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36 Cards in this Set
- Front
- Back
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Sodium Bicarbonate is useful to correct...
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metabolic acidosis
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Sodium bicarb is contraindicated for clients with...
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PUD
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What is the normal level for Calcium?
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9.0-10.5
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Some foods that decrease calcium absorbtion are...
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spinach, bran muffins, rhubarb,
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What are some examples of SERMS and what is there use?
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Evista, Nolvadix and they are used for postmenopausal osteoporosis and protection against breast cancer
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Fosamax Boniva and Actonel are all used for what?
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paget's disease and osteoporosis
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What is a side effect of Fosamax?
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esophagitius which is why clients should sit up for 30 min after taking medication
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What is a contraindication of Fosamax?
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GERD
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What does progesterone do and what are some examples of names and uses?
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Progesterone induces favorable conditions for the fetus. When these levels drop, menstruation occurs.
Drugs: Provera, Micronor, and Megace Uses: dysfunctional bleeding due to hormonal imbalance, amenorrhea due to hormonal imbalance, endometriosis |
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What are the contraindications of progesterone?
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breast cancer, pregnancy, cardio disease, undiagnosed vag bleeding
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These oral contraceptives thicken cervical mucus and make the lining of the endometrium thicker which does not work as well for implantation.
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Ovcon 35
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Contraindications of Ovcon include:
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over 35 and smoker
cardio events in past prego fam history/risk of breast cancer |
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Do not take oral contraceptives with
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Tegretol, Dilantin, Rifampin, Tetracyclines, and ampicillin
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What is leuprolide and what does it do?
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synthetic-luteinizing hormone that results in a lowered testosterone level and a lower uterine fibroid growth level. it is used for advanced prostate cancer and endometriosis
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What does tomxifen and SERMS (selective estrogen receptor medulators) do?
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compete with estrogen resulting in reduced esrogen effects. Used for breast cancer and breast cancer prevention in high risk clients
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What is Viagra and what does it do?
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enhances blood flow meaning longer penile erection--used for erectile dysfunction
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Contraindications of Viagra include...
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taking nitro!
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When should Viagra be taken?
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approx one hour before sexual activity and only once a day
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If a 28 year old female client is put on ampicillin for an infection she has, what should the nurse think to assess/discuss?
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Is this client on birth control? If so, tell her the contraceptive will have a decreased effectiveness while she is on the antibiotic
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I.D. factors that contraindicate the use of birth control pills and why?
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thromobyltic disorders-hypercoaguability
cancer-stimulates tumor growth HTN- increased angiotensin and retention of sodium and water and women over 30 who smoke-increased platelet aggregation |
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What would be indicated for the relief of postmenopausal symptoms?
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Premarin (estrogen)
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What can you use for concious sedation?
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versed
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What type of sedation is safe for children? What happens if adults take it?
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Ketalar; if adults take it they can have strange dreams and psychotic effects
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How should versed be given?
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very slowly over at least 2 min to decrease the side effects
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What are some examples of conventional antipsychotics?
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Haldol Thorazine
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What are some indications that you should take Haldol?
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depression, bipolar, schiz delusions, tourrettes,
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What are some atypical antipsychotics?
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abilify, risperidal, clozapine, zyprexa
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Why would a client take abilify?
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because it has less side effects than haldol or thorazine but greater effectivity on negative symptoms
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What are TCA's used for?
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depression and bipolar
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What are SSRIs used for?
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PTSD, bulimia, anxiety, panic disorders, depression
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What are some side effects of SSRIs?
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serotonin syndrome 2-72 hrs
sexual dysfunction, weight gain, rash, hypernatremia, |
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What are MAOIs used for?
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depression and bulimia OCD
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What foods cannot be eaten if you take an MAOI?
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foods high in tyramine cheese red wine dairy etc
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What atypical antidepressant is used for depression and smoking cessation?
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Wellbutrin
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What are some mood stabilizers?
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Depakote, tegretol, and lithium carbonate
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What is the difference between atypical antipsychotics and conventional?
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conventional-haldol, thorazine
atypical- clozapine abilify atypical have a lot less side effects (EPS! yikes) and are more effective in treating negative symptoms |
