Turn Back Time (module 1 & 2)
The nurse knows that peak levels are ___ and trough levels are ______
What is high; low
Important considerations for TB medications
What is DOT (to promote adherence), multiple antibiotic agents to prevent drug resistance, monitor for hepatic s/e (avoid ETOH)
This analgesic/antipyretic medication should not be given to children because of the risk of Reye Syndrome, which causes liver damage and encephalopathy.
What is aspirin?
This medication would be given to a patient who needs rapid anticoagulation
What is heparin?
Clindamycin administration has the potential for what serious side effect
What is loose watery stools with foul odor (c-diff)
These are the components of pharmacokinetics
What is absorption, distribution, metabolism, elimination
This type of inhaled medication is used for both COPD and asthma management and has what s/e.
What is inhaled glucocorticoids.
s/e hyperglycemia, bone loss/osteoporosis, fluid imbalances, PUD (risk for GI bleed assess for black tarry stool)
A patient arrives to the ED poorly responsive, RR 6, pinpoint pupils after "taking some pills." The nurse is prepared to administer this medication for this many doses? Why?
What is naloxone (Narcan), and it will probably need to be given at least 2 times because the half-life is shorter than the half-life of many opiates.
This medication is monitored with PT/INR blood tests.
What is warfarin (Coumadin)?
This is long acting insulin (usually administered daily either in the am or pm). Also called basal insulin
What is Glargine (Lantus)
When administering atropine, an anticholinergic agent, what are some s/e to monitor for?
What is anticholinergic s/e (tachycardia, constipation, dry mouth, mydriasis (pupil dilation...)
what is causing local vasoconstriction by stimulating alpha1 adrenergic receptors on nasal blood vessels.
Vasoconstriction is concern for individuals with CAD, and meds like pseudoephedrine (Sudafed) are usually contraindicated
This opioid medication can be used to treat opioid addiction, and is associated with the ADR of prolonged QT.
What is methadone?
A patient receiving heparin for a DVT suddenly develops vomiting with bright red blood. The nurse will prepare to administer this drug.
What is protamine sulfate?
Adverse effects from SGLT2 inhibitors
Adverse effects from DDP-4 Inhibitors
What is UTIs, vaginitis, etc. (infections secondary to increased glucose in the urine)
What is pancreatitis (epigastric pain, LUQ pain, n/v)
What are the effects of cholinergic (muscarinic) drugs? anti-cholinergic (anti-muscarinic) drugs?
What is rest and digest (think SLUDGE) from cholinergic effects. Remember bronchoconstriction is also an effect
What is sympathetic like state (flight or fight) (think mad as a hatter, dry as a bone, blind as a bat, red as a beet)
This is a common s/e of sulfonylureas, and patients need to be educated and informed of this
What is hypoglycemia (d/t stimulation of pancreas and release of insulin)
other teaching- avoid ETOH, avoid in pregnancy
Pain medications should be given in this type of dosing to reduce the overall amount of opioids needed and reduce the risk of addiction.
What is scheduled?
(or "on the clock" instead of "on-demand)
This medication is used as a "clot-buster" to treat strokes and heart attacks
What is alteplase OR tenecteplase?
serotonin receptor antagonists and dopamine antagonists have this serious s/e
What is prolonged QT interval (consider 12 lead EKG, assess for cardiac s/s)
These are some of the indications for the use of a Beta 1 blocker.
What is slow the HR, CHF, HTN (help preserve cardiac function)
These are important nursing considerations w/ metformin
What is IV contrast for CT d/t concern for lactic acidosis and acute renal failure
What is GI upset (n/v bloating, decreased appetite)
The total daily dose for this analgesic medication should not exceed 4000mg/day, unless the patient has liver disease. The max dose for liver patients is 2000mg/day.
AND this medication is the reversal agent for an overdose of the previous medication.
What is acetaminophen (Tylenol)?
What is n-acetylcysteine (Mucomyst)?
These antiplatelet agents should be given together after a heart attack to prevent future thrombosis in the coronary arteries.
What is aspirin and clopidogrel (Plavix)?
This is the OTC medication that should be avoided with PUD.
This is another risk factor for PUD
what is NSAIDs
What is smoking (reduces bicarb which neutralizes gastric acid)