Endocrine
What is metformin (Glucophage) used for?
Type 2 diabetes
Weight reduction
Polycystic ovarian syndrome
If a patient is having Iodinated contrast dye in a CT or a procedure what should the nurse teach the patient about their metformin?
Hold medication for 48 hours before and after procedure
What are 5 typical symptoms of Parkinson's disease?
Forward tilt of trunk
Reduced arm swing
Shuffling gait with short steps
rigidity and trembling of head
Rigidity and trembling of hands and feet
MAOI's have many drug reactions, should the patient call doctor before taking any new medications OTC/prescriptions?
Yes
What is the MOA of carbidopa levodopa?
Increase amount of dopamine in the brain to balance acetylcholine
What is glyburide (Diabeta) used to treat and what has to be properly functioning to be able to take it?
Type 2 diabetes
Beta cells
Can a type 2 diabetic take repaglinide (Prandin) if they are not producing insulin?
No
Can carbidopa-levodopa be used if patient has malignant melanoma?
No, it will make it worse
What is the black box warning for lamotrigine (Lamictal)?
Stevens-Johnson-Syndrome
How does propylthiouracil (PTU) work?
Inhibits formation of the thyroid hormone
What is the most common side effect with metformin, which is why most people stop taking?
Diarrhea
What medication can be combined with metformin or sulfonylureas in type 2 diabetics?
pioglitazone (Actos)
What is needed if giving Ativan IV?
A filter in the IV line
What are 3 nursing considerations with valproic acid (Depakote)?
Monitor AST/ALT
highly protein bound
Many drug interactions
Why is propranolol used in hyperthyroidism? What toxicity will you monitor for?
Increases heart rate
Hepatotoxicity
What type of insulin is repaglinide (Prandin)?
Short acting
What is important nursing care and patient education for oral diabetes medication?
Life long therapy
Consult dietary to help with meals
Teach patient to avoid alcohol and smoking
Teach proper storage of medication
Teach how to monitor levels at home
Review hypo and hyperglycemia symptoms
How long do you need to wait when switching from a MAOI to a SSRI?
5 weeks
What are signs/ symptoms of lithium toxicity?
Confusion
Blurred Vision
Slurred speech
Dizziness
To ER for:
Seizure, coma, arrhythmias, death
What is the main difference between typical and atypical antipsychotics?
Atypical have fewer side effects
What can empagliflozin (Jardiance) help with in patients besides diabetes?
Heart failure
kidney disease
What medication has a interaction with empagliflozin (Jardiance)?
Rifampin
What is the antidepressant used for bedwetting in children?
Imipramine
What is the most serious adverse effect of clozapine (Clozaril)?
Agranulocytosis
Check CBC for first 6 month
If WBC count goes below 3,000 stop medication and rethink a different medication to take
What are three most beneficial interventions to alleviate the common adverse effects of opioid medication?
Ambulate
Increase fluid intake
Bulk-forming laxative psyllium(Metamucil)
Osmotic laxative (MiraLAX)