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NSG124- Pharmfinal Exam NSG 124 Study Guide FA21 12

Final Exam Notes
Course

Pharmacology (NSG 124)

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NSG124 Pharmacology Test Plan for the Final Exam N= classification of drug U=Use/MOA R= RN Responsibilities S= Side effect/adverse effects E= Education (patient) aspart (Novolog) NSG124.07. 3  N – Fast acting Insulins  U – Control Blood Glucose for type 1 diabetes  R – Monitor for Hypoglycemic reactions  S-  E Aspirin NSG124.03. 2 NSG124.03. 3  N- COX Inhibitor  U – Pain/Blood Thinner/chest pains  R – Don’t give to kids; Sulfa-Free Meds; Contraindicated in Peptic Ulcer Disease  S – Gastric Erosion  E- Amoxicillin  N - Antibiotic  U- Fights Bacteria  R- Assess CBC; Cross Sensitivity w/ cillins & Cephalosporins  S- Nausea; Anaphylaxis; Superinfections  E- Do not stop taking medication abruptly Atropine (Atropen) NSG124.13. 3  N- Anticholinergic & Antimuscarinic  U- Decrease secretions; adjunctive therapy for GI ulcers; increases cardiac output  R- Cannot be used in pregnant women; contraindicated in glaucoma, GI obstruction; ensure hydration  S- Blurred vision; insomnia; weakness; dry mouth  E- Avoid hot environments; causes drowsiness; Baclofen (Lioresal)  N- Muscle Relaxer

NSG124.04.

1

 U- spasticity in spinal cord & MS  R- causes CNS depression  S- drowsiness, constipation, urinary retention  E- No drinking or driving benztropine (Cogentin) NSG124.14. 3  N- Anticholinergic (parkinsonism)  U- for the management of Parkinson's disease; for patients who no longer respond to levodopa  R- D-D with TCAs and Antipsychotics; contraindicated in myasthenia gravis;  S- Memory loss; delirium; dry mouth; urinary retention  E- avoid hot environments; take with food; bethanechol (Urecholine) NSG124.13. 2  N- Urinary tract stimulant  U- treats urinary retention  R- monitor urinary frequency  S- cardiac arrest; seizures; fecal incontinence; bronchoconstriction; hypotension  E- take 1-2 hours before meal; change positions slowly; and avoid driving Buspirone (buspar)  N- Antixylotic/Hypnotic  U- anxiety disorders/Symptoms; 2nd Line treatment for depression  R- check for a history of seizures, psychiatric problems, protect from falls; contraindicated in benzo dependence  S- Blurry vision; lightheadedness; disturbed sleep pattern;  E- take as directed; avoid alcohol, grapefruit-t juice; sleep-inducing drugs; report tardive dyskinesia; ciprofloxacin NSG124.06. 1 NSG124.06. 2  N- Fluoroquinolones  U- Antibiotics for skin infections; pneumonia & uti patients  R- contraindicated in Myasthenia Gravis; report muscle problems; asthma; warfarin daily  S- causes tendon rupture and tendonitis; can increase warfarin levels (PT INR 2-3)  E- watch for patient bleeding Cephalexin (Cephalosporin)  N- Antibiotic  U- Respiratory, Skin, and Bone infections  R- contraindicated with penicillin; renal failure; take with food; obtain culture  S- Nephrotoxicity; Hepatotoxicity; Superinfections; Anaphylaxis  E- Take with food; Take full course even if feeling better; report patient bleeding; avoid alcohol

NSG124.10.

2

 R- given in love handles; contraindicated in hemophilia patients  S- Hyperkalemia; patient bleeding  E epinephrine Epi-pen NSG124.13. 2  N- bronchodilator  U- anaphylactic shock; extreme allergic reaction; asthma attack; extends anesthesia  R- monitor ECG; contraindicated with sulfa allergy, angle closure glaucoma  S- increases blood sugar; nervousness,  E- report any difficulty breathing famotidine (Pepcid) NSG124.04. 4  N- Histamine 2 Antagonist  U- heart burn, duodenal ulcer, benign gastric ulcers, GERD  R- Contraindicated: renal and hepatic impairment, H2 allergies, prolonged use  S- GI upset, diarrhea, dizziness, constipation  E- Take at night, report patient bleeding, furosemide (Lasix) NSG124.08. 1  N- Loop Diuretic  U- Hypertension, Renal Failure, Fluid Retention  R- contraindicated in allergies to sulfonamides, impaired kidney function (use with caution), and hypovolemia; monitor electrolyte balances and blood glucose; D-D: NSAIDs, Digoxin, Lithium, Corticosteroids  S- Increased Urination, electrolyte imbalances, dizziness, hypotension, SJS  E- Low sodium diet, stay hydrated; fall risks glargine (Lantus) NSG124.07. 3  N- Long acting insulin  U- reduce blood glucose  R- cannot be administered through IV; monitor glucose levels  S- hypoglycemia  E- report signs and symptoms of hypo/hyperglycemia glucagon NSG124.07. 5  N- Glucose elevating agent  U- increases blood glucose  R- caution with renal and hepatic patients & anticoagulants

 S- Gi upset  E glulisine NSG124.07. 3  N- short-acting insulin  U- decreases blood glucose  R- can be administered IV  S- hypoglycemia  E- interferon beta-1a (Avonex) NSG124.14. 3  N- Antiviral  U- viruses  R- monitor for flu-like symptoms  S- sneezing, fever, chills  E labetalol NSG124.09. 3 NSG124.03. 4  N- Beta Blocker  U- blocks the heart beat  R- contraindicated in asthma/COPD  S  E levodopa- carbidopa (Sinemet) NSG124.14. 3  N- Dopaminergic (parkinsonism)  U- mainstay treatment for Parkinson’s  R- contraindicated in angle closure glaucoma; associated with melanoma development; bronchial asthma; psychiatric disorders; D-D w/ MAO inhibitors and Phenytoin; Assess cbc, bowels,  S- hypotension; anxiety; dysphagia; urinary retention; constipation  E- avoid multivitamin preparations; may experience dark urine; report palpitations levothyroxine (Synthroid) NSG124.07. 3

 N-

 U- treats hypothyroidism and myxedema  R- contraindicated in sertraline (increases levothyroxine)  S- serotonin syndrome, SJS  E- replacement therapy in adults and kids; take with glass of water

methimazole (Tapazole) NSG124.07. 3 NSG124.07. 4  N- antithyroid agent  U- treats hyperthyroidism  R- contraindicated in 1st trimester  S- hypothyroidism  E- don’t breastfeed morphine NSG124.01. 1 NSG124.01. 4 NSG124.01. 1  N- opiod analgesic  U- moderate to severe pain  R- assess respirations and bowel movements  S- sedation,  E naloxone (Narcan) NSG124.02. 3 NSG124.02. 4  N- opioid antagonist  U- treats respiratory depression from opiod overdose  R- check vitals, resp < 10 give medication, give every 2-3 min until patient is revived; contraindicated in PUD  S- increased heart rate and BP  E Nitroglycerin NSG124.10. 3  N- Vasodilator  U- MI  R- light can deactivate meds, replace when expired,  S- headache  E- take while lying/sitting; given sublingual; when in paste form where gloves to administer omeprazole (Prilosec) NSG124.04. 4  N- Proton Pump Inhibitor  U- treats gastric issues and ulcers  R- monitor bowel movements  S- diarrhea, nausea, etc  E- take in the AM on empty stomach

Ondansetron (Zofran) NSG124.04. 1  N- Antiemtic  U- prevent/stop vomiting and nausea; b4 chemotherapy; after surgery  R- D-D: morphine and macrolide antibiotics; monitor for tardive dyskinesia  S- TENS, Serotonin syndrome, Torsades de pointes, SJS, constipation, diarrhea, respiratory depression  E- report drowsiness and respiratory depression Penicillin NSG124.05. 2 NSG124.05. 3  N- antimicrobial  U- staph infections, otitis media, pink eye  R- contraindicated in sulfonylureas; check for history of allergies  S- SJS, urticaria, superinfections  E- report any allergic reactions phenytoin (Dilantin) NSG124.14. 3  N- antidysrhythmic and anticonvulsant  U- prevents seizures  R- monitor serum levels (normal 10-20)  S- suicidal thoughts, extrapyramidal symptoms, SJS  E- do not stop abruptly prochlorperazine (Compazine) NSG124.04. 1  N- antiemetic  U- blocks dopamine; used for nausea; given after chemotherapy  R- watch for signs of agranulocytosis  S- Neuroleptic Malignant Syndrome, tardive dyskinesia  E propranolol (Inderal) NSG124.09. 1 NSG124.09. 2 NSG124.09.  N- Beta Blockers  U- decreases HR & BP; HF  R- avoid on COPD/asthma patients; take apical heart rate for 1 minute  S- bronchoconstriction  E

warfarin (Coumadin) NSG124.10. 3  N- anticoagulant  U- blood thinner  R- check PT INR (2-3); watch for patient bleeding  S- dark bloody stool  E- no contact sports; obtain ID bracelet Antidotes Anticoagulants Warfarin- Vitamin K Heparin- Protamine Sulfate Benzodiazepines Flumazenil Narcotics Naloxone Prefixes and Suffixes What are common Prefixes and Suffixes? Antibiotics Cardiac medications -ceph (cephalosporins) Beta Blockers (-lol) -cillin (penicillin; amoxicillin) Calcium Channel Blockers (dipine) -cycline (tetracycline) Ace Inhibitors (-prils) -mycin (gentamycin; vancomycin) ARBs (-sartans) -penem (carbapenems) Antiarrhythmic (-darone) -floxacin (ciprofloxacin) HMG-CoA Reductase Inhibitor (-statins) -thromycin (erythromycin) Anticoagulants (-rin) Lab Values (normal serum levels)

Lab test Normal range Lab test Normal range potassium 3-5 digoxin 0-2. sodium 135-145 phenytoin 10- calcium 8 hematocrit glucose 60-120 hemoglobin 12- magnesium 1.5-2 WBC 5,000-10, lithium 0.6-1 Platelets 150,000-450, Vital signs Vital Signs Normal range Respirations 12- Trough < 20 Other Important Terms Antagonist Agonist Generic Brand Analgesic Addiction Toxicity Withdrawal Tolerance Dependency Immunocompromised Percutaneous

Remember to review and practice dosing calculation questions in your Calculate with Confidence (workbook). Key conversions to know! Dosing Calculations 1gram = 1000 milligrams 1milligram = 1000 microgram 1liter = 1000 milliliters 1 cup = 240 milliliters = 8 ounces 1 tsp = 5ml 1 tbsp = 3tsp = 0 oz =15ml 1 ounce = 30 milliliters 1 kg = 2 lb 1 inch = 2

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NSG124- Pharmfinal Exam NSG 124 Study Guide FA21 12

Course: Pharmacology (NSG 124)

875 Documents
Students shared 875 documents in this course

University: Herzing University

Was this document helpful?
NSG124 Pharmacology Test Plan for the Final Exam
N= classification of drug
U=Use/MOA
R= RN Responsibilities
S= Side effect/adverse effects
E= Education (patient)
aspart
(Novolog)
NSG124.07.01.0
3
N – Fast acting Insulins
U – Control Blood Glucose for type 1 diabetes
R – Monitor for Hypoglycemic reactions
S-
E
Aspirin
NSG124.03.03.0
2
NSG124.03.03.0
3
N- COX Inhibitor
U – Pain/Blood Thinner/chest pains
R – Don’t give to kids; Sulfa-Free Meds; Contraindicated in Peptic Ulcer Disease
S – Gastric Erosion
E-
Amoxicillin N - Antibiotic
U- Fights Bacteria
R- Assess CBC; Cross Sensitivity w/ cillins & Cephalosporins
S- Nausea; Anaphylaxis; Superinfections
E- Do not stop taking medication abruptly
Atropine
(Atropen)
NSG124.13.01.0
3
N- Anticholinergic & Antimuscarinic
U- Decrease secretions; adjunctive therapy for GI ulcers; increases cardiac output
R- Cannot be used in pregnant women; contraindicated in glaucoma, GI obstruction; ensure hydration
S- Blurred vision; insomnia; weakness; dry mouth
E- Avoid hot environments; causes drowsiness;
Baclofen
(Lioresal)
N- Muscle Relaxer