Opioid Analgesics
Anti-Infectives
General Principles of Pharmacology
Administration of Drugs
NonOpioid Analgesics
100
Medical term for pinpoint pupils
What is miosis?
100
An overgrowth of bacterial or fungal microorganisms not affected by the antibiotic being administered. An example is pseudomembraneous colitis
What is a superinfection
100
This term is known as the study of drugs and their action on living organisms.
What is Pharmacology?
100
Right patient Right drug Right dose Right route Right time Right documentation
What is the 6 Rights of Drug Administration.
100
This group of medications have analgesic, anti-inflammatory, antipyretic, & antiplatelet effects. An example of a medication in this group is aspirin.
What are salicylates?
200
These patients have not been medicated with opioid drugs before and are at an increased risk for respiratory depression.
What are opioid naive patients?
200
When a nurse is administering Penicillin IM, the nurse asks the patient to wait for how many minutes?
What is 30 minutes? Anaphylactic reactions are most likely to occur within 30 minutes after an injection.
200
This refers to the time required for the body to eliminate 50% of a drug that was administered.
What is half-life?
200
2 examples of parenteral routes of administration.
What are IV, IM, SC, Intradermal, etc.
200
3 Adverse reactions of salicylates
What are GI bleeding, GI upset (anorexia, heartburn, N/V), salicylism.
300
Your post-operative patient is currently receiving Morphine Sulfate for pain via PCA. During your rounds, you note that your patient does not arouse to verbal stimuli, VS reveal shallow respirations with a respiratory rate of 9/min, BP 98/52, and pulse oximetry of 90%. Your patient is most likely experiencing this adverse reaction.
What is respiratory depression?
300
Patients taking these anti-infectives may experience the following adverse reactions: crystalluria Photosensitivity
What is Sulfonamides.
300
This term describes a decreased response to a drug, which requires an increase in dosage to achieve the desired effect.
What is drug tolerance? This is a symptom of physcial drug dependence and occurs with certain drugs such as opioids and tranquilizers. (when patients take these drugs for long-term)
300
Route of administration using a typical needle gauge 23-25 with a 3/8 to 5/8 inch needle, maximum volume injected 1 mL. Do not aspirate.
What is subcutaneous injection.
300
This non-salicylate has antipyretic & analgesic properties (treats mild to moderate pain), but does NOT have anti-inflammatory properties.
What is acetaminophen?
400
This medication is given to reverse the effects of opioid drugs.
What is Narcan, or an opioid antagonist? generic name for Narcan is naloxone.
400
When teaching a patient about the medication doxycycline (Vibramycin), which is a Tetracycline, the nurse will advise the patient not to take the medication with these foods.
What are dairy products? Dairy products should be consumed 2 hours before or 2 hours after administration of Tetracyclines.
400
An undesirable drug effect.
What is an adverse reaction? Adverse reactions may be mild, severe, or life-threatening. May occur after the first dose or after many doses. Adverse reactions are not the same as allergic reactions.
400
Most common needle gauge & length for IM injection
What is 22g 1 1/2 inch? Up to 3mL can be injected IM, except only 1mL maximum at the deltoid site. Inject at 90 degree angle. Aspirate, may use Z-track technique.
400
This adverse reaction has the symptoms of tinnitus, dizziness, N/V, diarrhea, mental confusion, , headache, sweating, hyperventilation, thirst, flushing. Symptoms can further escalate to result in coma, shock, renal & respiratory failure.
What is salicylism. Occurs after high doses salicylates are administered, overdose of salicylates.
500
Your patient has been taking opioid analgesics for 2 years. He presented to the ER this morning and was just transferred to your floor. During report, you learn that he told the ER nurse that he ran out of his opiate prescription and took his last dose 36 hours ago. Your patient is exhibiting the following symptoms: tachycardia, twitching, tremors of extremities, restlessness and irritability. You suspect this condition.
What is abstinence syndrome/withdrawal? This patient has intermediate symptoms. These symptoms can escalate and cause permanent damage to cardiovascular and central nervous systems, and can result in death.
500
This adverse reaction is a rare, but serious adverse reaction (of many antibiotics and some NSAIDs) where the patient may experience fever, muscular aches, pains, and lesions of the skin, mucous membranes, and eyes. The lesions appear as reddened wheals or blisters.
What is Stevens-Johnson Syndrome (SJS)
500
This route of administration provides the most rapid drug action.
What is intravenous? Next in order of time of action is IM, SC, PO.
500
Usually administer only 0.1-0.2 mL using this route
What is intradermal?
500
This NSAID is a Cox-2 Inhibitor. This medication is associated with potential for increased risk of MI, stroke or cardiovascular thrombosis- all which can be fatal.
What is celecoxib (Celebrex)?
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