right drug, patient, dose, route, time, reason, documentation, response, refuse
nine rights of med administration
weight loss, tachycardia, insomnia, heat intolerance, headache, anxiety are adverse effects of what thyroid condition?
hyperthyroidism
too much thyroid medication or hormone production
what is the antidote for acetaminophen/morphine?
acetylcysteine/naloxone
what are the adverse effects of vasodilators?
headache, hypotension, dizziness, tachycardia, n/v, flushing
Nitroglycerin and isosorbide
what are the side effects of taking antihistamines?
Anticholinergic dry mouth, urinary retention, constipation,
what is a decrease response to the drug that can occur after taking for period of time?
Tolerance
what medication is given to decrease thyroid levels?
PTU
adverse effects
what are the adverse effects of opioids?
decrease respiratory rate, constipation, hypotension, fatigue, dizziness
what medications are given for heart failure?
digoxin/ milrinone (IV)
dig toxicity: low k, mag, high Ca levels, low hr
what patient teaching should be done for glucocorticoid inhaler treatment for asthma?
use as instructed not for relief of acute asthma, rinse mouth after use and report white patches in mouth
what is the time it takes for half the drug to be removed from the body?
Half-life
What insulin is short acting and should be given 30 minutes prior to a meal?
Regular
lispro fast acting given as coverage
NPH intermediate
What are the adverse effects of Ace inhibitors?
nonproductive dry cough, angioedema, hypotension
Take up to 3 doses 5 mins apart if not relieved after the first dose call 911
sublingual Nitroglycerin
what medications are contraindicated when treating a acute asthma attack?
beta blockers
What age group may need reduce doses and closer monitoring for adverse effects?
pediatric and older adult
what are contraindications to administering insulin?
low blood sugar, not eating, having a procedure
What BP meds may also be used to treat dysthymias and heart failures?
Beta blockers, CCB, alpha blockers
What is the antidote for Warfarin/Heparin
VitK, protamine sulfate
Shortacting, Longacting, Anticholinergic, and Xanthine are classifications of what respiratory medication?
Bronchodilators
category A, B, C, D, and X tell us about?
FDA pregnancy safety categories
A safe; B safe animal, c animal AE; D effects seen risk vs benefits; X not to be used
This insulin is given at night duration of 18-24hrs and no peak?
glargine
Why should a patient not stop taking their medication when they feel better?
rebound HTN
what are the adverse effects of stains?
report muscle weakness to prevent rhabdomyolysis
take at night
These classifications help with cough?
Antitussives/ Expectorants