Cardiac
Drug class that can cause or worsen existing dysrhythmias
What is antidysrhythmics
Insulin, never PO meds
What is type 1 diabetes treatment
Number one way to prevent the spread of infection
What is hand washing!
Don't drive, don't stop abruptly, use contraception
What is client teaching for antiepileptics
Things to assess before administering any medication
Bonus - 1 more thing not included in rights
What are 6 rights (drug, dose, route, time, patient, documentation) plus 3 more (reason, response, right to refuse)
Allergies
Drug class that lowers the heart rate to lower the BP
What is beta blockers
D50
What is the tx for hypoglycemia in a client w/ IV access
Always use a back-up non-hormonal form of birth control
What is pt teaching for antibiotic use for sexually active females
Dry mouth, blurry vision, urinary retention, constipation, drowsiness, increased intraocular pressure
What is adverse effects of anticholinergics
Remove drug residue before applying a new drug
What are nursing implications for admin of a topical drug
Drug class associated with a dry nagging cough & what drug class you will switch to if you notice this
What is ACE inhibitors
& Then switch to ARB
Ability to eat/swallow, severe nausea/vomiting, presence of appetite, LOC, NPO & blood glucose
What is all things you should assess before administering insulin
Will not cure but will decrease symptom severity
What are antivirals
For 2 points:
Ptt & protamine sulfate
PT/INR & vitamin K
1 bonus pt: 2-3.5
what is lab to measure therapeutic effectiveness and antidote for Heparin sodium & warfarin (Coumadin)
Bonus pt: therapeutic range for INR for coumadin use
Adverse effects of blood thinners
Asthma & COPD
What is conditions in which a client should NOT receive a non-selective beta blocker
Glucose tabs/gel
Photosensitivity, don't take w/ milk & antacids, used for Lyme, cannot give to pregnant women or children under 8
What are tetracyclines
Allopurinol
What is gout prevention drug
Priority action when your patient develops allergic sx to an IV infusion
Bonus- what are the sx
Stop the drug immediately
DIB/SOB/DYSPNEA, Angioedema, anxiety/feeling of impending doom, tripod position, increased RR, decreased O2
What is patient teaching for sublingual nitroglycerin
Rapid first then NPH
What is how to draw up and mix insulins
Redness/itching of the face, neck, upper trunk & hypotension & how to treat it
What is red man syndrome & slow the infusion
Do not abruptly discontinue, may raise blood glucose used to decrease inflammation
What are corticosteroids
Prevents new clots from forming
Bonus: Breaks down existing clots
Bonus: Keeps platelets from aggregating
What are anticoagulants
What are thrombolytics
What are antiplatelets
Potassium sparing diuretic
& potassium depleting diuretic
What is Spironolactone (Aldactone)
furosemide (Lasix) or thiazide diuretics - HCTZ
2 points
Corticosteroids, thyroid drugs, diuretics
Alcohol, sulfonamides & salicylates
What is drugs that cause hyperglycemia
& hypoglycemia
Cephalosporins
What not to use in someone w/ PCN allergy d/t potential for cross sensitivity
Things you should not take with d/t NSAIDS risk of ulcers
What are corticosteroids and/or alcohol
Dilute and administer no faster than 20 mEg/hr
What is nursing implications for administration of intravenous potassium
Erectile dysfunction drugs & why
What is drugs contraindicated w/ Nitro d/t severe hypotension
Discontinue 48 hrs before & CT scan dye
Ototoxic & nephrotoxic
What are aminoglycosides and/or Vancomycin
Given every 10 years as a booster to prevent tetanus, diphtheria and pertussis. Given to adults. Given sooner if injured or pregnant
Stop, aspirate, leave in place, antidote
What are steps to take if a vesicant has caused extravasation in the tissue.
Hold & report heart rate less than 60, nausea, dizziness, confusion, colored halos
Bonus: Creates a higher risk for this condition
What is pt teaching for digoxin
Hypokalemia (drug that causes it --> Lasix)
Requires functioning beta cells
What are sulfyonreas
Antabuse like reaction (flushing, N/V, abd cramps, HA, diaphoresis & hypotension) when paired w/ alcohol
What are metronadiazole (Flagyl)
and cephalosporin --> cefotetan
Temp of 100.4, sore throat, increasing fatigue, chills, abnormal bleeding/bruising, petechia, hematuria, melena. Cannot receive vaccinations
What are all signs of bone marrow suppression
Torsades de pointes
What is the adverse effect of some meds caused by QT prolongation
Contraindicated in pregnant patients
What are ACEs/ARBs
IM glucagon
What is the the tx for unconscious hypoglycemia in a client w/ no IV access
Potent drug class with serious adverse effects of seizures
What are carbapenems
Osteoporosis, C diff. Magnesium depletion & development of dementia & lupus
What are all potential adverse effects of long term treatment w/ a PPI like pantoprazole (Protonix)
Absent bowel sounds, distended abdomen, nausea
What is s/sx of a bowel obstruction, the nurse would not administer a laxative