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37 Cards in this Set

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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