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182 Cards in this Set
- Front
- Back
MECLIZINE-B
FOR: Motion sickness |
MECLIZINE-B
FOR: ??? |
|
MECLIZINE-B
NO LIFE |
MECLIZINE-B
Life: ??? |
|
MECLIZINE-B
COMMON: Drowsiness |
MECLIZINE-B
COMMON:??? |
|
MECLIZINE-B
ASSESSMENTS: Potentiated by CNS DEPRESSANTS |
MECLIZINE-B
ASSESSMENTS: ??? |
|
MECLIZINE-B
INTERVENTIONS: Assist Ambulation |
MECLIZINE-B
INTERVENTIONS: ??? |
|
HYDROCHLOROTHIAZIDE-B
FOR: Edema & Hypertension |
HYDROCHLOROTHIAZIDE-B
FOR:??? |
|
HYDROCHLOROTHIAZIDE-B
LIFE: Agranulocytosis & Aplastic anemia |
HYDROCHLOROTHIAZIDE-B
LIFE: ??? |
|
HYDROCHLOROTHIAZIDE-B
COMMON: Hyperglycemia Hyperuricemia Hypokalemia |
HYDROCHLOROTHIAZIDE - B
COMMON: ??? |
|
HYDROCHLOROTHIAZIDE-B
ASSESSMENTS: Check BP before initiation of therapy and at regular intervals |
HYDROCHLOROTHIAZIDE - B
ASSESSMENTS: ??? |
|
HYDROCHLOROTHIAZIDE-B
INTERVENTIONS: Monitor I&O Check for edema Orthostatic Hypotension, Dizziness ***Increases risk of digoxin toxicity May cause Hyperglycemia and loss of Glycemic control in diabetics |
HYDROCHLOROTHIAZIDE-B
INTERVENTIONS: ??? |
|
HYDROCHLOROTHIAZIDE-B
TEACHING: Consult physician before using OTC drugs Monitor weight daily. Change positions slowly Avoid hot baths or showers Extended exposure to sunlight Sitting or standing still for long periods |
HYDROCHLOROTHIAZIDE - B
TEACHING: ??? |
|
NALOXONE-NARCAN-B
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NALOXONE-NARCAN-B
|
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NALOXONE-NARCAN-B
FOR: Reverses effects of opiates Respiratory depression sedation, hypotension |
NALOXONE-NARCAN-B
FOR:??? |
|
NALOXONE-NARCAN-B
NO LIFE ! |
NALOXONE-NARCAN-B
LIFE:??? |
|
NALOXONE-NARCAN-B
NO COMMON !!! |
NALOXONE-NARCAN-B
COMMON:??? |
|
NALOXONE-NARCAN-B
ASSESSMENTS: Suspected narcotic dependence Cardiac irritability |
NALOXONE-NARCAN-B
ASSESSMENTS:??? |
|
NALOXONE-NARCAN-B
INTERVENTIONS: Naloxon-Narcan may not last as long as narcotic Monitor for bleeding Nausea, vomiting, sweating, Tachycardia resulting from reversal of narcortic effects |
NALOXONE-NARCAN-B
INTERVENTIONS:??? |
|
NALOXONE HYDROCHLORIDE - B
|
NALOXONE HYDROCHLORIDE - B
|
|
PENTAZOCINE-TALWIN-C
FOR: Moderate to Severe Pain |
PENTAZOCINE-TALWIN-C
FOR:??? |
|
PENTAZOCINE-TALWIN-C
LIFE: Allergic reactions Shock Respiratory depression |
PENTAZOCINE-TALWIN-C
LIFE:??? |
|
PENTAZOCINE-TALWIN-C
COMMON: Drowsiness & Dizziness Light-headedness & Euphoria Nausea, Vomiting, Sweating |
PENTAZOCINE-TALWIN-C
COMMON:??? |
|
PENTAZOCINE-TALWIN-C
ASSESSMENTS: Head injury Increased intracranial pressure Emotionally unstable History of drug abuse |
PENTAZOCINE-TALWIN-C
ASSESSMENTS:??? |
|
PENTAZOCINE-TALWIN-C
INTERVENTIONS: Tolerance Psychologic and physical dependence Acute withdrawal |
PENTAZOCINE-TALWIN-C
INTERVENTIONS:??? |
|
PENTAZOCINE-TALWIN-C
TEACHING: Driving Hazardous activities DO NOT discontinue drug abruptly Do NOT breast feed |
PENTAZOCINE-TALWIN-C
TEACHING:??? |
|
ACETYLCYSTEINE-B
FOR: Antidote for Acetaminophen Toxicity Mucolytic Lowers viscosity Facilitates removal of secretions |
ACETYLCYSTEINE-B
FOR:??? |
|
ACETYLCYSTEINE-B
LIFE: Bronchospasm Rhinorrhea Burning sensation in upper respiratory passages Epistaxis |
ACETYLCYSTEINE-B
LIFE:??? |
|
ACETYLCYSTEINE-B
COMMON: Dizziness & Drowsiness Nausea & Vomiting Stomatitis & Hepatotoxicity (urticaria) |
ACETYLCYSTEINE-B
COMMON:??? |
|
ACETYLCYSTEINE-B
ASSESSMENTS: Pt's @risk for gastric hemorrhage Pt's w/asthma Pt's w/severe respiratory insufficiency |
ACETYLCYSTEINE-B
ASSESSMENTS:??? |
|
ACETYLCYSTEINE-B
INTERVENTIONS: Monitor: Fluid overload Signs of hyponatremia S&S aspiration of excess secretions Bronchospasm (withhold drug and notify physician immediately if either occurs) |
ACETYLCYSTEINE-B
INTERVENTIONS: ??? |
|
BENZONATATE-Tessalon-C
|
BENZONATATE-Tessalon-C
|
|
BENZONATATE-TESSALON-C
FOR: Cough Antitussive Decreases frequency and intensity of nonproductive cough Bronchoscopy Thoracentesis & other procedures when coughing must be avoided. |
BENZONATATE-TESSALON-C
FOR:??? |
|
BENZONATATE-TESSALON-C
NO LIFE |
BENZONATATE-TESSALON-C
LIFE: ??? |
|
BENZONATATE-TESSALON-C
COMMON: Drowsiness & Dizziness Sedation & Headache Constipation & Nausea Rash & Pruritus. |
BENZONATATE-TESSALON-C
COMMON:??? |
|
BENZONATATE-TESSALON-C
ASSESSMENTS: Swallow whole! Store in airtight containers Protect from light |
BENZONATATE-TESSALON-C
ASSESSMENTS:??? |
|
BENZONATATE-TESSALON-C
INTERVENTIONS: Schedule Auscultation of lungs & check @ intervals Observe character & frequency of coughing Check volume & quality of sputum Keep physician informed |
BENZONATATE-TESSALON-C
INTERVENTIONS: |
|
BENZONATATE-TESSALON-C
TEACHING: DO NOT breast feed DO NOT chew DO NOT allow perle to dissolve in mouth Swallow whole. ***If perle dissolves in mouth, the mouth, tongue, & pharynx will be anesthetized !!! Unpleasant to Taste !!! |
BENZONATATE-TESSALON-C
TEACHING:??? |
|
CELECOXIB-CELEBREX-3rdtri
FOR: Rheumatoid & Osteoarthritis Pain Dysmenorrhea |
CELECOXIB-CELEBREX-3rdtri
FOR:??? |
|
CELECOXIB-CELEBREX-3rdtri
NO LIFE: |
CELECOXIB-CELEBREX-3rdtri
LIFE: ??? |
|
CELECOXIB-Celebrex-3rdTRI
COMMON: Back pain Peripheral edema Cardiovascular Abdominal pain & diarrhea Dyspepsia & Flatulence Nausea & Dizziness Headache & Insomnia Pharyngitis & Rhinitis Sinusitis, URI & Rash |
CELECOXIB-Celebrex-3rdTRI
COMMON:??? |
|
CELECOXIB-CELEBREX-3rdTRI
ASSESSMENTS: MONITOR: Fluid retention Edema (especially in those with a history of hypertension or CHF) |
CELECOXIB-CELEBREX-3rdRTRI
ASSESSMENTS:??? |
|
CELECOXIB-CELEBREX-3rdtri
INTERVENTIONS: Monitor closely PT/INR when used concurrently with warfarin. |
CELECOXIB-CELEBREX-3rdtri
INTERVENTIONS:??? |
|
FUROSEMIDE-LASIX-C
FOR: Edema & Hypertension |
FUROSEMIDE-LASIX-C
FOR:??? |
|
FUROSEMIDE-LASIX-C
LIFE: Circulatory Collapse, Aplastic Anemia, Agranulocytosis (RARE!) |
FUROSEMIDE-LASIX-C
LIFE:??? |
|
FUROSEMIDE-LASIX-C
COMMON: Hypokalemia |
FUROSEMIDE-LASIX-C
COMMON:??? |
|
FUROSEMIDE-LASIX-C
ASSESSMENTS: Observe Pt's W/parenteral use carefully Closely monitor BP & vitals Sudden death from cardiac arrest has been reported. Monitor for S&S of hypokalemia Monitor BP during periods of diuresis Monitor Pt through period of dosage adjustment Closely Observe older adults during period of brisk diuresis Sudden alteration in fluid & electrolyte balance may precipitate significant adverse reactions Report symptoms to physician Monitor I&O ratio & pattern Report decrease or unusual increase in output Excessive diuresis can result in dehydration and hypovolemia, circulatory collapse, and hypotension. Weigh patient daily under standard conditions Monitor urine & blood glucose & HbA1C closely in diabetics & pt's w/ decompensated hepatic cirrhosis Drug may cause hyperglycemia Note: Excessive dehydration is most likely to occur in older adults, those w/ chronic cardiac disease on prolonged salt restriction, or those receiving sympatholytic agents |
FUROSEMIDE-LASIX-C
ASSESSMENTS:??? |
|
FUROSEMIDE-LASIX-C
LAB: frequent blood count, serum & urine electrolytes CO2, BUN, blood sugar, uric acid values during first few months of therapy & periodically thereafter Monitor urine & blood glucose & HbA1C closely in diabetics & pt's w/ decompensated hepatic cirrhosis. Drug may cause hyperglycemia |
FUROSEMIDE-LASIX-C
LAB:??? |
|
FUROSEMIDE-LASIX-C
INTERVENTIONS: DO NOT breast feed while taking this drug! Consult physician regarding allowable salt and fluid intake Ingest potassium-rich foods daily (e.g., bananas, oranges, peaches, dried dates) to reduce or prevent potassium depletion Learn S&S of hypokalemia(see Appendix F) Report muscle cramps or weakness to physician. Make position changes slowly because high doses of antihypertensive drugs taken concurrently may produce episodes of dizziness or imbalance Avoid replacing fluid losses w/large amounts of water. Avoid prolonged exposure to direct sun. |
FUROSEMIDE-LASIX-C
INTERVENTIONS:??? |
|
SPIRONOLACTONE-ALDACTONE-D
FOR: Edema Hypertension Primary Aldosteronism |
SPIRONOLACTONE-ALDACTONE-D
FOR:??? |
|
SPIRONOLACTONE-ALDACTONE-D
NO LIFE: |
SPIRONOLACTONE-ALDACTONE-D
LIFE:??? |
|
SPIRONOLACTONE-ALDACTONE-D
NO COMMON: |
SPIRONOLACTONE-ALDACTONE-D
COMMON:??? |
|
SPIRONOLACTONE-ALDACTONE-D
ASSESSMENTS: Check blood pressure before initiation of therapy Assess for signs of fluid & electrolyte imbalance Assess for signs of digoxin toxicity Monitor daily I&O Monitor for edema Report lack of diuretic response or development of edema ( both may indicate tolerance to drug) Weigh patient under standard conditions before therapy begins & daily throughout therapy Weight is a useful index of need for dosage adjustment. For patients with ascites, physician may want measurements of abdominal girth Observe for & report immediately the onset of mental changes, lethargy, or stupor in patients w/liver disease Adverse reactions are generally reversible with discontinuation of drug Gynecomastia appears to be related to dosage level & duration of therapy & may persist in some after drug is stopped |
SPIRONOLACTONE-ALDACTONE-D
ASSESSMENTS:??? |
|
SPIRONOLACTONE-ALDACTONE-D
TEACHING: Maximal diuretic effect may not occur until 3rd day Diuresis may continue for 2–3 days after drug is withdrawn Report signs of hyponatremia or hyperkalemia (see Appendix F), most likely to occur in pt's w/ severe cirrhosis Avoid replacing fluid losses w/lrg amounts of free water (can result in dilutional hyponatremia) |
SPIRONOLACTONE-ALDACTONE-D
TEACHING:??? |
|
A TEST CARD
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A TEST CARD
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Drug polymorphism is?
A client’s variation in response to a drug is influenced by age, gender, size, and body composition |
A client’s variation in response to a drug is influenced by age, gender, size, and body composition is called?
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Drug dependence is?
The inability to keep the intake of a drug or substance under control. |
The inability to keep the intake of a drug or substance under control is called?
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Drug tolerance is?
A condition in which successive increase in the dosage of a drug are to maintain a given therapeutic effect |
A condition in which successive increase in the dosage of a drug are to maintain a given therapeutic effect is called?
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Idiosyncratic effect?
A different, unexpected or individual effect from the normal one usually expected from a medication: the occurrence of unpredictable and unexplainable symptoms |
A different, unexpected or individual effect from the normal one usually expected from a medication: the occurrence of unpredictable and unexplainable symptoms is called/
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Drug plateau is ?
A maintained concentration of a drug in the plasma during a series of scheduled doses. |
A maintained concentration of a drug in the plasma during a series of scheduled doses is called?
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Adverse (drug reaction) effect?
More severe side effects that may justify the discontinuation of a drug. |
More severe side effects that may justify the discontinuation of a drug is called?
|
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Duration of action?
The length of time that a drug continues to produce its effect. |
The length of time that a drug continues to produce its effect is called?
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Sublingual means?
under the tongue. |
Under the tongue is termed?
|
|
Pharmacopoeia is?
A book containing a list of drug products used in medicine, including their descriptions and formulas |
A book containing a list of drug products used in medicine, including their descriptions and formulas is called?
|
|
Drug interaction?
The beneficial or harmful interaction of one drug with another drug. |
The beneficial or harmful interaction of one drug with another drug is called?
|
|
Inhibiting effect is?
The decreased effect of one or both drugs. |
The decreased effect of one or both drugs is called?
|
|
STAT means?
immediately. |
STAT means?
|
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Unit-dose system is?
When a drug is packaged individually and labeled with the drug name, dose, and expiration date. |
When a drug is packaged individually and labeled with the drug name, dose, and expiration date it is called a?
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Telephone order?
When physicians order a therapy (e.g.,a medication) for a patient over the phone. |
When physicians order a therapy (e.g.,a medication) for a patient over the phone it is a ?
|
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Verbal order?
When physician must cosign the order written by the nurse within 24-48 hours. |
When physician must cosign the order written by the nurse within 24-48 hours it is called a?
|
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Latrogenic (disease) effect is?
Caused unintentionally by medical therapy, can be due to drug therapy. |
A term used when an affect is caused unintentionally by medical therapy, can be due to drug therapy is?
|
|
6 rights are?
right medication right dose right time right route right patient right documentation! |
The 6 rights are?
|
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Schedule drugs are?
Drugs that are narcotics |
Drugs that are narcotics are called/
|
|
Digoxin-Lanoxicaps-Linoxin
FOR: CHF, atrial fibrillation, atrial flutter, paroxysmal atrial tachycardia. Increases the contractility of the heart muscle (positive inotropic effect) |
Digoxin-Lanoxicaps-Linoxin
FOR:??? |
|
Digoxin-Lanoxicaps-Linoxin
LIFE: AV block |
Digoxin-Lanoxicaps-Linoxin
LIFE:??? |
|
Digoxin-Lanoxicaps-Linoxin
ASSESSMENTS: when tablet is replaced by elixir potential for toxicity increases know Pt's baseline quality of peripheral pulses, blood pressure clinical symptoms serum electrolytes creatinine clearance digoxin therapy, which can precipitate toxicity because of altered intestinal flora |
Digoxin-Lanoxicaps-Linoxin
ASSESSMENTS:??? |
|
Digoxin-Lanoxicaps-Linoxin
INTERVENTIONS: Give without regard to food Crush and mix with fluid or food if patient cannot swallow it whole. Take apical pulse for 1 full min noting rate, rhythm, and quality before administering Withhold medication and notify physician if apical pulse falls below ordered parameters Monitor for S&S of drug toxicity Monitor I&O ratio Monitor serum digoxin levels closely during concurrent antibiotic–digoxin therapy |
Digoxin-Lanoxicaps-Linoxin
INTERVENTIONS: |
|
Digoxin-Lanoxicaps-Linoxin
TEACHING: Can take without regard to food Crush and mix with fluid or food if patient cannot swallow it whole. |
Digoxin-Lanoxicaps-Linoxin
TEACHING: |
|
TEMAZEPAM-RESTORIL-X Schedule IV
FOR: Insomnia |
TEMAZEPAM-RESTORIL-X Schedule IV
FOR:??? |
|
TEMAZEPAM-RESTORIL-X Schedule IV
LIFE: CNS DEPRESSANTS |
TEMAZEPAM-RESTORIL-X Schedule IV
LIFE:??? |
|
TEMAZEPAM-RESTORIL-X Schedule IV
COMMON: : Drowsiness |
TEMAZEPAM-RESTORIL-X Schedule IV
COMMON:??? |
|
TEMAZEPAM-RESTORIL-X Schedule IV
ASSESSMENTS: Kava-kava valerian potentiates affects smoking decreases sedative effects paradoxical reaction |
TEMAZEPAM-RESTORIL-X Schedule IV
ASSESSMENTS:??? |
|
TEMAZEPAM-RESTORIL-X Schedule IV
TEACHING: that improvement in sleep will not occur until after 2–3 doses |
TEMAZEPAM-RESTORIL-X Schedule IV
TEACHING:??? |
|
Digoxin-Lanoxicaps-Linoxin
FOR: CHF, atrial fibrillation, atrial flutter, paroxysmal atrial tachycardia. Increases the contractility of the heart muscle (positive inotropic effect) |
Digoxin-Lanoxicaps-Linoxin
FOR:??? |
|
Digoxin-Lanoxicaps-Linoxin
LIFE: AV block |
Digoxin-Lanoxicaps-Linoxin
LIFE:??? |
|
Digoxin-Lanoxicaps-Linoxin
ASSESSMENTS: when tablet is replaced by elixir potential for toxicity increases know Pt's baseline quality of peripheral pulses, blood pressure clinical symptoms serum electrolytes creatinine clearance digoxin therapy, which can precipitate toxicity because of altered intestinal flora |
Digoxin-Lanoxicaps-Linoxin
ASSESSMENTS:??? |
|
Digoxin-Lanoxicaps-Linoxin
INTERVENTIONS: Give without regard to food Crush and mix with fluid or food if patient cannot swallow it whole. Take apical pulse for 1 full min noting rate, rhythm, and quality before administering Withhold medication and notify physician if apical pulse falls below ordered parameters Monitor for S&S of drug toxicity Monitor I&O ratio Monitor serum digoxin levels closely during concurrent antibiotic–digoxin therapy |
Digoxin-Lanoxicaps-Linoxin
INTERVENTIONS: |
|
Digoxin-Lanoxicaps-Linoxin
TEACHING: Can take without regard to food Crush and mix with fluid or food if patient cannot swallow it whole. |
Digoxin-Lanoxicaps-Linoxin
TEACHING: |
|
TEMAZEPAM-RESTORIL-X Schedule IV
FOR: Insomnia |
TEMAZEPAM-RESTORIL-X Schedule IV
FOR:??? |
|
TEMAZEPAM-RESTORIL-X Schedule IV
LIFE: CNS DEPRESSANTS |
TEMAZEPAM-RESTORIL-X Schedule IV
LIFE:??? |
|
TEMAZEPAM-RESTORIL-X Schedule IV
COMMON: : Drowsiness |
TEMAZEPAM-RESTORIL-X Schedule IV
COMMON:??? |
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TEMAZEPAM-RESTORIL-X Schedule IV
ASSESSMENTS: Kava-kava valerian potentiates affects smoking decreases sedative effects paradoxical reaction |
TEMAZEPAM-RESTORIL-X Schedule IV
ASSESSMENTS:??? |
|
TEMAZEPAM-RESTORIL-X Schedule IV
TEACHING: that improvement in sleep will not occur until after 2–3 doses |
TEMAZEPAM-RESTORIL-X Schedule IV
TEACHING:??? |
|
ZOLPIDEM-Ambien-B Schedule IV
FOR: Short-term treatment of insomnia |
ZOLPIDEM-Ambien-B Schedule IV
FOR:??? |
|
ZOLPIDEM-Ambien-B Schedule IV
NO LIFE: |
ZOLPIDEM-Ambien-B Schedule IV
LIFE:??? |
|
ZOLPIDEM-Ambien-B Schedule IV
COMMON: Headache on awakening |
ZOLPIDEM-Ambien-B Schedule IV
COMMON:??? |
|
ZOLPIDEM-Ambien-B Schedule IV
ASSESSMENTS: DO NOT give with or immediately after a meal. Depression hepatic/renal impairment pregnancy (category B) respiratory status |
ZOLPIDEM-Ambien-B Schedule IV
ASSESSMENTS:??? |
|
ZOLPIDEM-Ambien-B Schedule IV
TEACHING: DO NOT take immediately after a meal. Report vision changes to physician Onset of drug is more rapid when taken on an empty stomach. DO NOT not breast |
ZOLPIDEM-Ambien-B Schedule IV
TEACHING:??? |
|
Digoxin-Lanoxicaps-Linoxin
FOR: CHF, atrial fibrillation, atrial flutter, paroxysmal atrial tachycardia. Increases the contractility of the heart muscle (positive inotropic effect) |
Digoxin-Lanoxicaps-Linoxin
FOR:??? |
|
Digoxin-Lanoxicaps-Linoxin
LIFE: AV block |
Digoxin-Lanoxicaps-Linoxin
LIFE:??? |
|
Digoxin-Lanoxicaps-Linoxin
ASSESSMENTS: when tablet is replaced by elixir potential for toxicity increases know Pt's baseline quality of peripheral pulses, blood pressure clinical symptoms serum electrolytes creatinine clearance digoxin therapy, which can precipitate toxicity because of altered intestinal flora |
Digoxin-Lanoxicaps-Linoxin
ASSESSMENTS:??? |
|
Digoxin-Lanoxicaps-Linoxin
INTERVENTIONS: Give without regard to food Crush and mix with fluid or food if patient cannot swallow it whole. Take apical pulse for 1 full min noting rate, rhythm, and quality before administering Withhold medication and notify physician if apical pulse falls below ordered parameters Monitor for S&S of drug toxicity Monitor I&O ratio Monitor serum digoxin levels closely during concurrent antibiotic–digoxin therapy |
Digoxin-Lanoxicaps-Linoxin
INTERVENTIONS: |
|
Digoxin-Lanoxicaps-Linoxin
TEACHING: Can take without regard to food Crush and mix with fluid or food if patient cannot swallow it whole. |
Digoxin-Lanoxicaps-Linoxin
TEACHING: |
|
TEMAZEPAM-RESTORIL-X Schedule IV
FOR: Insomnia |
TEMAZEPAM-RESTORIL-X Schedule IV
FOR:??? |
|
TEMAZEPAM-RESTORIL-X Schedule IV
LIFE: CNS DEPRESSANTS |
TEMAZEPAM-RESTORIL-X Schedule IV
LIFE:??? |
|
TEMAZEPAM-RESTORIL-X Schedule IV
COMMON: : Drowsiness |
TEMAZEPAM-RESTORIL-X Schedule IV
COMMON:??? |
|
TEMAZEPAM-RESTORIL-X Schedule IV
ASSESSMENTS: Kava-kava valerian potentiates affects smoking decreases sedative effects paradoxical reaction |
TEMAZEPAM-RESTORIL-X Schedule IV
ASSESSMENTS:??? |
|
TEMAZEPAM-RESTORIL-X Schedule IV
TEACHING: that improvement in sleep will not occur until after 2–3 doses |
TEMAZEPAM-RESTORIL-X Schedule IV
TEACHING:??? |
|
ZOLPIDEM-Ambien-B Schedule IV
FOR: Short-term treatment of insomnia |
ZOLPIDEM-Ambien-B Schedule IV
FOR:??? |
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ZOLPIDEM-Ambien-B Schedule IV
NO LIFE: |
ZOLPIDEM-Ambien-B Schedule IV
LIFE:??? |
|
ZOLPIDEM-Ambien-B Schedule IV
COMMON: Headache on awakening |
ZOLPIDEM-Ambien-B Schedule IV
COMMON:??? |
|
ZOLPIDEM-Ambien-B Schedule IV
ASSESSMENTS: DO NOT give with or immediately after a meal. Depression hepatic/renal impairment pregnancy (category B) respiratory status |
ZOLPIDEM-Ambien-B Schedule IV
ASSESSMENTS:??? |
|
ZOLPIDEM-Ambien-B Schedule IV
TEACHING: DO NOT take immediately after a meal. Report vision changes to physician Onset of drug is more rapid when taken on an empty stomach. DO NOT not breast |
ZOLPIDEM-Ambien-B Schedule IV
TEACHING:??? |
|
SALSALATE-Salicylate-C
FOR: rheumatoid arthritis, osteoarthritis Analgesic Antipyretic Antiinflammatory Antirheumatic |
SALSALATE-Salicylate-C
FOR:??? |
|
SALSALATE-Salicylate-C
LIFE: Liver function impairment Pregnancy Lactation |
SALSALATE-Salicylate-C
LIFE:??? |
|
SALSALATE-Salicylate-C
COMMON: Nausea & dyspepsia Heartburn & vomiting Diarrhea & Tinnitus Hearing loss (reversible) Vertigo, flushing, headache confusion hyperventilation & sweating CNS: Drowsiness |
SALSALATE-Salicylate-C
COMMON:??? |
|
SALSALATE-Salicylate-C
ASSESSMENTS: relief is gradual Monitor for adverse GI history of peptic ulcer |
SALSALATE-Salicylate-C
ASSESSMENTS:??? |
|
SALSALATE-Salicylate-C
INTERVENTIONS: Take with full glass water, food. milk Do not to take another salicylate (e.g., aspirin) Report tinnitus, hearing loss, vertigo, rash, or nausea. Do not breast feed while taking this drug without consulting physician |
SALSALATE-Salicylate-C
INTERVENTIONS:??? |
|
SALSALATE-Salicylate-C
TEACHING: Take with full glass water, food. milk Do not to take another salicylate (e.g., aspirin) Report tinnitus, hearing loss, vertigo, rash, or nausea. Do not breast feed while taking this drug without consulting physician |
SALSALATE-Salicylate-C
TEACHING:??? |
|
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D FOR: Rheumatoid Arthritis Psoriasis Trophoblastic Neoplasm Leukemia Lymphoma |
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D FOR:??? |
|
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D LIFE: Hepatotoxicity Hepatic cirrhosis Myelosuppression Aplastic bone marrow Sudden death Pneumonitis Pulmonary fibrosis |
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D LIFE:??? |
|
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D COMMON: Headache Ulcerative stomatitis Glossitis & Gingivitis Leukopenia Thrombocytopenia |
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D COMMON:??? |
|
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D ASSESSMENTS: Infections Peptic ulcer Ulcerative colitis Poor nutrition |
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D ASSESSMENTS:??? |
|
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D INTERVENTIONS: Give 1 h before or 2 h after meals Avoid skin exposure Avoid inhalation of drug particles Keep patient well hydrated (Monitor I&O ratio and pattern) Alert for & report symptoms of thrombocytopenia (e.g., ecchymoses, petechiae, epistaxis, melena, hematuria, |
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D INTERVENTIONS:??? |
|
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D TEACHING: Report bloody diarrhea Alcohol increases incidence & severity of methotrexate hepatotoxicity mouth care to prevent infection maintain adequate nutritional status Report joint pains to physician drug may precipitate gouty arthritis Do not self-medicate with vitamins re: OTC's may include folic acid or derivatives that alter methotrexate response Use contraceptive measures during and for at least 8 wk following therapy. Avoid exposure to sunlight and ultraviolet light. Wear sunglasses and sunscreen. Do not breast feed while using this drug |
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D TEACHING:??? |
|
MISOPROSTOL-Cytotec-X
FOR: Prevention of NSAID-induced Ulcers |
MISOPROSTOL-Cytotec-X
FOR:??? |
|
MISOPROSTOL-Cytotec-X
NO LIFE: has abortofectant preoperties!!! |
MISOPROSTOL-Cytotec-X
NO LIFE:??? has abortofectant preoperties!!! |
|
MISOPROSTOL-Cytotec-X
COMMON: Diarrhea & abdominal pain |
MISOPROSTOL-Cytotec-X
COMMON:??? |
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MISOPROSTOL-Cytotec-X
ASSESSMENTS: diarrhea minimized by giving drug after meals & at bedtime Give w/ food to minimize GI adverse effects |
MISOPROSTOL-Cytotec-X
ASSESSMENTS:??? |
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MISOPROSTOL-Cytotec-X
INTERVENTIONS: this drug has abortifacient property |
MISOPROSTOL-Cytotec-X
INTERVENTIONS:??? |
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MISOPROSTOL-Cytotec-X
TEACHING: Avoid magnesium-containing antacids because of increased incidence of diarrhea. Report postmenopausal bleeding to physician Avoid pregnancy during misoprostol therapy abortifacient property Contact physician and immediately discontinue drug if you becomes pregnant. Do not breast feed while taking this drug. |
MISOPROSTOL-Cytotec-X
TEACHING:??? |
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MISOPROSTOL-Cytotec-X
FOR: Prevention of NSAID-induced Ulcers |
MISOPROSTOL-Cytotec-X
FOR:??? |
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MISOPROSTOL-Cytotec-X
NO LIFE: has abortofectant preoperties!!! |
MISOPROSTOL-Cytotec-X
NO LIFE:??? has abortofectant preoperties!!! |
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MISOPROSTOL-Cytotec-X
COMMON: Diarrhea & abdominal pain |
MISOPROSTOL-Cytotec-X
COMMON:??? |
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MISOPROSTOL-Cytotec-X
ASSESSMENTS: diarrhea minimized by giving drug after meals & at bedtime Give w/ food to minimize GI adverse effects |
MISOPROSTOL-Cytotec-X
ASSESSMENTS:??? |
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MISOPROSTOL-Cytotec-X
INTERVENTIONS: this drug has abortifacient property |
MISOPROSTOL-Cytotec-X
INTERVENTIONS:??? |
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MISOPROSTOL-Cytotec-X
TEACHING: Avoid magnesium-containing antacids because of increased incidence of diarrhea. Report postmenopausal bleeding to physician Avoid pregnancy during misoprostol therapy abortifacient property Contact physician and immediately discontinue drug if you becomes pregnant. Do not breast feed while taking this drug. |
MISOPROSTOL-Cytotec-X
TEACHING:??? |
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Non-steroidal anti-inflammatory drugs (NSAID’s)are?
Drugs that relieve pain by acting on the peripheral nerve endings to inhibit the formation of the prostaglandins that trend to sensitize nerves to painful stimuli; have analgesic, antipyretic, and anti-inflammatory effects; included aspirin and ibuprofen. |
Drugs that relieve pain by acting on the peripheral nerve endings to inhibit the formation of the prostaglandins that trend to sensitize nerves to painful stimuli; have analgesic, antipyretic, and anti-inflammatory effects; included aspirin and ibuprofen are?
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Diuretics are?
Agents that increase urine secretion. |
Agents that increase urine secretion are?
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Opioids are?
Any synthetic narcotic not derived from opium. |
Any synthetic narcotic not derived from opium is a?
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Salicylates are?
Any salt of salicylic acid. |
Any salt of salicylic acid is?
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Methotrexate is ?
An inhibitor of dihydrofolate reductase that is used to treat rheumatoid arthritis |
An inhibitor of dihydrofolate reductase that is used to treat rheumatoid arthritis is?
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Nitrates are?
A salt of nitric acid. Agents in this class include isosorbide dinitrate or mononitrate and nitroglycerin. |
A salt of nitric acid. Agents in this class include isosorbide dinitrate or mononitrate and nitroglycerin are?
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Antiarrhythmics are?
A drug or physical force that acts to control or prevent cardiac arrhythmias. |
A drug or physical force that acts to control or prevent cardiac arrhythmias is?
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Antihypertensives are?
Used to prevent or control high blood pressure. An agent that prevents or controls high blood pressure. |
A drug used to prevent or control high blood pressure or an agent that prevents or controls high blood pressure is?
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Hydrogel (agents)are?
Colloids containing hydrophilic polymers. Hydrogels are used in soft contact lenses and the treatment of burns. |
Colloids containing hydrophilic polymers. Hydrogels are used in soft contact lenses and the treatment of burns are?
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Hydrocolloids are?
A colloidal suspension in which water is the liquid. |
A colloidal suspension in which water is the liquid is?
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Antipyretics are?
reduce fever |
Drugs that reduce fever are?
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Antiemetics are?
Used to prevent or relieve nausea and vomiting. |
Drugs used to prevent or relieve nausea and vomiting are?
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Antidiarrheal's are?
Substance used to prevent or treat diarrhea. |
Substances used to prevent or treat diarrhea are?
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For Safe Medication Administration the RN must?
Know why the patient is getting a medication Accurately deliver the medication Accurately document the medication administration Observe the patient for the expected effect of the medication administered |
For Safe Medication Administration the RN must?
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The Institute of Medicine (IOM) estimates that at least _____ million preventable adverse drug events occur in the United States each year.
1.5 million |
The Institute of Medicine (IOM) estimates that at least _____ million preventable adverse drug events occur in the United States each year.
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One study revealed that approximately ___ dose out of of every ____ administered in a hospital is administered in error.
1 dose in every 5 |
One study revealed that approximately ___ dose out of of every ____ administered in a hospital is administered in error.
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Reports estimate about _____ medication error deaths occur each year in hospitals
7,000 |
Reports estimate about _____ medication error deaths occur each year in hospitals
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It is estimated that the annual cost of drug-related morbidity and mortality is nearly _____ in the United States.
$177 billion |
It is estimated that the annual cost of drug-related morbidity and mortality is nearly _____ in the United States.
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For each adverse drug event that takes place in a hospital, it adds an average of ________ to the cost of that hospital stay.
$8,750 |
For each adverse drug event that takes place in a hospital, it adds an average of ________ to the cost of that hospital stay.
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The Hospital drug delivery process is:
Someone prescribes the drug Physician, advanced practice nurse, physician’s assistant Prescription order may be Written Oral Telephone Someone “notes” the prescription order Someone or something (computer) sends the prescription order to the pharmacy and notifies the nurse an prescription order has been received Medication record is generated or modified to reflect the prescribed medication Medication is administered according to times scheduled |
The Hospital drug delivery process is:
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System of checks and balances
in the drug delivery process is? Prescriber should be sure of correct drug and dosage for patient Pharmacist should double check the order’s correctness as far as appropriateness for patient’s illness, dosage, times administered Nurse triple checks all of the above prior to administering the medication Final responsibility is the nurse’s |
System of checks and balances
in the drug delivery process is? |
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Drug distribution systems are?
Drug cart or drawer (ea pt has a specified area (drawer, cabinet, etc) in which the medications ordered are kept Generally see 24 hour’s worth of medication stocked at a specific time each day Allows for pharmacist check Does not allow well for order changes or new orders within the 24 hour period |
Drug distribution systems are?
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Stock medications are?
bulk amounts of medications are kept in a specific area of each nursing unit (drug room) available for use on a dose by dose basis Appropriate for medications that are routinely prescribed or prescribed on a prn basis (i.e. laxatives, antacids, ASA, tylenol) Disadvantage is that this system circumvents the pharmacist check of the medication |
Stock medications are?
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The disadvantage of 'Stock Medications" is?
This system circumvents the pharmacist check of the medication |
The disadvantage of 'Stock Medications" is?
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Computer-controlled medication distribution systems are?
Each nurse is issued a code for access to medications. These systems are becoming very sophisticated, some now have each patient issued a bar code and the medications being checked by bar code prior to administration. Effort to control medication administration errors as well as diversion. |
Computer-controlled medication distribution systems are?
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Computer-controlled medication distribution systems are used in an effort to?
Ccontrol medication administration errors as well as diversion. |
Computer-controlled medication distribution systems are used in an effort to?
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Five (or six) rights of medication administration are?
1. Right drug 2. Right dose 3. Right patient 4. Right route 5. Right time 6. Right documentation !!!!! |
Five (or six) rights of medication administration are?
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With medications, the patient has the right to?
medication’s name, purpose, action, potential, undesired effects Refuse a medication regardless of consequences Have qualified nurses or physicians assess a medication history, including allergies Be properly advised of the experimental nature of medication therapy and to give written consent for its use Receive labeled medications safely without discomfort in accordance with the five rights of medication administration Receive appropriate supportive therapy in relation to medication therapy Not receive unnecessary medications |
With medications, the patient has the right to?
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Assessment of patient for medication administration should include?
History History of allergies Medication data Diet history Patient’s perceptual or coordination problems Patient’s current condition Patient’s attitude about medication use Patient’s knowledge and understanding of medication therapy Patient’s learning needs |
Assessment of patient for medication administration should include?
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In assessment for medication administration, be certain to include questioning regarding the patient’s use of?
herbal remedies and other OTC products. There may be strong adverse reactions between some widely available products and prescription drugs. |
In assessment for medication administration, be certain to include questioning regarding the patient’s use of?
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In assessment for medication administration, it is important to include questioning regarding the patient’s use of herbals and OTC products because?
There may be strong adverse reactions between some widely available products and prescription drugs. |
In assessment for medication administration, it is important to include questioning regarding the patient’s use of herbals and OTC products because?
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Ginkgo biloba can cause?
Bleeding |
Ginkgo biloba can cause?
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St John’s wort can cause?
GI disturbances Allergic reactions Fatigue & dizziness confusion dry mouth & photosensitivity |
St John’s wort can cause?
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Ephedra can cause?
Hypertension & Onsominia Arrhythmia & Nervousness Tremor, Headache, Seizure CVA, MI Kidney stones |
Ephedra can cause?
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Kava can cause?
Sedation Oral & Lingual Dyskinesia Torticollis & Oculogyric crisis Exacerbation of Parkinson’s Painful twisting movements of the trunk Rash |
Kava can cause?
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Ginkgo interacts with?
ASA Coumadin Plavix Persantine Ticlid |
Ginkgo interacts with?
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St Johns Wort interacts with?
Antidepressants |
St Johns Wort interacts with?
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Ephedra interacts with?
caffeine decongestants stimulants |
Ephedra interacts with?
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Kava interacts with?
sedatives sleeping pills antipsychotics alcohol |
Kava interacts with?
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Ginseng interacts with?
Warfarin |
Ginseng interacts with?
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Three key goals or expected outcomes with medication administration are?
Drug’s therapeutic effect is achieved No complications related to the medication and/or method of administration Patient and family will demonstrate understanding of self-administration of drug if appropriate |
Three key goals or expected outcomes with medication administration are?
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Before the implementation of administering medication, consider these things?
Pre-administration Is order current and legal? Is dosage calculated accurately? Do you understand why you are giving the drug? Does it make sense? Are any pre-administration assessments required? (If so, do them and chart them.) Use aseptic technique to prepare drugs Prepare drugs for one patient at a time Do not prepare medications from unlabeled containers, give meds that don’t look correct, give meds that are expired |
Before the implementation of administering medication, consider these things?
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With administration of drugs be sure to?
6 rights Educate patient as meds are given Keep unit dose meds in their containers until opened at the bedside Remain with patient until meds are taken Don’t leave meds at beside unless specifically directed to do so. |
With administration of drugs be sure to?
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In the nurses evaluation of medication administration, she should?
Monitor physical response to medication Monitor behavioral response to medication Observe injection sites for bruises, inflammation, infection Determine patient’s understanding of drug therapy Determine patient’s ability to self-administer medications safely and accurately |
In the nurses evaluation of medication administration, she should?
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In Pediatrics, many facilities require all pediatric dosage calculations to be?
double checked by another RN |
In Pediatrics, many facilities require all pediatric dosage calculations to be?
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In pediatrics, Parents are valuable resources in?
getting the pediatric patient to take their medications What works at home?? Also need to explain o the child why and what of medication Don’t be untruthful with children about meds |
In pediatrics, Parents are valuable resources in?
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Concerns about medications with Older adults are?
Polypharmacy: patient is taking many medications, prescribed or OTC, in an attempt to treat many disorders at once High risk for drug interactions and/or food interactions Self-prescribing medications OTC meds Misuse of meds Noncompliance |
Concerns about medications with Older adults are?
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