Im tired
Three signs of an anaphylactic reaction AND 3 medications to give
Signs: Itching, hives, tightness in throat and chest, nonproductive cough, rapid fall in BP, difficulty breathing, reflex tachycardia.
Drugs: Epi, antihistamines, bronchodilators
Define half life of a drug
the time it takes for the plasma concentration of a medication to decrease by one half following administration
Treatment of hypoglycemia when alert AND when unresponsive
Alert: 15-15 rule! !5 grams of a simple carb followed by a complex card, recheck BG
Unresponsive: Glucagon IM or d50 IV
Antagonist to heparin and lovenox
protamine sulfate
If a patient is on flagyl, what should you teach them to avoid?
Alcohol
What is a paradoxical drug reaction?
When someone experiences the opposite of what the drug is supposed to do.
Example: Pain relief med causing severe pain
Indications for Lidocaine
Pain topical or treatment of ventricular tachycardia
Side effects of cytovene? (at least 2)
Neutropenia, thrombocytopenia, seizures, GI bleeding (at least 2)
What class is activase and what does it do?
Thrombolytic, used in MI, ischemic stroke, PE, occluded CVAD, DVT. Clot buster! It dissolves clots. contraindicated in active internal bleeding, history of intracranial neoplasm, severe uncontrolled HTN, evidence or suspician of hemmorhage, use of oral anticoagulants.
What is contraindicated with antabuse?
Do not drink alcohol or take any medications/foods with alcohol in it!
4 signs of lithium toxicity
Vomitting, diarrhea, slurred speech, decreased coordination, drowsiness, msucle weakness, twitching. Levels should be between .5-1.5.
3 medications to treat EPS
Benztropine (cogentin), Trihexphenidyl (Artane), and Diphenhydramine (Benedryl).
What muscle do you give vitamin k in for baby?
Vastus lateralis
Atropine. What does SLUDGES stand for?
Decreased salivation, decreased lacrimation, urinary retention, dry skin, decreased GI motility, elevated HR and Temp, sexual dysfunction
Vanomycin should be infused over ____ in peripheral IV, and over _____in a central line.
2 hours peripheral
1 hour central
4 B's to monitor for in Magnesium run
Brain, breathing, BP, bradycardia
3 drug classes that are toxic to hearing and to renal system?
ASA, NSAIDS, antibiotics, loop diruetics
What therapeutic effect would you monitor for when giving dopamine/dobutamine?
Increased blood pressure to improve renal perfusion and cardiac output
3 safety considerations for chemotherapy administration
Mask/gown/double gloves
special disposal bag
excreted for 48 hours so double flush and dispose in special bag
monitor IV site frequently bc vesicant
Patient teaching for a patient on a sulfonamide?
Increase intake of water, avoid direct sunlight due to photosensitivity. Be careful if on oral contraceptives.
What is sandimmune given for and what are 3 side effects?
it is an immunosuppressant indicated for prophylaxis of many organ transplants to prevent rejection. SE include infections, HTN, hepato/nephro toxic, tremors, N/V/D.
What are 6 side effects of long term prednisone?
Decreased wound healing. cataracts, HTN, hirsutism, peptic ulcers, adrenal suppression, elevated BG, cushings syndrome, fluid retention, muscle wasting, osteoporosis.
Dilantin. 2 special considerations for giving dilantin IV?
mix with normal saline only and use FILTER. Monitor VS and ECG frequently.
Class of theophyline, 3 signs of drug toxicity, and toxic levels.
bronchodilator.
Anorexia, nausea, vomiting, stomach cramps, diarrhea, confusion, HA, restlessness, flushing, increased urination, insomnia, tachycardia, arrhythmias, seizures.
Levels >20meq/ml are considered toxic.
Why would pancrease be given to a child and what does it do?
A child with cystic fibrosis, the body produces thick, sticky mucus that may clog the pancreas, the lungs, and other parts of the body. However, pancrelipase is able to improve digestion of food by acting as replacement of the enzymes and decreasing fatty bowel movements