Analgesic/CNS depressants &stimulants/Muscle relaxants
What are four precautions/contraindications to morphine?
Head injury, severe asthma, renal/ hepatic insufficiency.
If a patient receives NPH at about 0800, when might you be observing hypoglycemia?
Late afternoon/ early evening
(usually before dinner/ 4-12 hours)
What needs to be monitored in patients taking fluoxetine
suicidal ideation
What medications are ordered for hyperthyroidism?
PTU (Propylthiouracil)
propranolol
(methimazole is not used due to increased risk of congenital abnormalities, if used is preferred between 2nd/3rd trimester)
What is the most common side effect of carbidopa-levodopa (Sinment)?
Constipation
What is the most common side effect of narcotic analgesic use?
Constipation
How does glyburide(Diabeta) work?
stimulates beta cells to release more insulin
(Must have functioning beta cells)
Why might a selective SSRI be prescribed over other anti-depressants?
Less side effects
What are signs and symptoms of Hyperthyroidism?
Intolerance to heat, bulge eyes, tachycardia, weight loss
What is the purpose for combining cabidopa and levodopa?
To allow 10% of levodopa to reach the brain
What medication would you recommend to the prescriber for a client with a terrible muscle spasm?
Baclofen
When should a patient take acarbose?
With first bite of food
What is a side effect of amitriptyline?
urinary retention
What are signs and symptoms of hypothyroidism?
Intolerance to cold
lethargy
brittle hair and nails
When is selegiline (Eldepryl) prescribed?
Depression that is not responsive to other drugs
What ways can you promote sleep for your patient?
Allow time to slow down before bed
Avoid daytime caffeine
Modify environment
Can you combine insulin and pramlintide (symlin pen) in the same syringe?
No
Theraputic level for lithium?
0.6-1.2 mEq/L
How long does it take levothyroxine to help a patient feel better?
1-3 weeks
Which foods should be avoided with selegiline (Eldepryl)?
Tyramine rich foods
What is priority vital sign to monitor in a patient who is taking narcotic medication?
Respiratory rate
Which insulin can be given intravenously?
Short -acting Regular (humulin R)
What electrolyte must be closely monitored in a patient taking lithium and why?
Sodium
Hyponatremia= lithium toxicity
What are some nursing implications r/t administration of levothyroxine?
Take same time every day
Take in AM, empty stomach, 30min before breakfast
Avoid vit/supplements containing Ca and Fe(iron) within 4 hours
Avoid antacids, iodized salt and iodine rich foods (seaweed, soy beans, Tofu)
what is donepezil (Aricept) for?
Alzheimer's