Statins/Thyroid
Name a common 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?
Monitor for cardiac arrthymias
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 the med that holds onto potassium. What can this actually cause though?
spironolactone (Aldactone)
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 generic and brand name
enoxaparin (Lovenox)
The med is a decongestant that shouldn't be used longer than three days because it can cause rebound congestion.
pseudoephrine (Sudafed)
Total cholesterol is 260 mg/dL. Normal or abnormal? What is the goal?
over 240 mg/dL considered to be hyperlipidemic
Under 200 mg/dL
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, atenolol, propranolol
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, don't drink alcohol while on this med
Hgb A1c is 8%, abnormal or normal? What is the ranges?
Abnormal and indicates patient has diabetes if over 6.5%
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
INR is 1.0 and your patient is on warfarin, what is your patient at risk for?
clots, stroke risk or MI
List the 3 P's of diabetes in medical terms and what each one means
Polyuria, polydipsia, polyphagia