Hematologic and Immune Medications
Cause the immune system to produce antibodies that target a specific microbe
What is the MOA of immunizations?
Bacteriostatic inhibitors of protein synthesis
What is the MOA of Macrolides and Tetracyclines?
"-prazole"s
What is the suffix of proton pump inhibitors (PPIs)?
Glucagon or Dextrose 50%
What are the antidotes to insulins? or What would the nurse expect to give if the pt's BS is very low and they cannot swallow?
"H and H"
•Aspirin
•Clopidogrel
•Ticagrelor
What are the common antiplatelet medications?
"-mycin"s
What is the suffix of aminoglycosides?
Cimetidine
Famotidine
Nizatidine
What are common H2 receptor blocker medications?
•Chlorpropamide
•Glipizide
•Tolazamide
•Glyburide
•Glimepiride
What are common oral antidiabetic (sulfonylureas) medications?
aspartate transaminase (AST) and alanine transaminase (ALT)
What are liver enzyme labs?
Vitamin K
What is the antidote to vitamin K inhibitors?
Fluoroquinolones, Tetracyclines and Sulfa drugs
What are medications that can cause photosensitivity or severe sun burns? ("F"un in"T"he "S"un)
The acidic environment of the stomach and duodenum changes this medication into a protective barrier that adheres to an ulcer and protects it from further injury for up to 6 hours.
What is sucralfate?
Onset- 1-2 hours
Peak- 6- 14 hours
Duration- 16- 24 hours
What is NPH insulin?
BUN > 20 mg/dL
AND/OR
Creatinine > 1.3 mg/dL
What are concerning/worrying renal/kidney labs?
Allergy to rivaroxaban (Xarelto)
What is a contraindication for the direct inhibitor of factor xa; rivaroxaban (Xarelto)?
Achillies tendon rupture
What is a complication of Fluoroquinolones?
Take all other medications 1 hour before or after taking these medications
What is the patient teaching for antacids?
•Hypoglycemia
•Hypokalemia
•Lipohypertrophy
What are the complications of insulins?
Baseline platelet count, aPTT, and hematocrit levels should be monitored during administration for therapeutic levels.
Which labs should be monitored when administering anticoagulants?
•Vaccine information sheet
•What side effects can occur
•Immunization record/card
•What to take if experiencing side effects, who to call if ADRs
What are the patient teaching points of adult immunizations?
Herpes simplex, varicella-zoster, cytomegalovirus, or HIV/AIDS
What are therapeutic uses of antivirals?
Chronic use of these medications can lead to fluid and electrolyte imbalances
What is the patient teaching for laxatives?
Dose is increased gradually over several weeks. Full effect can take 6-8 weeks
What is a nursing implication for thyroid hormone (levothyroxine)?
PT- 9.6- 11.8 seconds
PTT- 30- 45 seconds
INR- 0- 1.1
What are the normal ranges of coagulation labs/studies?