Anti-Seizure & Anti-Parkinson's Drugs
A patient an an order for an osmotic diuretic to decrease ICP after suffering a severe head injury. The nurse knows that this is the only medication utilized as an osmotic diuretic.
What is Mannitol?
This is the most common side effect reported by patients who take anti-inflammatories.
What is GI upset?
The nurse admits an elderly patient in acute thyroid crisis for whom surgery is not an option. What antithyroid drug would the nurse expect will be ordered due to the decreased risk of systemic side effects?
What is radioactive iodine?
A 14 year old patient has taken tetracycline multiple times over the last several years. The nurse should prioritize this assessment during the head-to-toe exam.
What is inspect the patient's teeth?
The nurse knows that this area of the brain stimulates nausea and vomiting.
What is the chemoreceptor (CTZ) region?
The class of drugs is considered the "rescue medication" for acute seizure activity.
What are benzodiazepines?
A patient has been diagnosed with multiple sclerosis and experiences spasticity in several muscle groups. What drug would the nurse anticipate will be ordered as the drug of choice to manage spasticity associated with upper motor neuron neuromuscular disorders?
What is dantrolene?
The nurse that the patient taking prednisone must not miss doses during treatment, and that the dose must be tapered and not abruptly discontinued. What is the reasoning behind the tapered dosing?
What is to prevent adrenal suppression?
For a patient taking Amikacin for a severe staph infection, what laboratory value and assessment should the nurse prioritize?
What are urine output and creatinine?
Patients with chronic diabetic gastroparesis are often prescribed this medication as an adjunct to increase GI Peristalsis and decrease nausea and vomiting.
What is Reglan (metoclopramide)?
This anti-seizure drug has an onset of action of between 10-20 minutes.
What is Cerebyx (fosphenytoin)?
The nurse is aware that gold compounds have a wide variety of side effects based on this phenomenon.
What is random deposits of the medications in the patients tissues.
In post-menopausal women, the nurse knows that there is an increase risk of what when the patient is taking long-term glucocorticoids?
What are spontaneous fractures?
A patient has been prescribed isoniazid (INH) 250 mg PO daily. What nursing action should the nurse prioritize?
What is place the patient on respiratory isolation?
The nurse administers loperamide (Imodium) to decrease the number and liquidity of stool by what mechanism?
What is decreasing intestinal motility?
The nurse knows that the side effects of Tegretol (carbamazepine) requires that this laboratory result be closely monitored.
What is a CBC due to the increased risk of pancytopenia?
Dantrolene is contraindicated for the treatment of severe muscle spasticity if the patient also has this co-morbid disease.
What is fatty liver disease?
A patient is admitted to the emergency department in diabetic ketoacidosis (DKA) with a blood glucose level of 685 mg/dL. The patient is prescribed an initial dose of 10 U insulin IV. Which type of insulin will be administered?
What is regular insulin?
Gentamycin is known to cause this potentially permanent side effect.
What is ototoxicity?
A patient with GERD and chronic GI upset presents to the ED with complaints of muscle spasticity and malaise. The patient's ABG reveals a metabolic alkalosis. The nurse should ask the patient about their use of this class of medications.
What are antacids and/or bicarbonates?
This OTC vitamin supplement is contraindicated alongside Levodopa in the treatment of parkinsonism.
What is Vitamin B6?
The nurse is caring for a patient who has a disorder of muscle contraction and relaxation. The nurse should prioritize the assessment of what laboratory value?
What is calcium?
This is the best and most accurate indicator of a patient's diabetes management.
What is a Hgb AIC?
A patient with a urinary tract infection has been prescribed Bactrim, a medication that is a combination of sulfamethoxazole and trimethoprim. What is the rationale for this combo therapy?
What is the sum of the benefits outweighs the benefits of their singular use (they are synergistic to one another)?
This class of drugs has adverse effects that include extrapyramidal symptoms, and should not be used by patients with a history of epilepsy or who are on anti-psychotic drugs because of the increased risk of these extra-pyramidal effects.
What are GI stimulants (like compazine, reglan, phenergan, etc)?