A
True or false: permethrin can be used safely during pregnancy.
True - the CDC recommends permethrin as one of the drugs of choice for the treatment of pubic hair lice during pregnancy. Permethrin also is the recommended treatment for scabies during pregnancy.
This term refers to drugs given to reduce the strength and frequency of uterine contractions
tocolytics
This drug is used to reverse opioid overdose
Naloxone (Narcan)
What generation of antipsychotic is haloperidol?
first-generation antipsychotic
This term refers to solutions that are mineral ions dissolved in water - examples include normal saline and LR
Crystalloid solutions
What is the antidote for clopidogrel?
No antidote exists for the effects of clopidogrel
Norepinephrine is used for the management of this condition.
First-choice vasopressor for the management of sepsis and septic shock - used to treat severe hypotension, shock that persists after adequate fluid volume replacement
This antiparasitic drug is useful in preventing or treating acute attacks of malaria
chloroquine phosphate
Which vital sign specifically should the nurse monitor in a patient receiving epoetin alfa?
Blood pressure - most common adverse effect of epoetin alfa is HTN but raising the hemoglobin slowly minimizes this
This lab test is monitored in warfarin therapy.
INR
The nurse should monitor for this electrolyte imbalance in a patient taking sacubitril/valsartan
Hyperkalemia = common adverse effect.
Consult provider if patient is also taking potassium supplements or potassium sparing diuretics
Are sulfonamides like TMP–SMZ bacteriostatic or bactericidal?
Bacteriostatic - sulfonamides like TMP–SMZ act halt multiplication of new bacteria but do not kill mature, fully formed bacteria. They act as antimetabolites of para-aminobenzoic acid (PABA), which microorganisms require to produce folic acid
List two contraindications of nitrofurantoin.
Abnormal kidney function as well as pregnancy—in the first trimester, there is a risk of fetal malformations, and between week 38 and delivery, there is a risk of hemolytic anemia
This potassium channel blocker has been associated with thyroid dysfunction
amiodarone - drug contains iodine
This is the most important item for the nurse to monitor following administration of vecuronium.
maintenance of the patient’s airway and respiratory function
Hydroxyzine can be administered via two routes - name both
PO and IM - if IM, important to give deep into a large muscle, not SQ. IV administration can result in abscess, tissue damage
List two post-operative side effects the nurse might expect to intervene with following administration of isoflurane
Post-op shivering (warm blankets, forced-air warming devices), PONV (treat with antiemetics early)
In addition to preeclampsia, magnesium sulfate may also be given for these two reasons
Help prevent preterm birth, offers neuroprotective properties to neonate when administered before 32 weeks gestation
Contraindications to tetracycline use include age < 8 and pregnancy because of these effects
can cause permanent discoloration of teeth, defects in tooth enamel, and retardation of bone growth
Name two contraindications to oxytocin use.
Fetal distress, unfavorable fetal positions and presentations, hypertonic uterus, CPD, obstetrical emergencies where c-section favored
Clomiphene citrate is used in inducing ovulation for those who have infrequent or absent menstrual periods - what instructions should the nurse include in their education?
Instruct patient to take basal temperature daily. An incremental rise in temperature is an indication that ovulation has recently occurred
This is the reason why antimicrobials like clindamycin and erythromycin may be prescribed in treatment of acne.
Puberty leads to increased production of sebum and proliferation of P. acnes, which depend on sebum for survival - this bacteria produces inflammation in acne lesions. The goal is to eliminate the P. acnes colonizing the skin, thus reducing the inflammatory response
Some of metronidazole's adverse effects may be remembered using to mnemonic NAAG - list what each letter stands for.
Neuro symptoms
Alcohol-associated disulfiram
Abnormal taste in mouth (metal)
GI (NVD, abd pain)
Balanced anesthesia refers to four elements of general anesthesia working together - what are these four elements?
Amnesia, analgesia, hypnosis, immobility
A patient asks if they can stop taking their propranolol - what should the nurse tell them?
There is a black box warning - abrupt discontinuation of the drug can exacerbate cardiac ischemia and increase risk of MI. Talk to provider - need gradual tapering over a 2-week period