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ATI Pharmacology x 2

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1. Acarbose (Precose) 2. Ace inhibitors end in?

Interferes with the absorption of carbs for diabetic Pril...they are angiotension blocking drugs and keep BP low that way

19. Amphojel tx, SE and interactions

Tx of GERD and kidney stones. Watch out for constipation. can decrease the effectiveness of DIGOXIN, TETRACYCLINES and WARFARIN AnectineUsed for short-term neuromuscular block ..like intubation ( I remember A-Neck-tine....it relaxes the neck so you can intubate) Lactulose (used to treat hepatic encephalopathy) immodium and lomotil end in ONE (own) PrednisONE cortisONE and dexamethasONE. can cause Cushings disease DO NOT abruptly D/C Cogentin (for parkinsons and tx of EPS) Atropine (used for ECT to reduce secretions and to treat dysrhythmias) Atrovent (a derivitive of atropine used to prevent asthma Spiriva ( bronchodilator similar to atrovent used for COPD) The tricyclic antidepressants: TCA's (amitryptoline) etc. dry secretions and have anticholinergic properties as a side effect Diltiazem (cardizem), Propranolol (inderal) Quinidine (novoquinine) and Amiodarone (cordarone) nephrotoxicity---bone marrow depression and HYPOKALEMIA.. (ampho B...watch for fevers!)

3. Ace inhibitors Nagging cough most frequent side effect? 4. Acetaminophen N-acetylcysteine (mucomyst) antedote? 5. Acetaminophen 10-20 thera level? 6. Acute dystonia 7. Acyclovir 8. Akathisia 9. Aldactone spasms of the tongue, face, neck and back anti-viral med to treat shingles (and herpes) compulsive restless movements, anxiety and agitation Diuretic K+ sparing. (I remeber it by thinking of a duck...alDUCKtone...diuretic--in the water...) lol RASH!! Increase fluid intake to flush uric acid out of the system.. DO NOT TAKE in conjunction with WARFARIN. action: decreases uric acid in the bloodstream (tx of gout) can be used to treat kidney stones and decrease uric acid in cancer patients Antithrombolytics! Clot busters. Alteplase--TPA. Used for MI, ischemic stroke or PE. Monitor for bleeding TPA antidote

20.

21. Antedote for ammonia 22. anti diarrheals 23. Anti inflammatory corticosteroids

24.Anti-cholinergic drugs? (examples)

10. Allergic reaction= 11. Allopurinol teaching

25. Antidysrhythmics?

12. Alteplase and streprokinase? 13. Amicar

26. Antifungals cause?

14. aminoglycosides things that end in mycin....adverse effects (bean shaped! ears and kidneys) Nephro and ototoxicity! 15. Aminoglycosides should NEVER be mixed. it will inactivate the aminoglycoside!! and penicillin 16. Aminoglycosides very serious infections such as Menengitis and peritonitis. Gentamycin, tx of? Neomycin....nephro and ototoxic.. 17. Ampho B causes Hypokalemia! pts will most likely get a fever. pre-medicate and watch for fever 18. A m ph oje l a nd f o o o o oo d! r en ega l ta ke wit h?

27. Antihyperlipidemics? STATINS (avorastatin) Lipitor (Simvastatin) Zocor.etc....These are hepatotoxic GET LFT. watch for jaundice. report any muscle pain. Admin in the evening. NO ETOH (hepatotoxic) expect Tx to be lifelong 28.A n t i p s y c h o t i c s C a f f e i n e o r a p p l e j u i c e should not be given with: 29. Apresoline (Hydralazine) 30. rtane tx of HTN or CHF. report flulike symptoms, watch for ortho hypotension and take with food Tx of parkinson's A

31. 32.

Asparginase Aspirin (baby aspirin)

a chemo drug used to treat acute leukemia given as an antiplatelet...helps prevent MI Reyes syndrome (encephalopathy) in children Asthma meds? decrease BP. don't give if systolic bp is lower than 90.

48.

Bronchodilators? Beta 2 blockers! (Lungs) Albuterol (Proventil) Terbutaline (Brethine) and Salmetereol (Serevent) Buproprion Smoking cessation aid. Report insomnia. Since its a stimulant, insomnia may be a side effect Byetta for type II diabetes ( I remember Beta cells...BY etta cells) May cause pancreatitis so it's important to monitor for ABDOMINAL pain

33.Asprin can cause ? 34.

49. (Zyban) 50.

35. Atropine is used decrease secretions to 36. Atropine Hot as a Hare,(temp) Mad as a Hatter overdose funny (Loc) Red as a Beet (flushed face) and Dry saying? as a Bone (thirsty) 37. Azithromycin (Zithromax) tx respiratory ear and skin infections--also syphilis and trichomaonasis (STDs) Take meds 2 hours after antacids are given B6 and meds? INH (TB med) causes b6 deficiency so INCREASE b6! Levadopa will increase b6 so decrease b6 intake. Baclofen decreases frequency/severity of muscle spasms Bactrim Antibiotic don't take if allergic to sulfa drugs...diarrhea is a common side effect... drink plenty of fluids 8-10 glasses a day. report any crusty rash---could be stevenjohnson syndrome early sign

51. Calan (verapamil) calcium channel blocker. Tx of angina...assess for constipation 52. Calcium channel blockers affect 53. Carafate 54.Carafate needs to be given? 55. Cephalosporins? afterload tx of dupdenal ulcers. coats the ulcer-so take before meals GI MED coats ulcers, give before meals broad spectrum. Contraindicated for those with penicillin allergies. This drug can reach CSF. Cephalexin, Cefuroxime, Ceftaxmine and Cefepime can use FACES pain scale and report pain all by themseves Avoid in children younger than 18. Teach client to avoid milk, antacids and iron for two hours after taking. Administer IV Cipro over 60 min Clopirogrel clot buster....may need to be withheld 3-7 days before surgery used to treat schizophrenia and psychosis. Side effects AGRANULOCYTIS, new onset diabetes, heart muscle inflammation. Need basline of WBC and Glucose Clozapine side agranulocytosis, tachycardia and seizures Tx of parkinson's and extrapyramidal effects of other drugs (antipsychotics) Cogentin EPS antiparkinson....treats

38.

39.

40.

56.Children over 4? pain? 57. Ciprofloxacin (Cipro)

58. (plavix) 59.Clozapine

41. Beclomethasone It is a maintainance inhaler NOT a rescue (QVAR) inhaler. Teach pt to RINSE mouth after each use and use a spacer to decrease the risk of getting thrush!!!!! 42. before giving for hypersensitivity asparginase? 43. test

Bentyl Tx of irritable bowel...assess for anticholinergic side effects Beta Blockers Impotence!!! also bradycardia.

60. effects? 61. Cogentin 62. 63.

44. adverse effect

45.Beta Blockers OLOL MetoprOLOL AtenOLOL Tx of end in? HTN 46. Biophosphonate bone reabsorption inhibitor prevents and therapy treats osteoperosis (postmenopausal and pagets disease) Take with full glass of water in the AM.. no other drugs within 30 minutes of taking. Pt must sit upright for 30 min. 47. Botox (not just for wrinkles) tx of strabismus (lazy eye) patch good eye so weaker eye can gain strength

common adverse rash and

photosensitivity reaction to oral Hypoglycemics 64. C ompazine antiemetic for SEVERE N/V prolonged (prochorperazine) use can cause EPS 65.Contraindicated with allopurinol 66. vitamin C and warfarin Coumadin's warning to not Vitamin K (hence the

antidote?

eat green leafy veggies while on coumadin)

67.

Cytovene Tx of retinitis caused by (indications and cytomegalovirus. Pt will need regular SE) eye exams. Report diszziness, confusion and seizure immediately 68. Dantrium for spasms. may take a week or more to be effective 69. Demerol pain control-- don't give to patients with sickle cell crisis or cancer! 70.Dexadrine Used for ADHD may alter insulin needs. take in the AM. monitor for weight loss 71. Dextromethorphan antitussive (DM in robotussin) 72. Diamox tx of glaucoma and high altitude sickness. don't take if allergic to sulfa drugs

86.

87.

Disulfiram used for alcohol aversion therapy. Clients (ANTABUSE) must avoid ANY form of alcohol or they will develop severe N/V this includes some OTC cough syrup and mouthwash! Do not giveQuiniolones and tetracyclines

these antibiotics during pregnancy: 88.

Dopaminetx of hypotension, shock, low cardiac output and poor perfusion to vital organs. Monitor for arrythmias

89.

73. Diamox

for tx of glaucoma. can cause hypokalemia 74. Diazepam (valium) common tranquilizer. given pre op and for seizures 75. Dig toxicity s/sx Muscle weakness (hypokalemia) N/v diarrhea, blurred or yellow vision....sometimes an absence of appetite can indicate toxicity first. 76. Digitalis does increases ventricular irritability and what? could convert a rhythm to v-fib after cardioversion 77. Digoxin Check pulse, if less than 60 hold dose. Check labs for dig and potassium levels 78. Digoxin thera level 0.5--2.0 generally 2.0 or greater indicates toxicity 79. Digoxin use, rules and tox? improves cardiac output. Used in Afib and flutter. 2 ng/mL is considered toxic. Monitor for pulse and don't admin if below 60. admin over 5 min!

Eas y way to PAN AMA 90.remember Emergency LEAN PA- Parnate drugs saying LLidocaine (for V dysrhythmias) MAOI's NA- Nardil EEpinephrine (increase HR, BP. med of MA-marplan choice for anaphylaxis) A- Atropine (Decrease resp secretions, and to treat bradycardia) N- Narcan (reverses opioids) 91. Epi is always in a TB syringe given 92. 93. Epoetin increases number of RBCs can thicken blood...can cause HTN and seizures! Epogena form of synthetic erythropoetin. treats anemia by stimulating bone marrow to produce more RBCs erectile NO NITRATES...severe drop in BP. ask clients who are experiencing chest pain if they are taking ED meds. erection lasts more than 4 hours it's an emergency go to ER Ergotamine One tab is given sublingually at the ONSET of a migraine! E NSAID no ETOH or aspirin while taking Examples of Pines! (almodipine, Nifedipine) also verapamil and diltiazem. often used with beta blockers Exubera is Inhaled insulin! Clean inhailer once a week and replace the release unit every two weeks Exubera, rapid onset--15-30 min. Peak in 1.5 hours. given before meals

94. dysfunction drugs? 95. (Ergostat) used for? 96. todolac (Lodine) 97. CA channel blockers 98. D the only? 99. Lispro (humalog) and Aspart (novolog)?

80.

Digoxi n's antido 81. Dilantin Tx of seiures therapeutic level 10te/ 20 82. Dilantin decreases Oral birth control digibin pills effectiveness of? d 83. ilantin level and SE 84. ilantin side effects 85. D 10-20 gingival hyperplasia Rash (stop med!) gingival hyperplasia Dilantin toxicity poor gait poor coordination, slurred speech, nausea, lethargy, and diplopia (sounds like a drunk :)

100. Fetal lung Betamethasone and Dexamethasone are long maturity? acting steroid meds used for fetal lung 101. F maturity lagyl, used t o treat H . Pyl ori (u lcers ) prilosec and biaxin 102. Flecainide Antiarrhythmic-- limit fluids and sodium (Tambocor) intake. report any QRS widening. discontinue! Watch for s/sx of CHF 103. Flumazenil Versed (antidote for what?) 104. Gentamycin Ototoxicity and Neprhotoxicity (bean shaped (serious organs!!!) (ears and kidneys) Look for SE) Dizziness, hearing loss elevated BUN and creatinine) Gentamycin is an aminoglycoside antibiotic 105. G ive an EMPTY stomach synthroid on? 106. out meds 107. Probenecid, Colchicine, and Allopurinol Guifenesin expectorant for cough and congestion. irritates mucosa and thins secretions so they can be coughed out Haldol preferred antipsychotic for elderly. HIGH risk for EPS...give benedryl H Mannitol. always use filter needle!!! G

117. ow does heparin work? 118. ow does Nitroglycerine work?

prevents platelet aggregation

h H

Vasodilates. It and decreases preload and afterload stops stable angina and tachycardia

119. Hydrochlorothiazide diuretic...watch for hypokalemia. HCTZ


120.Hydroxyurea

(indications) TOXICITY 121. Hydroxyzine (vistiril)

Tx of sickle cell anemia. GI symptoms could indicate antihistamine...itching, anxiety and insomnia. watch for dizzyiness and dry mouth hypotension. Use Z track if given IM relief of migraines. us at the ONSET of migraine!!! Indocin Tx of arthritis, osteo, rheumatoid, gouty. also used for bursitis and tendonitis...NSAID INH? (isoniazid) TB Tx. Have LFT done. Watch for jaundice. Need complete therapy. Can cause B6 deficiency. Teach pt to take 1 hour before or 2 hours after a meal. REPORT numbness, burning in hands and feet IMMEDIATELY. NO ETOH. This drug is HEPATOTOXIC use bronchodilator FIRST

122.Imitrex

(sumatriptan) 123. (indications) 124.

108. 109. ead injury med 110.

125.instructions

Heparin stops clots from forming. doesn't break up existing clots...prevents new ones. It is rapid acting. Can be given IV or SQ. Need to check PTT. watch for bleeding. protamine sulfate is antedote 111. H eparin less than 100,000 is BAD if pt is taking and platelet heparin! count 112. eparin's antidote 113. H protamine sulfate HIV meds? AZT (antiviral) Monitor CBC; watch for anemia and lukopenia

for broncodilater and glucocorticoid inhailer?

126.

INtal?inhaler used to treat allergy induced asthma. May cause bronchospash. think: IN TO the lungs! Should be used before exercise Iron injection s use z Iron supplements Do not track give with antiacids or tetracyclines! Take vitamin C to promote absorption. Teach to eat iron rich foods such as liver, eggs, meat fish or poultry IV push time? at least two minutes used to treat Hyperkalemia. don't use if pt has hypoactive bowel sounds Heparin-- PTT Warfarin--INR Onset 70 min. NO PEAK. Lasts 24 hours (insulin) MIX

127. 128.

114. how Beta decreased heart rate, decreased contractility, Blockers decreased AV conduction. can cause work? bradycardia and hypotension 115. How does Blocks acetylcholine (reduces secretions...used atropine during Electro convulsive therapy ECT work? 116. How does cardiac output is decreased with dysrhythmias. dopamine increases bp work?

129.
130.Kaexlyate

131.

Labs for Heparin and Warfarin Lantus (Glargine) and Levemir (Detemir) Lantus...never...

132.

133.

134. 135. asix can cause 136. 137. 138.

Lasix diuretic ....watch K+!!! and watch for dizziness...give in the AM Hypokalemia! (watch for lack of appetite)

139. 140. ithium thera level? 141.

Levodopa Tx of parkinsons. Contraindicated with glaucoma. AVOID LFT? Liver B6! function test Librium Tx of alcohol withdrawal. don't drink any ETOH with this very bad n/v can occur. This stops DT's Lithium med of choice for bipolar, causes tremmor, weight gain L 0.5-1.5 Long term binds to phosphates and increases CA, robs the bones leads WEAK BONES

151. ed of choice for CHF 152. ed of choice for status epilepticus 153.

Ace inhibitor

M M

Valium/ Ativan (benzodiazapines) M

ed of choice for adenosine SVT 154. Med of choice for VLidocaine tach?
155.Meds

that should Calcium channel blockers, never be taken with carbamaxepine, tegretol, buspirone, grapefruit juice or any of the STATINS Methotrexate can lead to toxicity. Stomatitis (mouth sores) are an indication of toxicity...report immediately!M multi-vitamins and folic acid

156.

use of amphogel? 142. L o w E n o x a p a r i n ( l o v e n o x ) . . . d o n o t r e q u i r e a P TT m o l e c ul a r we i g h t heparins? 143. Lugol Used to treat hyperthyroidsim. can cause solution burning sensation in mouth and brassy taste (Tx for and (report to Dr) SE?) 144. Mag sulfate Calcium gluconate antidote 145. Magnesium milk of magnesia ... give MOM in the AM for a Hydroxide BM in the PM. (MOM) 146. sulfate Magnesium Used to halt preterm labor. Is contraindicated if the deep tendon reflexes are not present. If pt experiences seizure during mag drip, get baby Major NSAIDS, corticosteroids, out STAT bipolar meds, cephalosporins and sulfonomides

157. ethotrexate contraindication? 158.

metronidazole Can give metallic bitter taste---NO (flagyl) ETOH. none for 48 hours. Teach pt that harmless darkening of urine may occur. Antibacterial for tough infections 159. Mevacor? Anticholesterol med. Must be given with EVENING meal for 0nce-aday doses. 160. Mg and K+ are if urine output is decreased excreted by MONITOR Mg and K+ closely! can kidneys...therefore? cause dysrhythmias! 161. MorphineMost commonly used drug in PCA! wide spectrum pain control~ 162. orphine should be withheld if? 163. 164. eyes) (afrin) M respirations are below 10

Mucomystantidote for Tylenol overdose and is administered orally. Naphazoline (clear Vasoconstricor...used both for and spray for nose, clears stuffyness. eyes Teach about rebound effect if used more than 3 days Narcan can cause? an increase in the patient's PTT (BLEEDING) and tachycardia Narcan give every 2-3 minutes until patient wakes up. observe for bleeding assess N/V. Check pain and watch for tachycardia. Narcotic addicts tx detox with methadone...it's an opioid analgesic that treats detox pain Navane (tx?) Schizophrenia. assess for EPS Neostigmine (tx?) Myesthenia Gravis. given 45 mins before eating so it will help with chewing and swallowing

147. drugs to give WITH FOOD 148.

165. MAOI's antidepressants. Parnate, Marplan, Nardil (all sound like a pirate saying ARRRR "Paaarrrrrnate") Pirates are depressed :) most drugs are contraindicated. avoid tyramine containing foods (cheese, processed meats, red wine, organ meats etc) these foods cause hypertensive crisis MAOI's can Orthostatic hypotension! also in combination with tyramine containg foods can cause hypertensive crisis May need on prednisone. corticosteroids can affect blood glucose levels. 166. instructions! 167. 168. 169.

149. cause 150. extra insulin if?

170. Neostigmine and Reverse the effects of pancuronium atropine 171. Nitro given up to 3 times Q 5 min. if chest pain is not relieved stop and call 911. Do not give if BP angina is < 90/606 unstable intermediate or long term BLOCKING agent etc NPH for intubationintermediate. onset 60-120 min...peak 6 14 hours antineoplastic Tx leukemia IV only Only insulin regular! clear,

172.nitro does not relieve 173.Norcuron 174. 175.Oncovin (vincristine) 176. short acting regular available IV? 177. overdose symptoms of opioids 178.

189. P rozac ibuprophin...causes bleeding contraindication 190. Pt teaching with weight gain may occur,sexual SSRI dysfunction may occur...do NOT TAKE with and MAOI...do not abruptly D/C. monitor for suicical ideation 191. Pt that is on Dig Lasix can cause hypokalemia and and Lasix? hypokalemia potentiates Dig and can cause dysrhythmias 192. TT (heparin) 193. TT is elevated when> 194. STORM. Tapazole 195. adioactive Iodine (caution!) 196. 197. should be 1.5-2x the normal range P Pt is on coumadin (Warfarin) P

PTU and prevention of THYROID R FLUSH x2 (flush substance out of body 3-4 L fluid a day for 2 days) and (Flush toilet 2x per void for 2 days) No pregant nurses..limit contact with patient to 30 min. no kids allowed Regular insulin onset 30-60 min peak 1-5 hours....only insulin that can be given IV Rhogam given at 28 weeks and 72 hours postpartum. Only if Rh negative mother! only give if Coomb's test is negative! Ribavirin RSV if this drug is given by hood or tent no contact lenses or pregnant nurses in room Tapazole is 10x more potent than PTU

insulin pinpoint pupils, decreased LOC, resp depression. Oxytocin/pitocin Assess uterus frequently for tetanic contraction. Stop the pit if the contraction lasts longer than 60 seconds or if contractions occur more often than every 2-3 minutes with fetal patterns of late decels

179. P ancreatic WITH MEALS enzymes are given 180. 181.Parkinsonism Pancuronium muscle relaxant--actually used in lethal injection ..antidote is neostigmine bradykinesia, masklike faces, drooling, tremor, gait problems (shuffling) P is used as an antiemetic Pilocarpine Given for Glaucoma

198.

199. 200.

RifampinRed orange bodily fluids. contraceptives are less reliable! Risperdal first line antipsychotic for children. doses over 6 mg can cause tardive dyskinesia RitalinTx of ADHD. assess for heart related SE. child may need drug holiday--it can stunt growth

182. henergan 183. if pressure is greater indications? than 22 mm Hg. Give miotics to constrict. NO ATROPINE 184. Prednisone prevents inflammation, decreases mucous production in the airway. helps beta-2 receptors in bronchioles to work better 185. Prednisone Cushings syndrome...buffalo hump, toxicity? moon face, high glucose and hypertension 186. Premarin HRT hormone replacement after 187. Proton pump ZOLE! menopause OmepraZOLE, EsomepraZOLE, inhibitors end in? 188. rotonix prevents? LansopraZOLE and PantapraZOLE P Stress ulcers

201.

202. S/Sx of Dig visual changes (halo effect) Loss of toxicity appetite 203. SE of thyroid insomnia. Body has and increased hormones? metabolic rate 204. S eizure meds Phenobarbital! Don't take dilantin! during pregnancy 205. SIADH (monitor Change in LOC, decresased deep tendon and Tx) reflexes, tachycardia n/v/a HAadminister Declomycin and diuretics
206.side

effects of Theophyline? Sinemet

Tachycardia Tx of parkinson (sedative)

207.

208.

Sinemet drug is effective when tremmors are not (parkinsons) observed Sinimet SSRI tx and examplse? SSRI's how long to work? Used to treat parkinson's Obsessive compulseive disorder, depression and anxiety. ex Paxil, Zoloft and Prozac 3-4 weeks for full effect

224.

209. 210.

211.

225. (indications) 226. heophylline causes? (GI) 227. horazine and Haldol 228. 229. meds? 230.

212.

Sulfonylureas manages NON-insulin dependent diabetes. Stimulates the BETA cells to increase release of insulin. 15-30 min before meal... educate pt--if they take it, they MUST eat! Sympathetic Remember the rolling stones tune sympathy nervous for the devil? I always think: the devil is system chasing me!!! AHHH sympathetic nervous system is kicking in! Increased BP HR RR!!! Synthroid Tx of hypothyroidsim. may take several weeks to get therapeutic effect. notify doc of chest pain. TAKE IN AM on EMPTY stomach. watch for signs of HYPERthyroidism take with food. has a lot of side effects, not the best med of elderly Juice or water...never milk! Remember Iron is absorbed better if taken with vitamin C (ascorbic acid, OJ etc) breast cancer tx. report viusal changescould be permanent twisting movement of the face and tongue "lip smacking" Hepatotoxic! adverse reaction is peripheral neuropathy

Tetracyclines broad spectrum.. do not give to children less than 11. Don't give to pregnant women, it stains developing teeth. Take on empty stomach, antacids, mild and iron should not be consumed within two hours of taking tetras. wear sunscreen Theophylline Tx of astmna or COPD. Therapeutic level is 10-20 T Upset stomach; take with food T antipsychotics that can lead to EPS TiganTx of post op N/V and for gastroenteritis times to take Diuretics AM, steroids AM, growth hormone PM, aricept AM Timolol tx for glaucoma. Teach pt to apply slight pressure at the inner canthus for 1 min after instillation . NO decongestants while using! they can exacerbate HTN and increase innerocular pressure Tolterodine Tx of overactive bladder. avoid caffeine. teach Kegels, schedule voiding times. this drug may cause dry eyes. Toradol Anti-inflammatory. monitor for bleeding/bruising DO NOT take within 14 days of an MAOI (that goes for almost ANY med) ANTIDEPRESSANT amyTRIPTYLINE norTRYPTYLINE....watch for Tachycardia!!!!

213.

214.

215.

Tagamet Take iron elixer with? Tamoxifen Tardive dyskinesia TB drugs are?

231. tartarate (Detrol) 232. Tricyclic antidepressants

216.

217.

233.

218.

219.

220.

TB treatment STRIPE (always treated with 2 or more) drugs? S-Streptomycin R-Rifampin IIsoniazid PPyrixinamide E-Ethambutol Teach about Nitro: if the sublingual is fresh it should fizzle and tingle under the tongue. Also discard unused medication after 24 months (expires) Can take up to 3 tablets 5 min apart --if angina is not relieved call 911. ROTATE transdermal patches and remove completely for 12-14 hrs...have a patch holiday for 10-12 hours a day. anti epileptic. watch for visual problems, ataxia and vertigo Used to Dx myesthenia gravis. If problem gets better, the test is positive

234. T ricyclic Anticholinergic effects (can't spit, can't antidepressants piss, can't sh*t can't see (blurry) etc SE 235. TSH goal while 0.5-2 mu/ml medicated? 236. Use filter Mannitol----osmotic diuretic, used to needles to draw treat ICP. Crystals form when mannitol is up? room temp. 237. Uterine I N M T (It's not my time!) relaxants? I-Indomethacin (NSAID) N-Nifedipine (Calcium channel blocker) M-Magnesium sulfate T-Terbutaline (adernegic agonist) 238. asopressin 239. can cause? 240. V vasoconstrictor Vasopressin Vasoconstriction which can lead to hypotension Vermoxtx for worms (eww) Take with high fat diet...helps increase absorption

221.

222.

Tegretol Tensilon

223.

241.

242.

243. (indications and SE) 244. 245.

246. corticoids 247.

Versed conscious sedation. Induces amnesia. in higher doses can be used for unconscious sedation Versed given for conscious sedation. Watch out of resp depression and hypotension (benzo) Vistaril Tx of anxiety and itching (also insomnia) SE dry mouth.. often used pre op Vitals before Dig? Apical pulse for one full minute Welchol anticholesterol. Binds to bile and helps remove it from the body. Also helps with type II diabetes. Don't give with a lot of water What are mineral steroids that act like aldoesterone. Used to maintain sodium and water balance

256. for with Lithium 257. about when giving Kaexylate?

What to watch fine motor tremors...increased with stress or caffeine. Tell pts to maintain sodium intake. Without sodium the lithium will build up in the body and become toxic What to worry Dehydration (K has inverse relationship with Na) Also monitor for bowel sounds...if hypoactive, don't give.

258. when drawing you are an RN!!! Regular BEFORE NPH up Regular insulin and NPH together!? 259. When on Monitor for CYANIDE toxicity. Normal nitroprusside? value should be 1. Have pt lie down (orthostatic hypo) Relief should be seen in 1-3 min. It's a sublingual tab. 260. When should Mechanically vented pt with NG tube!!!! if and antacid be the pH of the asperate is greater than 5.0. given? Check every 12 hours 261. w hen to take after meals antacids 262. which insulin is NPH cloudy? 263. Why is It causes spasms in the sphincter of Oddi. Demerol should be given. Zantac and decreases stomach acid. Treats duodenal ulcers and reflux. no ETOH Zantac can? CAUSE .................... PNEUMONIA!!!! it decreases gastric pH which can cause bacterial growth which then moves to the resp track. Watch for S/Sx of pneumonia such as Green sputum!! Zocor Statin! for hyperlipidemia. take on empty stomach---report ANY unexplained MUSCLE PAIN or fever. Could be Rhabdo! Zoloft SE agitation, sleep disturbances, dry mouth

what does increases risk for Dig theophylline do toxicity...decreases the effect of (not good) Lithium and Dilantin 248. W h a t i s a si g n o f a P e te c h i a e . H e p a r i n i s t x fa t e m b o li sm a n d w h a t is the tx? 249. What is effective in Amiodorone both ventricular and atrial complications? 250. night before an IVP

251. hat is the med mineral corticoids given for Addison's disease 252. What lab to check CK for Lipator pts? 253. administer for DI (diabetes insipidus)

morphine contraindicated in pancreatitis? 264. What is given thea laxative so that the organs can be visualized easier Tagamet 265. W

266. What toPitressin...symptoms: Excessive urine (simvastatin) output, thirst, dehydration, weakness. 267.

254. W hat to avoid salt substitute. it contains potassium when taking Digoxin K+ supplements 255. what to do with --if they're hot, give them a shot DM patient? --if they're clammy, give them a candy

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