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46 Cards in this Set
- Front
- Back
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When do you not administer HydroDIURIL (hydrochlorothiazide)?
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When don't you administer HydroDIURIL (hydrochlorothiazide)?
- when potassium (K+) level is low - when pt is hypotensive *** it is thiazide diuretic *** s/e of diuretic is losing potassium à losing fluid à hypotension |
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what is the reason for pt. taking lasix having leg cramps & what do you do?
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what is the reason for pt. taking lasix having leg cramps & what do you do?
- pt. has low potassium (K+) level - notify doctor *** losing potassium cause leg cramp (normal K+ = 3.5 – 5.0) |
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When giving Lasix for hypertension, what are the Side Effects of Lasix?
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S/E of lasix (use for hypertension)
Select all that apply - hypokalemia - ototoxicity (drugs that damage the inner ear) - neurosensitivity (twitching, numbness, tingling) |
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What drugs does lasix interfere with?
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what drugs does lasix interfere with
- sulfa drugs and coumadin (FYI: Coumadin (warfarin) is used to prevent heart attacks, strokes, and blood clots in veins and arteries) |
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math: order 250mg q.6h , available 500 tablets.
How many tablets per day? |
math: order 250mg q.6h , available 500 tablets. How many tablets per day
24hr / 6 = 4 times/day 250mg /500 =1/2 tablets 1.2 tablet x 4 times = 2 tablets per day |
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pt. is taking lasix and loss 1lb, what is that mean
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pt. is taking lasix and loss 1lb, what is that mean
- the med. is working |
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pt. taking med. and complains of GI upset, what do you do
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pt. taking med. and complains of GI upset, what do you do
- have pt. taking med. with food or whole glass of water or milk |
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What kind of urinary environment would hydrodiuril (treat hypertension) work best in, acidosis or alkalosis?
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what kind of urinary environment would hydrodiuril (treat hypertension) work best in, acidosis or alkalosis
- acidosis |
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What juice should you tell pt. to take with hydrodiuril (thiazise diuril)?
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what juice should you tell pt. to take with hydrodiuril (thiazise diuril)
- cranberry juice *** most drugs work in GI tract, diuretic work best when urine is lightly acid |
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Task for CNA?
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task for CNA
- cannot assess pt - cannot do teaching plan or initiate teach plan - cannot give med - cannot do procedure - cannot do evaluation - cannot report |
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pt. is prescribed potassium supplement for hyperkalemia, dr order = 40mEq, available = 10mEq/5mL. how many mL to we give
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pt. is prescribed potassium supplement for hyperkalemia, dr order = 40mEq, available = 10mEq/5mL. how many mL to we give
40 / 10 x 5 = 20mL |
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how do you check to see if mannitol is working, what do you assess?
How do u know if it has been effective? |
how do you check to see if mannitol is working, what do you assess
- mannitol is diuretic giving to pt. to lower ICP and IOP How do you know it is working? - pt. LOC (level of conciousness) is improved (because mannitol is giving to pt. to reduce the edema in the brain) - increase diuresis (urine production), increase urine output with diuretic drug *** IOP = IntraOcular Pressure = fluid pressure of the aqueous humor inside the eye ICP = IntraCranial Pressure = pressure inside the skull and in the brain tissue |
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S/E of aldactone to man in long term use?
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S/E of aldactone to man in long term use
- decrease libido (sex drive) - impotence - gynecomastia (man boobs) *** aldactone is potassium sparing diuretic (water pill) that prevent body from absorb too much salt and keep potassium from getting too low |
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What kind of drug is dyrenium (potassium sparing diuretic)?
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what kind of drug is dyrenium (potassium sparing diuretic)
- dyrenium is potassium sparing diuretic - S/E is hyperkalemia |
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What kind of drug is dyrenium?
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what kind of drug is dyrenium (potassium sparing diuretic)?
- dyrenium is potassium sparing diuretic - S/E is hyperkalemia |
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what time of day should diuretic be given?
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what time of day should diuretic be given
- in the morning with food |
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What kind of drug is Bactrim?
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what kind of drug is bactrum
- anti infective - treat glumerulonephritis (inflammation of kidney capiliries) |
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after given bactrum to pt., how do you know the drug is effective?
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after given bactrum to pt., how do you know the drug is effective
- WBC is normal, no WBC in the urine - Leukoesterase level is decreased *** leukoesterase is the enzyme produced by WBC |
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pt. is taking macrodantin for UTI, complains of urine turning dark; what should you tell her
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pt. is taking macrodantin for UTI, complains of urine turning dark; what should you tell her
- it is normal |
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pt is on mandelamine (urinary tract anti infective drug) and urine is blue, what should you tell pt.?
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pt is on mandelamine (urinary tract anti infective drug) and urine is blue, what should you tell pt.
- it’s normal and harmless |
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with mandelamine, what type of pt. should you be cautious giving to?
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with mandelamine, what type of pt. should you be cautious giving to
- pt. with gout - pt. with alcohol cirrhosis (any kind of liver disease) |
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pt. is taking urinary anti-infection, to decrease pain when pt. void, what would you advice pt. to drink?
what else can pt. do to decrease irritation of urinary tract? |
pt. is taking urinary anti-infection, to decrease pain when pt. void, what would you advice pt. to drink
- cranberry juice what else can pt. do to decrease irritation of urinary tract - push fluids |
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Nitrofurantonin (Macrobid/Macrodantin) is known to cause acute and chronic reactions to what system?
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Nitrofurantonin (Macrobid/Macrodantin) is known to cause acute and chronic reactions to what system?
- respiratory system |
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Nalidixic acid (NegGram) is an anti-infective. It is contraindicated in pt with?
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Nalidixic acid (NegGram) is an anti-infective. It is contraindicated in pt with?
- pt. with seizure disorder or history of seizure |
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what kind of drug do we give to pt with urinary pain?
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what kind of drug do we give to pt with urinary pain?
- pyridium (urinary analgesic) - make urine turn orangy red |
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Why do we administer amphojel (aluminum hydroxide – gn)
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why do we administer amphojel (aluminum hydroxide – gn)
- because amphojel is phosphorous binder *** prosphorous is second most mineral in the body after calcium, excrete out of body by healthy kidney, it comes from most foods, too much phosphorous (hyperphosphatemia), too much phosphorous cause problem for bones and heart pt. with dialysis, phosphorous binder help to pass excess phosphorous in the stool and reduce the amt of phosphorous getting into blood |
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pt. CDK, on dialysis, taking renagel (phosphorous binder) to regulate water and electrolyte,
what do you need to check before giving the med.? |
pt. CDK, on dialysis, taking renagel (phosphorous binder) to regulate water and electrolyte,
what do you need to check before giving the med. - check phosphorous level |
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What happends when the phosphorous level drops?
- calcium level is elevated |
what happen when phosphorous level drop
- calcium level is elevated |
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pt. is end stage renal disease, taking kayexalate, what do you check to find out if the med. is working?
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pt. is end stage renal disease, taking kayexalate, what do you check to find out if the med. is working
- check potassium (K+) level, it should drop to normal lever (3.5-5.0) |
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when given potassium chloride, how do we give it?
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when given potassium chloride, how do we give it
- dilute it with 4oz of orange juice |
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Q1. S/E of magnesium sulfate?
Q2. unexpected S/E? Q3. what is the antidote for the unexpected S/E? |
S/E of magnesium sulfate
- sleepiness unexpected S/E - severe muscle weakness what is the antidote for the weakness - calcium gluconate |
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pt. is taking prograf after transplant, what kind of med. is prograf?
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pt. is taking prograf after transplant, what kind of med. is prograf
- immunosuppressant (drug use to prevent rejection of transplant organ) |
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what is adverse effect of immunosuppressant?
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what is adverse effect of immunosuppressant
- elevated WBC |
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what is common signs of bone marrow suppression?
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what is common signs of bone marrow suppression
- petichae (red + purple spots on the body cause by hemorrhage) - decrease in RBC and WBC |
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what would you do if pt. that on immunosuppressant and have infection after transplant
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what would you do if pt. that on immunosuppressant and have infection after transplant
- notify doctor |
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what would pt. need do after the transplant and taking immunosuppressant
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what would pt. need do after the transplant and taking immunosuppressant
- pt. need to come to the lab once a month for follow up the blood work |
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how long do ppl had transplant have to take immunosuppressant and corticosteroid
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how long do ppl had transplant have to take immunosuppressant and corticosteroid
- for life |
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What are some immunosuppressant drugs?
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which of the following is immunosuppressant, select all that apply
- prednisone (is corticosteroid drug and has the effect of immunosuppressant) - imuran - sandimmune - methotrexate - septa anti-infective |
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what prednisone do beside prevent rejection of organ transplant (immunosuppressant)
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what prednisone do beside prevent rejection of organ transplant (immunosuppressant)
- prednisone pull calcium out of the bone à cause osteoporosis, fluid retention |
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pt. taking ditropan (antispasmotic) for urinary incontinence, what is the function of ditropan?
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pt. taking ditropan (antispasmotic) for urinary incontinence, what is the function of ditropan
- relax GI muscle - help relieve bladder spasm à might cause constipation what do you do for constipation - encourage fluid - exercise - increate fiber |
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pt. has neurogenic bladder taking urecholine (is cholinergic drug use for urinary retention)?
how would you move the pt.? |
pt. has neurogenic bladder taking urecholine (is cholinergic drug use for urinary retention)
- increase emptying of the bladder - can cause hypotension how would you move the pt. - slowly and carefully from lying to standing position *** cholinergic = speed up activity in urinary system neurogenic bladder: urinary problem in which bladder does not empty properly due to neurological condition |
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what category of drug do we give to pt. that having bladder spasm
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what category of drug do we give to pt. that having bladder spasm
- anti-spasmodic (relieve cramp, spasm in the stomach, intestine and bladder) |
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identify anti-spasmodic drug from the list
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identify anti-spasmodic drug from the list
- detrol |
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S/E of detrol
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S/E of detrol
- decrease urine flow - might cause urinary retention |
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pt. is taking urispaz (antispasmodic) complain of constipation; what do you have pt. do
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pt. is taking urispaz (antispasmodic) complain of constipation; what do you have pt. do
- exercise - increase fluid - increate fiber |
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pt. is overdose with urecholine (cholinergic med), what is the antidote
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pt. is overdose with urecholine (cholinergic med), what is the antidote
- atropine (anti-cholinergic) |
