output
Epoetin Assess BP, neuro if sudden rise in hematocrit, discard unused portion
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Fluticasone Rinse mouth after use to prevent candidiasis.
Glucocorticoids Anti inflammatory effect (asthma, swelling, edema).
Gonadorelin Used to diagnose hypogonadism. Sample or two of LH is drawn 15-20 min before administering.
Risk Factors for Gout Obesity, hypertension, alcohol consumption, lead exposure
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Influenza Vaccine Recommended for >65, health care workers, institutionalized, pulmonary conditions. Live nasal contraindicated in <2 years, immunocompromised,
Levothyroxine (T4) Evaluate T4 levels q1-3 months. Adverse effects: mimic symptoms of hyperthyroidism. Osteoporosis.
Lidocaine Group 1B drug, indicated for ventricle dysrhythmias after acute MI or cardiac surgery. Contra indicated in Adam-STokes, Wolff-Parkinson-White Syndrome. Seizure with high doses.
Procainamide priority monitoring Blood pressure
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The nurse would plan to admin. IV Lidocaine for client with which rhythm? V. Tach
Lidocaine: Do not exceed ___ mg/min. 4
Lugol Iodine Indicated to protect thyroid gland from radiation before and after the administration of radioactive isotopes. Also may be used with an antithyroid drug in preparation for thryoidectomy. Administer through a straw. Administer after meals to minimize irritation.
Reducing chemotherapy induced nausea and vomiting Benzodiazepines such as Ativan, corticosteroids such as dexamethasone, small frequent amounts of liquid, administer chemo at night, serve food at room temp or cooler
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mechlorethamine (Mustargen) Interferes with replication, transcription, translation of DNA. Part of combination chemotherapy. MOPP
methergonovine (Methergine) Indicated to prevent and treat postpartum hemorrhage.
Pegvisomant HGH antagonist used to treat acromegaly when other treatments won't work. Adverse effects: flu like syndrome, infections, peripheral edema, pain on injection, diarrhea, back pain
HGH 3x weekly. SC is preferred. Continued until epiphyseal closure is complete or no further response.
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Vasopressin Indication GI Bleeding
Risedronate (Actonel) Paget's disease of bone, osteoporosis. Admin 30-60 min before meals. Remain upright.
Ritodrine b2 adrenergic stimulant that relaxes uterine muscle by inhibiting contractions. >20 weeks gestation.
Oxytocin Side Effect Nausea and vomiting
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Common adverse effect of Methergine Nausea
Early signs of hypermagnesemia Slurred speech, weakness
Positive Inotrope increases force of contraction (digoxin)
Nitro Sublingual Dosing 1 tab every five min for a max of 3 doses. If no relief after 3 doses, go to hospital immediately.
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Sublingual nitro adverse effects headache
Tambocor Group 1C. Suppresses PVCs. Indicated for vent. dysrhythmias. Adverse effect: risk for inducing severe irreversible dysrhythmias. Blurred vision, headache.
Timolol Indicated for elevated intra ocular pressure. Ocular hypertension. Systemic absorption possible- can be limited with pressure to inner canthus.
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 Major Immunoglobulin in BloodIgG
 Paralysis of the Ciliary Muscle will affect what?Accommodation
 Impaired Oral Membranes due to Stomatitis...Soothing foods, cold liquids, popsicles
 Gompertzian GrowthRapid growth of cancer in the early stages, until it nearly outgrows its blood supply followed by decreased growth or plateau
 Allopurinol actionDecreases uric acid synthesis
 Antidysrhythmic drug patients should avoid... caffeine
 Contraindicated food for pt taking colchicine for goutgrapefruit
 Epinephrine and norepinephrine effects on the heartincrease force of contractility
 To receive max results from epoetin, pt. should eat foods high in ______.Iron
 Somatrem (protropin) does what?Increases growth of long bones
 DDAVP intranasally for pt. who ______primary nocturnal enuresis
 Nasal Cannula Oxygen delivery range1-6 L/m
 alendronate (fosamax) pt. should do what after taking?Sit upright for 30 minutes
 Timolol should be withheld when heart rate is < ___.50
 Cause of reversible dementiavit b12 deficiency
 Parasympathetic Nervous System does what for female sexual response?Increased introitus lubrication
 Pt. taking Factrel should report which symptom immediately?Labored breathing
 Ritodrine does not need to be questioned for who?Client <4 cm dilation
 MetherginePostpartum hemorrhage
 Proscar side effectImpotence
 Proscar indicationto increase urinary stream, bph
 Alendronate IndicationsUsed to treat osteoporosis. Paget's disease
 Alendronate ContraindicationsRenal Failure
 Digoxin IndicationsUsed to treat heart failure, slow ventricular rates in a fib and a flutter
 Digoxin Adverse EffectsDig toxicity: n/v, diarrhea, visual disturbances, rash, hallucinations, confusion, dizziness, delerium...
 Digoxin Therapeutic Level0.8-2.0 ng/dl
 First Sign of Digoxin ToxicityLoss of appetite
 Rapid digitalization first dose is typically how many MG0.5
 QuinidineGroup 1a drug. Bind to sodium channels and interfere with sodium influx during action potential. Decreases conduction velocity. Atropine-like effect. Cholinergic antagonist. Digoxin is usually administered before to prevent ventricular acceleration. Promotes vasodilation.
 Quinidine IndicationsProphylaxis to maintain normal sinus rhythm after cardioversion. Prevention of PSVT, ventricular tachydysrhythmia.
 Quinidine Adverse Effectsanorexia, diarrhea, bitter taste, n/v, flushing, hypotension, heart failure, torsades de pointes
 Quinidine Drug/Food InteractionsDo not use with grapefruit. Increases dig levels.
 Do not use Quinidine in a client with ______ _______.Myasthenia Gravis
 Baclofen ClassSkeletal Muscle Relaxer
 Baclofen IndicationsUsed to treat spasticity resulting from multiple sclerosis or injuries to the spinal cord.
 Baclofen Adverse EffectsVertigo
 Steroid Pt. EducationCan mask symptoms of infection. Immunosuppression. Can cause eye damage. Take drug with meals or milk in morning. Can cause GI problems. Changes in appearance that will disappear when drug is stopped. High potassium, low sodium diet. Limit gastric irritants. Report changes in mental status. Menstrual irregularities. Unsafe during pregnancy. Do not rapidly withdraw treatment.
 Prednisone Administration2/3 in morning, 1/3 in evening
 Prednisone Adverse EffectEuphoria
 Prednisone Effect on GlucoseIncreases
 Dexamethasone... reduce intake of _____.Alcohol
 Colchicine... at least ____ days to see reduction in swelling.3
 When do you discontinue Colchicine use?After the pain subsides
 Allopurinol EducationDrink large quantities of water. Eat food to make urine alkaline. Avoid vitamins and alcohol.
 Desmopressin (DDVAP) Adverse EffectWater intoxication (weight gain, headache, confusion, drowsiness)
 DisopyramideAnticholinergic effects. Second line agent.
 DDAVP Expected EffectDecreased urine output
 EpoetinAssess BP, neuro if sudden rise in hematocrit, discard unused portion
 FluticasoneRinse mouth after use to prevent candidiasis.
 GlucocorticoidsAnti inflammatory effect (asthma, swelling, edema).
 GonadorelinUsed to diagnose hypogonadism. Sample or two of LH is drawn 15-20 min before administering.
 Risk Factors for GoutObesity, hypertension, alcohol consumption, lead exposure
 Influenza VaccineRecommended for >65, health care workers, institutionalized, pulmonary conditions. Live nasal contraindicated in <2 years, immunocompromised,
 Levothyroxine (T4)Evaluate T4 levels q1-3 months. Adverse effects: mimic symptoms of hyperthyroidism. Osteoporosis.
 LidocaineGroup 1B drug, indicated for ventricle dysrhythmias after acute MI or cardiac surgery. Contra indicated in Adam-STokes, Wolff-Parkinson-White Syndrome. Seizure with high doses.
 Procainamide priority monitoringBlood pressure
 The nurse would plan to admin. IV Lidocaine for client with which rhythm? V. Tach
 Lidocaine: Do not exceed ___ mg/min.4
 Lugol IodineIndicated to protect thyroid gland from radiation before and after the administration of radioactive isotopes. Also may be used with an antithyroid drug in preparation for thryoidectomy. Administer through a straw. Administer after meals to minimize irritation.
 Reducing chemotherapy induced nausea and vomitingBenzodiazepines such as Ativan, corticosteroids such as dexamethasone, small frequent amounts of liquid, administer chemo at night, serve food at room temp or cooler
 mechlorethamine (Mustargen)Interferes with replication, transcription, translation of DNA. Part of combination chemotherapy. MOPP
 methergonovine (Methergine)Indicated to prevent and treat postpartum hemorrhage.
 PegvisomantHGH antagonist used to treat acromegaly when other treatments won't work. Adverse effects: flu like syndrome, infections, peripheral edema, pain on injection, diarrhea, back pain
 HGH3x weekly. SC is preferred. Continued until epiphyseal closure is complete or no further response.
 Vasopressin IndicationGI Bleeding
 Risedronate (Actonel)Paget's disease of bone, osteoporosis. Admin 30-60 min before meals. Remain upright.
 Ritodrineb2 adrenergic stimulant that relaxes uterine muscle by inhibiting contractions. >20 weeks gestation.
 Oxytocin Side EffectNausea and vomiting
 Common adverse effect of MethergineNausea
 Early signs of hypermagnesemiaSlurred speech, weakness
 Positive Inotropeincreases force of contraction (digoxin)
 Nitro Sublingual Dosing1 tab every five min for a max of 3 doses. If no relief after 3 doses, go to hospital immediately.
 Sublingual nitro adverse effectsheadache
 TambocorGroup 1C. Suppresses PVCs. Indicated for vent. dysrhythmias. Adverse effect: risk for inducing severe irreversible dysrhythmias. Blurred vision, headache.
 TimololIndicated for elevated intra ocular pressure. Ocular hypertension. Systemic absorption possible- can be limited with pressure to inner canthus.
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