Pharm Final

Front 1

IM Injections sites?

Back 1

ventrogluteal
vastus lateralis
deltoid

Front 2

SQ Injections Sites?

Back 2

outer aspect of upper arms
middle 2/3rds of anterior thigh
subscapula area of upper back
upper dorsogluteal and ventrogluteal area
andominal above the iliac crest and below diaphragm, 1.5 to 2 in from belly button

Front 3

ID volume that can be used

Back 3

0.1 to 0.2 ml

Front 4

Volume used for SQ?
What meds are usedSQ
Aspirate-Y or N
Degree of angle SQ?

Back 4

Insulin, heparin, vitamins, vaccines
amounts--0.5 to 1 ml
Aspirate- NO
45-90

Front 5

IM volume to be injected?

Back 5

2 to 3 ml recommended but can go up to 4ml

deltoid and triceps should only have 1 ml

Front 6

Size of needle and syringe for ID?

Back 6

tuberculin or 1 ml syringe
with 26 to 27 gauge, 3/8 to 5/8 needle

Front 7

How to inject ID?
Aspirate-Y or N?

Back 7

Bevel up at a 10-15 degree angle
Aspirate-NO

Front 8

Size of needle and syringe SQ?

Back 8

Syringe-1-3 ml
Needle-23-25 gauge, 1/2-5/8 needle
HEPRIN-3/8-25-26 gauge needle

Front 9

IM injection needle, gauge size

Aspirate- Y or N?
Angle?

Back 9

20-23 gauge
1-1.5 in needle

Aspirate-Yes
90 degree

Front 10

6 Rights of Administration

Back 10

Person
Time
Med
Dose
Route
Documentation

Front 11

Define Anaphylaxis?

Back 11

acute allergic responce to an antigen that results in severe hypotension and may lead to life threatening shock if untreated

Front 12

How is anaphylaxis treated

Back 12

epinephrine

Front 13

Sx of anaphylaxis

Back 13

anxiety, bronchoconstriction, wheezing, dyspnea, cyanosis, hives, facial edema, hypotension

Front 14

Where are drugs metabolized at ?

Back 14

liver (main site) kidneys and cells of intestinal tract have high rate

Front 15

Name routes of administration?

Back 15

Enteral (oral)
Topical
Parenteral

Front 16

Name Enteral routes?

Back 16

Tablets, capsules, liquid
sublingual
buccal
nasogastric--gastrostomy

Front 17

Name Topical routes?

Back 17

Dermatologic
Instillations
Irrigations
Inhalations

Front 18

Where can a topical be administered to

Back 18

eyes, ears, nose, respiratory tract, urinary tract, vagina and rectum

Front 19

Name Parenteral Routes

Back 19

intradermal, subcutanous, intramuscular and IV

Front 20

Name Insulins?

Back 20

Insulin Analogs
Insulin Mixtures
Short Acting
Intermediate Acting
Long Acting

Front 21

Name Insulin Rapid

Back 21

NovoLog (aspart)
Humalog (lispro)

Front 22

Name Insulin Mixtures

Back 22

Humulin 70/30 NPH/Reg
Novolin 70/30 NPH/Reg
50/50 NPH/Reg

Front 23

Name some Reg Insulin
Short Acting

Back 23

Humulin R
Novolin R

Front 24

Name some Intermediate Insulins

Back 24

Humulin N
Novolin N

Front 25

Name Long Acting insulin

Back 25

Ultralente

Long acting Basil-Lantus (glargine)
give at HS, no peak

Front 26

Onset, Peak, Duration of NPH
Color?

Back 26

Onset--1-4 hours
Peak--6-10 hours
Duration-12-16 hours
Cloudy

Front 27

When is NPH is administered

Back 27

30 minutes before meals

Front 28

Onset, Peak, Duration of Reg
Color

Back 28

Onset-30-60 mins
Peak-2-3 hrs
Duration- 3-6 hrs
clear

glucose drops late morning

Front 29

Onset, Peak, Duration of Rapid
Color

Back 29

Onset-10-15 mins
Peak-1 hr
Duration-under 5 hrs
Clear

Front 30

When do you administer Rapid

Back 30

10-15 mins before meals to avoid hypoglycemia

Front 31

Onset, Peak, Duration of Long

Back 31

Ultralente Lantus
onset-4-8 hrs onset-1-2 hours
peak-10-30 hrs peak-none
duration-36 hrs Duration-24 hrs
is a zinc suspension

Front 32

When is highest risk of hypoglycemia long

Back 32

early am before breakfast day after administered

Front 33

24 hour glargine (Lantus)
onset
duration
Time administered
Color

Back 33

onset-1-2 hrs NO PEAK
duration-24 hrs
Admin at HS
Clear

Front 34

Premix Insulin
Onset
Peak
Duration
Risk for hypoglycemia

Back 34

onset-reg 30-60 rap 0-15 min
peak-2-10 hrs
duration-12-16 hrs
midafternoon

Front 35

Insulin---
needle angle
sites
fastest area for absorptions
aspirate or message? y or n

Back 35

90 degree
abd, arms, legs, back, butt,
abd is fastest
NO aspirate, message

Front 36

Insulin syringe and needles

Back 36

syringes- 1, 0.3, 0.5 ml
needle- 8-12.7 mm

Front 37

which dm pts need insulin

Back 37

type 1 and some type 2

Front 38

Pyridium indication

Back 38

Provides relief from the following urinary tract symptoms, assoc. with infection or following urologic procedures: Pain, Itching, Burning, Urgency, Frequency.

Front 39

Pyridium Action

Back 39

Acts on the urinary tract mucosa to produce analgesic or local anesthetic effects.
Has no antimicrobial activity.
Diminished urinary tract discomfort.

Front 40

Pyridium Contraindictions

Back 40

Hypersensitivity
Glomerulonephritis
Severe hepatitis, uremia, or renal failure
Renal insufficiency

Use Cautiously in:
Hepatitis
Pregnancy or lactation

Front 41

Pyridium SE

Drug Interactions

Back 41

bright-orange urine

NONE

Front 42

Rhogam Indication

Back 42

IM IV: Administered to Rh negative patients who have been exposed to Rh positive blood by: Pregnancy or delivery of a Rh-positive infant,

Front 43

Rhogam Action

Back 43

Prevent production of anti-Rh antibodies in Rh-negative patients who were exposed to Rh-positive blood.
Therapeutic Effects: Prevention of antibody response and hemolytic disease of the newborn in future pregnancies of women who have conceived a Rh-positive fetus. Prevention of Rh sensitization following transfusion accident.

Front 44

Rhogam Countraindiction

Back 44

Prior hypersensitivity reaction to human immune globulin

Front 45

Rhogam SE

Back 45

dizziness, headache.
hypertension, hypotension.
rash.
diarrhea, nausea, vomiting. anemia, intravascular hemolysis arthralgia, myalgia.
pain at injection site. fever.

Front 46

Rhogam Drug Interactions

Back 46

May decrease antibody response to some live-virus vaccines (measles, mumps, rubella).

Front 47

Rhagam Administration

Back 47

26-28 wk pregnancy
72 hrs of delivery

Front 48

Digoxin Indication

Back 48

Treatment of CHF.
Atrial fibrillation and atrial flutter, Paroxysmal atrial tachycardia.

Front 49

digoxin action

Back 49

Increases the force of myocardial contraction.
Prolongs refractory period of the AV node.
Decreases conduction through the SA and AV nodes.
Therapeutic Effects: Increased cardiac output and slowing of the heart rate

Front 50

Digoxin Countraindication

Back 50

Hypersensitivity
Uncontrolled ventricular arrhythmias
AV block
Idiopathic hypertrophic subaortic stenosis
Constrictive pericarditis
Known alcohol intolerance

Front 51

digoxin SE

Back 51

fatigue, headache, weakness.
blurred vision, yellow or green vision.
ARRHYTHMIAS, bradycardia,
anorexia, nausea, vomiting, diarrhea.

Front 52

digoxin interaction

Back 52

Thiazide, loopdiuretics, benzodiazepines, quinidine, quinine, verapamil, St. John's wort

Front 53

What should be assessed before giving digoxin

Back 53

apical pulse for 1 full min before administering. Withhold dose and notify physician if pulse rate is <60 bpm in an adult, <70 bpm in a child,

Front 54

Aspirin (SALICYLATES)
Class

Back 54

antipyretics, nonopioid analgesics

Front 55

Aspirin Indications

Back 55

Mild to moderate pain.
Fever.
Aspirin: Prophylaxis of transient ischemic attacks and MI.

Front 56

Aspirin Action

Back 56

Produce analgesia and reduce inflammation and fever by inhibiting the production of prostaglandins. Decreases platelet aggregation.

Front 57

Aspirin Counterindication

Back 57

Hypersensitivity to aspirin, Cross-sensitivity with other NSAIDs, Bleeding disorders or thrombocytopenia, Children or adolescents with viral infections,

Front 58

Aspirin SE

Back 58

tinnitus. GI bleeding, nausea, abdominal pain, anorexia, dizziness, drowsiness increased bleeding time.

Front 59

Aspirin Intractions

Back 59

warfarin, heparin, heparin-like agents, thrombolytic agents, Ibuprofen, cefoperazone, cefotetan, and valproic acid, diuretics, and antihypertensives. chamomile, clove, feverfew, garlic, ginger, ginkgo, Panax ginseng,

Front 60

Nitro class

Back 60

antianginals

Front 61

Nitro Indication

Back 61

Acute and long-term prophylatic (oral, buccal, transdermal) management of angina pectoris. PO: Adjunct treatment of CHF .
IV: Adjunct treatment of acute MI.
Treatment of CHF associated with acute MI.

Front 62

Nitro Action

Back 62

Increases coronary blood flow by dilating coronary arteries and improving collateral flow to ischemic regions.
Produces vasodilation. Decreases left ventricular end-diastolic pressure and left ventricular end-diastolic volume (preload).
Reduces myocardial oxygen consumption.

Front 63

Nitro Countraindications

Back 63

anemia
pericarditis
Concurrent use of sildenafil.
Use Cautiously in:
Head trauma or cerebral hemorrhage
Glaucoma Hypertrophic cardiomyopathy
Severe liver impairment

Front 64

NItro SE

Back 64

dizziness, headache, hypotension, tachycardia, flushing, tolerance.

Front 65

Nitro interactions

Back 65

sildenafil, tadalafil, and vardenafil antihypertensives, alcohol, beta blockers, calcium channel blockers, phenothiazines.

Front 66

Dilantin class

Back 66

antiarrhythmics, anticonvulsants

Front 67

Dilantin Indication

Back 67

Treatment/prevention of tonic-clonic (grand mal) seizures and complex partial seizures.

Front 68

Dilantin Action

Back 68

decreases cellular ion transport and may decrease synaptic transmission of abnormal impulses

Front 69

Dilantin counterindications

Back 69

Cardiac issues, Hypersensitivity, alcohal intolerance, liver and renal disease, resp disease

Front 70

Dilantin SE

Back 70

ataxia, diplopia, nystagmus. tachycardia.
nausea, rash, pruritus.

Front 71

Lasix Class

Back 71

loop diuretics

Front 72

Lasix Indication

Back 72

Edema due to heart failure, hepatic impairment or renal disease.
Hypertension.

Front 73

Lasix Action

Back 73

Blocks the reabsorption of sodium and chloride in the loop of henle

Front 74

Lasix counterindications

Back 74

Cross-sensitivity with thiazides and sulfonamides may occur
Hepatic coma or anuria
Use Cautiously in:
Severe liver disease Electrolyte depletion
Diabetes mellitus

Front 75

Lasix SE

Back 75

dehydration, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis.

Front 76

Lasix Interactions

Back 76

antihypertensives, nitrates, or acute ingestion of alcohol.
diuretics, stimulant laxatives, and corticosteroids.

Front 77

Mag sulfate class

Back 77

mineral and electrolyte replacements/supplements

Front 78

Mag sulfate Indication

Back 78

Treatment/prevention of hypomagnesemia.
Treatment of hypertension.
Anticonvulsant associated with severe eclampsia, pre-eclampsia, or acute nephritis.

Front 79

Mag sulfate Action

Back 79

Essential for the activity of many enzymes.
Plays an important role in neurotransmission and muscular excitability.
Therapeutic Effects: Replacement in deficiency states. Resolution of eclampsia.

Front 80

Mag Sulfate Counterindications

Back 80

Hypermagnesemia
Hypocalcemia
Anuria
Heart block
Active labor or within 2 hr of delivery (unless used for preterm labor).
Use Cautiously in:
Any degree of renal insufficiency
Digitalized patients.

Front 81

Mag Sulfate SE

Back 81

drowsiness. decreased respiratory rate.
arrhythmias, bradycardia, hypotension. diarrhea.
muscle weakness. flushing, sweating.
hypothermia.

Front 82

Mag Sulfate Interactions

Back 82

Potentiate calcium channel blockers and neuromuscular blocking agents.

Front 83

New borns need to be monitored for what with mag sulfate

Back 83

hypotension, hyporeflexia, and respiratory depression

Front 84

Insulin class

Back 84

antidiabetics,

Front 85

Pyridium class

Back 85

nonopioid analgesics
Pharmacologic: urinary tract analgesics

Front 86

Rhogam glass

Back 86

vaccines/immunizing agents
Pharmacologic: immune globulins

Front 87

Digoxin Class

Back 87

antiarrhythmics, inotropics
Pharmacologic: digitalis glycosides

Front 88

Nicotinic Acid Class

Back 88

lipid-lowering agents,
B class vitamins

Front 89

Nicotinic Acid Indication

Back 89

Treatment and prevention of niacin deficiency (pellagra).
Adjunctive therapy in certain hyperlipidemias (niacin only).

Front 90

Nicotinic Acid Action

Back 90

Vit B in low doses
Lipid lowering agent used in high doses

Decreases VLDL, LDL, triglycerides and increasing HDL

Front 91

Nicotinic Acid counterindication

Back 91

Diabetes mellitus. car raise fasting glucose levels
History of gout and liver disease
PUD

Front 92

Nicotinic Acid SE

Back 92

Flushing and hot flashes happen in almost all, nausea, gas, diarrhea are common.
Gout and hepatotoxicity

Taking aspirin 30 mins taking this med reduces flushing

Front 93

Nicotinic Acid Interactions

Back 93

HMG-CoA reductase inhibitors.

Front 94

Name a generic name for nicoinic acid

Back 94

Niacin

Front 95

Nicotinic Acid Nursing

Back 95

take aspirin 30 before reduces flushing/puritis
no high doses
take with cold water. hot increases flushing
take with or after meals

Front 96

Report what to HCP with Nicotinic Acid

Back 96

flank, joint, stomach pain.
skin color change
yellow eyes

Front 97

Dililantin Nursing

Back 97

with food or at meals to decrease GI upset
monitor LOC changes
monitor blood glucose
monitor gingival hyperplasia
Predispose PG mom to eclampsia. NEVER give IM
Bleeding issues with depakoe