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NSG124 Exam 3 - Study Materials

Study Materials
Course

Pharmacology (NSG 124)

875 Documents
Students shared 875 documents in this course
Academic year: 2020/2021
Listed booksDosage CalculationsStahl's Essential Psychopharmacology
Uploaded by:
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This document has been uploaded by a student, just like you, who decided to remain anonymous.
Herzing University

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Study online at quizlet/_a295l

  1. I am used in a hypertensive emergency to lower BP fast. 1) What drug am I? 2) How do I work? 3) What should you watch for?
  1. Sodium nitroprusside
  2. Vasodilator
  3. Hypotension and chest pain
  1. Megaloblastic anemia 1) What does megaloblastic mean? 2) What causes it? 3) How do we treat it?
  1. Large red blood cells
  2. Deficiency of either cobalamin (vit B12) or folate (vit B9)
  3. Pills, vit B12 or folic acid
  1. What is the therapeutic lab range for: 1) Lithium 2) Digoxin

1) 0-

  1. 0-2 or 0-0.

  1. Warfarin vs Enoxaparin vs Heparin labs Warfarin = INR Enoxaparin and Heparin = aPPT

  2. I am a mood stabilizer often given to people with bipolar disorder. I also used to be an ingredient in 7-Up.

Lithium

  1. I will avoid giving IM injections or do- ing any intervention that could cause bleeding. I will monitor their aptt/ptt and be vigilant to S/S of bleeding. 1) What type of med is patient on? 2) Give 2 examples 3) What are S/S of bleeding? 4) What should they avoid at home?
  1. Anticoagulant
  2. Enoxaparin or Heparin
  3. Hypotensive, tachycardia, abd pain, nausea, cramps
  4. Any activity that could cause bleeding - use soft toothbrush, careful shaving, need labs, no al- cohol
  1. 1) What is orthostatic hypotension? 2) What common drug types cause it? 3) What will you teach your patient?
  1. A sudden drop in BP when you stand up
  2. Any BP med, diuretics, va- sodilators
  3. Stand up slowly, you may feel dizzy or lightheaded, change posi- tions slowly

Study online at quizlet/_a295l 1) What drug does someone take after a heart attack that they would have to take the rest of their life? 2) How does it help?

  1. Aspirin
  2. Prevents clot formation
  1. I am a PAM/LAM drug. 1) What drug class am I? 2) Give 3 examples 3) What am I used for? 4) ______ is the preferred sleep med for short-term use
  1. Benzodiazepines
  2. Diazepam, lorazepam, alprazo- lam
  3. Anxiety, panic, sleep, muscle re- laxer, prevent seizures-often dur- ing alcohol withdrawal
  4. Zolpidem
  1. Helps address high cholesterol (hyper- lipidemia). Directions: take 1 hour be- fore or at least 4 hours after other meds. Take with food and water to help ab- sorption. 1) Drug class 2) 1 example 3) What other drug class could they take?
  1. Bile-acid binding resins
  2. Colesevalam
  3. Statins
  1. Vasodilators 1) What are they used for? 2) Name 4 examples 3) What SE/AE might we see? Why?
  1. Lower BP, angina, heart failure
  2. Hydralazine, Captopril, Lisino- pril, Nitroglycerin
  3. Hypotension - lightheadedness, dizzy, falls, N/V, flushing, peripher- al edema, prevent reflex tachycar- dia. Bigger blood vessels = blood can get into nooks and crannies
  1. What can you teach a patient about an Xl, ER, XR drug?

Do not crush, chew, or cut the med. Swallow whole

  1. I have fatigue, weakness, pale/yellow skin, an irregular heartbeat, SOB, dizzi- ness/lightheadedness, cold hands/feet. Might bruise easily. Doctor put on fer-
  1. A type of iron
  2. Symptoms get better

Study online at quizlet/_a295l

  1. SSRIs can be used to treat general- ized anxiety but they do not treat panic or severe anxiety. For that we need a _______? 1) Drug class 2) 3 examples 3) How long is it used for? Why?
  1. Benzodiazepines
  2. Lorazepam, diazepam, alprazo- lam
  3. Short term because they are extremely addicting
  1. What med is best used for short term, PRN anxiety/panic for things like flying, public speaking, etc? 1) What drug class? 2) 3 examples 3) What med might be prescribed if the anxiety was chronic?
  1. Benzodiazepines
  2. Lorazepam, diazepam, alprazo- lam
  3. Buspirone
  1. 1) What is the purpose of nitro? 2) How do you know it was effective? 3) What is the purpose of nitro patches? 4) How do you know it was effective?
  1. Vasodilate - stop anginal pain
  2. Discontinuation of angina
  3. Slow release, long acting va- sodilator
  4. No anginal pain since starting med/patch
  1. I am given SubQ. I help prevent DVTs after surgery but can be used for other clot prevention needs. I block the ac- tion of thrombin. 1) What med am I? 2) What are they at risk for?
  1. Enoxaparin or Heparin
  2. Bleeding
  1. I lower BP. If I am taken with grapefruit juice, my potency can become 8-24x more effective. 1) What class of BP med am I? 2) Name 3 examples 3) Name 6 adverse effects
  1. Calcium channel blockers
  2. Verapamil, diltiazem, amlodip- ine
  3. Bradycardia, peripheral edema, hypotension, flushing, rash, con- stipation
  1. 1) Who should not receive beta block- ers?
  1. People with asthma
  2. Propranolol, atenolol, metopro-

Study online at quizlet/_a295l 2) Name 3 examples 3) What do I do? 4) Why am I often given with vasodila- tors? 5) Can also block physical symptoms of anxiety, meaning it can block these symptoms in people who have ______ blood sugar

lol 3) lower BP 4) I can prevent reflex tachycardia 5) Low - anxiety and hypoglycemia symptoms overlap: Assess!

  1. Controlled substances act 1) What did it do? 2) How many classes/schedules did it create?
  1. Establish a drug policy under which the manufacture, importa- tion, possession, use, and distrib- ution of certain substances in reg- ulated
  2. 5 classes/schedules
  1. Is it safe for a patient to take alteplase (tPA) for a blood clot?

Yes, it is a thrombolytic medication

  1. You might take me to quit smoking. I work by mimicking the effects of nico- tine and therefore reduce your urge to smoke. 1) What drug am I? 2) What can I cause?
  1. Varenicline (Chantix)
  2. Depression, thoughts of sui- cide, mood swings

29. 5-5-5-

1) What drug am I a protocol for? 2) What is the protocol? 3) How am I stored? 4) How long do I last? 5) What should the patient expect to feel when taking this med?

  1. Nitroglycerin
  2. Dissolve one tab under tongue, repeat every 5 min until pain is gone. If after 3 doses the pain is still present, call 911
  3. Store in original brown vial, keep lip on tight, store away from light
  4. 3-6 months
  5. Will burn/fizzle in mouth, could get headache, hypotension-take while sitting

Study online at quizlet/_a295l 2) Give an example 3) Name low tyramine foods

processed cheese, dairy, eggs, beans, nuts, poultry, fish

  1. Chlorpromazine 1) What are my therapeutic uses? 2) What should you teach your patient to watch out for?
  1. Schizophrenia and schizoaffec- tive disorder, bipolar disorder, re- duce or suppress emesis, sup- press hiccups
  2. Muscle spasm, tremors, rigid or restless movements-report to provider
  1. Chlorpromazine, fluphenazine, haloperidol, loxapine, molindone, per- phenazine, pimozide, thioridazine, thio- thixene, trifluoperzine: 1) What drug class are these? 2) What AE do we need to monitor for?
  1. FGA = first-gen antipsychotic
  2. Tardive dyskinesia

  1. List 5 SSRI medications Fluoxetine Paroxetine Sertraline Citalopram Escitalopram

  2. I could be hepatotoxic. I am a choles- terol lowering agent and fall under the cholesterol absorption inhibitor class. I am not a HMG-CoA inhibitor nor a bile acid sequestrants. 1) What is a HMG-CoA drug generically called? 2) 1 example of a bile acid sequestrant 3) What drug am I? 4) What labs will you monitor?

  1. Statin
  2. Colesevelam
  3. Ezetimibe (not so eze on liver)
  4. Liver function test
  1. I am often given for heart failure and am a cardiac glycoside. I can become tox- ic easily. My therapeutic range varies, but is often considered between 0- ng/mL. I make your heart beat stronger
  1. Digoxin
  2. Report is high/low (digOXIn is tOXIc)
  3. Apical pulse - most accurate -

Study online at quizlet/_a295l

**(aka: increase myocardial contractility).

  1. What drug am I?
  2. What will you do if labs are out of range?
  3. What pulse do you assess before giv- ing and why?**

slows HR - hold med if HR is below 60.

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NSG124 Exam 3 - Study Materials

Course: Pharmacology (NSG 124)

875 Documents
Students shared 875 documents in this course

University: Herzing University

Was this document helpful?
NSG124 Exam 3
Study online at https://quizlet.com/_a295l2
1. I am used in a hypertensive emergency
to lower BP fast.
1) What drug am I?
2) How do I work?
3) What should you watch for?
1) Sodium nitroprusside
2) Vasodilator
3) Hypotension and chest pain
2. Megaloblastic anemia
1) What does megaloblastic mean?
2) What causes it?
3) How do we treat it?
1) Large red blood cells
2) Deficiency of either cobalamin
(vit B12) or folate (vit B9)
3) Pills, vit B12 or folic acid
3. What is the therapeutic lab range for:
1) Lithium
2) Digoxin
1) 0.4-1
2) 0.5-2 or 0.5-0.8
4. Warfarin vs Enoxaparin vs Heparin labs Warfarin = INR
Enoxaparin and Heparin = aPPT
5. I am a mood stabilizer often given
to people with bipolar disorder. I also
used to be an ingredient in 7-Up.
Lithium
6. I will avoid giving IM injections or do-
ing any intervention that could cause
bleeding. I will monitor their aptt/ptt and
be vigilant to S/S of bleeding.
1) What type of med is patient on?
2) Give 2 examples
3) What are S/S of bleeding?
4) What should they avoid at home?
1) Anticoagulant
2) Enoxaparin or Heparin
3) Hypotensive, tachycardia, abd
pain, nausea, cramps
4) Any activity that could cause
bleeding - use soft toothbrush,
careful shaving, need labs, no al-
cohol
7. 1) What is orthostatic hypotension?
2) What common drug types cause it?
3) What will you teach your patient?
1) A sudden drop in BP when you
stand up
2) Any BP med, diuretics, va-
sodilators
3) Stand up slowly, you may feel
dizzy or lightheaded, change posi-
tions slowly
8.
1 / 8

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