Statins/Thyroid
Name a Thyroid med and what would you need to educate your patient on?
levothyroxine (Synthroid) - in the morning on an empty stomach usually 2 hours before the other meds.
This loop diuretic med is used to help pull fluid off in patients with CHF but can deplete their electrolytes.
furosemide (Lasix)
What is the med used as a mucolytic but also for Tylenol overdose to prevent liver damage?
Your lab shows the potassium is a 2.0, what do we need to monitor on this patient and what should the patient be wearing?
Monitor for cardiac arrthymias and should be wearing a telemetry monitor.
What does bacteriostatic mean?
slows down the multiplication of bacteria
Name a medication that is a statin and when is this recommended to be given to the patient/
atorvastatin (Lipitor) - given at night because cholesterol levels are higher at that time.
Name a med that is potassium sparing.
Spironolactone
This med is a non opioid antitussive but you cannot chew this med due to anesthetic effects
Tessalon Perles
Lab shows a INR of 4. Is this abnormal or normal? what does this indicate?
Abnormal - increased risk for bleeding
What does bactericidal mean?
destroys the bacteria
What is the rare adverse reaction that can causes muscle breakdown while taking a statin?
rhabdomyolysis
This med is very common in the hospital to prevent against blood clots and is given in injection form subQ? Name both of the medications.
enoxaparin (Lovenox) & heparin
The med is a decongestant that shouldn't be used longer than three days because it can cause rebound congestion.
pseudoephrine (Sudafed)
What does stomatitis mean?
inflammation and sores inside the mouth
If a patient has a thyroidectomy, what will the patient need to take for the rest of their life?
hormone replacement such as levothyroxine (Synthroid)
Name a popular med that is given in the morning to help lower your B/P and HR and ends in olol.
metoprolol (Lopressor), atenolol
This popular med is a 1st generation antihistamine. What type of education would you give your patients about this medication?
diphenhydramine (Benadryl) Don't drive while on it, can make a patient sleepy
Hgb A1c is 8, abnormal or normal? What is the ranges?
Abnormal and indicates patient has diabetes
Why do superinfections occur?
Antibiotics disrupt the normal flora in the bowel causing a secondary infection or super infection – this allows uncontrolled growth of bacteria or fungal microorganisms that are not affected by the antibiotic being administered. Older adults who are chronically ill or taking oral antibiotics for an extended amount of time are more likely to develop a super infection.
What would be the education you would give to someone who has an elevated cholesterol levels?
Exercise, eat healthier, stop smoking, no drinking. limit stress
This med is an anticoagulant that comes in pill form and if a patient is on this med you need to monitor what popular lab?
warfarin (Coumadin) PT/INR
What is some education you would give to a patient taking a corticosteroid such as budesonide (Pulmicort)?
Rinse mouth after using to prevent thrush
Your patient has CHF and their BNP is 1080, abnormal or normal?
Abnormal - normal value is 0-300
Name the steps you would take if you suspect someone has Red Man syndrome and getting an IV infusion of Vancomycin.
-FIRST: TURN OFF INFUSION
-Notify provider
-Anticipate an order of diphenhydramine (Benadryl) and a slower rate of infusion