Cardiac
What is the normal INR for a patient on warfarin and if the patient's INR is over this level what would be the antidote?
Normal INR when a patient is on warfarin is 2-3 and if a patient's INR is high the antidote would be vitamin K
A medication that may be used first in the treatment of hypertension especially in diabetic patients and also used to increased the effectiveness of antihypertensive medications?
Hydrochlorothiazide
Adverse reactions of Oseltamivir
Nephrotoxicity and Orthostatic hypotension (careful with position changes)
Why can HIV be difficult to treat?
The HIV virus can lie dormant in the body and the virus can become resistant to medications and the medications have many adverse reactions which may affect the patient continuing to take them
Why is it now suggested not to give children antibiotics if at all possible?
It has been found that starting antibiotics early can lead to antibiotic resistance
What is an important teaching strategy for patient's taking Beta Blockers?
You cannot just stop taking this medication because it may lead to a reflex tachycardia and hypertension.
A medication used for a patient with an acute MI or stroke?
Alteplase
Method to decrease the risk of nephrotoxicity with antibiotics
Need to hydrate and drink at least 8 to 10 glasses of water and also monitor BUN/Creatinine and I/O
What does it mean when an antibiotic is bactericidal?
A bactericidal medication kills the bacteria
Teaching strategy for a patient taking a medication for nasal decongestion?
If no relief of nasal decongestion after 3 weeks need to consult hcp to be further evaluated.
Atropine is a parasympathetic nervous system blocker which is used for patients who have what clinical manifestations?
Symptomatic bradycardia including HR less than 60, SBP less than 90, chest pain, dizziness and possibly SOB
A side effect of phenylephrine when used as a nasal decongestant?
Rebound congestion when used for more than three to five days
An adverse reaction of Amiodarone related to photosensitivity
Blue Man's Syndrome
A medication used to treat Hepatitis B virus?
Adefovir
A medication used to treat hyperthyroidism that is considered safe for children?
Methimazole
Signs of digoxin toxicity include bradycardia, heart blocks, halos around objects and blurred vision indicating the need to monitor what labs?
Potassium and dig level
Important education strategy for a patient diagnosed with asthma who uses an albuterol inhaler?
Use albuterol inhaler 30 minutes before exercise or physical activity
A rash that can occur all over the body that is not considered an allergic reaction when administering Vancomycin?
Red Man's Syndrome
Possible drug interaction when a patient is taking Levothyroxine for hypothyroidism or methimazole for hyperthyroidism while also on warfarin or digoxin?
Increased risk of bleeding if taking these meds while also on warfarin or decreased effectiveness of digoxin meaning cold have an increased heartrate
A possible side effect of potassium iodide used for the treatment of hyperthyroidism?
Metallic taste and sense of burning of the mouth
While administering adenosine, what would the nurse be monitoring on the cardiac monitor?
Possible asystole and then return to a normal sinus rhythm
An adverse reaction when using albuterol a beta 2 agonist?
Tachycardia, palpitations and hypertension
Timing for collecting a peak and trough time when someone is receiving an aminoglycoside
A peak level is collected 30 minutes after completion of the dose and trough level is collected 30 minutes before start of the medication
A medication used to treat hyperthyroidism that is considered safe for pregnancy?
Propylthiouracil
What would the nurse expect to see on the lab results when a patient is receiving calcitonin as oppose to when a patient is receiving calcitriol?
A nurse expects to see a decrease in serum calcium levels when a patient is receiving calcitonin and expects to see an increase in calcium levels when a patient is receiving calcitriol