Pain
A patient taking Morphine PRN for pain should be monitored for which of the following adverse effects?
a. hypoglycemia
b. hypertension
c. respiratory depression
d. diarrhea
Opioids are notorious for causing CONSTIPATION. (SIDE EFFECT)
An ADVERSE effect is Respiratory Depression.
Naloxone (Narcan) should be administered in suspected opioid overdose
(heroin, morphine, dilaudid, etc)
A patient who is presenting with confusion, anxiety, decreasing LOC should be suspected to have ___________ and the nurse should _________
a. hypoglycemia and check blood glucose
b. hyperkalemia and check BMP
c. Palpitations and Chest X-ray
d. Hypertension and Vital signs
Hypoglycemia symptoms so check blood glucose
Fluticasone/Beclomethasone inhalers are used for ___________ but have this pesky side effect that nurses need to teach the patient about __________
Airway disease (Asthma/COPD)
Teach the patient to rinse their mouth to avoid developing THRUSH!
Atorvastatin is a medication that lowers __________ but has a dangerous adverse effect that can cause kidney failure _______________
LDL - Bad Cholesterol (all others)
Acute Rhabdomyolysis
Pantoprazole is a __________ Indicated for _________
PPI - GERD
Takes days to work
< Magnesium
Aspirin is given for ______ x3. Side effects ___________
fever, antiplatelet properties, NSAID properties.
Can cause increased bleeding, salicylate toxicity (early - ringing in the ears (tinnitus), late - AMS, hyperventilation, metabolic acidosis)
Prior to giving a dose of metoprolol, the nurse should assess what?
Heart Rate
Blood Pressure
These medications typically have parameters, also you do not want to give the medication if HR/BP is low
A patient who is having an allergic response to medication should be given?
a. Hives ___________
b. Shortness of breath __________
c. Other ______________
Epinephrine 0.3mg IM
Pepcid (Famotidine) + Steroids
A patient is receiving Heparin via IV infusion. On the CBC the platelets change from 140,000 to 70,000. The patient has likely developed ___________ and the nurse should prepare to give ________________
Heparin Induced Thrombocytopenia (HIT)
ARGATROBAN!!!
A patient received 40 mg of Diazepam for alcohol withdrawal. When you assess the patient you notice the patient has become difficult to arouse with hypoventilation. The nurse should prepare to administer ______________
Flumazenil
Digoxin toxicity can be potentiated when this electrolyte imbalance occurs
a. Hyperkalemia
b. Hypocalcemia
c. Hypokalemia
d. Hyponatremia
HYPONATREMIA.
Remember the Pharm Video
(Less competition to get into the club)
The nurse would monitor the following when a patient is taking Methylprednisolone
a. hypoglycemia, Hyperkalemia
b. hyperglycemia, Hypokalemia
c. hypotension, AMS
d. headache
Steroids - increase blood glucose, promote sodium and water retention (edema), hypokalemia.
Side effects of anti-depressants like escitalopram, fluoxetine
_____________________
1. Increased Suicidality
2. Erectile Dysfunction
3. Worsening Symptoms
4. EPS
A patient was given IV Ceftriaxone 30 minutes ago. They begin to experience anxiety, hypotension, dyspnea. What should the nurse do?
Be prepared to give EPINEPHRINE
Abrupt discontinuation of steroids such as (Prednisone/Dexamethasone) can cause?
Adrenocortical Insufficiency.
Taper them slowly
Will cx s/s of Addisonian crisis - hypotension, fatigue, hypoglycemia, salt craving, lightheadedness
Which of the following drugs would be inappropriate in Acute Asthma Exacerbation
a. Albuterol
b. Theophylline
c. IV Steroids
d. Magnesium Sulfate
Theophylline
A patient is on a heparin infusion. Their (LAB test) is 90 seconds. The patient is also experiencing bleeding gums and having black tarry stools. The nurse should notify the healthcare provider and be prepared to give ____________
aPTT
PROTAMINE SULFATE