In each blank, try to type in the
word that is missing. If you've
typed in the correct word, the
blank will turn green.
If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed. When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on. Classification: ACE INHIBITORS (pril)
lisinopril (Zestril, )
benazepril (Lotensin)
catopril (Capoten)
enalipril (Vasotec)
quinapril (accupril)
ramipril (Altace)Side Effects: 1. n/v/d
2. persistant dry hacking cough (ACE only)
3. hypotension
4. hyperkalemia
5. tachycardia
6. headache/dizziness
7. insomnia
8. bruising, petechiae, bleeding
9. diminished taste (ACE only)NRSG INTRV: 1. inform pt the taste of food may be diminished during first month of therapy
2. report s/e of immediately to MD
3. instruct pt how to take BP Classification: (nitrates)
amyl nitrate inhalant
isosorbide dinitrate (Isordil)
isosorbide mononitrate (Imdur, Monoket)
nitroglycerin (NTG)Side Effects: 1. headache
2. hypotension
3. dizziness/weakness/faintess
4. flushing or pallor
5. tachycardiaNRSG INTRV: 1. caution pt to make changes slowly to minimize orthostatic hypotension
2. inform pt headache is a common s/e Classification: ANGIOTENSIN RECEPTOR BLOCKERS (sartan)
*losartan (Cozaar)*
candesartan (Atacand)
eprosartan (Teveten)
irbesartan (Avapro)
olmesartan (Benicar)
telmisartan (Micardis)
valsartan (Diovan)Side Effects: 1. n/v/d
2. hypotension
3. . tachycardia
5. headache/dizziness
6. insomnia
7. bruising, petechiae, bleedingNRSG INTRV: 1. instruct pt how to take Classification: BETA BLOCKERS (olol)
*carvedilol (Coreg)*
*propranolol (Inderal)*
sotalol (Betaspace)
timolol (Blocadren)
*atenolol (Tenormin)*
metoprolol (Lopressor, Toprol-XL)Side Effects: 1. bradycardia
2. hypotension
3. bronchospasm
4. weakness/fatigue/dizziness
5. hyperglycemia
6. agranulocytosis
7. behavioral or response
8. depression
9. nightmaresNRSG INTRV: 1. hold meds if pulse or BP is not within prescribed . monitor signs or worsening of HF
3. advise pt taking insulin that beta blockers can mask early signs of hypoglycemia- tachycardia/nervousness
4. rise slowly to prevent hypotension
5. Classification: LOOP ASCENDING DIURETICS
*bumetanide (Bumex)*
ethacrynic acid (Edecrin)
furosemide (Lasix)
torsemide (Demadex)Side Effects: 1. hypokalemia, hyponatremia, hypocalcemia, hypomagnesemia, hypochloremia
2. . hyperuricemia
4. ototoxicity and deafness
5. dehydration
6. orthostatic hypotensionNRSG INTRV: 1. monitor I&O, weight
2. check peripheral for edema
3. instruct pt to take meds in the AM to avoid nocturia
4. instruct pt to eat high in potassium Classification: -SPARING DIURETICS
amiloride (Midamor)
spironolactone (Aldactone)
triamterene (Dyrenium)
*eplerenone (Inspra)*Side Effects: 1. hyperkalemiaNRSG INTRV: 1. instruct pt to foods high in potassium Classification: THIAZIDE DIURETICS (thiazide)
chlorothiazide (Diuril)
chlorothalidone (Hygroton, )
hydrochlorothiazide (HydroDIURIL)
quinethazone (Hydromox)Side Effects: 1. hypokalemia and hyponatremia
2. hypotensionNRSG INTRV: 1. check peripheral for edema
2. instruct pt to take meds in the AM to nocturia
3. instruct pt to eat foods high in potassium Classification: OSMOTIC DIURETICS
mannitol (Osmitrol)= BRAIN, ICPSide Effects: 1. fluid and electrolyte . transient plasma volume increase
3. pulmonary edema
4. cellular dehydrationNRSG INTRV: 1. monitor v/s including CVP hourly
2. insert foley, record urine output
3. monitor weight, I&O, sodium and potassium levels Classification: OSMOTIC DIURETICS
acetazolamide (Diamox)= EYES, tx Side Effects: 1. hyperglycemia, hyperurecemia, hypercalcemia, hypokalemia
2. orthostatic hypotension
3. renal calculi
4. hemolytic anemiaNRSG INTRV: 1. monitor: v/s, weight, I&O, glucose, calcium, BUN, creatinine, mental status
2. pt to monitor signs of renal calculi Classification: ANTICOAGULANTS (in OR arin)
warfarin (Coumadin)= ORALSide Effects: 1. NRSG INTRV: 1. monitor PT/INR
2. avoid salicylates
3. observe for any . teach pt of use soft toothbrush and electric razor
5. avoid foods high in vitamin K such as green leafy vegetables
6. ANTIDOTE: Vitamin K (phytonadione, aquaMEPHYTON) Classification: (in OR arin)
heparin (Lovenox)= IV, SUBQ
argatroban (Acova)
bivalirudin (Angiomax)
dalteparin (Fragmin)
desirudin (Ipravask)
enoxaparin (Lovenox)
fondaparinux (Atrixta)
lepirudin (Refludan)
tinzaparin (Innohep)Side Effects: 1. hemorrhageNRSG INTRV: 1. monitor aPTT
2. avoid salicylates
3. observe for any . avoid foods high in vitamin K such as green leafy vegetables
5. ANTIDOTE: Protamine Sulfate Classification: (PaNaMa)
tranylcypromine (Parnate)
phenelzine (Nardil)
isocarboxazid (Marplan)Side Effects: 1. orthostatic hypotension
2. restlessness
3. insomnia (Parnate)
4. dizziness, weakness, lethargy
5. dry mouth
6. anticholinergic . CNS= anxiety, agitation, severe depression
8. erection/orgasm difficulty; delay in ejaculationNRSG INTRV: AVOID foods that contain TYRAMINE: avocados, bananas, beef or chicken liver, brewer's yeast, broad beans, no caffeine such as coffee, tea, chocolate, cheese, figs (fruit), overripe fruit, meat extracts, papaya, pickled herring, raisins, red wine, beer... Classification: foods that contain TYRAMINE cont: sherry, sausage, bologna, pepperoni, salami, sour cream, yogurt, soy sauceSide Effects: NRSG INTRV: Classification: RAPID/FAST ACTING INSULIN
lispro (Humolog)
aspart (NovoLog)
glulisine (Aprida)Side Effects: ONSET: <15 min
PEAK: 0.5-1 hour
DURATION: 3-5 NRSG INTRV: 1. with food during breakfast Classification: SHORT ACTING INSULIN
Humalin R
regular (Novolin R)
Velosulin BRSide Effects: ONSET: 0.5
PEAK: 2.4 hours
DURATION: 6-8 ; 8hrs only for Novolin R and Velosulin BRNRSG INTRV: Classification: INTERMEDIATE INSULIN
NPH (Neutral Hagedorn)
LenteSide Effects: ONSET: 1-2 hours
PEAK: 7-12 : 24-30 hoursNRSG INTRV: Classification: LONG ACTING zinc (Ultra Lente)
detemir (Levimir)
glargine (Lantus)Side Effects: ONSET: 4-6 hours; Lantus immediate
PEAK: 18+ hours; Lantus constant
DURATION: 30-36 hours; Lantus 24 hoursNRSG INTRV: 1. contraindicated for children under 6 y/o
2. @ BEDTIME
3. cannot be given IV, cannot be mixed with other insulin Classification: COMBINATION INSULIN
70 NPH
_________
30 regularSide Effects: NRSG INTRV: Classification: HERBAL
kava Side Effects: USED FOR: UTI, changes (ABD pain), migraines, chronic cystitis, antianxiety, skeletal muscle relaxant, sedative effectNRSG INTRV: TX for gonorrhea Classification: HERBAL
gingerSide Effects: USED FOR: NRSG INTRV: Classification: NARCOTIC/OPIOID ANALGESICS
codeine, meperidine (Demerol)
morphine sulfateSide Effects: 1. respiratory depression
2. hypotension
3. bradycardia
4. sedation, drowsiness
5. n/v
6. constipation, urinary retention
7. tremorsNRSG INTRV: 1. monitor resp, BP, and pulse
2. Naloxone (Narcan) is used to reverse narcotic respiratory Classification: ORAL HYPOGLYCEMICS; (Glucophage)Side Effects: 1. diarrhea (most common)
2. lactic acidosis (most serious)NRSG INTRV: 1. it suppresses hepatic production of glucose and increases insulin
2. if hypoglycemia occurs, advise pt to take glass of orange juice or 2-3 tsp of sugar, honey or corn syrup dissolved in water Classification: ORAL ; GLUCOSIDASE INHIBITORS
acarbose (Precose)
miglitol (Glyset)Side Effects: NRSG INTRV: 1. with 1st bite of meal @ breakfast**
2. will not cause hypoglycemia when given alone Classification: ANTIANEMICS; IRON DEFICIENCY ANEMIA
ferrous (Feosol)Side Effects: 1. nausea
2. constipation
3. tarry stools
ANTIDOTE: EDTA (edetate disodium)NRSG INTRV: 1. absorption best if given between meals
2. GI upset, give w/ meals or orange juice
3. Vitamin C may increase absorption
4. teach pt to increase fiber, fluids, exercise
5. LIQUID P.O- use straw to prevent staining teeth
6. PARENTERAL-Ztrack air lock Classification: HERBAL
Saw Palmetto (antiestrogen )Side Effects: USED FOR: UTI & benign prostatic (BPH)NRSG INTRV: BPH & UTI Classification: MANIC/BIPOLAR DISORDER
lithium (Eskalith, Lithobid)
NORMAL LEVELS: 0.5-1.2
1.5=TOXICITY!!!Side Effects: 1. polyuria, polydipsia (dry mouth)
2. anorexia, nausea
3. weight gain, ABD bloating
4. fine hand tremors, muscle weakness
5. to concentrate
6. lethargy, fatigue, headache
7. hair loss, hypothyroidismNRSG INTRV: 1. serum lithium levels should be checked q 1 to 2 months
2. monitor suicidal pt
3. maintain fluid intake 6-8 glasses of h20
4. avoid coffee, tea, cola
5. do not administer diuretics
6. notify MD if polyuria, prolonged vomiting, diarrhea/fever occur Classification: LITHIUM TOXICITYSide Effects: MILD 1.5 mEq/L
1. apathy
2. lethargy
3. diminished . ataxia
5. coarse hand tremors
6. slight muscle weaknessNRSG INTRV: MODERATE to SEVERE 1.5-2.5 mEq/L
1. n/v/d
2. slurred . tinnitus
4. blurred vision
5. muscle twitching
6. irregular temors
7. nystagmus
8. impaired LOC Classification: PUMP INHIBITORS (prazole)
omeprazole (Prilosec)*
esomeprazole (Nexium)
lansoprazole (Prevacid)
pantoprazole (Protonix)
rabeprazole (Aciphex)Side Effects: common s/e
1. headache
2. diarrhea
3. ABD pain
4. nausea
other: confusion, arrhythmias, agranulocytosis, aplastic anemiaNRSG INTRV: 1. DECREASES GASTRIC ACID SECRETIONS
2. short-term tx of active duodenal and benign gastric ulcers
3. may cause drowsiness/dizziness. advise pt to report: black tarry stools, fever, sore throat, rash, or confusion
4. watch s&s of Classification: H2 (tidine)
cimetidine (Tagamet)*
famotidine (Pepcid)
nizatidine (Axid)
ranitidine (Zantac)*Side Effects: 1. . dizziness
3. blurred visionNRSG INTRV: 1. DECREASES GASTRIC ACID SECRETIONS and protects surface of ulcer
2. prevents c/o peptic ulcers
3. cimetidine and antacids should be administered at least 1 hour apart!
4. antacids can DECREASE the absorption of oral cimetidine. food also slows it Classification: HERBAL
EchinaceaSide Effects: USED FOR: /boosts Immune SystemNRSG INTRV: Classification: ANTIMICROBIALS; prevent or tx secondary infections
metronidazole (Flagyl)*
^causative agent-Giardia Lamblia (Giardiasis) diarrhea from contaminated Side Effects: 1. dizziness
2. . ABD pain
4. anorexia, nausea
s/s of alcohol deterrent: flushing, n/v, palpitations, and tachycardia >>>NRSG INTRV: 1. urine may turn brownish/black
2. teach pt NOT to apply cologne after shave lotion, bath splashes, ingest ETOH products (anything containing alcohol) to avoid disulfiram (Anatabuse) type reaction
3. *cough drops contain alcohol* Classification: ANTITUBERCULAR; drug of choice for TB*
isoniazid (INH)*Side Effects: 1. hepatotoxicity & peripheral *
2. n/v
3. dry mouth
4. dizziness
5. hyperglycemia
6. vision changes (color, disturbances)*
7. hepatitisNRSG INTRV: 1. MONITOR LIVER FUNCTION TESTS*
2. notify MD for loss of appetite, fatigue, malaise, jaundice, & dark urine
3. give pyridoxine (Vitamin B6) to peripheral neuropathy**
Classification: ANTITUBERCULAR; tuberculosis
ethambutol (Myambutol)Side Effects: 1. vision loss and loss of color discrimination*NRSG INTRV: 1. evaluate pts acuity and color discrimination before and during therpay
NOTE: (E)thambutol= EYE PROBLEMS Classification: : pulmonary tuberculosis
rifampin (Rifadin)*Side Effects: 1. hepatotoxicity= liver damage
2. red-orange color in & feces. also shown in tears and body secretions (pt do not wear contacts)**
3. drowsiness NRSG INTRV: 1. monitor liver function tests
2. may require ^doses of warfarin, corticosteroids, and hypoglycemic Classification: ANTIVIRAL (vir)
acyclovir (Zovirax)
*tx of: genital herpes, of localized cutaneous herpes Zoster, shingles, and chicken pox (Varicella)Side Effects: 1. seizures
2. dizziness
3. headache
4. hallucinations
5. trembling
6. renal failureNRSG INTRV: 1. asses lesions and daily
2. monitor BUN and creatinine (^ or v=renal failure
3. instruct women w/genital herpes to have yearly PAP
4. rubber gloves are used to apply ointment to prevent spread of infection
Classification: ANTIVIRAL; prevents HIV from multiplying in your body
ritonivir (Norvir)Side Effects: 1. n/v/d/anorexia
2. asthenia, parathesia
3. taste changes
4. dizziness
5. vasodilationNRSG INTRV: 1. should be taken with food. can be mixed with CHOCOLATE milk or nutrition shake such as Ensure** drink within 1 hour of mixture
2. do not take (Antabuse) to prevent alcoholic reaction Classification: CALCIUM CHANNEL BLOCKERS (dipine)
amlodipine (Norvasc)
diltiazem (Cardizem)
felodipine (Plendil)
isradipine (DynaCirc)
nicardipine (Cardene)
nifedipine (Procardia, )
nimodipine (Nimotop)
nisoldipine (Sular)
verapamil (Calan, Isoptin, CoveraSide Effects: 1. bradycardia
2. hypotension
3. headache
4. dizziness/lightheadedness
5. peripheral edema
6. constipation
7. flushing of the skinNRSG INTRV: 1. monitor: v/s, HF, kidney function, live enzymes
2. instruct how to take pulse
3. encourage pt to change positions or get up slowly to orthostatic hypotension |
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
kcainglet
Popular Nursing sets