Pharm Final

Front 1

Which nursing intervention is priority when a patient is receiving antiviral agents

Back 1

Promoting hydration

Front 2

A patient treated with acyclovir for genital herpes should be instructed that

Back 2

Oral hygiene should be performed several times a day they have a risk of gingival hyperplasia

Front 3

define administration of influenza vaccine to a patient it is important for the nurse to ask the patient if they are allergic to

Back 3

Eggs

Front 4

the patient asked the nurse what part of the body is most affected by HIV virus the nurse informs the patient that HIV primarily affects which system

Back 4

The immune system

Front 5

when providing teaching for a patient being discharged home on antiviral therapy for HIV which statement with the nurse include

Back 5

Do not eat raw fish

Front 6

The nurse identifies which condition as a common bacterial opportunistic infection seen in HIV patients

Back 6

Tuberculosis

Front 7

a healthcare provider has been exposed to HIV while caring for a patient following the post-exposure prophylaxis regimen the health provider will most likely receive treatment for how long

Back 7

4 weeks

Front 8

Tonic clonic grand mal seizure

Back 8

Generalized alternating muscle spasms and jerkiness

Front 9

Absence petit mal seizures

Back 9

Brief loss of consciousness 10 seconds or less usually occurs in children

Front 10

Partial psychomotor seizure

Back 10

Repetitive behavior chewing or swallowing motion behavioral changes motor seizures

Front 11

Phenytoin fosphenytoin action

Back 11

Express sodium influx

Front 12

Valproic acid ethosuximide action

Back 12

Suppress calcium influx

Front 13

Barbiturates benzodiazepines tiagabine action

Back 13

Enhance action of gaba

Front 14

Gabapentin action

Back 14

Promote gaba released

Front 15

Phenytoin Dilantin contraindications and therapeutic serum level

Back 15

Pregnancy 10 to 20 mcg

Front 16

Phenytoin Dilantin side effects

Back 16

Gingival hyperplasia nystagmus headache diplopia dizziness slurred speech decreased coordination alopecia thrombocytopenia and Steven Johnson syndrome

Front 17

Phenytoin Dilantin use

Back 17

Anticonvulsant anti-epileptic

Front 18

Phenytoin Dilantin drug interactions

Back 18

Cimedine sulfonamide folic acid and acid calcium sucralfate antineoplastic antipsychotics primrose ginkgo insulin release anticoagulant oral contraceptives antihistamines dopamine theophylline

Front 19

Nursing interventions for hydrantoins phenytoin Dilantin

Back 19

Shake for 5 minutes monitor serum Warren females to have additional contraception avoid herbs alcohol don't discontinue abruptly dental check-ups glucose level take out the same time everyday pink red brown urine report sore throat bruising nose bleeds causes blood dyscrasia wear a medical alert bracelet

Front 20

Clonazepam

Back 20

Effective in controlling petite malle absence seizures tolerance occurs at 6 months

Front 21

Lorazepam

Back 21

Management of status epilepticus

Front 22

Diazepam use

Back 22

Acute status epilepticus administered IV short-term effect

Front 23

Pregnancy and seizures

Back 23

Seizure episodes increased 25% hypoxia Teratogenic properties inhibit vitamin k increased lots of folate monitor serum levels closely

Front 24

Anticonvulsants and febrile seizures

Back 24

Children 3 months to 5 years diazepam fever

Front 25

Anticonvulsant and status epilepticus

Back 25

Diazepam IV lorazepam phenytoin for continued seizures midazolam or propofol

Front 26

What is the highest nursing priority diagnosis for a patient with phenytoin Dilantin

Back 26

Risk for falls

Front 27

Define ministering a daily dose of phenytoin Dilantin it is most important for the nurse to

Back 27

Check phenytoin levels

Front 28

patient who was discharged three days ago on phenytoin Dilantin therapy for seizure disorder the patient comes to the emergency room experiencing seizures what will be the most valuable to determine the etiology of the return seizures

Back 28

Serum phenytoin levels

Front 29

The patient is experiencing status epilepticus the nurse anticipates administration of which drug

Back 29

Diazepam

Front 30

Which statement will the nurse include when teaching the patient about phenytoin Dilantin therapy

Back 30

should be taken with food or milk

Front 31

Carbidopa levodopa action and side effects

Back 31

Increased mobility side effects include fatigue insomnia dry mouth blurred vision orthostatic hypotension palpitations dysrhythmias urinary retention nausea vomiting dyskinesia psychosis and severe depression

Front 32

Drug interactions for carbidopa levodopa

Back 32

decreased effect with anticholinergic phenytoin tricyclics antidepressants maois and vitamin b phenothiazine benzodiazepine

Front 33

Nursing interventions for dopaminergics like carbidopa-levodopa

Back 33

Orthostatic hypertension administer with food avoid vitamin b6 don't stop abruptly Brown coloration of urine and sweat suicidal tendencies monitor blood cells liver and kidney

Front 34

Donepezil aricept rivastigmine galantamine action

Back 34

Allow more acetylcholine in neuron receptors increase cognitive function acetylcholinesterase inhibitors cholinesterase inhibitors

Front 35

Donepezil aricept

Back 35

Acetylcholinesterase inhibitor prescribed to improve cognitive function for patients with mild-to-moderate Alzheimer's increases the amount of acetylcholinesterase at the cholinergic synapse

Front 36

Donepezil aricept pharmacokinetics and side effects

Back 36

well absorbed unaffected by food highly protein-bound the side effects include headache dizziness depression vertigo insomnia nausea vomiting diarrhea anorexia

Front 37

Patient teaching with donepezil aricept

Back 37

Take at bedtime understand that it's not a cure continue taking even if there is no change may take weeks to improve the baseline arrange for follow-ups tell the doctor all medications they are taking

Front 38

the patient has been diagnosed with Alzheimer's disease the daughter asks the nurse what the cause of Alzheimer's disease is the best response by the nurse is the cause of Alzheimer's disease is

Back 38

unknown

Front 39

Which comment to the nurse indicates more teaching is needed for a patient taking carbidopa levodopa

Back 39

I know I need to take this once a day the patient needs to take it three to four times a day

Front 40

Which side effect of carbidopa levodopa does the nurse realize is most important to monitor

Back 40

Agranulocytosis

Front 41

A patient with Parkinson's disease is being treated with carbidopa levodopa the patient asks the nurse why we need to take both

Back 41

The carbidopa helps the levodopa reach the brain

Front 42

A nurse at an adult day care center notes that the many patients are on Donepezil aricept the nurse knows that the function of this medication is

Back 42

Slow the progression of symptoms of Alzheimer's disease

Front 43

Antipsychotics action

Back 43

Black action of dopamine

Front 44

Phenothiazine block

Back 44

Norepinephrine causing sedative and hypotensive effects early in treatment this is an typical anti-psychotic

Front 45

Butyrophenones block

Back 45

Only the neurotransmitter dopamine this is also an anti-psychotic typical

Front 46

Clozapine

Back 46

This is an atypical antipsychotic effective in treating schizophrenia often used of typical antipsychotics don't work

Front 47

Aliphatic phenothiazine chlorpromazine thorazine side effect

Back 47

Strong sedation severe orthostatic hypotension moderate eps

Front 48

Piperazine phenothiazine fluphenazine prolixin and perphenazine trilafon side effects

Back 48

Lowes sedation strong antiemetic severe eps

Front 49

Piperidine phenothiazine thioridazine hcl mellaril side effects

Back 49

A few eps

Front 50

Fluphenazine prolixin action use and interactions

Back 50

Blocks dopamine receptors in the brain manages symptoms of schizophrenia interactions increased depression when taking alcohol and other CNS depressants kava kava increases eps

Front 51

Fluphenazine side effects

Back 51

sedation dizziness headache seizures dry mouth nasal congestion blurred vision photosensitivity urine retention GI distress peripheral edema tachycardia eps

Front 52

Haloperidol haldol action news

Back 52

Nonohenothiazine blocks dopamine receptors used for psychosis dementia schizophrenia and tourette's syndrome

Front 53

Haloperidol contraindications

Back 53

Narrow angle glaucoma sedation severe liver kidney and cardiovascular disease blood dyscrasia

Front 54

Haloperidol side effects

Back 54

sedation headache seizures EPS dry mouth blurred vision photosensitivity tachycardia orthostatic hypotension dysrhythmias urinary retention

Front 55

Haloperidol interactions

Back 55

Increased sedation with alcohol CNS depressants increased toxicity with anticholinergic decrease effects with phenobarbital carbamazepine and caffeine

Front 56

Extra pyramidal symptoms

Back 56

Parkinsonian syndromes acute dystonia akathisia tardive dyskinesia

Front 57

Neuroleptic malignant syndrome associated with antipsychotics

Back 57

Complicated with rhabdomyolysis acute renal failure respiratory failure and coma treated by withdrawing antipsychotics hydration hypothermic blankets antipyretics benzodiazepines muscle relaxants

Front 58

Clozapine adverse effect nursing interventions

Back 58

Agranulocytosis nurse needs to monitor weekly white blood cell counts

Front 59

Olanzapine side effects

Back 59

Does not cause EPS or agranulocytosis but it does cause headaches dizziness agitation insomnia and somnolence

Front 60

Ziprasidone

Back 60

I am four reserved for acutelly agitated patients 10 to 20 mg as needed up to 40 mg per day rapid onset peak is about 60 minutes

Front 61

Aripiprazole ability advantages and action

Back 61

advantages of effective in treating both positive and negative symptoms of schizophrenia less likely to cause EPS or tardive dyskinesia action is blocking serotonin and dopamine ergic D4 receptors

Front 62

Aripiprazole abilify use cautious use and interactions

Back 62

is used for schizophrenia manic and mixed episodes of bipolar disorder use cautiously with people that have cardiovascular or cerebrovascular disease seizure disorders or diabetes there is interactions with antihypertensives and anti-diabetics

Front 63

Aripiprazole abilify side effects

Back 63

sedation EPS seizures suicidal ideation weight gain weight loss tachycardia bradycardia hypotension hypertension urinary incontinence sexual dysfunction

Front 64

Nursing interventions for antipsychotic drugs

Back 64

monitor vital signs monitor cheeking give oral with food or milk give I am by z track in too deep muscle rotate injection sites do not allow drug trimming in plastic syringe administer drug within 15 minutes of preparation monitor for EPs and MSW WBC urine pink or red 3 to 6 weeks to achieve effectiveness stop smoking don't take with other CNS depressants don't stop abruptly

Front 65

Primary anxiety

Back 65

It is not caused by a medical condition or drug use is managed with short-term anxiolytics

Front 66

Secondary anxiety

Back 66

it is related to selective drug use medical or psychiatric conditions medications are not usually given for secondary anxiety

Front 67

Lorazepam Ativan action and use

Back 67

Inhibit gaba and neurotransmission by binding to specific benzodiazepine receptors it is typically used as an anxiolytic anticonvulsant and for pre-op

Front 68

Lorazepam Ativan side effects

Back 68

Drowsiness dizziness confusion blurred vision weakness restlessness sleep disturbance hallucinations GI distress

Front 69

Lorazepam Ativan interactions

Back 69

Interacts with other CNS depressants cimetidine phenytoin and levodopa smoking kava kava

Front 70

Anxiolytics and withdrawal

Back 70

develops low in 2 to 10 days and may take several weeks withdrawal symptoms include tremor agitation nervousness sweating insomnia anorexia and muscle cramps

Front 71

Nursing interventions for anxiolytics

Back 71

monitor vital signs encourage patient to rise slowly dizziness therapeutic effect 1 to 2 weeks don't drive vehicles 3 to 4 months can develop tolerance monitor for checking one patient not to take other CNS depressants avoid antacids and caffeine kava kava take with meals and don't stop abruptly

Front 72

The nurse realizes more medication teaching is necessary when the 30 year old patient taking lorazepam States

Back 72

I can stop the drug after 3 weeks if I feel better

Front 73

A young woman is treated for psychosis with fluphenazine which sign would indicate the need to add an anticholinergic to the patient's medication regimen

Back 73

Facial grimacing and tongue spasms

Front 74

Assessment finding for a patient with neuroleptic malignant syndrome include

Back 74

Rhabdomyolysis

Front 75

which statement by a patient indicates that more teaching on fantasizing therapy for the treatment of psychosis is needed

Back 75

When I start to feel better I can cut the dose in half

Front 76

a nurse is caring for a patient and an outpatient setting that the patient is currently taking lorazepam for anxiety and her breath smells like alcohol the nurse reports this to the healthcare provider because

Back 76

Taking alcohol with Ativan may increase sedative effects

Front 77

the patient has been diagnosed with neuroleptic malignant syndrome the nurse anticipates administration of which medication

Back 77

Dantrolene dantrium

Front 78

Reactive depression

Back 78

Usually set in onset resulting in precipitating event

Front 79

Major depression

Back 79

Characterized by loss of interest in working ability to complete tasks deep depression

Front 80

St John's Wort

Back 80

Can decrease reuptake of neurotransmitter serotonin norepinephrine and dopamine

Front 81

Ginkgo biloba

Back 81

do you have these and many herbal products should be discontinued 1 to 2 weeks before surgery the patient could check with a healthcare provider regarding herbal supplements

Front 82

Infants and antidepressants

Back 82

use of ssris in late pregnancy poses small risk of neonatal abstinence syndrome characterized by abnormal crying irritability tremer and possible seizures

Front 83

Children and adolescents and antidepressants

Back 83

Antidepressants may increase the risk of suicide especially in the early phase of treatment

Front 84

Pregnant women and antidepressants

Back 84

Use of ssris in late pregnancy May promote persistent pulmonary hypertension of the newborn

Front 85

Breastfeeding and antidepressants

Back 85

Antidepressants are generally safe in breastfeeding women sertraline has been shown to be especially safe

Front 86

Older adults and antidepressants

Back 86

Treatment with ssris and snris are generally sae

Front 87

Tricyclics antidepressants amitriptyline imipramine trimipramine action and use

Back 87

blocks uptake of neurotransmitters norepinephrine and serotonin blocks histamine elevates mood increases interest in adl's decreased insomnia used for major depression and agitated depression

Front 88

Amitriptyline tricyclic antidepressant interaction and side effects

Back 88

Increased interactions with CNS depressants sedation and anticholinergic effects with phenothiazine haloperidol

side effects include sedation dizziness blurred vision dry mouth dry eyes urinary retention constipation weight gain GI distress sexual dysfunction orthostatic hypotension dysrhythmias EPS blood disgracias

Front 89

Selective serotonin reuptake inhibitors such as sertraline Zoloft fluoxetine Prozac action and use

Back 89

Block serotonin reuptake used for major depression anxiety disorders and migraine headaches these are popular because they don't cause sedation hypertension anticholinergic effects or cardiotoxicity as do many tca's

Front 90

Selective serotonin reuptake inhibitor interactions and side effects such as sertraline or fluoxetine

Back 90

interact with alcohol side effects include headache nervousness restlessness insomnia tremors seizures GI distress sexual dysfunction suicidal ideation side effects often decrease after 2 to 4 weeks

Front 91

Serotonin norepinephrine reuptake inhibitors such as duloxetine cymbalta and venlafaxine action use

Back 91

Inhibit serotonin and norepinephrine reuptake duloxetine is used for major depression generalized anxiety fibromyalgia diabetic neuropathy

Front 92

Serotonin norepinephrine reuptake inhibitors snris interactions

Back 92

concurrent interaction with duloxetine and an MAOI may cause serotonin syndrome heavy alcohol use greatly increases risk of liver damage

Front 93

Side effects of duloxetine an snri

Back 93

drowsiness dizziness insomnia headache euphoria blurred vision increased intraocular pressure photosensitivity and erectile dysfunction adverse effects include hyponatremia hypertension increased liver enzymes hepatotoxicity suicidal ideation and Steve Johnson syndrome

Front 94

Loxapine nefazodone trazodone are atypical antipsychotics actions and interactions

Back 94

did fact one or two of the three neurotransmitter serotonin norepinephrine and dopamine do not take with maois and do not use within 14 days after discontinuing maois Trudeau tone may have a potential drug interaction with ketoconazole ritonavir and indivior that may lead to increased levels and adverse effects

Front 95

Maois such as tranylcypromine sulfate isocarboxazid phenelzine sulfate action and use

Back 95

inhibits the enzyme monoamine oxidase resulting in an accumulation of neurotransmitters norepinephrine dopamine epinephrine and serotonin used for depression not controlled by tca's and second generation antidepressants

Front 96

MAOI drug interactions

Back 96

Vasoconstrictors and cold medications containing phelylphedrine and pseudoephedrine can cause a hypertensive crisis. Concurrent use with other antidepressants can lead to a fatal adverse effects

Front 97

Maois and food interactions

Back 97

aged restaurant cheese's cream yogurt caffeine chocolate bananas raisins Italian green beans liver pickled foods cured or smoked meat sausages salami soy products used beer and red wines can cause hypertensive crisis

Front 98

Maois side effects

Back 98

Agitation restlessness insomnia anticholinergic effects orthostatic hypotension hypertensive crisis from tyramine interaction

Front 99

Antidepressant agents nursing interventions

Back 99

Monitor vital signs monitor mood monitor suicidal tendencies monitor seizures warn that foods that contain tyramine can cause hypertensive crisis and courage taking as prescribed avoid alcohol and cold medications take with food to avoid GI distress don't drive avoid stopping abruptly take at bedtime 2 to 4 weeks for a therapeutic response interact with herbs

Front 100

Mood stabilizers for bipolar disorders such as lithium

Back 100

Therapeutic range .5 to 1.5 mil equivalents serum lithium levels greater than two are toxic they act to alter the ion transport and muscles and nerve cells which increases receptor sensitivity to serotonin this is used to treat bipolar psychosis

Front 101

Lithium interactions and side effects

Back 101

Increased lithium level with thiazide methyldopa haloperidol and said's antidepressants theophylline phenothiazineside effects include headache drowsiness dizziness hypertension dysrhythmias restlessness slurred speech dry mouth metallic taste GI distress tremors muscle weakness edema urination increase blood dyscrasias is nephrotoxicity

Front 102

Nursing interventions with lithium

Back 102

monitor vital signs sodium levels monitored drug effectiveness suicidal tendencies monitor urine output renal function test and courage adequate fluid intake take food to decrease GI distress monitor lithium levels every one to two months toxic side effects include persistent nausea vomiting severe diarrhea blurred vision tinnitus ataxia increasing tremors confusion dysrhythmias and seizures tell the patient to wear a medical alert bracelet don't operate vehicles 1 to 2 weeks to take effect avoid caffeine crash diet and said's and diuretics not good for pregnant ladies

Front 103

a patient with reactive depression is order to receive fluoxetine which information will the nurse include when teaching the patient

Back 103

The medication causes headaches and insomnia

Front 104

Define administering an MAOI it is most important for the nurse to assess the

Back 104

Dietary intake

Front 105

Which laboratory test is most important for the nurse to monitor when a patient is receiving lithium

Back 105

Serum electrolytes

Front 106

When providing dietary teaching for a patient taking maois the nurse should teach the patient to avoid which food

Back 106

Yogurt

Front 107

Which advice will the nurse include when teaching the patient about lithium therapy

Back 107

It takes one to two weeks before you can have any benefits from the medication

Front 108

Which statement about amitriptyline does the nurse identify as being true

Back 108

The drug should be discontinued slowly

Front 109

Aspirin

Back 109

Rage syndrome analgesic antipyretic anti-inflammatory decreased platelet aggregation inhibits cox-1 and cox-2 the side effects include gastric irritation tinnitus vertigo bronchospasm and Urticaria

Front 110

Acetaminophen

Back 110

inhibits prostaglandin synthesis relieves pain discomfort and fever maximum dose for grams of day side effects include rash low incidence of GI distress toxic effects include he patted toxicity antidote is acetylcysteine

Front 111

Side effects of opioid analgesics

Back 111

nausea vomiting constipation moderate decrease in blood pressure orthostatic hypotension respiratory distress urinary retention

Front 112

Reversal agent for opioids

Back 112

Naloxone narcan reverses respiratory depressant effects of opiate overdose

Front 113

Transdermal opioid analgesic fentanyl

Back 113

More potent than morphine exercise caution when prescribing fentanyl for patients that weigh less than a hundred pounds

Front 114

Addiction

Back 114

Physical and psychological dependence on substance for psychic effects compulsive use despite harm

Front 115

Tolerance

Back 115

check affect lessons overtime more drug needed to receive same effect tolerance usually develops to side effects also respect for constipation

Front 116

Dependence

Back 116

Exposure to the drug overtime causes physiological changes abruptly stopping the drug will cause withdrawal syndrome

Front 117

Buprenorphine naloxone

Back 117

The opiate receptors in the brain of the attic to become completely bound up with buprenorphine and the effects of any other opiate medication is blocked once the addict is tolerant to the current dosed Suboxone the buprenorphine that is bound to their opiate receptors reduces cravings and prevents the effects naloxone is added to prevent misuse

Front 118

Sedative hypnotics include

Back 118

Barbiturates benzodiazepines non benzodiazepines over the counter sominex Tylenol PM diphenhydramine

Front 119

Side effects of sedative hypnotics

Back 119

Residual drowsiness drug dependence drug tolerance excessive depression respiratory depression and withdrawal

Front 120

Lorazepam and diazepam are also used for and what are their onsets

Back 120

Lorazepam is used for anxiety it's on set of 10 to 15 minutes commonly used in acute care of restless and agitated patients. Diazepam is used for anxiety also on set is 1 to 2 minutes they are painful when they're injected

Front 121

Benzodiazepines as hypnotics action in use

Back 121

Interactions with neurotransmitter gaba to reduce neuron excitability used to reduce anxiety and treat insomnia

Front 122

Sedative hypnotics nursing interventions

Back 122

first used on from a logical method be attentive to safety avoid alcohol take 15 to 45 minutes before bedtime report hangover effect monitor BP and respiratory rate withdrawal gradually

Front 123

Triad of amnesia

Back 123

Asleep pain free and still

Front 124

Stages of general anesthesia

Back 124

Stage 1 analgesia conscious and rational perception of pain is diminished. stage 2 excitement or delirium unconscious body responds reflexively and irrationally breath holding pupils dilated muscle tone interaction. Stage 3 surgical increasing degrees of muscular relaxation unable to protect airway. Stage 4 medullary paralysis depression of cardiovascular and respiratory centers

Front 125

Inhalation anesthetics such as methoxyflurane isoflurane desflurane

Back 125

usually combined with a barbituate a strong analgesic and a muscle relaxant adverse effects include respiratory depression hypertension dysrhythmias hepatic dysfunction and malignant hyperthermia

Front 126

Ketamine hydrochloride

Back 126

Dissociative State trans like state or detached feeling causes hypnosis amnesia and potent analgesia does not cause respiratory distress can still protect airway can produce emergence delirium hallucinations and unpleasant dreams premedicate with benzodiazepine to reduce adverse effects nursing care post-procedure should be minimizing stimulation

Front 127

Midazolam versed and propofol

Back 127

induction and maintenance of anesthesia or conscious sedation for minor surgery or procedures like mechanical ventilation or intubation patients are sedated and relaxed but responsive to commands

Front 128

Midazolam

Back 128

Good for amnesia sedation twice as potent as diazepam can depress respiration with the use of opioids

Front 129

Antidote for midazolam

Back 129

Flumazenil antagonist CNS depressant effects of benzos no effect with other CNS depressants onset is 1 to 2 minutes peak is 6 to 10 minutes dose .2mg

Front 130

Propofol action use

Back 130

actions not known produces amnesia no analgesic properties rapid onset short-duration used for maintenance of balance anesthesia minutes of monitored anesthesia care sedation of intubated mechanically ventilated patients

Front 131

Propofol other stuff

Back 131

dilate peripheral vascular leading to decrease blood pressure may be significant in patients with blunted sympathetic response short. Of apnea after I ministration IV only venous irritation and burning maybe mixed with lidocaine

Front 132

Procaine hydrochloride

Back 132

Used in dental procedures

Front 133

Lidocaine hydrochloride

Back 133

Prevent initiation and conduction of nerve impulses moderate length of action

Front 134

Anesthetics potential adverse effects

Back 134

respiratory depression requiring mechanical ventilation prolonged hypotension pre-op respiratory depression and cardiovascular insults increased risk with chronic respiratory problems cardiac problems significant obesity

Front 135

Nursing interventions with anesthetics

Back 135

support respiratory function prevent aspiration keep the patient warmonitor level of consciousness monitor vital signs monitor urine output administer analgesics

Front 136

Which nursing intervention would be most appropriate for a patient taking temazepam

Back 136

Tell the patient to ask for help when standing

Front 137

an older adult complains of insomnia which suggestion would be most appropriate for the nurse to provide as an initial method to deal with the issue

Back 137

Drink warm milk or chamomile tea before bed

Front 138

The most serious adverse effect of spinal anesthesia

Back 138

Respiratory depression distress

Front 139

Which drug is commonly used for conscious sedation

Back 139

Midazolam versed

Front 140

Cyclobenzaprine flexeril

Back 140

action relaxed skeletal muscles act at brainstem level of structurally similar to tri cyclic antidepressants used to alleviate muscle spasms associated with acute painful musculoskeletal conditions unlabeled use for fibromyalgia side effects include anticholinergic effects drowsiness dizziness headache fever abdominal pain vomiting diarrhea flatulence and erectile dysfunction

Front 141

Nursing interventions for skeletal muscle relaxants

Back 141

Take with food monitor liver function check vital signs advise patient not to drive and for impatient that centrally acting muscle relaxant should be prescribed longer than 3 weeks do not stop taking the medication abruptly avoid alcohol

Front 142

A patient with myasthenia Travis comes to the emergency department in respiratory distress he has been diagnosed with myasthenic crisis the nurse anticipates the administration of which drug

Back 142

neostigmine

Front 143

The patient is prescribed pyridostigmide to avoid development of myasthenic crisis in the future the nurse should include which information for the patient

Back 143

It may take 2 to 3 days before improvement of symptoms

Front 144

The patient diagnosed with myasthenia gravis several weeks ago is admitted to the emergency room for a cholinergic crisis the nurse anticipates administration of

Back 144

Atropine sulfate

Front 145

a patient with multiple sclerosis is being treated with a large dose of corticosteroids which nursing diagnosis would be the priority

Back 145

Risk for infection

Front 146

A child with cerebral palsy is order to receive baclofen the nurse is aware that this medication is prescribed for

Back 146

Reduce muscle spasticity