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25 Cards in this Set

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  • Back
Infants are at risk for drug toxicity due to which of the following?
Decreased liver enzymes, reduced kidney perfusion, reduced liver perfusion
A health care professional is caring for a patient who arrived at an urgent care center following a bee sting. What findings indicates anaphylactic reaction?
Low BP, wheezing, swallowing difficulty
A patient is having difficulty remembering to take a prescribed drug t.i.d. Which form of the drug should the health care professional recommend?
Extended release tablet
What best describes drugs that are in pregnancy risk category D
Weigh benefits against risks, pass through umbilical cord or placenta to fetus, may cause fetal malformation, use of contraception by women of childbearing age is required.
When caring for a patient with a history of renal insufficiency and is taking Lithium you should monitor for?
Drug toxicity
You should suspect what? When a pt who reports chronic pain states that his pain meds are no longer effective for pain relief.
Drug tolerance
When a pt is taking an OTC what info about the OTC is important?
Don't require supervision by HCP, drug interactions, should be included in drug history assessment.
What info should be included when talking to pt about EC-naproxen?
Don't chew or crush tablets
What info should you include when talking to pt about drugs that have small margin of safety such as phenytoin AKA Dilantin?
Lab test to measure serum drug levels, toxicity, taking smallest effective dose.
When caring for a hospitalized pt when should drug & discharge planning occur?
ASAP
Pt states he has no allergies but developed some mild itching while taking amoxicillin. What should you explain to pt?
Itching indicates hypersensitivity
A pt is takin digoxin for cardiac dysrhythmias which route of administration is the fastest?
IV
Peak and trough levels help monitor for what?
Drug toxicity, Min effective dose, constant therapeutic levels.
When teaching a pt what can decrease PR's ability to learn
Cognitive level, language, comfort level, readiness to learn.
Time it takes a drug to demonstrate a full therapeutic effect?
The peak time
Before a pt begins a drug that is eliminated by the kidneys what should you assess for regarding blood values?
Creatinine clearance
What info should you consider when calculating dosages for infants compared to adults?
Older Children have faster metabolisms than adults
What are characteristics of additive drug interactions?
Can achieve desired effect w/ lower dosages, both drugs have similar actions.
When drinking grapefruit juice w/ certain drugs what risk is the pt in?
Drug Toxicity
A no therapeutic unintended effect of a drug that occurs w/ a therapeutic range is?
An adverse effect
What is a physiologic characteristics of infants that can alter drug absorption?
Delayed gastric emptying
A teratogenic drug can cause what?
Fetal malformation
An oral dose will be higher than the IV dose b/c of what?
First-pass effect
A parenteral drug is what?
IV, SubQ, or IM administered drug
What considerations should you recommend for a breastfeeding mother who is taking OTCs?
Newborns weight, amount of breast milk child consumes q.d. Whether benefits out way risks, properties of the drug.