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Mosby's Drug Reference Book Scavenger Hunt 35th edition FALL 2021
Pharmacology (NSG 124)
Herzing University
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Mosby’s 2022 Nursing Drug Reference Scavenger Hunt (35th Ed.)
Directions: answer the questions using the Mosby’s Drug Handbook, locate the information and fill in the answers and note the page numbers.
List the four ways that the Index categorizes a drug to make it easier to find the page numbers of drugs: a. Generic Name____________________________________________ b. Brand Name_____________________________________________ c. Listed by what the drug is used for/ drug classification____________ d. It’s in alphabetical order._______________________
Where can you locate the Adult & Pediatric Immunization information? Appendix C
Are herbal medications such as ginseng & St. John’s wort listed in the Index? No.
The red type found within the information of a drug will indicate what type of information? It is life threatening information about the drug or medication.
Acetaminophen: Answer the following questions. a. What pages can you find the information on? Page 12___ b. What is the Black Box Warning? How is it indicated? Hepatotoxicity. It’s in red bold lettering with yellow highlight._ c. What are the available routes of administration? By mouth, rectal, intermittent IV infusion route.______ d. What is the onset, peak, and duration of the PO route of administration? Onset 10- 30 min, peak 1/2 – 2 hour, duration 4-6 hour______ e. Is the drug a prescription, OTC, or both? OTC______ f. What are signs and symptoms of an overdose? Bleeding, bruising, malaise, fever, sore throat____ g. What is the treatment for an overdose? Product level gastric lavage; administer oral acetylcysteine to prevent hepatic damage._____
Zolpidem: Answer the following questions: a. What pages can you find the information on? Page 1379____ b. What are the brand names of the drug? Ambien, Ambien CR, Edluar, Sublinoox, Zolpimist, Intermezzo_____ c. What is the Beers Criteria instructions? Avoid in older adults; CNS effects occur______ d. What schedule does this drug fall under for a controlled substance? Schedule IV_ e. What is the essential patient/family education? That dependence is possible after long-term use, avoid driving or other activities requiring alertness, avoid alcohol ingestion, effects may take up to 2 nights for benefits to be noticed, do not use during pregnancy, hangover is common in geriatric patients but less common than with barbiturates, place tablet under tongue, not to crush, chew, break ext rel tabs, to prime spray pump before using, spray directly over tongue._
Hydromorphone: Answer the following questions: a. What pages can you find the information on? Page 630_____ b. What is this drug’s indicated use? For moderate to severe pain._____ c. Can Exalgo formulation be crushed and dissolved to put through a G-tube? Why or why not? No. It must be swallowed or taken whole. It would result in uncontrolled delivery of hydromorphone._____ d. What is the priority nursing considerations? Pain- control, sedation by scoring on 0=10 scale, around-the-clock dosing is best for pain control.____ e. Is this medication a controlled substance? Yes_ If so, which schedule? Schedule II___________ f. What is the treatment for an overdose? What is the antidote? Naloxone (Narcan), 0.2-0 mg IV (nontolerant patients), O2, IV fluids, vasopressors_____ g. Does this drug have a Y-site compatibility with piperacillin? If so, what does that mean? Yes. It means a single drug that is administered at the same time at a Y-site connection with another drug in a solution.______ h. List all the headings under which respiratory depression information is listed: Black Box Warning: Respiratory dysfunction____
Furosemide: Answer the following questions: a. What pages can you find the information on? Page 583___ b. What is the functional classification? Loop diuretic____ c. If an adult patient has 40 mg of furosemide ordered IV, what is the rate of administration of this drug? 40 mg slowly over 2 min__ d. What is the drug to drug interaction that occurs with furosemide is combined with vancomycin? Increase otoxicity_____ e. What are the two most significant side effects of this medication related to the cardiac and genitourinary systems? Circulatory collapse and Renal failure____
Identify the schedule for drawing serum peak and trough levels for vancomycin 1000mg IVPB every 12 hours. Peak 1 hr after 1 hr infusion 25-40 mg/1, trough before next dose5-10 mg/1, especially in renal disease_
Identify 2 drugs form the Mosby’s Drug Reference that are “High Alert” medications and explain why. Include the page numbers. High Alert medications are drugs that bear a heightened risk of causing significant patient harm when they are used in error. Although mistakes may or may not be more common with these drugs, the consequences of an error are clearly more devastating to patients. a. Abacavir page 1; b. Abiraterone page 8;
For the drug enoxaparin (Lovenox); where is the only safe site of administration and what is the route of administration? Subcutaneous injection; left/right anterolateral, left/right posterolateral abdominal wall.
Insulin: Answer the following questions: a. Where can you find the information? page 679
What page in the index can you find a list of antibacterial drugs and under what name? Page 1427, Bacterial Infection
Mosby's Drug Reference Book Scavenger Hunt 35th edition FALL 2021
Course: Pharmacology (NSG 124)
University: Herzing University
