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21 Cards in this Set
- Front
- Back
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What is the mechanism of action for all immunosuppressant drugs?
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Selectively suppress certain t-lymphocyte cell lines preventing their involvement in immune response.
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What is the major risk factor for patients on immunosuppressant drugs?
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heightened susceptibility to opportunistic infections.
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What assessments should the nurse include prior to administering Azathioprine, Cyclosporine, or Muromonabe-CD3?
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Renal function, liver function, CV function, CNS baseline assessment, and respiratory assessment.
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What should the nurse advise apatient on how to take how to take oral Cyclosporine with food?
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Take med w/ meals or mixed w/ chocolate milk to prevent GI upset. Avoid taking w/ grapefruit juice.. it increased bioavailability by 20-200%
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What laboratory values should the nurse monitor for patients receiving immunosuppressant drugs?
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Hgb, Hct, WBC, platelets
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A patient is discharged for home and has been prescribed an immunosuppressant drug. What signs and symptoms should the nurse tell the patient to call and report?
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Fever, sore throat, chills, joint pain, or fatigue.. indicates infection.
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What are contraindications to the administration of active immunizing agents?
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current infections, febrile, illnesses, Hx of reactions, pregnancy
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Which immunization would a nurse working in the newborn nursery administer to newborn babies?
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Hepatitis B vaccine
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What immunization is recommended for college students?
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Meningococcus vaccine
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Which drugs are indicated in the treatment of Anthrax?
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fluoroquinolone - Cipro
dixloxacillin doxycycline |
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why can't a baby take oral (OPV) instead of the injection of IPV?
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OPV can cause polio from live virus. IPV is inactivated.
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What is herd immunity?
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Resistance to a disease in an etire community bcz a large portion of the population is immune.
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According to the American Academy of Pediatrics,at what age should infants receive their first dose of DTaP, Hib, IPV, MMR, Varicella, and influenza?
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DTaP: 2 mos
HiB: 2 mos IPV: 2 mos MMR: 12 mos varicella: 12 mos Influenza: 6 mos |
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What should the nurse do to prevent extravasation of an antineoplastic IV?
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asses IV patency often - hourly
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If extravasation of an antineoplastic occurs, what should the nurse do?
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DC the agent, call doc, aspirate any fluid or blood left in tubing, administer antidote through same tubing, then remove IV.
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What signs and symptoms should patients receiving Antineoplastic Agents
report to the physician immediately? |
Black tarry stools, chills, fever, sore throat, bruising, cough, dyspnea, dark or bloody urine, ulcers or white spots in mouth.
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What drugs are used to treat nausea related to Antineoplastics?
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Ondansetron (Zophran)
Metoclopramide (Reglan) Larazepam (Ativan) Dronabinol (Marinol) |
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What laboratory values should the nurse monitor for patients receiving Antineoplastic Agents?
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CBC - WBC, neutrophils inparticular
Biliruben, AST, ALT, BUN, Creatinine, serum uric acid, electrolytes |
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A patient is receiving Methotrexate, what should this patient avoid using?
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NSAIDS, aspirin, sulfa drugs, other antineoplastics, alcohol, theophylline, penicillins, Digoxin, vaccines, oral anticoagulants.
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If toxicity occurs, what drug is antagonist to Methotrexate?
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Leucovarin - protects patient from fatal bone marrow suppression effects
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A patient is receiving Tamoxifen Citrate therapy after receiving mastectomy. At discharge, what foods and fluids should the nurse encourage her to eat at home?
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drink 10-12 glasses of water/day, avoid foods high in citric acid, that are hot or cold, or have a rough texture.
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