Ch 41,42,43
Why might the physician add streptomycin to a patient's antitubercular drug regimin?
If the patient develops a multi-resistant strain of mycobacterium tuberculosis it enhances the effectiveness of medications to treat.
amphotericin B infusions are likely to cause fever, chills, hypotension, joint/muscle pain, nausea, general mailase as a reaction. In our patients with severe infections requiring this drug, what might we do to offset this reaction?
steroids, antiemetics, antipyretics, antihistamines
Your patient is starting on cyclosporin following an organ transplant (which you know prevents T-Cell immune responses). Give 3 education points for this medication:
Monitor for s/s infections and report them (oral patches, fever, sore throat etc
Avoid crowds (d/t risk for infection)
Brands can not be interchanged
Strict schedule must be maintained
Daily compliance is impairative
Avoid taking with grapefruit, pineapple or papaya
Drug classification of Metoprolol (Lopressor)?
Beta Blocker
Drug classification of Phenytoin (Dilantin) ?
Antiepileptic
____________ may be given with isoniazid to prevent or treat the adverse effect of peripheral neuropathy
Vitamin B6 (pyridoxine)
You alert the doctor when you read an order for __________ in your patient with a known history of cardiac dysrhythmias as it is contraindicated.
Voriconazole
What is temazepam (Restoril) prescribed to treat?
Insomnia/Sleeplessness
To reduce the potential for sleep disturbances, what should the nurse recommend about taking prescribed medications for ADHD/ADD?
Medications should be taken in the morning. Avoid taking it later in the day to reduce the potential for insomnia and sleeplessness.
You have given epinephrine, what effects are we monitoring and assessing for post-administration?
Tachycardia
Dysrhythmias
Chest pain
Palpatations
fluconazole (Diflucan) given with an oral anticoagulant can _______ the effectiveness of the anticoagulant and put the patient at risk for ___________
INCREASE; BLEEDING
True or False: Ethambutol (Myambutol) would be used to treat your patient with an infestation of flukes
TRUE
What are two commonly prescribed medications used to treat early-stage Alzheimer's disease?
donepezil (Aricept)
memantine (Namenda)
_________ drugs effects mimic the parasympathetic system
Cholenergic
When preparing the medication noxaparin (Lovenox), how does the nurse expect to administer this?
Subcutaneous (SQ)
Name 3 possible adverse effects of Ethambutol to monitor for:
optic neuropathy
optic neuritis
retrobulbar neuritis
decreased visual acuity
peripheral neuropathy
hepatotoxicity
numbness and tingling of extremities due to peripheral neuritis.
________ is an antiprotozoal and used to treat mainly Plasmodium vivax and Plasmodium ovale
Primaquine
True or False: folic acid can cause damage to the fetus during pregnancy
FALSE
In fact: The CDC urges all women of reproductive age to take 400 micrograms (mcg) of folic acid each day, in addition to consuming food with folate from a varied diet to prevent some neural tube birth defects
True or False: For transdermal nitro it is recommended to remove the patch at night for 8 hours, then apply a new patch in the morning.
TRUE
TRUE or FALSE: If your patient is having an adverse effect from a medication, it would be appropriate for the nurse to instruct the patient to stop/discontinue taking it..
FALSE: The nurse would immediately alert the provider or instruct the patient to report the effect right away for further instruction.
IF there is a parameter in place ex. BP/pulse, etc it is appropriate to HOLD the drug and contact the physician after
Your patient on Rifampin calls to report that their urine, stool and tears are all reddish-orange. What do we advise this patient?
This is an expected side effect of this medication.
If you have a patient who is traveling and requires treatment with hydroxychloroquine, what will you educate your patient about the duration of the regimin?
Medication will be started started 1 to 2 weeks before exposure and continued for 4 weeks after the person has left the area
You have given midazolam (Versed) for conscious sedation to your patient and reversal is needed due to respiratory depression, what medication will you administer?
Flumazenil (Romazicon)
List 3 common side effects of anticholenergic drugs:
Constipation
Dilated Pupils
Urinary retention
Decreased sweating
Increased heart rate
Because of the possible adverse effects of sedation with carbamazepine (Tegretol) what is a nursing diagnosis that applies to a patient who is new to this medication?
Risk for falls