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84 Cards in this Set

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Is O2 a med?
Is O2 a med?

Yes
what does hazard mean?
what does hazard mean?

Something Dangerous
(Like black widow, poison, something hazardous)
what do we do first prior to doing anything else for a pt with pneumonia?
what do we do first prior to doing anything else for a pt with pneumonia?

Give them Oxygen 2-3L
why do you explain the rules of oxygen safety to pt. with oxygen therapy?
why do you explain the rules of oxygen safety to pt. with oxygen therapy?

It can explode. Tell them not to smoke, or drop them so they don’t blow up
What does the word Frayed mean?
What does the word Frayed mean?

Coming apart
could a frayed cord spark O2?
could a frayed cord spark O2?

Yes
if you saw a pack of cigs on a night stand of a pt who has O2, what would you do?
if you saw a pack of cigs on a night stand of a pt who has O2, what would you do?

- look for lighter
- confiscate the lighter
Why do we consider Candles, Cigarettes, and Frayed cords to be a hazard?
Why do we consider Candles, Cigarettes, and Frayed cords to be a hazard?

Because they can cause a fire and explode
what types of pt are on Oxygen therapy?
what types of pt are on Oxygen therapy?

Emphysema, COPD, asthmatic, pneumonia, heart pt, ventilator pt
(Know all the reason)
What is Cyanotic?
What is Cyanotic?

- blue
cyanosis (bluish discoloration of the skin and mucous membranes due to not enough oxygen in the blood)
Do Nasal Cannula pt receive 100% O2?
Do Nasal Cannula pt receive 100% O2?

no!! Mixed with room air
Why do we only administer 2-3 Liters of O2 to pt’s, unless we know what there respiratory status is?
Why do we only administer 2-3 Liters of O2 to pt’s, unless we know what there respiratory status is?

- More O2 can cause a Decreased respiratory drive
What does Intractable cough cause?
What does Intractable cough cause?

continuous (consistent) coughing that causes: no breathing and exhaustion
What type of drug is Dextromethorphan?
What type of drug is Dextromethorphan?

Antitussives Dextromethorphan (Robitussin) chemically related to codeine; taken every 4-8 hours
Pt on Robitussin & Codeine is at risk for what & why?
Pt on Robitussin & Codeine is at risk for what & why?

- at risk for respiratory depression
- Respiratory depression because the codeine is a CNS depressant
pt who have coughing that disrupts sleep or makes them exhausted are given what kind of cough suppressant? (the most commonly used one)
pt who have coughing that disrupts sleep or makes them exhausted are given what kind of cough suppressant? (the most commonly used one)

- Robitussin- Guaifenesin
1 tsp = 5mL
1 tsp = 5mL
what does Antitussive mean?
what does Antitussive mean?

- slows down the cough
- works against the cough
What type of drug is Tessalon (benzonatate)?
What type of drug is Tessalon (benzonatate)?

Peripheral Acting Antitussive - works on the stretch receptors in the lungs
(FYI: anesthetize stretch receptors in the resp. passages.)
What class drug is hydrocodone?
What class drug is hydrocodone?

- opioid antitussive
when do you not give an antitussive?
when do you not give an antitussive?

- when pt has a PRODUCTIVE cough
What is a common S/E of (any) Antitussives that you would tell your pt to monitor?
What is a common S/E of (any) Antitussives that you would tell your pt to monitor?

- Drowsiness/
- N/V
- Headache (codeine)
- Can’t pee
- Constipation
What type of drug is Mucomyst (aka acetylcysteine)?
What type of drug is Mucomyst (aka acetylcysteine)?

Works on the mucus
loosens secretion
It is a Mucolytic
What do you do if you're giving mucomyst to a pt w/ a trach?
What do you do if you're giving mucomyst to a pt w/ a trach?

-Suction-
Acetylcysteine (mucomyst) when given into a tracheostomy tube requires a suction machine at the bedside for immediate removal of secretions
What adverse effect would you monitor for a pt on mucolytic drugs?
What adverse effect would you monitor for a pt on mucolytic drugs?

- Bronchospasms
what does intubate mean?
what does intubate mean?

Put a tube down the airway
Besides mucolytic, what other use is mucamyst for?
Besides mucolytic, what other use is mucamyst for?

Antidote for a Tylenol overdose
How do you give mucamyst to a trach pt?
How do you give mucamyst to a trach pt?

- give it directly through the trach
(Acetylcysteine maybe directly instilled into a tracheostomy tube)
does robitussin AC have codeine?
does robitussin AC have codeine?

Yes
while taking robitussin you teach pt to do what to loosen secretions?
while taking robitussin you teach pt to do what to loosen secretions?

drink fluids- increase humidity- walk around
how does robitussin AC work?
how does robitussin AC work?

Robitussin liquifies the mucous and codeine suppresses cough
What is seasonal rhinitis?
What is seasonal rhinitis?

allergies (inflammation of nasal passages)
What is Clarinex?
What is Clarinex?

2nd generation antihistamine
What is a common S/E of Clarinex?
What is a common S/E of Clarinex?

drowsiness (take at night so you don’t get tired during the day)
What type of drug is Afrin?
What type of drug is Afrin?

nasal spray (topical), (Decongestant), short term drug
What is Clarinex for?
What is Clarinex for?

for seasonal allergies
What is rebound nasal congestion caused from?

What does rebound from nasal congestion mean?
What is rebound nasal congestion caused from?

- overuse of nasal sprays

What does rebound from nasal congestion mean?

- Congestion is coming back into the nose
If pt’s antihistamines make them drowsy, what is your advice?
If pt’s antihistamines make them drowsy, what is your advice?

Take it at night (before going to bed)
Pt is having acute asthmatic attack, what is the drug of choice?

Why?
Pt is having acute asthmatic attack, what is the drug of choice?

- bronchodilators

Why?

- Because they are opening up your airway
What type of drug is Albuterol?
What type of drug is Albuterol?

- Bronchodilator
(#1 drug of choice for asthma pt’s)
how do you administer EPI to pt having asthma attack with bronchospasm?
how do you administer EPI to pt having asthma attack with bronchospasm?

SubQ, using TB syringe
(epi is a bronchodilator. AKA: adrenalin)
What type of drug is Alupent?
What type of drug is Alupent?

- Short Acting B2 (Beta) Adrenergic Agonist Bronchodilator
What type of drug is AminoPhylline
What type of drug is AminoPhylline

- Xanthine Derivative Bronchodilator
Why do we teach pt’s on B2 (beta adrenergic blocker) to take last does a few hours before bed?
Why do we teach pt’s on B2 (beta adrenergic blocker) to take last does a few hours before bed?

- causes insomnia b/c it’s a B2 bronchodilator
What is a common S/E you would expect in IV AminoPhylline?
What is a common S/E you would expect in IV AminoPhylline?

- s/e: Tachycardia
What is slow Theophylline?
What is slow Theophylline?

- It’s a Xanthine derivative Bronchodilator
Can you drink large amounts of caffeine on bronchodilator (xanthine derivative)? Why?
Can you drink large amounts of caffeine on bronchodilator (xanthine derivative)? Why?

- NO
- B/c caffeine is a bronchodilator. Causes cardiac problems due to double dosing
what is the normal Theophylline lab values?

If the lab levals are elevated, what do you do?
what is the normal Theophylline lab values?

10-20 mcg

If the lab levals are elevated, what do you do?

Stop the drug & notify the MD
When taking Theophylline, what abnormal S/E do we advise the pt to call there PCP about?
When taking Theophylline, what abnormal S/E do we advise the pt to call there PCP about?

- tinnitus
- Tachycardia
- severe cramping
- seizures
- urticaria
- dizziness
If Theophylline levels are high (beside stop the drug) what do you do?
If Theophylline levels are high (beside stop the drug) what do you do?

- call MD
- pt could become tachycardic
- heart speeds up and give heart attack
Q1. what does corticosteroid inhaler do? (ICS)

Q2. post corticosteroids-what do you have to teach them to do afterwards
Q1. what does corticosteroid inhaler do? (ICS)

- reduces inflammation

Q2. post corticosteroids-what do you have to teach them to do afterwards

- wash out mouth
- gargle
b/c it may cause a fungal infection / thrush
- ICS suppresses the immunity in the mouth
why do pt use inhaled corticosteroids instead of taking systemic Prednisone?
why do pt use inhaled corticosteroids instead of taking systemic Prednisone?

- Because inhalant goes straight to your lungs (fast acting, goes straight to the lungs)
- Prednisone is systemic and goes all over
What type of drug is Salmeterol (Advair)?
What type of drug is Salmeterol (Advair)?

- Inhaled Cortico Steriod (ICS)
Why do we monitor blood sugar when pt are on Inhaled corticosteroid (ICS)?
Why do we monitor blood sugar when pt are on Inhaled corticosteroid (ICS)?

- Could cause hyperglycemia
- check it via accucheck
Does short use of systemic corticosteriods (ICS) cause serious S/E?
Does short use of systemic corticosteriods (ICS) cause serious S/E?

- NO
- bc short use (7 days or less) (any more can cause systemic problems)
Q1. What is another name for Cromolyn?

Q2. how does Intal work?
Q1. What is another name for Cromolyn?

Intal-

Q2. how does Cromolyn work?

-stabilizes aka: blocks the Mast Cells
- prevents bronchospasms
What type of drug is Singulair?
What type of drug is Singulair?

- Leukotriene receptor antagonists
what do u teach pt’s who are on Singulair and on daily does?
what do u teach pt’s who are on Singulair and on daily does?

- take as prescribed
- don’t stop abruptly
- don’t alter dose
Is Singulair is a preventative drug for asthma?
Is Singulair is a preventative drug for asthma?

- Yes (does not work during an asthma attack.
What is the drug of choice if pt is having an Asthma attack?
What is the drug of choice if pt is having an Asthma attack?

- Albuterol (Bronchodialator)
what do you give after you give Albuterol (If it doesn’t open up airway)?
what do you give after you give Albuterol (If it doesn’t open up airway)?

- ICS - cortico steroids (if it doesn’t work, then give O2)
-open up airway and reduce swelling then give O2
How do you know if your pts long term use of Xolair (Immunomodulator: Monocolonal Antibody) is working on his allergic Bronchospasms?
How do you know if your pts long term use of Xolair (Immunomodulator: Monocolonal Antibody) is working on his allergic Bronchospasms?

pt has fewer episodes of Bronchospasms
What is another name for Albuterol?
What is another name for Albuterol?

Ventolin and Proventil
Is Albuterol a Sympathomimetic Bronchodilator?
Is Albuterol a Sympathomimetic Bronchodilator?

yes, it mimics the sympathetic system
What is the drug of choice that is a leukotriene receptor antagonist to prevent asthma?
What is the drug of choice that is a leukotriene receptor antagonist to prevent asthma?

- SINGULAIR
T/F: Durring teaching process your pt states he exhales, then squeezes inhaler while inhaling (breathing in)
T/F: Durring teaching process your pt states he exhales, then squeezes inhaler while inhaling (breathing in)

True
What is C&S?
What is C&S?

culture and sensitivity
What is LFT?
What is LFT?

liver function test
What do LFT’s have to do with TB therapy?
What do LFT’s have to do with TB therapy?

TB drugs are liver toxic-hepatoxity.
Monitor AST/ALT Labs
Do you do AST/ALT Labs before/during/after TB therapy?
Do you do AST/ALT Labs before/during/after TB therapy?

Yes, because you want to establish baseline levels
What is the drug of choice for prophylactic TB?
What is the drug of choice for prophylactic TB?

-INH
What does peripheral neuropathy (tingling in fingers and toes) have to do with INH?
What does peripheral neuropathy (tingling in fingers and toes) have to do with INH?

- It is a Toxic S/E of INH. Report it immediately.
What are we watching AST & ALT (LFT’s) lab levels for?
What are we watching AST & ALT (LFT’s) lab levels for?

-watching for neuropathy (inflammation of nerves)
how many acid fast bacillus do you have to confirm or disconfirm TB?
how many acid fast bacillus do you have to confirm or disconfirm TB?

-three positive or three negative.
What is AFB?
What is AFB?

acid fast bacillus is a sputum test
why do we use 3 different types of TB drugs to treat TB?
why do we use 3 different types of TB drugs to treat TB?

-slows bacterial growth (bacteriostatic) and kills bacteria (bacteriocidal) at different stages.
what types of food should a pt on INH stay away from?
what types of food should a pt on INH stay away from?

-aged cheese
-bananas
-dried fruit
-red wine
-processed meats and fish
-soy sauce and fish sauce
-yeast products (bread)
What drug do you give to INH pt to counter peripheral neuritis?
What drug do you give to INH pt to counter peripheral neuritis?

-Vitamin B6 (pyridoxine)
Q1: What is PZA (Pyrazinamide)?

Q2: Does PZA cause photosensitivity?
Q1: What is PZA (Pyrazinamide)?

-first line drug for TB
Q2: Does PZA cause photosensitivity?

-Yes; burned retinas, burned skin and head (sensitive to light)
GI upset can be reduced if Rifampin is given with what?
GI upset can be reduced if Rifampin is given with what?

-Given with food or taken right after food
what color is the pt sweating or peeing while taking Rifampin?
what color is the pt sweating or peeing while taking Rifampin?

-Reddish-Orange
What is the adverse reaction a pt needs to report to a Dr. when they are on Streptomycin?
What is the adverse reaction a pt needs to report to a Dr. when they are on Streptomycin?

-tinnitus (ringing of the ears, 8th cranial nerve)
What’s our job description as a nurse in regards to remaining compliant while pt is on TB medication?
What’s our job description as a nurse in regards to remaining compliant while pt is on TB medication?

-Making the appointments
-following up with the appointments
-making the arrangements
gr 1 = 60mg; 1g = gr 15;
500mL bag hung at 0800 pt 24hr IV orders 2 bag 500mL @ 2000
gr 1 = 60mg; 1g = gr 15;
500mL bag hung at 0800 pt 24hr IV orders 2 bag 500mL @ 2000