ATI Pharmacology Study Guide – Flashcards
64 test answers
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Penicillin allergy requires incident report with what symptom:
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S.O.B.
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Phenytoin (Dilantin) decreases effectiveness of:
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Ethinyl/desogestrel (Oral contraceptive)
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Ergotamine (Ergostat) SL for migraine headache:
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1 SL tablet at onset of headache.
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Digoxin level:
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1.0-2.0 ng/mL. Digoxin is toxic at 2.4 give Digoxin immune fab (Diggibind)
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Avoid during metronidazole (Flagyl):
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Beer can cause disulfiram-reaction (Hypotension, vomiting, weakness)
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Captopril (Capoten) cannot be used:
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With salt substitue with meal or potassium.
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Mannitol (Osmitrol) achieving therapeutic effect:
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Decrease intraocular pressure for acute closure glaucoma.
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Simvastatin (Zocor) teaching plan:
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Report muscle pain, do not take med with grapefruit juice, minimize alcohol intake, life long therapy, take in the evening.
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Heparin and warfarin client with 4 times aPPT and INR of 2:
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Decrease the heparin.
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aPPT (Activated partial thromboplastin time) plasma value:
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1.5-2 times the normal
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INR (International Normalized Ratio) value:
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2.0-3.0. Target of 2.5. Higher the number bleeding disorder. Lower the number clotting disorder.
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Oxytocin (Pitocin) by continuious IV, piggy backed into maintenance IV solution. FHR indicates late decelerations. The nurse first:
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Discontinue client's IV to reduce contractions.
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Bupropion (Zyban) side effects:
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Insomnia (Stimulant).
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Risedronate (Actonel) to treat osteoporosis. Client teaching:
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Take in the morning, sit up 30 mins after taking, take with food, swallow whole.
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Haloperidol (Haldol) adverse effects (Used for treating vomiting):
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Akathisia (Restlessness).
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Oprelvekin (Interleukin 11-WBC) effectiveness:
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Increase platelet count in chemotherapy patients.
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Baclofen (Lioresal) therapeutic outcome:
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Decrease the frequency and severity of muscle spasms (MS).
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Epoetin Alfa (Procrit) to treat anemia. Nurse should monitor:
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Increased blood pressure and seizures if hematocrit rises too quickly.
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Tranylcpromine (Parnate) for depression. Client teaching:
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Move slowly when changing position because orthrostatic hypotension can result as a side effect.
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Exenatide (Byetta) for type 2 diabetes mellitus. Nurse needs to monitor immediately:
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Abdominal pain due to pancreatitis. Secondary symptom for hyperglycemia: Increased thirst
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Hypoglycemia symptoms:
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Diaphoresis and Irritability.
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Prednisone (Deltasone) for chronic asthma. Nurse monitors:
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Blood glucose because steroid increase blood sugar.
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NHP insulin and Regular insulin in a single syringe: Clear before cloudy.
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1. NPH (Cloudy) insert air 2. Regular (Clear) insert air 3. Draw up regular (Clear) 4. Draw up NPH (Cloudy)
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Zidovudine (Retrovir) nurse should monitor:
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Hemoglobin level because it can cause anemia.
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Timolol (Timoptic) for glaucoma. Client history concern:
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Its a Beta Blocker that can worsen bradycardia.
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Newborn DTaP injection timeframe:
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2 months-1st 6 months- 3rd 15 months- 5th
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Newborn Hep B vaccine:
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At birth
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Warfain for AFIB. Nurse needs to check what prior to injection:
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INR value.
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Hydroxyurea (Droxia) for sickle cell anemia. Nurse reports what to provider:
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Hemoglobin, platelets, neutrophils.
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Hemoglobin, hematocrit, RBC, neutrophils, platelets value:
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...
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Acetaminophen/oxycodone (Percocet) for breakthrough pain PRN and Acetaminophen every 4 hours. The nurse should:
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Notify the provider due to possible overdose.
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Sucralfate (Carafate) for PUD:
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Form protective barrier around ulcer (mucosal protectant).
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Client teaching for Warfain:
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Limit green leafy veggies, get blood drawn regularly, notify doctor if you bleed of bruise easily, and do not take Aspirin or Tylenol.
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Pregnant with Pneumonia contraindication:
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Deoxycycline (Doxycin), Tetracycline due to adverse effects on bones.
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Lisinopril (Zestril) for HTN. The client should monitor:
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Dry cough due to build up of bradykinin.
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ACE-Inhibitor cause:
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Dry cough.
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Nitroglycerin (Nitro-Bid IV) for blood pressure:
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Lower systolic blood pressure.
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Procainamide (Pronestyl) with acute MI and premature ventricular beats. The nurse should withhold if:
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QRS (Contraction) widening of more then 50% and long QT intervals (Rest period) indicates cardiotoxictiy.
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Tamoxifen (Nolvadex) for breast cancer adverse side effects:
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Menstrual irregularity, hot flashes, vaginal discharge.
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Beclomenthasone (QVAR) for chronic asthma teaching plan:
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Rinse your mouth.
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HX of HTN uses OTC oral decongestants for nasal congestion. The nurse advises patient that decongestants:
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Constricts blood vessels (Sympathomimetics)
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Phenazopyridine HCL (Pyridium) for acute cystitis will:
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Urine will turn a red-orange color.
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Trimethoprim/sulfamethoxazole (Bactrim DS) side effects:
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Vesicular, crusty rash is a sign of Stevens-Johnson syndrome. (Photosensitivity-Limited sun exposure)
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Propylthiouracil (PTU) outcomes:
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Decrease T4, decrease heart rate, decrease body temp, weight gain.
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Transdermal Nitroglycerin (Minitran) teaching plan:
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Take patch each evening for medication free time of 12-14 before each new patch.
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Amoxicillin/calavulaic acid (Augmentin) allergy to penicillin. The nurse should first:
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Hold the medication.
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Morphine and discharge teaching:
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Increase fiber due to possible constipation.
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Ampotericin B (Fungizone) for histoplasmosis (Skin) adverse effects:
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Fever and chills are signs of infusion reaction.
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Aspirin for arthritis. Signs of salicylism:
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Tinnitus, sweating headache, dizziness.
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Breakthrough pain. 8 of 10 on scale.
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Hydromorphone (Dilaudid) pure opioid for sever pain.
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Methylphenidate (Ritalin) for ADHD intervention in adverse effects:
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Maintain age-appropriate weight.
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Sumatriptan (Imitrex) patient teaching:
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Use medication upon first sign of headache. Should dissipate 30-50 mins. *Up to 2 dose after 2 hours of initial dose. Side effect: Tightness of chest
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PCA of Morphine Sulfate, patient Resp. 10/min, unresponsive to touch. Nurse first:
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Administer NarCan into patient IV.
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Beginning Prednisone (Deltasone) therapy for acute bronchitis:
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Wait until complete therapy due to glucocorticoids reducing antibody response of live vaccine. Increase risk on infection.
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Ferrous Sulfate teaching plan:
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Black stools are common, take on empty stomach for absorption, no bruising.
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Phenytoin (Dilantin) teaching plan:
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Tell dentist because drug can cause gingival hyperplasia, report eye movement.
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Dilantin level:
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10-20 mcg/L Below 10- Seizures Above 20- Toxic can cause Nystagmus (Eye movement)
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Ranitidine (Zantac) for GERD adverse effects:
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Green Sputum from low stomach PH (Pneumonia)
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Effects oral contraceptives:
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Carbamazepine (Tegretol) inactivates oral contraceptives
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Isoniazid (INH) for TB adverse effects:
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Yellow skin tones (Jaundice)
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