Print Options

Card layout: ?

← Back to notecard set|Easy Notecards home page

Instructions for Side by Side Printing
  1. Print the notecards
  2. Fold each page in half along the solid vertical line
  3. Cut out the notecards by cutting along each horizontal dotted line
  4. Optional: Glue, tape or staple the ends of each notecard together
  1. Verify Front of pages is selected for Viewing and print the front of the notecards
  2. Select Back of pages for Viewing and print the back of the notecards
    NOTE: Since the back of the pages are printed in reverse order (last page is printed first), keep the pages in the same order as they were after Step 1. Also, be sure to feed the pages in the same direction as you did in Step 1.
  3. Cut out the notecards by cutting along each horizontal and vertical dotted line
To print: Ctrl+PPrint as a list

199 notecards = 50 pages (4 cards per page)

Viewing:

Pharmacology

front 1

Digoxin (Lanoxin)

back 1

D- dig level 2ng/ml or greater is toxic
I- inhibits sodium potassium ATPase
G-GI or CNS signs indicate adverse effects (N/A for adult toxicity, stomach upset in older child
O-output, intake, and weight should be monitored
X- dont give if pulse is less than 60 bpm
I- indicated for CHF- a-fib
N- note K+, ECG, and renal function tests

front 2

Epinephrine

back 2

N- nervousness (undesirable effect)
A- angina, arrhythmia (undesirable)
S- sugar is increased
C- cardiac arrest
A- allergic reaction
R-respiratory bronchodilator

front 3

norepinephrine (levophed)

back 3

S- stim alpha and beta adrenergic receptors
H- hypovolemia- should be corrected before using drug
O- output of urine should increase
C- constriction of blood vessels
K- keep monitoring vital signs every 5-15 min

front 4

nitroglycerin

back 4

A- avoid alcohol
N- note BP and apical pulse before admin
G- given to relax the vascular smooth system
I- indicated for angina pectoris
N-note for postural hypotension; rise slowly
A- advice client to see medical assistance if pain is unrelieved after 3 doses with 5 min interval

front 5

ACE INHIBITORS

back 5

S- suppresses renin angiotensin aldosterone system
W- warn clinet with renal or thyroid diseases
E- ends with pril- captopril (capoten) enalapril (vasotec)
R- rise slowly to reduce orthostatic hypotension
T- treatment of htn
E- evaluate BP

front 6

Beta- adrenergic blockers

back 6

end in lol- atenolol (Tenormin)
B- bradycardia
B- blood pressure too low
B- bronchial constriction
B- blood sugar is masked when low

front 7

Calcium channel blocker

back 7

amlodipine (norvasc), diltiazem (cardizem), nifedipine (procardia)
B- blocks calcium access to cells
I- indicated for htn
L- let client take drug with milk or meal
L- light and moisture- protect

front 8

Diuretics

back 8

D- diet; increase K+ for all except aldactone
I- intake, output, daily weight monitoring
U- undesirable effects- F&E imbalance
R- review HR, BP, and electrolytes
E- elderly careful, evening dose not recommended
T- take with or after meals and in AM
I- incrase risk of orthostatic hypotension, move slowly
C- cancel alcohol and cigs

front 9

warfarin (coumadin)
monitor?
antidote?
what food should be avoided?

back 9

prothrombin time is monitored 1.5-2.5 X control is the therapeutic range
Vit K is the antidote
Green leafy veg should be avoided

front 10

warfarin

back 10

C- check vital signs, platelte count, and PT
O- observe bleeding
R- review bleeding protocol
A- avoid ASA, may use acetaminophen

front 11

heparin sodium

back 11

PTT must be monitored 1.5-2.5 X control
Antidote is protamine sulfate
hospitalization is required for IV heparin

front 12

Clopidogrel (PLAVIX)

back 12

B- bleeding, brochospasms- undesired effects
L- lowers risk of atherosclerotic events
E- evaluate bruising
E- evaluate liver function
D- do take with food or after meals

front 13

HMG CoA inhibitors

back 13

competitive inhibitors of HMG-COA reductase, an enzyme necessary for cholesterol biosynthesis
indicated for hypercholesterolemia
atorvastatin (lipitor), simvastatin (zocor)

front 14

HMG COA inhib pneumonic

back 14

S- statin is the ending
T- take with food and at bedtime
A- always consume 2-3 L of fluid daily
T- teach client to do exercise and weight reduction as well
T- treat hypercholesterolemia
I- increase fiber in diet
N- never give if with liver disease

front 15

Antibiotics pneumonic

back 15

M- monitor superinfections
E- evaluate renal/liver function
D- diarrhea- take yogurt
I- inform provider prior to taking other meds
C- cultures prior to initial dose
A- alcohol is out, ask about allergy
T- take full course
E- evaluate cultures, WBC, temp, blood

front 16

Aminoglycosides

back 16

end in mycin
*serious infections caused by gram- negative infections

front 17

Allopurinol

back 17

G- gulp 10-12 glasses of fluid daily, GI distress (undesirable effect)
O- output and input monitor closely
U- uric acid production decreased, use no alcohol
T- take after meals

front 18

Phenytoin (dilantin)

back 18

G- gingival hyperplasia
U- use alternate birth control
M- mouth care; preventative dental check up
S- soft toothbrush don't stop abruptly

front 19

Lithium pnuemonic

back 19

L- level therapeutic 0.6-1.2 meq/l
I-increased urination
T- thirst increased
H- headache and tremor
I- increase fluids

front 20

LIDOCAINE pneumonic

(antiarrhythmic drug- subclass 1B)

back 20

L- local anasthetic
I- ICU popular antiarrythmic
D- digitalis toxicity used
O- orally inactive
C- cinetidine+ propanolol
A- decrease Automacity
I- inactivated Na Channel blocker
N- nystagmus
E- eye blurred vision, ECG change

front 21

You have 1 heart and 2 lungs":

back 21

Beta-1 are therefore primarily in the heart.
Beta-2 primarily in the lungs.

front 22

Anti-Epileptic Side Effect

ABCDEFGH

back 22

A taxia
B lood dyscrasia
C left lip
D upuytrens / Vit D deficiency
E xfoliation of skin & Stevens Johnson's
F its
G I upset/gum hypertrophy
H epatitis/hairy

front 23

Barbiturate Side Effects

ABCD

back 23

A taxia
B ehavioral disturbance
C oncentration decreased/coma
D epression/drowsy/diplopia

front 24

ACE Inhibitor Side Effects
CAPTOPRIL

back 24

C ough
A naphylaxis
P alpitations
T aste
O rthostatic hypotension
P otassium elevated
R enal impairment
I mpotence
L eukocytosis

front 25

SIDE EFFECTS OF CORTICOSTERIODS;

(CORTICOSTEROIDS)

back 25

C-cushings syndrome
O-osteoporosis
R-retardation of growth
T-thin skin n easy brusibility
I-infections n immunosupression
C-cataract n glaucoma
O-odema
S-supression of HPA axis
T-thining n ulceration of gastric mucosa
E-Emotional disturbance
R-rise in BP
I-Increase in hair growth(hirsuitism)
O-otherz like fetal abnormalties n hypokalemia
D-diabetes mellitus precipitation
S-stria

front 26

Drugs for heart failure-
< 3 D's for heart
failure >

back 26

Digoxin,
Diuretics,
Dilators

front 27

Respiratory Depression Inducing drugs

back 27

STOP breathing":
Sedatives and hypnotics
Trimethoprim
Opiates
Polymyxins

front 28

TB treatment

back 28

If you forget your TB drugs, you'll die and might need a PRIEST":
Pyrazinamide
Rifampin
Isoniazid (INH)
Ethambutol
STreptomycin

front 29

Drugs to treat viral respiratory infections

back 29

"You'd get a respiratory infection if you shoot an ARO (arrow) laced with viruses into the lungs":
ARO:
Amantadine
Rimantadine
Oseltamivir

front 30

Atropine

back 30

front 31

emergency drugs to LEAN on

back 31

front 32

Drugs for Bradycardia and decreased BP
(IDEA)

back 32

front 33

Cholinergic crisis- SLUD

back 33

front 34

Beta Blocker Actions

back 34

front 35

Anticancer drugs

back 35

front 36

These drugs can interact (TDCI)

back 36

front 37

aminoglycoside toxicity

back 37

front 38

Quinalones and Tetracyclines ok in pregnancy???

back 38

front 39

SE of adrenergic antagonists

back 39

front 40

Lidocaine Toxicity
SAMS

back 40

front 41

B6 relationship to INH and levadopa?

back 41

front 42

Mixing insulin

back 42

front 43

antiinflammatory

back 43

front 44

salicylate poisoning

back 44

front 45

SASH technique

back 45

front 46

serious complications of oral birth control pills
(ACHES)

back 46

front 47

saw palmetto

back 47

stomach problems
alters PSA
watch for bloody urine

front 48

ginko

back 48

before couldn't think well.. now can think better!

front 49

Potassium

back 49

front 50

estrogen

back 50

front 51

Bipolar clown image

back 51

front 52

Buspar

back 52

front 53

Dueteronomy

back 53

front 54

miotics

back 54

front 55

insulins and onset

back 55

front 56

metformin

back 56

a major complication with this medicine is lactic acidosis

front 57

cushing

back 57

front 58

synthroid

back 58

front 59

PTU

back 59

front 60

tuberculin syringe has the capacity of?

back 60

0.5 ml

front 61

Drug label should be read?

back 61

3 times

front 62

patch testing

back 62

identify sensitivity to contact materials such as soap, pollen, and dyes.. allergen on patch is placed in contact with back, arms, or thighs. Patch is left in place for 48 hours. Site is aired for 15 min, then read. Wheal is the definitive reaction measured from 1+ to 4+. Emergency equipment must be available in case of anaphylaxis.

front 63

after applying eye drops how long do you hold pressure to the inner corner of eyelid?

back 63

1-2 min

front 64

how to put in ear drops for child younger than 3

back 64

down and back
*older than 3 up and back
They should remain in position for a few min after application

front 65

MDI meds should be shaken?

back 65

vigorously 5-6 times prior to use. The client may position her mouth around the device or 2-4 cm in front of mouth

front 66

DPI (dry powder inhalers)

back 66

not to be shaken, and the client should place the mouthpiece between lips.

*For DPI and MDI client should exhale and then inhale the med deeply through the mouth for 3-5 sec and then hold breath for 5-10 sec.

front 67

why might a spacer be attached to an MDI

back 67

the spacer keeps the med in the device longer and thereby facilitates delivery of the med to the lungs and decreases the amount of med deposited in the oropharynx. This is beneficial for the delivery of glucocorticoids

front 68

after applying ear drops apply pressure to the?

back 68

tragus of the ear with finger

front 69

how are suppositories stored?

back 69

refrigerated! Remove foil wrapper and lubricate supposiory if needed. Instruct client to retain med and not expel it. Rectal suppositories are insterted beyond the internal sphincter and vaginal suppositories are inserted with an applicator.

front 70

Intramuscular route

back 70

used for irritating meds, solutions in oils, and aqueous suspensions.
common sites are the ventrogluteal, dorsogluteal, deltoid, and vastus lateralis (peds).
needle gauge 22-25, 18-27 needle size
1 1/2 inch long and inject 90 degree angle.

front 71

volume injected IM route

back 71

1-3 ml. If a greater amount is required it should be divided into 2 syringes and two different sites should be used.

front 72

z-track

back 72

prevents medication from leaking back into subcutaneous tissue
used for meds that cause visible or permanent skin stains such as certain iron preps

front 73

Intradermal

back 73

tuberculin testing or checking med/allergy sensitivities
may be used for cancer immunotherapy
small amount of solution 0.01-0.1 ml in a tuberculin syringe with a fine gauge needle 26-27 in lightly pigmented, think skin, hairless site. 10-15 degree angle

front 74

Time release capsules crushed?

back 74

They should not be crushed or diluted as med will be absorbed at a faster rate than recommended.

front 75

When should a breastfeeding mother take medication to ensure the least amount is recieved by the infant?

back 75

immediately after breastfeeding so this will minimize med concentration in the next feeding

front 76

Instilling vag meds

back 76

pt in lithotomy position, elevate hips with pillow
remain in position for 5-10 min after application
wash applicator with warm soapy water after each use.

front 77

antimicrobials

back 77

treat bacterial, viral, and fungal infections

front 78

narrow spectrum antibiotics

back 78

are effective against a few species of microorganisms such as gram positive cocci, gram positive bacilli, and gram neg aerobes

front 79

broad spectrum antibiotics

back 79

effective against a wide variety of microorganisms

front 80

what should be collected prior to antimicrobial therapy

back 80

specimens for a culture and sensitivity test

front 81

prescribed antimicrobial meds should be taken with what freq?

back 81

around the clock to maintain therapeutic blood levels

front 82

adverse reactions to antimicrobials

back 82

rash
anaphylaxis
suprainfection
organ toxicity (nephrotoxicity and ototoxicity)
decrease oral contraceptives effectiveness

front 83

how do penicillins destroy bacteria

back 83

weaken the bacterial cell wall

front 84

penicillins are the choice for?

back 84

gram + cocci such as streptococcus pneumonia (pnuemonia and meningitis)infectious endocarditis, streptococcus pyogenes (pharyngitis)

front 85

penicillins are also med of 1st choice for

back 85

meningitis - gram neg cocci and for treatment of syphillus

front 86

should penicillin and aminoglycosides be mixed in same intravenous solution

back 86

no, b/c penicillin inactivates aminoglycosides when mixed in same IV solution

front 87

nurse gives penicillin, what should nurse watch for?

back 87

observe client 30 min following admin of parenteral penicillin
monitor clients kidney function and cardiac and electrolyte status

front 88

________ are beta lactam antibiotics sim to penicillins that destroy bacterial cell walls causing destruction of the micro-organism

back 88

cephalosporins, grouped into 4 generations. they are broad spectrum with a high therapeutic index that treat UTI, post op infections, pelvic infections, and meningitis

front 89

clients should take oral cephalosporins with?

back 89

food, oral cephalosporin suspensions should be stored in the refrigerator.

front 90

bacteriostatic

back 90

prevent bacteria from reproduction

front 91

carbapenems

back 91

meropenem, beta lactam antibiotics that destroy bacterial cell wall
effective for serious infections like pneumonia, peritonitis, and uti cause by gram positive cocci, gram neg cocci and bacilli, and mixed aerobic and anaerobic bacteria.

front 92

monobactams- vancomycin

back 92

beta lactam antibiotics destroy bacterial cell wall
*drug of choice for serious infections caused by methicillin resistant staph and c-diff

front 93

vancomycin peak blood levels should be collected?

back 93

1-2 hrs after completion of IV infusion. Appropriate peak levels are between 30-40 mg/ml

front 94

how do we evaluate vancomycins effectiveness?

back 94

clear breath sounds, wound healing, improvement of sx of antibiotic associated pseudo colitis symptoms such as resolution of diarrhea and negative stool cultures for c-diff.

front 95

Tetracyclines (sumycin)

back 95

other meds- doxycycline. Broad spectrum antibiotics that inhibit microorganism growth by preventing protein synthesis (bacteriostatic). Tx acne. 1st line med for rickettsia (rocky mountain spotted fever, typhus fever, infections of urethra or cervix caused by chlamydia, lyme disease, anthrax, GI infections caused by h.pylori and periodontal disease.

front 96

avoid giving tetracycline to?

back 96

children under 8, yellow/brown tooth discoloration
avoid taking it at bedtime to reduce the risk of esophageal ulceration

front 97

taking tetracycline with milk/calcium/mag/antacids

back 97

should take tetracyclines at least 1 hr before and 2 hr after taking food and supplements containing calcium and mag

front 98

Tetracyclines should not be given with food except for?

back 98

doxycycline and minocycline

front 99

Bacteriostatic inhibitors

back 99

erythromycin, clindamycin, axithromycin, etc
slows the growth of microorganisms by inhibiting protein synthesis. At high doses it can be bactericidal.

front 100

bacteriostatic inhibitors are used to?

back 100

treat infection in clients with a penicillin allergy. ex) diptheria, whoop cough, chlamydia.

front 101

medication interactions with erythromycin?

back 101

antihistamines, theophyline (asthma med), carbamazepine (anticonvulsant), and warfarin (anticoagulant). result in toxicity

front 102

aminoglycosides- gentamicin

back 102

bactericidal antibiotics disrupt protein synthesis. med of choice against aerobic gram neg bacilli

front 103

aminoglycosides adverse effects

back 103

ototoxicity and nephrotoxicity

front 104

peak levels of aminoglycosides should be obtained?

back 104

30 min after admin IM or IV.

front 105

sulfa

back 105

TMP- bactrim. inhibit bacterial growth by inhibiting synthesis of folic acid. folic acid is essential for production of DNA, RNA, and proteins.

front 106

Bactrim drug of choice

back 106

for uti caused by e.coli and other infections (otitis media, bronchitis, shigellosis, pneumonia)

front 107

Bactrim is contraindicated in?

back 107

clients with a folate deficiency, b/c it increases the risk of megaloblastic anemia. Avoid use in pregnancy and lactation risk of kernicterus increases. Do not use if creatinine clearance is less than 15 ml/min

front 108

how should bactrim be taken?

back 108

on an empty stomach with a full glass of water

front 109

antimycobaterial (antituberculosis)

back 109

isoniazid INH, streptomycin, ethambutol, pyranzinamide

front 110

INH

back 110

highly specific for mycobacteria. Inhibits growth of mycobacteria by preventing sysnthesis of mycolic acid in cell wall. Indicated for active and latent use.
latent- INH only daily for 6 months
active- multiple med therapy including INH, rifampin, pyrazinamide, and/or pyridoxine daily for 6 months.

front 111

Stop INH if?

back 111

Liver function tests are elevated

front 112

pt on INH develops peripheral neuropathy

back 112

admin 50-20 mg of vit b6 daily

front 113

How should patient take INH?

back 113

on an empty stomach 1 hr before meals or 2 hrs after. Can taken INH with meals if GI upset occurs.

front 114

Antiviral (acyclovir)

back 114

prevents reproduction of viral DNA
med of choice for HSV, chicken pox, and cytomegalovirus.

front 115

ganciclovir

back 115

tx of choice for CMV retinitis in immunocompromised clients with HIV, transplant clients at risk for CMV infection. Med of choice for CMV (cytomegalovirus).

front 116

pt on ganciclovir, if neutrophil count is below 500?

back 116

stop treatment. Cell counts improve within 3-5 days.

front 117

gancyclovir and pregnancy?

back 117

it is tetratogenic, women should avoid pregnancy during course of therapy and for 90 days after the end of therapy. males should be informed about sterility.

front 118

never admin acyclovir by?

back 118

IV bolus, it should be administered by IV infusion slowly over 1 hr or longer. Clients should understand than acyclovir diminishes symptoms but does not cure the virus. For topical admin advise client to put on rubber gloves to avoid transfer of virus to other areas of body.

front 119

Fluoroquinolones

back 119

ciproflaxacin (cipro), levaquin, floxin
inhibits the activity of DNA gyrase, an enzyme needed for the replication of bacteria
broad spectrum antimicrobials used for gram - and gram +, klebsiella, ecoli

front 120

ciproflaxacin should not be administered to children less than 18 years of age due to?

back 120

risk of achilles tendon rupture

front 121

common s/e of quinolones

back 121

N, V, diarrhea, discomfort, dizzy, light headed

front 122

used to treat soft tissue infections

back 122

quinolones.. contraindicated in children, pregnancy
potential for permanent cartiladge dammage

front 123

for inhalation anthrax infection ciproflaxacin is administered every?

back 123

12 hours for 60 days

front 124

treat UTI and otitis media, used prophylactically in pts susceptible to streptococcal infection or rheumatic fever when penicillin is contraindicated

back 124

sulfanomides

front 125

antiprotozoals

back 125

metronidazole (flagyl)
only effective against anaerobic bacteria

front 126

s/e of flagyl

back 126

GI discomfort, dry mouth, metallic taste, dark urine (harmless effect of med), CNS symptoms (stop med)

front 127

flagyl is effective when

back 127

no more bloody muscoid diarrhea,
has formed stool, neg stool for ameba and giardia. Negative blood cultures for anaerobic organisms in the CNS

front 128

Streptogramins

back 128

synercid
inhibit protein synthesis or bacterial cells
Treat VRE and MRSA

front 129

Antitubercular agent
Ethambutol (Myambutol)

back 129

Alter cellular RNA synthesis and phosphate metabolism
tx- tb
S/E- N, V, A, abdominal cramps
serious- red greeen vision change, confusion, hallucination, blurred vision

front 130

why is vit B6 admin with INH?

back 130

decrease neurologic side effects

front 131

Antitubercular Agent
Rifampin

back 131

prevent RNA synthesis by inhibiting DNA dependent RNA polymerase
use- eliminate meningococci and H. influenza type b, hib from asymptomatic carriers
s/e- reddish orange discoloration of secretions

front 132

antifungals
amphotericin B deoxycholate

back 132

acts on fungal cell membranes to increase cell permeability which results in leakage of intracellular cations leading to cell death. These agents can be fungistatic (slow growth) or fungicidal (destroys fungus).

front 133

topical antifungal agents

back 133

clotrimazole, miconazole, ketoconazole, nystatin,

front 134

amphotericin B

back 134

tx systemic life threatening fungal infections. Administration of amphotericin B should be infused slowly over 2-4 hr by IV route. Renal dammage can be lessened with administration of 1L saline solution on the day of amphotericin B infusion.

front 135

Ketoconazole

back 135

antifungal used to tx superficial fungal infections; dermatophytic infections, tinea pedis, tinea cruiris.

front 136

amphotericin B- infusion reactions

back 136

fever, chills, rigors, h/a 1-3 hr after innitiation. Pretreat with diphenhydramine (Benadryl) and aspirin. Meperidine or dantrolene may be given for rigors
use lipid based prep of amphotericin B to minimize reactions

front 137

Griseofulvin

back 137

stop cell division and new growth
tx ringworm
s/e N,V, abdominal cramps

front 138

B lymphocytes or B cells

back 138

produce antibodies IgA, IgD, IgG, IgE, or IgM

front 139

Helper T lymphocytes or CD 4 cells

back 139

activate B cells and are responsible for teh delayed hypersensitivity reaction

front 140

CD 8 cells

back 140

destroy target cells directly causing death of the microorganism

front 141

hep B immunization

back 141

dosese at birth, 1-2 months and 6-18 months

front 142

Diptheria and tetanus toxoids and pertussis vaccine DTAP

back 142

doses at 2, 4, 6, 15 to 18 months, and at 4-6 yrs

front 143

TDAP

back 143

11-12 years

front 144

TD booster

back 144

every 10 years following DTAP

front 145

HIB

back 145

dose at 2, 4, 6, and at 12-15 months

front 146

innactivated polio virus vaccine

back 146

dose at 2, 4, 6 to 18 months, and at 4-6 yrs

front 147

MMR measles, mumps, and rubella

back 147

12- 15 months and at 4-6 years

front 148

caricella vaccine

back 148

single dose at 12-18 months or 2 doses administered 4 weeks apart if administered after age 13

front 149

Pneumococcal conjugate vaccine (PCV)

back 149

dose at 2,4,6, and 12-15 months

front 150

hep A

back 150

2 doses 6 months apart after age 12

front 151

influenza vacinne

back 151

begin at age 6 months (october through november)

front 152

meningococcal vaccine MCV4

back 152

a dose at age 11-12 years

front 153

MMR is contraindicated in?

back 153

pregnant women and children who are allergic to eggs, gelatin, and neomycin
client with hx of thrombocytopenia, or thrombocytopenic purpura
immunocompromised children
clients with advanced HIV
for clients who recently recieved blood products or immunoglobulins

front 154

DTAP is contraindicated in?

back 154

severe febrile illness
occurence of encephalopathy 7 days after administering DTAP immunization
an occurence of seizure within 3 days of vaccination

front 155

Hep B is contraindicated in?

back 155

prior hx of anaphylactic reaction
an allergy to bakers yeast

front 156

if you have a hypersensitivity to eggs can you get the influenza vaccine?

back 156

no, vaccine is grown in eggs and may contain small amount of egg proteins. conduct a skin test prior to administration

front 157

adult influenza vaccine

back 157

annually after age 50, earlier if specific risk factors

front 158

PPV adult

back 158

one dose at age 65 and revaccinate every 6-8 years after initial vaccination

front 159

Immune globulins provide what immunity

back 159

passive immunity and provide gamma globulin antibodies
effective when- prevention of infection and increase platelets

front 160

Immune globulins given-

back 160

within 6 days of measles exposure, 7 days of hep B exposure, and within 14 days of hep A exposure

front 161

Interferon Alfa- Interleukin 2

back 161

immunostimulant enhance host immune response and reduce proliferation of cancer cells

front 162

Interleuken-2 is used to tx

back 162

hairy cell leukemia, chronic myelogenous leukemia, malignant melanoma, AIDS

front 163

S/E interleuken 2

back 163

flu like sx, bone marrow suppression, alopecia, cardiotoxicty, neurotoxicity, hypotension

front 164

meds to avoid while on interleuken 2

back 164

antihypertensives, retrovir ( increase risk of neutropenia), theophylline

front 165

storage and admin of interleuken 2

back 165

store med in refrigerator and do not freeze. Administer at room temp. Do not shake vial. Admin subcutaneously or IM as prescribed.

front 166

Immunosuppressants

back 166

cyclosporine, glucocorticoid, prednisone, cytotoxics, imuran, prograf, rehumatrex

front 167

immunosupressants act-

back 167

suppression of the proliferation of b cells and t cells.
immunosuppressants are used for the tx of autoimmune disorders, RA, SLE, myasthenia gravis, early type 1 diabetes.

front 168

antiviral

back 168

famvir, inhibit viral replication, tx recurrent infections of genital herpes and acute herpes zoster

front 169

zidovudine (AZT) retrovir

back 169

hiv inhib viral replication. Used in combin with other antiviral agents to HIV-1.

front 170

antihistamine actions is on-

back 170

H1 receptors which results in blocking histamine release in the small blood vessels, capilaries, and nerves during an allergic reaction.

front 171

antihistamines/pregnancy

back 171

contraindicated during the third trimester of pregnancy for mothers who are breastfeeding and for newborns. Newborns are sensitive to the sedation effects of this med

front 172

Chemotherapy agents

back 172

cytoxan, methotrexate, rheumatrex,
destroy cancer cells as well as healthy cells by preventing the replication of DNA.

front 173

s/e of chemo agents

back 173

bone marrow suppression
GI discomfort,
alopecia
mucositis
reproductive toxicity- males sperm bank before tx
hyperuricemia- elevated levels of uric acid may cause renal dammage
* administer allopurinol is uric acid level is elevated.

front 174

dosage for chemo agents should be

back 174

individualized

front 175

when should a pt preparing for chemo select a hairpiece?

back 175

before the occurence of hair loss

front 176

patient who has recieved immune globulins, whole blood, serum, and specific immune globulins, when should MMR vaccine be scheduled?

back 176

postponed 3-6 months.

front 177

does tylenol have an antiinflammatory effect?

back 177

no, but it has analgesic and antipyretic effects

front 178

salicylism

back 178

tinnitus, sweating, headache and dizziness, respiratory alkalosis

front 179

when should aspirin be stopped before a scheduled surgery

back 179

1 week

front 180

take aspirin with?

back 180

food, milk, water to reduce gastric discomfort

front 181

Ketorolac

back 181

provides analgesia w/o anti-inflammatory. Ketorolac should ne used no more than 5 days. Usually started as a parenteral administration and then progresses to oral doses.

front 182

not to exceed ___ g tylenol a day

back 182

4 g

front 183

antidote of tylenol-

back 183

mucomyst

front 184

pt on tylenol and coumadin-

back 184

places client at risk for bleeding, watch for bruising, petechia, hematuria,

front 185

opiod agonist- morphine sulfate
fentanyl, demerol, oxycontin

back 185

act on the mu receptors, produces analgesia, respiratory depression, euphoria, and sedation,
relieve of moderate to severe pain

front 186

stop opiods if the clients RR is less than

back 186

12 bpm

front 187

avoid use of opiods with?

back 187

CNS depressants (barbituates, benzo's, and consumption of alcohol)

front 188

pt on morphine assess the clients bladder?

back 188

for distention by palpating the lower abdomen area every 4-6 hr

front 189

morphine is contraindicated in

back 189

premature infants and after biliary tract surgery

front 190

meperidine dosing

back 190

do not administer more than 600 mg/24 hr and limit its use to less than 48 hrs

front 191

opiods/antihypertensives

back 191

don't, it can further lower BP...

front 192

administer opiods

back 192

intravenously slowly over a period of 4-5 min, have narcan and resuscitation equipment available.

front 193

administer opiods to client with cancer

back 193

on a fixed schedule around the clock, not when necessary

front 194

fentanyl is 100 times more potent than

back 194

morphine

front 195

agonist-antagonist

back 195

stadol and talwin
low potential for abuse
less respiratory depression
cause analgesia, sedation, and decrease GI motility
tx- of mild to moderate pain

front 196

abstinenece syndrome-

back 196

cramping, htn, vomitting, may be precipitated when given to clients who are physically dependent on opiod agonsits.

front 197

opiod antagonist- narcan

back 197

tx of opiod overdose
reversal of respiratory depression
S/E- tachypnea and tachycardia
abstinence syndrome may also occur

front 198

route to admin nalaxone

back 198

IV,IM, or SC. Do not administer orally.

front 199

Adjuvant meds for pain

back 199

tricyclic antidepressants- elavil
anticonvulsants- tegretol, neurontin, dilantin
CNS stimulant- ritalin, dexedrine
antihistamine- vistaril
glucocorticoids- decadron, deltasone
biphosphonates- didronel and aredia

*used in combin with opiods, cannot be used as a substitute