Cardiovascular
T/F : Patients taking diltiazem should not have grapefruit juice.
True
Why can tetracycline not be given to pregnant women during their third trimester?
It can stain the teeth of the fetus.
What is allopurinol used to treat?
Gout
A provider orders 1,000 mL of Normal Saline to be infused over 8 hours. You are using IV tubing with a drop factor of 15 gtt/mL.
How many drops per minute (gtt/min) will you need to set the IV rate at?
31 gtt/min
What is the purpose of TPN?
To meet the patient's caloric needs when they cannot do so by eating food or a nasogastric tube.
Which class of cardio meds can a cough be a common side effect?
ACE Inhibitors (Lisinopril, Enalapril, Captopril, Benazepril)
What are adverse effects of vancomycin?
Nephrotoxicity, ototoxicity, red man syndrome
What organ does acetaminophen have the most effect on in the body?
Liver
The doctor orders 10 mL of a liquid antibiotic to be given every 8 hours.
The medication cup only shows measurements in teaspoons (tsp).
How many teaspoons should the nurse give per dose?
2 tsp/dose
What are the antidotes for warfarin and heparin?
Warfarin antidote is Vitamin k.
Heparin antidote is Protein Sulfate.
(Remember - William and Kate / Prince Harry)
What time of day should statin drugs be taken?
Night time/ before bed
What are adverse effects of the drug ciprofloxacin?
GI upset, achilles tendon rupture, photosensitivity, allergic reaction
What class of medication does naproxen fall under?
NSAIDS (Non-Steroidal Anti Inflammatory Drugs)
A healthcare provider orders 500 mL of D5W with 1 gram of cefazolin to be infused over 3 hours. The IV tubing has a drop factor of 20 gtt/mL.
How many drops per minute (gtt/min) should you set the IV infusion at?
56 gtt/min
T/F : Antibiotic drugs increase the absorption of oral contraceptives.
False
What are common adverse effects of nitroglycerin?
Headache, hypotension, dizziness, flushing.
Ototoxicity, nephrotoxicity, allergic reaction
What are some potential complications of biphosphonates? (Alendronate, risedronate, ibandronate)
MSK/ bone pain, GI upset, esophagitis / esophageal ulcers, hypocalcemia
A child is prescribed 60 mg of diphenhydramine at bedtime.
The liquid medication is labeled 12.5 mg per 5 mL.
You only have a teaspoon (tsp) available.
Round to the nearest whole number.
5 tsp/dose
List essential things to know about lovenox.
Subcutaneous injection, give shot in abdomen region, do not expel the air bubble in the syringe prior to giving the injection, do not rub site after admin.
Nausea, vomiting, and anorexia are all common signs of toxicity of this cardiac glycoside drug.
List some drugs that are a part of the antiviral class.
Acyclovir, valacyclovir, ganciclovir, oseltamivir
What are some side effects of epoetin alfa?
Hypertension, headache, fever, N/V, joint pain, fatigue, increased risk of blood clots, injection site reaction
A provider orders 1,000 mL of Lactated Ringer’s to be infused over 10 hours. The IV tubing has a drop factor of 20 gtt/mL.
What is the IV flow rate in gtt/min?
33 gtt/min
What are side effects of tamoxifen?
Hot flashes, vaginal dryness, nausea, fatigue, mood changes