Cardiac
This class of drugs, often used for hypertension, can worsen breathing problems in patients with chronic lung disease due to their effect on certain receptors in the airways.
what is Beta Blockers
These two antibiotics are used for critical infections
what is imipenem-cilstatin (carpanem) and azteronam (monobactam)
This is a significant side effect of filgrastim
what is bone pain
filgrastim stimulates bone marrow to produce WBCs. treats leukopenia/neutropenia!
This the MOA of mucolytics
what is decreases viscosity of respiratory secretions by altering molecular composition of mucous
(breaking mucus down at a cellular level!)
These drugs, also known as miotics, mimic the neurotransmitter Acetylcholine to constrict the pupil
What are Cholinergic drugs?
This is the earliest sign of digoxin toxicity (BONUS: what is the range for serum digoxin?)
Answer: what is anorexia
Bonus answer: 0.5-2ng/mL
This antibiotic requires monitoring of the troughs
what is vancomycin
This severe immune mediated complication causes a >50% platelet drop and paradoxical thrombosis
HIT syndrome
This is the movement of water in the cells after administration of hypertonic fluids
What is out of the cell to dilute the intravascular space
To ensure even coverage after instilling eardrops, a nurse should massage this part of the ear.
What is the tragus?
This the MOA of adenosine
what is suppression of the AV node (temporarily stops heart to restart it!)
Amphotericin B deoxycholate is often called “ampho-terrible” due to these effects
what is Renal impairment, organ failure, cardiac arrest, and respiratory arrest
This medication class cannot be taken with clopidogrel
what are PPIs (omeprazole) → it can cause GI ulcers/bleeding!
BONUS: this medication cannot be given with?
Bonus: Cannot be given with MOAIs d/t HTN crisis
Fenofibrate is contraindicated in patients with severe impairment of these two major organs.
What are the Kidneys and the Liver?
This electrolyte imbalance increases a patient’s sensitivity to digoxin and can trigger toxicity even with normal serum levels
what is hypokalemia
This antibiotic gives a disulfiram reaction if taken with alcohol
What is Metronidazole
This the monitoring used AND the expected serum range of warfarin
what is INR and 2-3
Name as many signs and symptoms of serotonin syndrome as you can
Confusion/disorientation
Irritability
Anxiety
Hypertension
Insomnia
Nausea/Diarrhea
Muscle spasms/rigidity/tremors
Hallucinations
Dilated pupils
Seizures
Unresponsiveness/Coma
This class of drugs used to lower cholesterol can cause muscle pain, weakness, or even rhabdomyolysis, and may elevate liver enzymes—patients should report unexplained muscle tenderness right away.
What is statins
A prolonged PR or QT interval on an EKG may indicate toxicity of this drug that is also an anti arrhythmic
what is lidocaine
A client receiving cefazolin (Ancef) is scheduled for surgery. Which nursing action is correct?
A. Administer the dose immediately after the incision is made.
B. Give the medication 60 minutes prior to the first incision.
C. Hold the dose until the client reports postoperative pain.
D. Administer the drug with food to minimize GI upset.
B. Give the medication 60 minutes prior to the first incision.
A patient has been on heparin for 72 hours and is being transitioned to warfarin. The patient asks, “Why can’t I just stop the heparin today?” The best response is:
A. “Warfarin only works at night.”
B. “Warfarin takes several days to reach full effect, so you still need heparin coverage.”
C. “Heparin improves warfarin absorption.”
D. “Stopping heparin early reduces bleeding risk.”
B. “Warfarin takes several days to reach full effect, so you still need heparin coverage.”
This is a priority teaching of Alendronate
What is remaining upright for 30 minutes after administration to prevent esophageal burn
Which lab value should be monitored closely in a patient taking niacin due to a known metabolic effect
What is blood glucose