GI/Nutrition
These 2 meds are given to help manage Hepatic Encephalopathy
BONUS:
What lab value is important to monitor with these values with?
Lactulose
Rifaximin
BONUS:
Ammonia levels
This med can provide pain relief associated with UTI
BONUS:
This is an is a expected side effect of this medication that a nurse should health teach their patient about
Phenazopyridine
BONUS:
Turns your urine orange
This class of chemo drugs are able CCNS and are the only ones able to cross the blood brain barrier
Nitrosureas (carmustine, Lomustine)
This class of drugs works on both positive and negative symptoms of schizophrenia and have the disadvantage of causing weight gain, elevated glucose, and orthostatic hypotension
BONUS:
Name a med from this class that comes In Depot and affects QT prolongation
2nd Gen antipsychotics
BONUS:
Risperidone
Paliperidone
What class of meds can result in a pt with depression suddenly having a increased amt of energy and what concern can this cause
SSRIs(sertraline, fluoxetine, citalopram) and the increase in energy = increased risk for suicide
What are the 2 drug classes given for CHRONIC Hep B?
Nucleoside and nucleotide analogs (ex. lamivudine)
Interferons
This drug is used to make a pt's urine more alkaline to help manage interstitial cystitis
BONUS:
What does the use of this drug put the pt at high risk for (Hint: look at the above prompt)
calcium glycerophosphate
BONUS:
HRF UTIs
This chemo drug is made from natural products and blocks the cells ability to divide and to repair damaged cells.
Hint: it can have a significant affect on a person's CNS
Plant alkaloids
- vincristine(hot pack not Ice pack)
- Palitaxel
- Topotecan
This 2nd Gen Antipsychotic med can cause sedation, tachycardia, drooling, hypotension, hyperthermia and agranulocytosis
Clozapine
This emergency can happen when a pt receives an SSRI with an MAOI or St. John's Wort. IT presents with diarrhea, cramping, tachycardia, labile BP, diaphoresis, tremors, fever, shivering, mania, myoclonus, hyper reflexia, ataxia, seizures
BONUS:
What meds can help tx this
Serotonin Syndrome
BONUS:
cyproheptadine and benzodiazepine
This med is given to treat pancreatic insufficiency resulting from Chronic Pancreatitis
BONUS:
How do you check for this meds effectiveness
Pancrealipase
BONUS:
Monitor for decrease in fat in stool
This class of drugs reduce the size of the prostate to help in management of BPH
5-Alpha reductase inhibitors -- "-rides"(Finestride)
This drug has been used to to decreased the incidence of HPV cancers by 65%
HPV vaccine Gardacil, Cervarix
A pt is taking chlorpromazine and begins to get up, pace, and is unable to sit still. The nurse understands this to be what side effect of the medication
BONUS:
what is the treatment for this
Akathisia
BONUS:
Beta-blocker, Benzodiazepine, Benztropine
These two anticonvulsant medications can cause Steven Johnson Syndrome
Gabapentin and Lamotrigine
What kind of drugs are given with chronic Hep C and how long are they given for?
Direct-acting Antivirals 12 weeks
This is an antibiotic given to treat UTIs. Known to be resistant to E-Coli
trimethoprim/sulfamethoxazole (Bactrum)
This class of chemo drugs breaks the double stranded helix of DNA to keep cells from reproducing. It is CCNS and side effects include stomatitis, esophagitis, mucosistitis, and diarrhea
BONUS:
Name one drug from this class
Alkylating agents
BONUS:
cisplatin
cyclophosphamide
carboplatin
Chloorambucil
This is a medical emergency that can occur from psychotic medication therapy. It is characterized by a fever > 103, diaphoresis, muscle rigidity, tachycardia, tachypnea, fluctuations in BP, decline in mental status
BONUS:
What 2 meds are used in the treatment of this
Neuro Malignant Syndrome
BONUS:
Bromocriptine and Dantrolene
A pt has arrived to the ED early afternoon complaining of a severe headache in the back of their head, fever, chest pain and N/V. Assessment shows severely elevated BP, and nuchal rigidity. Hx of depression Pt states they are currently on phenelzine. Pt states they woke up with a wet cough, congestion, and a sore throat and decided to take Mucinex. They report feeling worse no long after.
What is a occurring and what caused it?
BONUS:
What is the treatment for this?
Hypertensive crisis and it occurred as a result of ingesting tyramine with an MAOI
BONUS:
Discontinue med, VS, Phentolamine IV, Nifedipine SL, cooling devices
Name a minimum of 3 of the drug classes used for Crohn's disease
BONUS:
Name at least one drug name of each of the 3 classes you mention
Antimicrobials -- ciprofloxacin, metrodanizole Corticosteroids -- prednisone, methylprednisone Immunomodulators -- Azathiopine, methotrexate Biologic therapies -- adalimumab, vedolizumab
What are the 3 drug classes that affect androgen levels to treat prostate cancer?
Androgen receptor blockers "-mides" -- Aplutamide
Androgen synthesis inhibitors -- Gerelin, leuprolide
LHRH Antagonist -- Degarelix
This chemo drug combination of 4 is used to treat Non-Hodgkin's Lymphoma.
BONUS: Sometime there is a 5th drug used in conjunction with this
Cyclophosphamide
Hydroxydaunorubicin
Oncovin
Prednisone
BONUS:
Rituximab
These 2 meds are used to treat the EPS known as acute dystonic reaction
BONUS:
What are the 6 severe side effects that present in this reaction
diphenhydramine IM/IV, Benztropine IM/IV
BONUS:
- oculugyric crisis(eyes roll into back of head), torticollis(neck twisted and stuck), opisthotonos(muscle spasm or arching of spine), laryngealspasm, protruding tongue, dysphagia
What is happening to this patient?
BONUS: Tx
Severe Lithium toxicity
BONUS:
Hold lithium, check levels, gastric lavage, infuse NS IV, IV aminophylline, IV mannitol, IV Urea, HD, Ventilation