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47 Cards in this Set
- Front
- Back
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side effects of benodiazepines
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drowsiness, hangover, sedation, and lethargy
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nursing intervention for diazepam
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assess for effiveness and side effects
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cannabinoids- antiemetics
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marinol(mariguanna)
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cannabinoids action-
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inhibits pathways to the vomiting center
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cannabinoids are given how?
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PO
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cannabinoids side effects
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depression, paranoia, dreaming, hallucinations, distortion of perception
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nursing interventions for cannabinoids-antiemetic
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instruct pt not to drive, operate machinery, or engage in any hazardous activity
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antiemetic- corticosteroids
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decadron-action unknown
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ways to give decadron-corticosteroid
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PO, IM, IV
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side effects of decadron-corticosteroid
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infrequent
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antiemetic-anticholinergic agents-
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scopolamine transdermal patch
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scopolamine transdermal patch action
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counterbalance acetycholine
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scopolamine transdermal patch side effects
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sedative effect
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scopolamine transdermal patch nursing interventions
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effectiveness, side eeffects
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Hormones
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megace
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phenothiazines-antiemetic
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thorazine, compazine, torecan
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phenothiazine-thorazine, compazine, torecan--action
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treatment for mild to moderate nausea and vomiting by inhibiting dopamine receptors
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serotonin antagonists-anzemet, kytril, zofran
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blocks 5-HT3 serotonin receptors to control nausea and vomiting
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serotonin anatagonists- anzemet, kytril, zofran side effects
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headache, diarrhea, constipation sedation
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anzemet, kytril, zofran- nursing interventions
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assess for side effects and effectiveness of med
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side effect of phenothiazines
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may suppress cough reflex
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nursing inrevention for phenothiazines
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ensure pt doesnt aspirate vomitus
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diazepam action
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sedation, reduction in anxiety, depression of the vomiting center
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side effects of diazepam
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drowsiness, hangover, lethargy
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hormone
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megace
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meace-hormone action
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used to slow the growth of hormone-dependent tumors by blocking substances needed for tumor growth
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side effect of megace-hormone
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thrombotic clot disorders, fluid retention
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hormone antagonist-goserlin, nolvadex -action
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antagonists compete with endogenous hormones
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uses of hormones-megace
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endometrial carcinoma
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nursing intervention for megace-hormone
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baseline weight, VS, esp BP, discuss birth control methods and sperm storage, I and O daily wt, check baseline electrolytes-baseline calcium level-educate-development of secondary sexual characteristics, wt gain, and other side effects
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hormone antagonist goserelin, nolvadex, tamoxifen -uses
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prostate cancer andbreast cancer
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aromatase inhibitors -letrozole-action
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blocks the enzyme aromatase decreasing estrogen levels-given PO
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uses for letrozole-
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used in postmenopausal women with advanced breast cancer beyond tamoxifen trwatment.
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when to give tamoxifen, nolvadex, or goserlin
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after treatment of breast surgery-may have increased bone pain-keeps cancer from reoccurring
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tamoxifen, nolvadex or golserlin may cause?
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sexual disturbances-like hair growth in women and breast growth in men-given IM, SQ, PO
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colony-stimulating factors-procrit, epogen-action
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stimulates production of red blood cells
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colony-stimulating factors-procrit, epogen side effects
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seizures, H/A, hypertension
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colony-stimulating factors-procrit, epogen nursing interventions
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monitor BP before and throughut treatment-given SQ and IV
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aranesp- colony stimulating factors-action
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stimulates the bone marrow to make more red blood cells
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aranesp- colony stimulating factors side effects
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peripheral edema, fatigue, fever, chest pain, H/A, hypertension
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aranesp- colony stimulating factors nursing interventions
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VS, cardiac assessment, lab data
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neupogen, neulasta- colony stimulating factors actions
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stimulates production of white blood cells
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neupogen, neulasta- colony stimulating factors side effects
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bone pain
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neupogen, neulasta- colony stimulating factors nursing interventions
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monitor heart rate, BP, and respirations before and during tx, assess for bone pain, monitor lab values
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neumega- colony stimulating factors actions
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stimulates the production of platelets at the stem cell level
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neumega- colony stimulating factors side effects
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dizziness, H/A, cough, dyspnea, atrial fibrillation, edema, palpitations
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neumega- colony stimulating factors nursing interventions
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baseline VS, assess for fluid retention, peripheral edema, monitor lab values
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