Respiratory
The Blackbox warning for Montelukast
BBW: suicidal ideation
This opioid antagonist is the drug of choice to reverse an opioid overdose, though the nurse should be aware it may precipitate withdrawal.
What is Naloxone (Narcan)
This is an IV solution that is isotonic in bag and hypotonic in body
D5W
Strongest warning the FDA requires on drug labels, indicating potentially serious or life-threatening risks
BBW
This widely used IV anesthetic is contraindicated in patients with allergies to eggs or soy.
What is propofol?
This is the most important teaching when giving theophylline?
The narrow therapeutic range!
Due to the risk of this serious condition, salicylates (such as aspirin) are contraindicated for use in children or teenagers.
What is Reye’s syndrome
This type of solution causes water to leave a cell, resulting in cell shrinkage
Hypertonic solution
If a patient takes a strong CYP inhibitor, drug levels in the blood will decrease or increase?
Increase
This Neuromuscular blocker can trigger malignant hyperthermia and carries a Black Box Warning for sudden cardiac arrest.
What is succinylcholine?
BONUS: What are some s/s of MH?
This is the reason why patients with asthma are instructed to take their inhaled corticosteroid daily, even when they have no symptoms.
Reduce airway inflammation and prevent asthma attacks
Because of the high risk for bleeding and gastrointestinal problems, the nurse is aware that the use of this powerful NSAID is strictly limited to 5 days
What is ketorolac (Toradol)?
What type of fluid shift occurs when administering isotonic fluids
There is no shift between the ICF and the ECF
Drug A produces the desired effect at a dose of 5mg while drug B requires 50mg to produce the same effect. Which drug is more potent?
Drug A
During the administration of local anesthetics, the nurse monitors for LAST, which is treated by stopping the injection and administering this specific therapy.
What is 20% Lipid Emulsion Therapy
BONUS: what are some s/s of LAST?
This is the key difference in how mucolytics and expectorants help clear mucus from the respiratory tract.
Mucolytics break down the cellular structure of mucus, while expectorants thin out mucus secretions to make it easier to cough up
When providing education for a patient prescribed allopurinol for gout, the nurse emphasizes the importance of increasing fluid intake to 2L/day to prevent this specific adverse effect.
What are uric acid kidney stones
A patient is receiving a blood transfusion. The nurse needs to select an IV solution to run with the packed red bleed cells (PRBCs). Which solution is appropriate?
0.9% sodium chloride solution
The nurse administers 650 mg of aspirin at 7 PM. The drug has a half-life of 3 hours. The nurse interprets this information to mean that 325 mg of the medication will have been eliminated from the patient's system by what time?
10pm
This is the BBW seen with Ketamine
What is an emergence reaction?
When a pt is taking parental xanthine derivatives such as aminophylline, which system should the nurse especially monitor for, in terms of major adverse effects?
CV (tachycardia)
Nurses must teach patients taking estrogen for menstrual migraines to immediately report chest or leg pain, as these are warning signs of this dangerous condition.
What are thromboembolic disorders (or Thromboembolism)
A provider prescribes IV KCL 20 mEq in 100 mL NS over 1 hour for a patient with hypokalemia. What should the nurse slow the infusion rate down to?
10 mEq/hr
This is the term for the proportion of a drug that enters the systemic circulation unchanged after administration, often lower when taken orally due to first-pass metabolism.
bioavailability
Because epinephrine prolongs the effects of lidocaine, it is often included in this specific topical solution/gel combination used for anesthesia in children.
What is LET (Lidocaine, Epinephrine, and Tetracaine) solution/gel