Lower Resp.
Contradictions to theophylline.
what is GI problems, coronary disease, alcoholism, resp / rena/ / hepatic issues, hyperthyroidism.
also: need to know pt's nictotine use!!!! and therapeutic blood level (10-20). p.966 and table 55.3
NI for patients using steroids.
p. 602: adm in am like 8 am - 9 am; space multiple doses, taper doses when discontinuing, arrange increase dose when pt under stress, do not adm live vaccines!!
Drug of choice for hypothyroidism
What is synthroid / levothyroxine
drugs that treat hypoglycemia
what are glucagon and diaoxzide
Nursing assessment / interventions for tigecycline.
What is assessing if pt has allergy to tetracycline, teaching pt to use barrier form of contraceptive if on oC; black box warning mortality so only use when necessary; monitor for psuedomembraneos colitis p.138
Teaching for exercise induces asthma.
NI for diabetic taking steroids
monitor blood sugar frequently; teach s/s of any opportunistic infection
S/S of hyperthyroidism.
unexpected weight loss, rapid or irregular heartbeat, sweating, and irritability, tremors; although the elderly often experience no symptoms.
These can be experienced with overdose of Synthroid/levothyroxine
NI for patient in DKA or emergency situation.
What is administer IV REGULAR insulin.
Contradictions and cautions with carbapenems.
What are know allergy, pregnancy, decreased / impaired RENAL function, ertapenem and meropenem are NOT recommended for children under 18, meropenem cautio w/ pt with Irritable bowel disease. p.107
NI for patients using inhaler.
what is shake canister, place spacer in mouth; if no spacer, then hold device 1 inch from open mouth, compress while inhaling, hold breath as long as possible, exhale pursed lips. p.972
Major concern with pt's on longterm steroid use.
What is infection / suppressed immunity
Important teaching about zoledronic acid / Reclast
Single IV infusion over 15 min; can be used q 2 years post menopause
Pt teaching regarding repaglinide (Prandin)
what is take just before meals since rapid acting. p.650
Use of macrolides in "special circumstances"
What is prophylaxis for 1) dental procedures w/ pt who have endocarditis, 2) skin infections.
Can be used for ocular infection.
Also - 1/2 life of azithromycin is 68 hrs / daily dose- so could be used for pt who can not remember to take multiple daily doses. p.134
Mast cell stabilizer.
what is cromolyn.
Guidelines for parents who children taking topical steroid.
Use sparingly and only when needed, do not apply any open areas, do not cover tightly.
Indications of use for PTU /propylthiouracil.
what is hyperthyroidism. MOA: prevention of thyroid hormone.
Key features of Metformin.
what is decrease production of glucose; increase uptake of glucose; can be used in pts 10 yo and older; tx of PCOS, first line STANDARD medication, is associated with lactic acid development. p.650
Pt teaching regarding tetracylcine.
Take po on empty stomach with full glass water, do not take with antacids or salts, wear sunscreen, drink fluids and maintain nutrition. p.126
Caution with adrenergic bronchodilators.
what is cardiac, vascular, diabetes, hyperthyroidism p.969
indications of prednisone.
what is allergic and inflammatory conditions; adrenal insufficiency. REMEMBER: can only be given PO!!
What is thyroid depression s/s:drowsinees, bradycardia, dry skin, etc.
Methimazole: bone marrow suppression!!
PTU: GI like N/V and liver toxicity
p. 619
2 alternatives for treating type 2 DM.
what are Colesevelam and bromocriptime.p.653
Reason why tetracyclines not used with young children.
affect development of teeth and bone. p.126