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117 Cards in this Set

  • Front
  • Back

pharmacokinetics

refers to how medications travel through the body

pharmaceutic phase

oral drugs only . disintegration and dissolution

pharmacodynamics

the interactions between medications and target cells, body systems, and organs to produce effects. result in functional changes that are the mechanism of action of the medication

peak drug level

the highest plasma concentration of drug at a specific time, indicates rate of absorption

trough drug level

the lowest plasma concentration of a drug. measures the rate at which drug is eliminated. drawn immediately before next dose of drug is given

replacement drug

insulin

ihibition or killing

antibiotic

irritation

laxatives

instillations

drops, ointments, sprays

A DEER

Asess, document, evaluate, educate, right to refuse

state nurse practice acts

define the scope of nurses professional functions and responsibilites

verify (blank) with second nurse

high alert meds

ligaments

bone to bone

tendons

bone to muscle

amount of blood ejected in one minute

cardiac output


hr x stroke volume

map

sys + 2dsp /3

pulse pressure

sbp- dbp

preload

volume of blood in ventricles at the end of diastole

afterload

peripheral resistance against which the left ventricle must pump

cardiac reserve

hearts ability to respond to various situations by altering cardiac output

arteries

more muscular and elastic, can take more force from heart

veins

thin walled, low pressure/ high volume systems

atherosclerosis

hardening of arteries.

risk factors for atherosclerosis


nonmodifiable

age gender, ethnicity, family history genetics

risk factors for atherosclerosis


modifiable

htn ,tobacco use, physical inactivity, obesity, diabetes, elevated serum levels

chemoreceptors

sensitive to co2. regulate hr and bp base on this

barareceptors

sensitive to pressure/ stretch

factors that affect circulation

blood pressure, blood volume, viscosity, reistance, disease, baroreceptors, chemoreceptors, renal function (control sodium and extracellular elimination to help control bp), endocrine system

neurovascular asessment

pain, pulse, pallor, paresthesia, paralysis, poikilothermia

male levels of ldl and hdl

hdl >40


Ldl <100

female levels of ldl and hdl

hdl >50


ldl<100

hypovalemia

less red blood cells due to blood loss

hypoxemia

low levels of artrial oxygen

hypoxia

deficiency in the amount

hypercapnia

abnormally elevated co2 levels in the blood

oh oh oh to touch and feel a virgin girls vagina and hooters

olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, vestibulochoclear, glossopharyngeal, vagus, accessory, and hypoglossal

pyridium

numbs bladder. turns urine orange

nephrotoxic

damaging to the kidneys

a diet high in salt decreases

urine output

normal ph values of urine

4.6-8.0

normal specific gravity of urine

1.010-1.025

cystitis

urgency , frequency , incontinence, suprapubic tenderness, and foul smelling cloudy urine. inflammation of the bladder

dysuria

painful urination resulting from bacterial infection of the bladder and obstructive conditions of the urethra

hematuria

abnormal presence of blood in the urine

intravenous pyelogram

injection of contrast media for viewing of ducts, renal pelvis, ureters, bladder, urethra

tolterodine

used for overactive bladder, relaxes the muscles

bethanechol

used to treat urinary retention

phenazopyridine

numbs urethra

macrodantin

used for uti

sulfamethoxazole

used for uti

anuria

failure for kidneys to produce urine

cystitis

inflammation of bladder

oliguria

decrease in urine output; minimum 30 ml per hour

polyuria

diabetes. have a lot of urine to get rid of

retention

inability to completely empty bladder

ileus

stopping bowels while under anesthesia

fecal impaction can cause

arrythmias

olfactory

smell

optic

vision

oculomotor

moves eyes, eyelids, pupils

trochlear

moves eyes, inferior medial

trigeminal

face sensations/ chewing

abducens

moves eyes laterally

facial

facial expressions and taste

vestibulocochlear

hearing and balance

glossopharyngeal

taste, gag reflex, swallow

vagus

gag reflex, swallow

accessory

moves head and shoulder

hypoglossal

tongue movements, speech

droplet precations

Sepsis, scarlet fever, strep pharyngitis, parvovirus , pertussis, pneumonia, flu, diphtheria, epiglottis, rubella, mumps, meningitis, mycoplasma, adenovirus, mask

airborne precautions

Tb , chicken pox, ,measles . Private room , negative pressure, mask

contact precautions

Multi drug resistance organism, revs, skin infections, wound infections, enteric infections, eye infections . Private room , gloves , gown

ear for adult

Up and back

ear for child

Down and back

a properly obtained ph of (blank)is a good indication of gastric placement

0-4.0

sucralfate


class: antiulcer


pharm action

treats duodenal ulcers,

side effects of sucralfate

constipation, diarrhea, nausea , vommitting, dizziness, dry mouth, gi disturbances, rash , ha, vertigo , back pain

contraindications of sucralfate

chronic renal failure/dialysis, dont use if pregnant or allergic

drug interactions of sucralfate

furosimide, alcohol, abacavir, dolutegravir, paricalcitol

aluminum hydroxide: class

antacid

aluminum hydroxide: treatment for

gastritis, esohphageal reflux, hiatal hernia. adjunct treatment of duodenal ulcer

aluminum hydroxide:side effects

constipation, fecal impaction, hypophophatemia, hypomagnesemia

aluminum hydroxide: contraindications

renal impairment, gastric outlet obstructions, prolonged use of high doses in presence of low serum phosphate; pregnancy, older adults, decreased bowel activity

aluminum hydroxide: drug interactions

aspirin, calcium citrate, citric anything , potassium citrate, sodium bicarbonate, avoid taking other meds at the same time as antacids make it harder for the body to absorb some other meds

ipecac syrup: class

antidote

ipecac syrup: uses

induces vomitting

ipecac syrup: side effects

cns sedation, arrhythmia, diarrhea, asprirtion

ipecac syrup: contraindications

dont give with ingestion of castic substances. pregnancy. babies under 6 months

metoclopramide (raglan): class

anticholinergic

metachlopramide : treats

gerd, post op nausea/ vomitting

metachlopramide: side effects

severe anxiety, dizzy, drowsy, ha, insomnia, dry mouth

metachlopramide: contraindication

dont use with meds likely to produce pyramidal rxns, gi hemorrage, gi obstruction/ perforaction, history of seizure disorder, parkinsons disease

omeprazol: class

benzoimidazole

omeprazol: treats

short term treatment of erosive esophagitis, symptomatic esophagitis, gerd. ative duodenal ulcer or active benighn gastric ulcer,

omeprazol: side effects

headache, diarrhea, abdominal pain, nausea, dizziness, asthnia, vomitting, constiption, upper respiratroy tract infection, back pain , rash coubh

omeprazol:contraindications

hypersensitvity to other proton inhibitors, may increase risk of fractures, gi infecions, hepatic imparment .pts of asian descent

diphenoxylate with atropine: class

antidiarrheal, opiods,

diphenoxylate with atropine: treats

acute nonspecific diarrhea

diphenoxylate with atropine : side effects

dizziness, sedations, confusion, depression, drowsiness, euphoria, lethargy , numbness in limbs, restlessness, tachycardia, blurred visoin, nausea, swollen gums, respiratory depresion

diphenoxylate with atropine: interactions

barbiturates, cns depressants, opiods, tranquilizers, alcohol,

diphenoxylate with atropin: contraindications

children younger than 2, patients with jaundice, acute diarrhea resulting from poison, , pseudomembranous entercolitis

loperamide hcl : class

opiate

loperamide hcl : treats

diarrhea , accute, chronic

loperamide hcl: side effects

drowsiness of cns, constipation, dizziness, abdominal pain and abdominal distension, nausea, vomitting diarrhea, dry mouth, rahs

loperamide hcl : contraindications

abdominal pain with unknon etiology , alchohol intolerance

loperamide hcl: interactions

increases cns depression with otehr cns depressants such as alcohol, antihistamines, opiod analgesics, sedatives

prometahzine : clas

phenothiazines

promethazine: uses

anti histamine, motion sicknes

promethazine: side effects

impairs thinking, reaction time, dowsiness, blurred vision

promethazine: contraindications

alcohol use , no children under 2

promethazine: interacions

epinephrine, coumadin, mao inhiitor, lithium

polythylene glycol: class

osmotic laxitive

polythylene: uses



bowel cleansing before gi examination or colon surery

polythylene : side effects

abdominal fullness, nausea, bloating, abdominal cramping, vomitting, anal irritaion

polythylene: contraindications

hypersensitivty to polythylne glycol. bowel perforation, gastric retention, i obstruction, megacolon, toxic colitis . renal ipairment

polythylene: interactions

may decrease absorption of oral mediatoins, if given within 1 hour

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