Mood & Affect
Dystonia, Psuedoparkinsonism, Tardive Dyskinesia
What are extrapyramidal effects?
Decreases thickness of secretions
What are mucolytics
NOT used for emergency treatment of asthma
What is an inhaled steriod?
First line treatment for Type 2 Diabetes
Metformin
How levothyroxine is administered
PO or IV.
If po, must be given on empty stomach
Antibiotics that slow bacterial growth
Bacteriostatic
Classifications to of antivirals to treat HIV and AIDS
Nonnucleoside reverse transcriptase inhibitors
Nucleoside reverse transcriptase inhibitors
Protease inhibitors
Suicidal ideation is a black box warning to this type of medication
What are antidepressants?
Adverse effect of an increased theophylline level
What are seizures, hypotension, tremors
Teaching point for patients prescribed montelukast
What is take on an empty stomach?
Type of insulin administered at meal times
Short (Regular) or rapid (aspart/lispro) acting insulin
Concerning adverse effect for methimazole in the treatment of hyperthryoidism
agranulocytosis-watch for signs of infection
Ways to prevent antibiotic resistance
Limit antibiotics unless necessary
Match the drug to the bug
Limit broad spectrum use-prefer narrow spectrum
Finish course of medication
Main things to monitor in a patient taking antifungals
Hepatic function
Risperidone, Quetiapine, Aripaprazole
What are atypical psychotherapeutics?
Treatment for emergent asthma episode
What is albuterol?
Patients with a head injury that needs a cough to maintain their airway
What is a contraindication to antitussives?
How insulin should be stored
unopened vials in the refrigerator, opened vials unrefrigerated for up to 1 month
What to do if a transfusion reaction is suspected?
Nursing interventions for patients taking medications that are nephrotoxic
Do administer with other nephrotoxic medications
Maintain hydrations
Monitor BUN & Creatinine
Monitor fluid and electrolyte status
Antivirals that are safe to use in children
Oseltamavir (for flu)
Acyclovir (herpes, CMV)
Adefovir (Hepatitis B)
HIV meds-give in pregnancy to reduce risk of transmission to fetus
Therapeutic serum level for lithium
What is 0.6-1.2 mEq/L?
A non-drowsy antihistamine
What is certirizine?
Adverse effect of oxymetazoline
What is rebound congestion?
Medication that acts by excreting glucose in the urine
Sodium glucose co transporter 2 Inhibitors (SGLT-@ Inhibitors)-Canagliflosin
Reason why medications hyperthyroid medications are administered prior to surgery to remove the thyroid
To suppress the thyroid and decrease size of thyroid and production of thyroid hormones
Major adverse effects with different antibiotic classifications
Carbapenems-pseudomembranous colitis
Penicillens-furry tongue, anaphylaxis
Cephalasporins-disulfuram like reactions
Vancomycin-red man syndrome
Fluroquinolones-prolonged QT, tendon rupture
Tetracyclines-hepatotoxicity, damage to teeth and bones
What to monitor if we are and administering a medication that is hepatotoxic
Liver enzymes-AST, ALT, alk phos
Monitor for bleeding
Jaundice
Hypnotic medication that should be tapered off slowly, especially in the older population
What is zolpidem?
Antihistamines are a class of medications that are contraindicated in what age group
Teaching point to patients receiving inhaled albuterol
What is rinsing your mouth?
How to treat an unconscious patient who is hypoglycemic
Administer IV glucose or glucagon. Should see arousal or patient become more awake withing 20 minutes
Types of anemia and causes
Iron deficiency anemia-blood loss
Megoblastic anemeia-Folic acid or Vitamin B12 deficiency
Sickle Cell-Lysing of red blood cells and sickling of the red blood cells
Anemia from CKD-decrease in erythropoiesis
Medications used to treat TB
Rifampin
Insoniazid
Pyrazinamide
Ethambutol
Age classifications that are more susceptible for adverse effects for any medications
Children and older adults