GI drugs
what education do you provide to your pt taking a digestive enzyme (pancrelipase)
avoid spilling powder on the skin
what electrolytes do you monitor while taking a diuretic
potassium & sodium
lifestyle modifications for hypertension
Exercise, smoking cessation, eating healthy, weight reduction, DASH diet, moderate alcohol consumption, medication therapy
therapeutic level for Phenytoin
10-20
Tx for hyperglycemia & hypoglycemia
hyperglycemia- inuslin
hypoglycemia-glucagon
warning signs indicating non-adherence to drug regimen (pancrelipase)
malnourishment s/s- brittle nails, thin hair, & hair falling out
what would you teach a pt if they are taking a diuretic
- daily weight at the same time in the same clothes
-slow position changes, avoid driving & alcohol
-loss or gain of 3lb in a day or 5lb in a week
-try to avoid excessive intake of salt & drink plenty of water
what do you teach a pt about when taking anticoagulants
-Monitor for s/s of bleeding- bruising easy, coffee ground stools
-Wear medical alert bracelet, use soft bristle toothbrush, be careful in contact sports
-if on warfarin or heparin, INR or aPTT to evaluate therapeutic range
give an example of an opioid antagonist drug
narcan
s/s of hyperglycemia
polyphagia, polydipsia, polyuria
common adverse effect with long term use of PPI
diarrhea
which diuretic would you not give to a pt with hyperkalemia
potassium sparing- spironlactone
education for a pt on a beta blocker
monitor BG closely, monitor HR (hold less than 50) & BP before giving, slow position changes, don't drive until you get used to the medicine, can mask s/s of hyperglycemia
-Beta blockers & asthma DON'T go together
what do you need to educate your pt about when taking an anitseizure med
taper, dont abruptly stop
dont drive
patient education for Glucocorticosteroids
taper, monitor BG, take in the morning
what are two important things when teaching about GI protectants (Sucralfate)
take 1 hr before & 2 hrs after meal; avoid aluminum salts
why would you give a diuretic in the morning and not later in the evening
to prevent nocturia
what are antidepressant classes
MAOIs, TCAs, SSNRIs, SSRIs
how to evaluate a therapeutic response to drug regimen when a pt is taking insulin
hemoglobin A1c should be less than 6.5
patients who have what should be monitored closely when taking PPI's
pt w/ Hx of AF & taking warfarin
what are the different classes of diuretics, explain each class, & name a drug from each class
osmotic- for increased ICP; mannitol
thiazide- 1st choice for essential HTN; hydrochlorothiazide
potassium sparing- keeps the K+ in the body; spironlactone
high-ceiling- rapid removal of fluid; furosemide (lasix)
how is atropine administered & what is it given for
what are the classes of drugs that effect the Central & Peripheral Nervous System
antiseizure, opioids, antidepressants, antipsychotics, anxiolytics, anti-parkinsonism
why would more than one type on insulin be prescribed