I demand specificity for immunosupressents.
Because of the possible adverse effect of prednisone (a glucocorticoid) on blood glucose, the nurse will assess the patient for symptoms of this.
What is hyperglycemia?
Because cases of anaphylaxis associated with MMR can be severe, the RN should ensure immediate access within the office to this drug.
What is the magical drug Epinephrine (Adrenaline)?
Because of the adverse effects of ______ on blood glucose the nurse should assess the patients for symptoms of ______?
What is prednisone & hyperglycemia?
This drug is rapidly metabolized by the liver to oselatmivir carboxylate, the active drug. >99% is extreted unchanged in the urine.
A patient with well managed bipolar disorder is planning to start the new year off right with a special juice diet. What would the nurse prioritize in their assessment?
What is assess for lithium use and/or fluid & electrolyte status?
It is important for the nurse to discuss body image with young females initiating cyclosporine therapy because of this side effect.
What is facial hair?
It would be the greatest priority for the parent to contact the prescriber if a child rexpeirenced which symptom after administration of a DTaP immunization.
A) drowsiness
B) Refusal to eat
C) Swelling around Lips
D) Temp of 100.3F
What is swelling around the lips (can progress to anaphylaxis).
Calcium carbonate antacids can cause constipation. True or False
What is true?
This drug has both emtricitabine 200mg and tenofovir 300mg. Great choice before a night out!
What is Truvada?
This is the drug of choice for MRSA infections.
What is Vancomycin?
A priority nursing assessment for a patient receiving cyclosporine would include
What is an intake and output (to assess for renal complication of nephrotoxicity)?
The triage pediatric office RN receives a call from the father of a 16-year-old who had a varicella vaccine 10 days ago. he had a fever after injection and the dad treated it with aspirin. Yesterday he stayed home from school with stomach flu, the dad is having difficulty awakening him. The nurse instructs the dad to.
What is seek immediate emergency care! REYES Syndrome.
The nurse should assess the patient for which adverse effects associated with oral acyclovir therapy?
What is Nausea, vomiting, and diarrhea?
Serum drug levels must be monitored in this immunosuppressant.
What is cyclosporine (Sandimmune)?
WHY!?
Patient adherence with antidepressant drug therapy will improve if the nurse explains what?
What is the expected timing of a therapeutic response?
A patient is prescribed oral cyclosporine 9mg/kg/day in two divided does. The patient weights 132lbs, the medication is available as a solution of 100 mg/ml. How much medication will the nurse administer?
What is 2.7ml?
The RN is preparing to administer Gardasil to an 18-year-old college student The RN tells the student " you cannot get pregnant for 2 months if I give you this shot" This is a poor statement by the RN. Why.
The student might interpret the statement as meaning that injection prevents pregnancy!
Due to this adverse effect on bone density, it would be a priority to protect the patient from falls when taking this drug.
What is prednisone?
The mechanism for this drug is activation of the humoral immune system, it targets the following HPV subtypes: 6, 11, 16, 18, 31, 33, 45, 52, and 58.
What is Gardasil 9?
The generic names of histamine 2 receptor antagonists (H2RAs) share this common suffix.
What is -dine?
(Famotidine (Pepcid))
The recommend dose of acyclovir for immunocompetent children under 12 years old is 15-20mg/kg/day divided in three doses. This is the safe dose for a child who weighs 44lbs.
What is an 300-400mg per day in three divided doses?
These measures decrease discomfort associated with immunizations. (name 3)
What is topical anesthetic, aspirate before injecting, use 25-26 gauge needles.
Ribavirin is used to treat chronic Hepatitis C, is known to have several serious adverse effects. Name 2.
What is Hemolytic anemia, Birth defects, Flu-like symptoms, Severe depression?
In reviewing lab results of a patient taking cyclosporine (Sandimmune), which of the following would be a reason to contact a provider? Select all that apply
1) ALT 28 B) BUN 17 C) Creatine 3.2 D) Potassium 5.4 E) WBC 2800/mm
What is C & D & E?
This common over the counter supplement can decrease the effectiveness of oral contraceptives.
What is St. Johns Wart?
Remember the popular herbal remedy St John's wort is an inducer of cytochrome P450 (CYP) 3A enzymes and may reduce the efficacy of oral contraceptives.