Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
37 Cards in this Set
- Front
- Back
when would you NOT administer HydroDIURIL or any thiazides diuretics?
|
When would you not administer hydrodiuril or any thiazides diuretics?
- do not administer to pt with hypotension, low potassium - pt will also lose fluids, hold drug |
|
Your giving pt Lasix and now complaining of leg cramps, what would you do?
|
your giving pt Lasix and now complaining of leg cramps, what would you do?
- pt has low potassium, so check potassium levels before given any medication and call doctor to get order for K+ |
|
Lasix given for hypertension, what are the side effects?
|
Lasix given for hypertension, what are the side effects? (select all that apply)
- hypokalemia - hypotension - ototoxicity - neurosensitivity or neurotoxicity |
|
your giving Lasix to your pt and did daily weights. Pt lost 1lb. What does that tell you?
|
your giving Lasix to your pt and did daily weights. Pt lost 1lb. What does that tell you?
- the medication is working |
|
pt is taking prescribed medication and experiencing GI upset. What do you tell the pt?
|
pt is taking prescribed medication and experiencing GI upset. What do you tell the pt?
- take the medication with food or full glass of water |
|
pt is on HydroDIURIL to treat their high blood pressure. HydroDIURIL works best in what kind of urinary environment?
|
pt is on hyrodiuril to treat their high blood pressure. Hydrodiuril works best in what kind of urinary environment?
- acid uric (acidosis) - tell pt to drink cranberry juice with medication |
|
What can you NOT assign to UPA's?
|
what can you NOT assign to UPA's?
- ***** pt's - teaching plans - an treatment plans - cannot give meds or do procedures ***THEY CAN REPORT HIGH OR LOW NUMBERS, BUT NOT EVALUATE*** |
|
pt with head injury and treating them with Mannitol. What are you going to assess to see if Mannitol is working?
|
pt with head injury and treating them with Mannitol. What are you going to assess to see if Mannitol is working?
- check change in higher level of consciousness - increase diuresis, increase urine output |
|
What are the side effects of Aldactone (spirinolactone), especially in men?
|
what are the side effects of Aldactone (spirinolactone), especially in men?
- decrease labido - gynecomastia |
|
What kind of drug is Triamterene (Dyrenium)?
|
what kind of drug is Triamterene (Dyrenium)?
- used for the prevention of hypokalemia ***common side effect for potassium sparing drug is hyperkalemia*** |
|
when should you administer diuretics?
|
when should you administer diuretics?
- in the morning |
|
pt has Glomerulonephritis, they've been prescribed Bactrim (anti-infective). How do you know the drug if being effective?
|
pt has Glomerulonephritis, they've been prescribed Bactrim (anti-infective). How do you know the drug if being effective?
- WBC will be normal <4, or no WBC in the urine - lowering of the enzyme glucoesterase (FYI: Glomerulonephritis is a type of kidney disease in which the part of your kidneys that helps filter waste and fluids from the blood is damaged) |
|
pt is taking nitrofurantoin (Macrodantin) for UTI. She calls the clinic to let you know her urine turned dark, what do you tell her?
|
pt is taking nitrofurantoin (Macrodantin) for UTI. She calls the clinic to let you know her urine turned dark, what do you tell her?
- this is normal and it could stain her clothes |
|
pt is on methenamine (Mandelamine), a urinary anti-infective, what color is the urine and is this normal?
|
pt is on methenamine (Mandelamine), a urinary anti-infective, what color is the urine and is this normal?
- urine turns blue, this is normal |
|
With mandelamine, what pt should you caution?
|
with mandelamine, what pt should you caution?
- pt with liver or kidney disease - pt with alcoholic cirrhosis |
|
Your taking care of a pt who's been prescribe a urinary anti-infective. To decrease pain when the pt voids, you would encourage them to drink what?
|
your taking care of a pt who's been prescribe a urinary anti-infective. To decrease pain when the pt voids, you would encourage them to drink what?
- cranberry juice - push fluids |
|
Nitrofurantonin (Macrobid/Macrodantin) is known to cause acute and chronic reactions to what system?
|
Nitrofurantonin (Macrobid/Macrodantin) is known to cause acute and chronic reactions to what system?
- respiratory system |
|
Nalidixic acid (NegGram) is an anti-infective. It is contraindicated in pt with what problem?
|
Nalidixic acid (NegGram) is an anti-infective. It is contraindicated in pt with what problem?
- with seizure disorders (FYI: Nalidixic acid is used to treat infections of the urinary tract) |
|
what is the drug we give for urinary pain?
|
what is the drug we give for urinary pain?
- pyridium, urine turns reddish brown |
|
why would you administer Amphojel?
|
why would you administer Amphojel?
- it's a phosphorus binder |
|
client has chronic kidney disease, is on hemodialysis, and doctor wants him to take Renagel (balances water and electrolytes). What do you monitor for effectiveness?
|
client has chronic kidney disease, is on hemodialysis, and doctor wants him to take Renagel (balances water and electrolytes). What do you monitor for effectiveness?
- phosphorus levels |
|
pt is prescribe kayexalate, how do you know it is being effective?
|
pt is prescribe kayexalate, how do you know it is being effective?
- check potassium levels - K+ should be 3.5-5.0 |
|
when giving potassium chloride, how do administer it?
|
when giving potassium chloride, how do administer it?
- diluted in orange juice, 4 fluid oz |
|
what is an expected side effect of magnesium sulfate?
|
what is an expected side effect of magnesium sulfate?
- sleepiness |
|
QA. An unexpected side effect of magnesium sulfate?
QB. what drug do you to correct muscle weakness, an antidote? |
QA. An unexpected side effect of magnesium sulfate?
- severe muscle weakness QB. what drug do you to correct muscle weakness, an antidote? - calcium gluconate |
|
pt is receiving ProGraf (immunosuppressant) after renal transplant. what lab finding would indicate the pt is having an adverse affect?
|
pt is receiving ProGraf (immunosuppressant) after renal transplant. what lab finding would indicate the pt is having an adverse affect?
- elevated WBC's, infection |
|
what is the most common sign of bone marrow depression?
|
what is the most common sign of bone marrow depression?
- petechiae |
|
+++++++????????+++++++
FIX THIS CARD pt's on immunosuppressants need to notify doctor of any signs of infection and come in monthly for lab tests; and pt is on immunosuppressants and corticosteroids for life |
pt's on immunosuppressants need to notify doctor of any signs of infection and come in monthly for lab tests; and pt is on immunosuppressants and corticosteroids for life
|
|
what drugs are immunosuppressants?
|
what drugs are immunosuppressants? (select all that apply)
- Prednisone - Imuran - Sandimmune - Methotrexate |
|
what does Prednisone cause?
|
what does Prednisone cause?
- pulls calcium out of bones, causing osteoporosis - depresses the immune system |
|
Ditropan is prescribed for urinary incontience. what precautions should the pt be aware of?
|
Ditropan is prescribed for urinary incontience. what precautions should the pt be aware of?
- medication causes constipation - encourage fluids, fiber, and exercise |
|
pt has neurogenic bladder and prescribed neurocholine. what is neurocholine?
|
pt has neurogenic bladder and prescribed neurocholine. what is neurocholine?
- given for neurogenic bladder - going to increase emptying of the bladder, which results in hypotension - move pt very carefully slowly from a lying to standing position |
|
pt is having bladder spasm, what medication needs to be prescribed?
|
pt is having bladder spasm, what medication needs to be prescribed?
- antispasmotic |
|
what drugs are antispasmotic?
|
what drugs are antispasmotic
- Detrol |
|
pt is on Detrol, what is one of the side effects?
|
pt is on Detrol, what is one of the side effects?
- urinary flow will decrease causing urinary retention (FYI: Tolterodine is used to relieve urinary difficulties, including frequent urination and inability to control urination. Tolterodine works by preventing bladder contraction.) |
|
pt is taking Urispaz and complaining of constipation, what do you have them do?
|
pt is taking Urispaz and complaining of constipation, what do you have them do?
- exercise, fiber, increase fluids |
|
pt is taking Uricholine (GI stimulant) and develops an overdose, what is the drug of chose to stop overdose?
|
pt is taking Uricholine (GI stimulant) and develops an overdose, what is the drug of chose to stop overdose?
- Atropine, it is a antidote |