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58 Cards in this Set
- Front
- Back
HEPARIN:
Inhibits formation of new ___. Rapid _____. Does NOT lyse ____ thrombi but may prevent clot extension & propagation. Used as anticoagulant in: ____, extracorporeal circulation, ___ procedures, prophylaxis in ___ & ___ surgery, maintains potency of indwelling IV ___ in intermittent IV therapy or blood sampling. |
clots
anticoagulant existing transfusions dialysis hip & knee catheters |
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Heparin:
Category "___" Contraindications: thrombophlebitis advanced kidney disease liver or biliary disease TB threatened abortion suspected intracranial ___ severe ___ recent eye surgery brain, spinal cord,spinal tap SHOCK Antidote: Have protamine sulfate (1% solution) on hand. |
C
hemorrhage hypertension ******Antidote: Have protamine sulfate |
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HEPARIN:
Note: CHECK___ lab value b/f admin DO NOT use w/solutions containing ___ ___ DO NOT use in neonates. Heparin may prolong PT used to monitor therapy ORAL ANTICOAGULANTS, ASPIRIN, & NSAIDs increase risk of ___ NITRA-TRIDIL may decrease ____ activity PROTAMINE antagonizes effects of heparin Herbal: Feverfew, ginkgo, ginger, VALERIAN may potentiate bleeding. |
coagulation
benzyl alcohol bleeding anticoagulant |
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LEPIRUDIN (C):
Anticoagulation in Pt's w/ heparin-___ thrombocytopenia Contraindications: lactation & pregnancy intracranial bleeding Pt's w/increased risk of bleeding or recent ___, CVA, & advanced ___ impairment. Adverse effects: intracranial bleeding,& MI. Use w/Warfarin, NSAIDS, SALICYLATES, ANTIPLATELET AGENTS increases risk of ___ |
induced
B surgery kidney bleeding |
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ENAXOPARIN-LOVENOX:
Effective ____ agent Used for prophylactic Tx as ____ agent following certain types of surgery Prevention of DVT after ___, ___, or ___ surgery Tx for DVT & pulmonary ____ Mngmnt of acute ____ syndrome. Contraindications: Pt's w/ active major ___, GI bleeding, hemophilia, heparin hypersensitivity, & heparin induced thrombocytopenia. Report signs of unexplained bleeding such as: pink, red, or dark brown ___; red or dark brown vomitus; bleeding ___ or bloody sputum; dark, ___ stools. |
anticoagulation
antithrombotic hip, knee, or abdominal embolism coronary bleeding urine gums tarry |
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CHOLESTYRAMINE-QUESTRAN:
Lowers serum total cholesterol by decreasing (LDL) ___ & reducing bile acid deposit in dermal tissues & decreasing pruritus. Used as adjunct to ___ therapy in mngmnt of Pt's w/ primary ____ w/a significant risk of ____ heart disease & MI, & relief of ____ secondary to partial biliary stasis. Unlabeled use is to control diarrhea caused by excess bile acids in colon. |
cholesterol
diet hypercholesterolemia (hyperlipidemia) atherosclerotic pruritus |
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CHOLESTYRAMINE-QUESTRAN (C):
Contraindications: Pt's w/complete biliary ____ hypersensitivity to bile acid sequestrants, ___ & ___. |
obstruction
pregnancy, & lactation |
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CHOLESTYRAMINE-QUESTRAN (C):
Take w/water or other preferred ___. Permit drug to hydrate by standing ___stirring 1–2 min, twirling glass occasionally, then stir until suspension is ___. Rinse glass w/small amount of liquid & have patient drink remainder to ensure entire ___ is taken. Administer ___meals. Always ___ cholestyramine powder before administration b/c it is irritating to ___ membranes & may cause ____ impaction if administered dry. |
liquid
without uniform dose before esophageal dissolve mucous |
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CHOLESTYRAMINE-QUESTRAN (C):
___ absorption of ORAL ANTICOAGULANTS, digoxin, TETRACYCLINES, penicillins, phenobarbital, THYROID HORMONES, THIAZIDE DIURETICS, IRON SALTS, FAT-SOLUBLE VITAMINS (A, D, E, K) from the GI tract. Administer cholestyramine ___ before or __ after these drugs. ***Report ____ immediately to physician. ___ diet w/adequate fluid intake is an essential adjunct to cholestyramine treatment & & generally resolves problems w/constipation & ___ sensation. GI adverse effects usually subside after ___month of drug therapy. *** Sudden withdrawal can promote uninhibited absorption of other drugs taken concomitantly, leading to toxicity or ____. |
decreases
4 h 2 h constipation High-bulk bloating first overdosage |
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Monitor therapeutic effect of CHOLESTYRAMINE-QUESTRAN(C).
Serum ___ levels are reduced w/24–48 h after Tx starts & may continue to decline for a ___. After withdrawal of use cholesterol levels usually return to baseline level in __ to ___. Be alert to early symptoms of hypoprothrombinemia & S&S of petechiae, ecchymoses, abnormal bleeding from mucous membranes, tarry stools & report promptly. Long-term use of can increase ___ tendency. Preexisting ____ may be worsened in the older adult, women, & in those taking >24 g/d. |
cholesterol
2 to 4 wk year bleeding constipation |
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CLOFIBRATE (C):
Reduces very low density ____ (VLDL) Used as adjunct Tx for severe ____ & ___. Contraindicated in impaired renal or hepatic function, cirrhosis, ___ & ___. Safe use in children <14 y not established. Caution in Pt's w/history of jaundice or hepatic disease, gallstones, peptic ulcer, hypothyroidism & ____ disease. |
lipoproteins
hyperlipidemia & management of diabetes insipidus pregnancy & lactation cardiovascular |
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CLOFIBRATE (C):
Take w/___ if gastric distress is a problem. Taken w/ORAL ___ increases hypoprothrombinemia & increase risk of ___, probenecid increases effects of clofibrate HYPOGLYCEMIC effects are increased when taken w/____. |
meals
ANTICOAGULANTS bleeding SULFONYLUREAS |
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CLOFIBRATE(C):
Have baseline & periodic ___ profile, periodic liver function tests, CBC, renal function tests, plasma & urine steroid levels, serum electrolyte levels, & ___ ___. The therapeutic response occurs during the ___ or ___ month of therapy. Rebound may occur in second or third month, followed by a further decrease, & may also occur w/ sudden withdrawal of drug. |
lipid
blood glucose first or second |
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CLOFIBRATE:
Report ____ symptoms promptly. Other reportable conditions include leukopenia, pulmonary edema, renal insufficiency, ___ pain, nausea & vomiting. *** Women of childbearing years should be on ___ ___ ___. *** If pregnancy is desired, therapy should be discontinued at least ___ before conception. |
flu-like
gastric birth control regimen 2 months |
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LOVASTATIN (X):
Reduces plasma cholesterol levels by interfering w/body's ability to produce ___ & it lowers LDL & VLDL. Adjunct to ___for Tx of primary moderate hypercholesterolemia when diet & other nonpharmacologic measures have failed. |
cholesterol
diet |
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LOVASTATIN (X):
Contraindications: liver disease, cholestasis, hepatic encephalopathy, hepatic disease, hepatitis, jaundice; rhabdomyolysis; surgery, trauma; ___, renal failure, & ___ , lactation. |
X
hypotension pregnancy |
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LOVASTATIN (X)
CAUTION in Pt who consumes substantial quantities of ___. ____ ____ may increase risk of myopathy Ensure extended-release tablets are not crushed or ___. They must be swallowed ___. PROTEASE INHIBITORS increase risk of ___myopathy |
alcohol
chewed whole GRAPEFRUIT JUICE |
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ZIDOVUDINE-RETROVIR (C):
Antiviral action against ___, the causative agent of AIDS, & lymphadenopathy. Pt's who are HIV positive & have a CD4 count ____, ____ HIV infection, & prevention of perinatal transfer of HIV during ___. Unlabeled Use for ____ Pt's postexposure chemoprophylaxis. |
HIV
500/mm3 asymptomatic pregnancy Pediatric |
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ZIDOVUDINE-RETROVIR (C):
Contraindications: Life threatening __ reactions. Safe use of ZIDOVUDINE - RETROVIR during pregnancy & ____, is unknown. Caution use w/impaired ___ or hepatic function & bone marrow depression. **Do not expose capsules & syrup to ___ during drug preparation. |
allergic
lactation renal light |
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ZIDOVUDINE-RETROVIR (C):
Evaluate Pt at least ___ during the first month of therapy. •Monitor for common adverse effects, especially severe headache, nausea, insomnia, & myalgia |
weekly
|
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NEVIRAPINE-VIRAMUNE (C):
Prevents ____ of HIV-1 virus but does not inhibit HIV-2 reverse transcriptase & DNA polymerases. Resistant strains appear ___rapidly. Use in combination w/nucleoside analogs for treatment of HIV. Contraindications: Hormonal ____, ___, ___, & ___. Cautious use w/liver or renal disease, hepatitis B or C; CNS disorders. |
replication
rapidly contraceptives, pregnancy, lactation, & neonates |
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NEVIRAPINE-VIRAMUNE (C):
may decrease plasma concentrations of ____ INHIBITORS & ORAL ____. It may ___ methadone levels inducing opiate withdrawal. ____ may decrease antiretroviral activity. |
PROTEASE
CONTRACEPTIVES decrease St. John's wort |
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NEVIRAPINE-VIRAMUNE (C):
Monitor Pt's carefully during first ___ of therapy for severe ___ w/or w/out fever, blistering, oral lesions, conjunctivitis, swelling, joint aches, or general malaise. *** Withhold drug & notify physician if severe ___ appears. *** There is a high potential for drowsiness & fatigue. *** Use or add barrier contraceptive if using ___ ___. |
6 wk
rash rash hormonal contraceptive |
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SAQUINAVIR-INVIRASE:
Indicated by reduced viral ___ & increased number of CD4 T cells. Used w/an ____ HIV infection & usually in combination w/ ____ or zalcitabine. **Give w/or up to ___ after full meal to ensure adequate absorption & bioavailability. DO NOT administer to anyone taking ____ or ____ because these drugs significantly ___ the plasma level of saquinavir. |
load
advanced zidovudine - retrovir 2 h rifampin or rifabutin decrease |
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SAQUINAVIR-INVIRASE:
Assess Pt for buccal mucosa ___ or other distressing GI S&S. Monitor ____ periodically. Monitor for toxicity if any of calcium channel blockers, clindamycin, dapsone, quinidine, triazolam, or simvastatin is taken. ***Take drug within ___ of a full meal. |
ulceration
weight 2 h |
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CYCLOBENZAPINE-FLEXERIL (B):
Has antidepressant, sedative effect, potent central & peripheral anticholinergic activity. Short-term adjunct to rest & physical therapy for relief of muscle ___ assoc. w/acute ____ conditions. ***Not effective in tx of spasticity assoc. w/ cerebral palsy or cerebral or cord disease. Spasmolytic effect usually begins within ___ or ___ |
spasm
musculoskeletal 1 or 2 d |
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CYCLOBENZAPINE-FLEXERIL B):
DO NOT administer if Pt is receiving an ___ ___. Supervision of ____ may be indicated, especially in the older adult because of risk of drowsiness & ____. Withhold drug & notify physician if signs of hypersensitivity, e.g., pruritus, urticaria, rash, appear. |
MAO INHIBITOR
ambulation dizziness |
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TETRACYCLINE:
Effective against ___ & ___ bacteria & against most chlamydiae, mycoplasmas, rickettsiae,certain protozoa & suppresses growth of propionibacterium acnes w/in sebaceous ____, chronic bronchitis; Lyme disease; pericardial effusion. Contraindications: severe renal or hepatic impairment, common bile duct obstruction, lactation, during tooth development in ___ half of pregnancy, during ___ & childhood to the ___ year. |
gram-positive & gram-negative
follicles last infancy 8th |
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TETRACYCLINE:
Take w/full glass of water on ___ stomach at least 1 h before or 2 h after meals. Food, milk, & milk products can reduce absorption by ___ or more. Do not give immediately before bed. Give w/food if Pt is having GI symptoms. DO NOT give w/foods high in ___ such as milk or milk products. Ask Pt if allergic to any of the "___" local anesthetics Give Inj. deep into body of a relatively ___ muscle mass such as ___ ___ or ___ ___. Forewarn Pt IM admin. may cause local irritation & is extremely painful. |
empty
50% calcium caine large gluteus maximus or midlateral thigh |
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TETRACYCLINE:
Effects decreased by ____. ORAL ANTICOAGULANTS potentiate _____. AGENTS w/kaolin & pectin may ___ absorption. Effectiveness of ORAL CONTRACEPTIVES ___. Methoxyflurane may produce fatal ____. Dairy products &__ supplements decrease absorption Be alert to potential ____ |
antacids
hypoprothrombinemia decrease decreased nephrotoxicity iron superinfection |
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Tetracycline:
Report onset of ___ & superinfection to physician. Avoid ___. Tetracycline therapy for brucellosis or spirochetal infections may cause a ___-___ reaction. Reaction usually mild & appears abruptly w/in ____ after initiation of therapy. It is manifested by malaise, fever, chills, headache, adenopathy, leukocytosis, exacerbation of skin lesions, arthralgia, transient hypotension. Tx is symptomatic; recovery generally occurs within 24 h. Response to acne therapy usually requires ___, maximal results may not be apparent for up to ___. |
diarrhea
sunlight Jarisch-Herxheimer 6–24 h 2–8 wk 12 wk |
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Dobutamine-Dobutrex:
Used for ____ shock w/ severe sytolic dysfxn & CHF Used for ____ shock if Pt has normal cardiac output Increases ___, ___ perfusion, & ___ excretion. |
Cardiogenic
Septic cardiac output renal Na+ |
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Phenylepherine-NeoSynepherine:
Used for: ____ shock Vaso____ Vascular failure increases entire ___ cycle including BP, pulse, HR **Causes ____ if infiltrated |
Neurogenic
constrictor cardiac extravasation (necrosis) |
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DOPAMINE-INTROPIN:
Used for: ____ shock pre-cursor to Epi & Nor Epi increases HR, BP, ___ & ___ output Use ___ ___ of anticubital fossa Antidote: STOP Corrects hemodynamic imbalance in shock due to MI, trauma, septic shock, & CHF |
Cardiogenic
cardiac & urinary large vein |
|
Nitrogylcerin-Tridil:
used for ____ shock vasodilator-coronary arteries ***Contraindicated in ___ ___ ***Caution w/___ & ___ Use GLASS containers |
cardiogenic
HEAD TRAUMA hypovolemia & hypotension |
|
Epinepherine-Adrenaline (C):
(bronkaid mist,Epi-Zen, Primatine Mist) used for ____ shock peripheral ____ cardiac stimulant/increase ___ increases BP & HR may ___ diastolic pressure constricts bronchiole ___ reduces congestion & edema contraindicated in ___, ___, or ___ shock CONTRAINDICATED in ages , Use cardiac ___ & ___ ___available monitor every ___min |
anaphylactic
vasoconstrictor contrxn decrease arterioles hemmorhagic, traumatic, or cardiogenic <6yrs monitor & have crash cart 3-5 |
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Sodium-Nipride:
used in ____ shock arterial & venous vaso____ decreases BP, HR, & CO antihypertensive works on ___ muscle Contraindicated w/____ relieve adverse affects by ___ ___ protect from ___ |
cardiogenic
dilator smooth Dobutamine slowing infusion light |
|
Nori Epi-Levophed:
Used for ___, ___, ___. cardiac stimulant peripheral vaso_____. increases BP & MAP ANTIDOTE: for extravasation use ____ |
cardiogenic, septic, neurogenic
constrictor phentolamine |
|
LR:
Should not be used in Pt's w/ _____ |
liver failure
|
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Fluid replacements:
Name 3. |
CRYTALLOIDS:
(initial vol. replacememt) NS & LR no oxygen carrying capacity COLLOIDS: Hetactarch, Albumin, Dextran, Plasmanate Lg moles pull fluid into tiss No 02 carrying capacity some risk for bleeding watch for allergic reaction BLOOD: Whole or Packed 02 carrying capacity cross match |
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Intropin-Dopamine
Dobutrex-Dobutamine These are: a) vassopressors b) vasodilators |
vassopressors
|
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Nipride (nitroprusside)
Tridil (nitroglycerine) These are: a) vassopressors b) vasodilators |
vasodilators
|
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Blocks HIV replication:
a) AZT, ZDV, Retrovir b) Interferon |
AZT, ZDV, Retrovir
|
|
Boosts the immune system:
a) AZT, ZDV, Retrovir b) Interferon |
Interferon
|
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EVISTA-RALOIXFENE HCL:
Increases ___ ___ ___ Prevention & Tx of ____ in postmenopausal women |
bone mineral density
osteoporosis |
|
DIDRONEL-ETIDRONATE:
primary action on ___ slows ___ ___ |
bone
bone reabsorption |
|
FOSAMAX-ALENDROANTE SODIUM:
minimizes loss of bone ____ |
density
|
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Used for PCP pneumonia?
|
Bactrim
|
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DEXTRAN:
Used for ___ ___ & shock caused by hemmorhage, burns, surgery, trauma. Prophylaxis for ____ & ____. Titrated to prevent pulmonary ____. |
compartment syndrome
(expands plasma vol & provides fluid replacement) thrombosis & pulmonary embolism congestion |
|
ANTICHOLENERGICS-ATROVENT:
____dilator; works on neurotransmitters to decrease ____ |
broncho
inflammation |
|
B ADRENERGIC ANTAGONISTS - ALBUTEROL:
(anticholenergic) B1 for ____ B2 for ____ |
heart
lungs |
|
Meds for COR PULMONALE:
Name 2 |
Digitalis
Diuretics |
|
PREDNISONE:
anti-____ decreases ____ |
inflammatory
scaring |
|
DRUGS for CVA:
Heparin: SQ, IV, drip, short term Lovenox: low mole weight SQ, IV, short term Coumadin-Warfarin: oral, long term antocoag green leafy's affect SIDE EFFECTS: bleeding caution w/___ risk activity |
high
|
|
MANNITOL & LASIX:
decrease ____ pressure (ICP) |
intracranial
|
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ISOTONIC SOLUTIONS:
same [] as of solutes as plasma; restores ____ volume NS - NaCl 5% DSW LR - electrolytes |
vascular
|
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HYPERTONIC SOLUTIONS:
NOT for HEAD injury !!! greater [] of solutes than plasma draws fluid out of intracellular & interstitial spaces into vascular compartment 5% dextrose in NS 5% dextrose in NS 5% dextrose in LR |
NOT for HEAD injury !!!
NOT for HEAD injury !!! NOT for HEAD injury !!! |
|
HYPOTONIC SOLUTIONS:
lesser [] than solutes, treats ____ dehydration o.45% in NaCL (half NS) 0.33% in NaCL (1/3 NS) |
cellular
|