Medication Safety
The nurse should educate patients to avoid this beverage because it might lead to toxicity of certain medications.
What is grapefruit juice?
Patients taking SSRIs, diuretics, and anti-hypertensives should be monitored for falls because they are risk for THIS adverse effect.
What is orthostatic hypotension?
The nurse should administer statins at THIS time of day.
What is BEDTIME/Night time?
Patient's taking diphenhydramine (Benadryl) should be cautioned not to drive while taking this medication due to this reason.
What is sedation?
A trough should be drawn at this time.
What is immediately before the next dose?
Due to an opioids ability to suppress the CNS, the nurse recognizes THIS as the priority assessment in patients taking narcotics.
What is respiratory rate?
This type of laxative is frequently abused
What is STIMULANT?
What is enteric coat?
Metformin may need to be stopped prior to a procedure involving contrast because of the risk for THIS rare, but serious adverse effect.
What is lactic acidosis?
In order to ensure proper observation, the nurse should ensure sucralfate and PPIs are given on THIS.
What is an empty stomach?
A nurse should educate a patient to taper their dose of steroids prior to coming off the medication to avoid THIS life-threatening consequence.
What is ADRENAL CRISIS?
A peak should be drawn at THIS time.
What is 30-60 minutes after completion of the infusion?
What is dizziness?
This medication works by inhibiting the enzyme that produces gastric acid.
What is a proton pump inhibitor/PPI?
A nurse should ensure that THIS medication is ordered PRN to any patient receiving opioid therapy.
What is narcan?
What is SPIRONOLACTONE?
Due to their ability to stain developing teeth, nurse would question a prescription for tetracyclines in these two populations.
What is pregnant women and young children?
A nurse would educate a patient with influenza that an antibiotic would not make them better, because influenza is THIS time of organism.
What is a VIRUS?
In order to avoid antibiotic resistance, a patient should be educated to do THIS with their entire course.
What is FINISH IT?
What is bowel sounds?
This laxative works by drawing water into the gut and increasing and softening the bulk of stool.
What is bulk-forming laxative?
What is pharmacists?
(other safe resources may be journals or drug guides. Pharmaceutic sells rep are designed to SELL the drug, so they will spin it the best way possible)
What is tendon rupture?
(Monitor for leg pain, educate patients to not overexert themselves, particular use care when given with steroids)
What is toxicity?
In a patient taking an MAO-I, a nurse would educate them not to eat meat (like bologna), cheese, chocolate and caffeine (along with many others), because it contains THIS.
What is tyramine?
Routinely Using this type of antibiotic contributes to antibiotic resistance.
What is broad spectrum?
This laboratory value should be checked at baseline and routinely on any patient taking a statin.
What is LFTs/Liver enzymes/liver function test?
Unlike laxative effects which are slow and gradual, THIS type of effect is rapid and intense.
What is cathartic effect?
A patient receiving penicillin IV develops a wheeze and shortness of breath. The nurse should do THIS first.
What is stop the IV pump?
In a patient taking a statin, new onset of leg pain would lead the nurse to suspect THIS severe adverse effect.
What is rhabdomyolysis?
Antibiotic, beta 2 agonist, and IV steroids, oh my! The nurse would question THIS one in an exacerbation of acute asthma?
What is an antibiotic?
Regardless of the type of laxative, a nurse should instruct all patients taking one to do this following action.
What is INCREASE FLUID INTAKE?
A vaginal candidiasis infection that develops after a course of antibiotics is an example of THIS type of infection.
What is a suprainfection?
Due to the increase risked for C. diff, nurses should assess patients taking omeprazole (a PPI) for THIS.
What is diarrhea?
This laxative works by increasing peristalsis in the GI tract.
What is a stimulant laxative?
Besides enteric-coated, these medications should also never be crushed.
What is extended release/sustained release?
Besides kidneys, gentamicin is toxic to THIS part of the body.
What is ears?
Crackle, crackle! Due to pulmonary edema, a nurse would expect the doctor to order this diuretic in a patient with heart failure.
What is a loop diuretic/furosemide (Lasix)?
What is benzodiazepines?
In a septic workup, a nurse should always do THIS prior to giving the first dose of antibiotics.
What is draw a culture?
To assess for a potentially life-threatening reaction to taking an ACE-I, the nurse should monitor for THIS symptom?
What is angioedema? OR What is swelling of the lips and tongue?
The addition of THIS medication separates the treatment of H. pylori-induced ulcers from treatment of all other ulcers.
What is antibiotic?
(Dual therapy antibiotic is generally needed)
What is cephalosporins?
This H2 receptor blocker is the only one in the class which can cause anti-androgenic effects.
What is cimetidine (Tegamet)?
A nurse would hold a prescription of sulfamethoxazole/trimethoprim (Bactrim) for a patient with allergies to THIS substance.
What is sulfa?
The nurse should educate a patient to report THIS symptom when taking clindamycin.
What is diarrhea?
(clindamycin is more likely than other antibiotics to cause C. diff)
Bactericidal vs. bacteriostatic. THIS one means it causing the bacteria to stop growing.
What is bacteriostatic?
(Bactericidal causes the DEATH of the organism).
A nurse should ask THIS screening in all patients taking an antidepressant.
What is a suicide risk screening?
Which antiemetic is also used for treatment of gastroparesis?
What is metoclopramide (Reglan)?
The nurse should use care when giving infants medication because they are more vulnerable to THIS.
A patient should be educated to report THIS symptom when on any ototoxic medication.
What is change in hearing (will accept tinnitus/ringing in the ears)?
Elevation in these lab values would lead a nurse to hold vancomycin due to nephrotoxicity.
What is creatinine and BUN?
OTC cold medications should be used cautiously in patients with this uncontrolled chronic disease.
What is hypertension?
(also use cautious in older adults and children and patients with liver or kidney failure)
THIS is an appropriate reason to give a prophylactic antibiotic
What is surgery? (also accept artificial valve or neutropenia)
A patient with history of prolong QT syndrome should have this assessment prior to receiving ondansetron (Zofran).
What is a 12-lead EKG?
NPH insulin can be expected to peak in THIS amount of time.
What is 6-14 hours?