Drugs for
Immunomodulation
Immunomodulation
What is 10 days?
What is loss of sensation/pain without loss of consciousness?
Chemotherapy destroys this type of cell.
Drug management of rheumatoid arthritis.
What are: analgesics, anti-inflammatory drugs, and immunosuppressants?
Electrolyte that may be lower when a patient experiences diarrhea.
What is potassium?
Common side effects of vaccines.
What are: pain or erythema at injection site, fever, myalgias, arthralgias, malaise?
What are: loss of sensation, loss of movement, loss of consciousness, and loss of memory?
What are: stomatitis, esophagitis, gastritis (nausea/vomiting), and colitis (diarrhea)?
Medical indication for raloxifene (Evista)
What is prevention of breast cancer in high risk, post-menopausal women?
Remember: only decreased risk of osteoporosis related bone fractures in vertebral bones.
Difference between magnesium as a laxative and magnesium as a cathartic.
What is lower dose of drug taken daily to promote daily bowel movement = laxative?
What is higher dose of drug given multiple times a day to promote complete evacuation of bowel?
50% of patients receiving interferon therapy experience this side effect.
What is a flu-like syndrome?
Most common side effect of local anesthetics.
What is burning at the site of administration/contact dermatitis?
3 nursing assessments imperative for a patient with leukopenia status post chemotherapy administration.
What are: assess for fever, assess WBC count and neutrophil count on daily bloodwork, assess for signs/symptoms of infection (e.g. productive cough, UTI, etc)?
How and why calcitonin treats osteoporosis.
What is a hormone that blocks osteoclasts from breaking down bone, thereby keeping calcium in the bone and making it strong?
Rationale for why a patient with diarrhea is at risk for falls.
What is diarrhea causes lowering of blood pressure, which causes less blood to brain, which can cause dizziness/lightheadedness and potential to lose balance and fall?
Potential side effects of interleukin (list 4 specific signs or symptoms)
What is capillary leak syndrome?
(decrease blood pressure, decrease urinary output, SOB, weight gain, peripheral edema)
This drug increases the effect of xylocaine from 20 to 60 minutes.
What is epinephrine?
3 important nursing actions when a vesicant chemotherapy extravasates during administration.
What are: stop the infusion, apply ice, and administer the antidote SQ if applicable?
Important nursing consideration about alendronate (Fosamax) time of administration.
What is the drug should be give on an empty stomach, 2 hours before breakfast to improve absorption?
Antacids that contain these 2 minerals can cause constipation.
What is calcium and aluminum?
3 nursing assessments for a patient receiving cyclosporine.
What are: decrease urine output, hypertension, headache, tremor, gingival hyperplasia, elevated liver enzymes?
These are the 4 stages of general anesthesia and the main goal of each stage.
What is stage 1 and loss of pain?
What is stage 2 and loss of consciousness?
What is stage 3 and muscles relaxed and surgery performed
What is stage 4 and should be avoided because paralysis of medulla can occur.
A patient with breast cancer received CAM (cyclophosphamide, adriamycin, methotrexate). The nurse teaches her the drug specific side effects for each of these drugs.
What are:
cyclophosphamide --> hemorrhagic cystitis
adriamycin --> cardiotoxicity
methotrexate --> profound immunosuppression and photosensitivity
2 important patient education ideas for a patient receiving daily allopurinol.
What is:
teach patient that allopurinol inhibits uric acid formation?
teach patient about signs/symptoms of gout?
teach patient to drink increase fluids (d/t risk for hyperuricemia)?
teach patient to avoid high purine foods (meat, oatmeal, legumes, mushrooms)?
teach patient about role of NSAIDs and steroids in management of gout, if ordered by physician?
Comprehensive management of gastric ulcers triggered by helicobacter pylori.
What is:
proton pump inhibitor (or H2 antagonist)?
bismuth compound?
antibiotics - clarithromycin (Biaxin), amoxicillin, metronidazole (flagyl)?