Term
| SE when pts are taking antihistamines and other CNS depressant drugs |
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Definition
| Drowsiness, vertigo, sedation, hypotension, palpitations, arrhythmias, dryness of mouth, CNS depressants additive to CNS side effects of antihistamines |
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Term
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Definition
| Adult onset, non insulin dependent, decreased production, resistance |
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Term
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Definition
| Triad (diet exercise, organs) |
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Term
| When are meds prescribed for type2 Diabetes and WHY? |
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Definition
| When first line fails because need more |
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Term
| What type of med would be prescribed for type 2 diabetes? |
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Definition
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Term
| What are the main 2 SE of Dilantin? |
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Definition
| Gingival hyperplasia, highly protein bound (*ataxia-slurred speech), nystagamus (opthalamic symptoms of toxicity) urine color change |
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Term
| What is the main reason for pts on antiseizure drugs to have seizures? |
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Definition
| Forget to take it- non-compliance |
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Term
| What is the drug level for Dilantin? |
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Definition
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Term
What is the ROUTE called when a patient has a drug in their:
Cheek:
Rectum:
MDI Device: |
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Definition
Cheek-buccal
Rectum-PR
From a MDI device?- inhalant/meter dosed inhaler |
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Term
| How long should a pt take an antibiotic for a URI??LTI?Knee infection? |
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Definition
| All until the prescription is finished to avoid rebound or tolerance/resistance |
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Term
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Definition
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Term
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Definition
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Term
| Insulin is what type of drug? |
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Definition
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Term
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Definition
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Term
| How is insulin given? (route?) |
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Definition
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Term
| Antacids—togive or not to give with other meds????? |
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Definition
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Term
| Action of cimetidine (antihistamine) as a H2 blocker?? |
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Definition
| Reduce gastric acid secretion, block histamine release in GI |
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Term
| What is the difference of H1 and H2 blockers?? |
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Definition
H1= work on blood vessels/bronchioles (respiratory
H2= act on GI tract |
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Term
| What is unique about MAOI antidepressants? |
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Definition
| Cannot take with tyramine foods (beer, wine, cheese, etc) |
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Term
| What is the 1st DOC for depression? 2nd DOC?? |
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Definition
1st SSRI (Prozac, Zoloft, Paxil),
2nd MAOI (Nardil) (dont take with TCA-avoid foods with tyramine
3rd TCA (Amitriptyline-elavil) |
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Term
| What patient teaching would you discuss when giving a dose of Metamucil for the relief of constipation?? |
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Definition
| Take with water b/c forming soft bulky mass |
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Term
| How long can one take a stimulant laxative? Why not forever? |
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Definition
No more than one laxative per week because could develop a cathartic dependence needing stimulation for BM.
-causes you to lose your ability to have a BM on your own. |
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Term
| High doses of aspirin can lead to what SE? What would you teach your patient to reduce this risk? |
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Definition
-GI irritation, tinnitus, ototoxicity, reye's syndrome, resp alkalosis, hypersensitivity.
-Take with food or antacid, avoid ETHOL, take with water |
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Term
| What is the electrolyte that caN CAUSE DIGOXIN TOXICITY? Discuss. |
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Definition
| Potassium: digoxin competes with potassium, so if potassium too low, cardiac toxic symptoms occur. Can have toxic symptoms b/c of potassium levels even though dig levels are normal |
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Term
| Heparin therapy—how to determine if doses are correct (labs, etc.) |
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Definition
| PTT= check before injection/every 24hrs, normal 30-40 sec therapeutic is 1.5-2 Xs control |
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Term
| Coumadin therapy—how to determine if doses are correct? (labs—levels, etc) |
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Definition
| PT/INR= PT 1.5-2Xs normal, INR 2-3 |
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Term
| Quinalone antibiotics are not used in children-why? |
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Definition
| Damages their cartilage, stunts growth |
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Term
| How can iron (ferrous sulfate) stain the teeth? What teaching is needed? |
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Definition
| Elixir stains, use a straw and rinse/spit after |
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Term
| Asthmatics with dyspnea… Aminophylline is given for what effect? |
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Definition
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Term
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Definition
| Decrease demand/increase supply, reduce preload/SV/CO, relax arterioles |
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Term
| SE of nitrates—nursing teaching for most common SE? |
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Definition
=Causes HA-take ASPIRIN
-To depress reflex tachycardia take Beta Blockers.
-To depress tolerance have nitrate free intervals (at nighttime). |
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Term
| How to teach pt if nitro is active, or too old? |
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Definition
| Burns tongue if it is active |
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Term
| 5 common SE of narcotics? |
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Definition
Resp depression
Sedation
Orthostatic hypotension,
N/V/D,
Impaired mental processes
Urinary retention |
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Term
| Steroids and the discontinuation of them? PT Teaching? |
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Definition
| Do not abruptly stop, eat protein/potassium, monitor weight/BS, short term use only |
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Term
| Main action of anatabuse? |
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Definition
| Causes nausea in alcoholics- a violent reaction when alcohol is ingested--VOMITTING! |
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Term
Define each type of angina,
-stable, unstable, Prinzmetals? |
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Definition
Stable= pain is predictable, manageable with meds.
Unstable= sudden painful mvmt of plaque
Prinzmetals= not same cause, b/c of vasospasm not CAD |
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Term
| 1st treatment for high cholesterol is to? |
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Definition
| change diet, increase exercise |
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Term
|
Definition
| Statin that can cause severe liver complications, headache, flatulence, Rhabdomyolysis |
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Term
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Definition
Acute renal failure
and SE (severe liver complications, HA, flatulence, Rhabdomyolysis |
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Term
| Hypothyroidism-drugs to treat? Sighns of hypo and hyper? |
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Definition
-levothyroxine- Synthroid- T4
-liotrix- Euthroid
-liothyronine- Cytomel- T3
-HYPO- cold intolerant, puffy face, lethargy, bradycardia- Myxedema(adults)
-HYPER- heat intolerant, buggy eyed (exothalamus) hyper, -GRaves Disease |
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Term
| KNOW about PTU, I-131, thyroid hormone, Propacil --- what drugs treats what condition. |
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Definition
PTU= Propacil for HYPERtyroidism
I-131= soidum iodide for HYPERthyroidism
Thyroid hormone= synthroid for HYPOthyroidism |
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Term
| Main source of Iodine is from?? |
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Definition
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Term
| What are 3-4 SE of steroids? What about for a teenager? |
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Definition
| Stunts growth, wieght gain, immunosuppresion, GI bleeding |
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Term
| Angina- patient teaching, re:NTG SL tas abd 911? |
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Definition
| NTG burns tongue, take 3-15 min before 911 |
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Term
| Bulk forming laxatives-action? |
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Definition
| Form soft bulky mass that stimulates local activity |
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Term
| Lasix--SE and lab values needed? |
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Definition
Diurectics given IV in crisis, monitor output! Know potassium level
SE= dehydration (electrolyte imbalance) |
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Term
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Definition
| Depression, drowsiness, memory impairment, fatigue, N/V |
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Term
| Drugs to reduce withdrawl s/s |
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Definition
| Benzodiazepines like valium etc |
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Term
|
Definition
Tardive dyskinesia, Dystonia,Akathisia, Psuedomparkinsonism
HALDOL- EPS
THORAZINE- sedation, anticholinergic, hypotension, low EPS |
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Term
| SE 1st generation antihistamines? |
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Definition
| drowsiness (increase sedation and anti-cholinergice effects) |
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Term
| SE 1st generation antihistamines? |
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Definition
| drowsiness (increase sedation and anti-cholinergice effects) |
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Term
| Sympathomimetic means what? |
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Definition
| Mimics sympathetic nervous system (fight-flight) |
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