Antipsych/Seziure
Name 2 priority nursing implications for a patient in status epilepticus
Protect head, recovery position, IV benzos, STAY with the patient, O2 therapy
Citalopram is best taken at this time of day
This drug class is first line for treatment of ulcers. It blocks H2 receptors and the drugs end in -tidine.
H2 receptor antagonists
True or False:
Lidocaine is a general anesthetic
False; local
This opioid antagonist reverses the effects of opioid overdose. Be careful, the effects are fast and patients can become agitated.
A nurse would expect these side effects for a patient taking Quetiapine
Weight gain, DM, HLD
This is the reversal agent for benzo overdose
Flumazenil
A patient recently diagnosed with breast cancer is undergoing radiation and chemotherapy. Which of the following indicates an understanding of the teaching:
A. I will take my loperamide as prescribed for constipation.
B. I can continue taking my clozapine because it boosts my immune system
C. I will take Odansetron SL for nausea.
C. Ondansetron (Zofran) is used for CINV
A. Turn, cough, deep breathe
B. Monitor temperature for malignant hyperthermia
C. DVT prophylaxis
A. TCDB
A patient who has been prescribed methylphenidate needs to be monitored for these two biometrics
Height & Weight
This is the therapeutic range for phenytoin
10-20 mcg/mL
Patient comes to the clinic complaining about decreased libido after starting Fluoxetine and wanting to quit smoking. The nurse might anticipate this atypical antidepressant will be prescribed as an alternate to the patient's current SSRI
Bupropion
This is the minimum number of antibiotics needed to treat H. pylori
2
The nurse understands that medications like vecuronium and rocuronium do not anesthetize, but rather do this by stopping nerve impulses at neuromuscular junctions
Paralyze (paralytics)
A nurse might consider Tramadol for a pain scale in this range
Moderate (4-6)
Extrapyramidal symptoms can manifest in a wide variety of ways. A patient complaining of tongue thrusting and lip smacking is showing what specific kind of EPS?
Tardive dyskinesia
Sodium is crucial to monitor in patients with bipolar disorder who have been prescribed lithium, as hyponatremia can cause lithium toxicity, which is any value greater than this:
>1.5
Diphenoxylate helps stop diarrhea by inducing this three letter acronym
OIC (opioid induced constipation)
The nurse correctly identifies this medication by its milky white appearance. It causes profound respiratory depression and has a short half life
Propofol
The nurse should expect an order to discontinue sumatriptan if the patient complains of which of the following adverse effects:
A. Constipation
B. Dry Mouth
C. Chest tightness
C. Chest tightness
SAVE FOR LAST
Which of the following is suggestive of an adverse effect of carbamazepine:
A. Headache
B. Sore throat
C. Nausea/vomiting
Final Jeopardy: Which SGA produces similar concerns?
B. Sore throat; suggestive of infection 2/2 bone marrow suppression
Bonus: Clozapine, agranulocytosis
Avoid aged cheese, yogurt, beer, and other tyramine-rich foods if you're taking one of these four MAOIs:
Selegiline, phenelzine, isocarboxazid, tranylcypromine
What nursing diagnosis would be priority concern in a patient with hyperglycemia who has been prescribed lactulose?
Fluid volume deficit
This vital sign is a priority nursing assessment for patients after they've received inhaled anesthesia
Temperature
This drug may be classified as an anti-seizure medication, but its most common use is for diabetic neuropathy
Gabapentin