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NCLEX RN
NCLEX Cram Simplifying Pharmacology
Question | Answer |
---|---|
SEVEN MED ADMINISTATION RIGHTS | CLIENT, ROUTE, DRUG, AMOUNT, TIME, DOCUMENTATION, TO REFUSE TX |
ACE INHIBITORS ACTION | PRIL- TX PRIMARY AND SECONDARY HTN BY INHIBITING THE COVERSION OF ANGIOTENSION I TO II |
ACE INHIBITORS RN CONSIDERATIONS | SE= HYPOTENSION, HACKING COUGH, N/V, RESP SXMONITOR VITALS, WBCS, AND ELECTROLYTE LEVELS |
BETA ADRENERGIC BLOCKERS ACTION | OLOL- HELP LOWER BP, PULSE RATE, AND CARDIAC OUTPUT; ALSO TX MIGRAINES AND OTHER VASCULAR HEADACHES, GLAUCOMA AND PREVENT MIS BY BLOCKING THE SYMPATHETIC VASOMOTOR RESPONSE |
BETA ADRENERGIC BLOCKERS RN CONSIDERATIONS | SE= ORTHOSTATIC, BRADYCARDIA, CHF, BLOOD DYSCRASIASMONITOR LAB VALUES (PROTEIN, BUN, CR) INDICATING NEPHROTIC SYNDROME, MONITOR VITALS, SIGNS OF EDEMATEACH TO RISE SLOWLY, REPORT BRADYCARDIA, DIZZINESS, CONFUSION,DEPRESSION, OR FEVER AND TAPER OFF MED |
AMINOGLYCOSIDES | CIN/MYCIN- INTERFERE WITH THE PROTEIN SYNTHESIS OF BACTERIA CASING IT TO DIE |
AMINOGLYCOSIDES RN CONSIDERATIONS | SE= OTOTOXICITY, NEPHROTOXICITY, SEIZURES, BLOOD DYSCRASIA, HYPOTENSION, RASHOBTAIN ALLERGIES, MONITOR I&O, VITALS, IV SITE, THERAPEUTIC LEVELS, PEAK AND TROUGH LEVELS |
BENZODIAZEPINES ACTION | PAM/PATE/LAM- ANTICONVULSANTS/ANTIANXIETYS SEDATIVE/HYPNOTICS |
BENZODIAZEPINES RN CONSIDERATIONS | MONITOR r, LIVER FNX, KIDNEY FXN, BONE MARROW FXN, SIGNS OF CHEMICAL ABUSE |
PHENOTHIAZINES ACTION | ZINE- USED AS ANTIEMETICS OR MAJOR TRANQUILIZER AND TO TX PSYCHOSIS WITH SCHIZOPHRENIA |
PHENOTHIAZINES RN CONSIDERATIONS | SE= EPS, SEDATION, ORTHOSTATIC HYPOTENSION, DRY MOUTH, AGRANULOCYTOSIS, NEUROLEPTIC MALIGNANT SYNDROME |
GLUCOCORTICOIDS ACTION | SONE/CORT- USED FOR IMMUNOSUPPRESSION AND ADDISON'S DISEASE; USED TO DECREASE INFLAMMATORY RESPONSE TO ALLERGIES AND INFLAMMATORY DISEASES OR TO DECREASE THE POSSIBILITY OF ORGAN TRANSPLANT REJECTION |
GLUCOCORTICOIDS RN CONSIDERATIONS | SE= POOR WOUND HEALING, ECCHYMOSIS, BRUISING, PETECHIAE, DEPRESSION, FLUSHING, MOOD CHANGES, HTN, OSTEOPOROSIS, HEMORRHAGEMOINTOR GLUCOSE LEVELS, WEIGHTS, BP, AND SIGNS OF INFECTION |
ANTIVIRALS ACTION | VIR- INHIBIT VIRAL GROWTH BY INHIBITING AN ENZYME WITHIN THE VIRUS |
ANTIVIRALS RN CONSIDERATIONS | REPORT RASH, SIGNS OF INFECTIONS, MONITOR CR FREQ, LIVER PROFILE, BOWEL PATTERN BEFORE AND DURING TX |
CHOLESTEROL LOWERING AGENTS ACTION | VASTATIN- HELP TO LOWER CHOLESTEROL AND TRIGLYCERIDE LEVELS TO DECREASE THE POTENTIAL FOR CARDIOVASCULAR DISEASE |
CHOLESTEROL LOWERING AGENTS RN CONSIDERATIONS | SE= ALOPECIA, DYSPEPSIA, LIVER DYSFXN, MYALGIA, HEADACHEDIET LOW IN CHOLESTEROL AND FAT; MOINTOR CHOLESTEROL, LIVER, RENAL LEVELS/FXN; REPORT VISUAL CHANGES (CATARACTS); MONITOR MUSCLE PAIN AND WEAKNESS |
ANGIOTENSIN RECEPTOR BLOCKERS ACTION | SARTAN- BLOCK VASOCONSTRICTOR AND ALDOSTERONE SECRETING ANGIOTENSIN II TO LOWER BP AND INCREASE CO;TX PRIMARY OR SECONDAY HTM AND ARE EXCELLENT FOR PTS WHO COMPLAIN OF COUGHING R/T ACE INHIBITORS |
ANGIOTENSIN RECEPTOR BLOCKERS RN CONSIDERATIONS | SE= INSOMNIA, DEPRESSION, ANGINA PECTORIS, SECOND DEGREE AV BLOCK, CONJUNCTIVIITIS, IMPOTENCE, MUSCLE CRAMPS, NEUTROPENIA, COUGHMONITOR BP, HR, BUN, CR, ELECTROLYTES, HYDRATION STATUS, AND TO REPORT EDEMA IN FEETS AND LEGS DAILY |
CO2 ENZYME BLOCKERS ACTION | COX- ANTI-INFLAMMATORY DRUGS USED TO TX ARTHRITIS AND PAIN R/T ARTHRITIS (NSAIDS) |
CO2 ENZYME BLOCKERS RN CONSIDERATIONS | SE= FATIGUE, ANXIETY, DEPRESSION, TACHYCARDIA, TINNITUS, GASTROENTERITIS, STOMATIIS, SUDDEN GI BLEEDINGREPORT CHANGINES IN BOWEL HABITS INDICATING BLEEDING, MONITOR PLATELET COUNT, REPORT EASY BRUISING |
HISTAMINE 2 ANTAGONISTS ACTION | TIDINE- BLOCK HISTAMINE 2 RECEPTOR SITES, DECREASING ACID PRODUCTION, USED TO TX GERD, ACID REFLUX, AND GASTRIC ULCERS |
HISTAMINE 2 ANTAGONISTS RN CONSIDERATIONS | BRADY/TACHYCARDIA, PSYCHOSIS, SEIZURES, AGRANULOCYTOSIS, ALOPECIA, GALACTORRHEAMONITOR BUN, ADMINISTER MED W/MEALS, TAKE ANTACIDS 1HR BEFORE/AFTER MED, CIMETIDINE IN ONE LARGE DOSE AT BEDTIME, SUCRLFATE DECREASES HISTAMINE 2 RECEPTOR BLOCKER EFFECTS |
PROTON PUMP INHIBITORS ACTION | PRAZOLE- SUPPRESSES GASTRIC SECRETION BY INHIBITING HYDROGEN/POTASSIUM ATPASE ENZYME SYSTEMS TO TX GASTRIC ULCERS, INDIGESTION AND GERN |
PROTON PUMP INHIBITORS RN CONSIDERATIONS | SE= INSOMNIA, FLATULENCE, HYPERGLYCEMIATAKE MED PRIOR TO MEALS FOR BEST ABSORPTION, DO NOT CRUSH PROTONIX, USE FILTER WHEN IV PROTONIX, MONITOR LIVER FXN |
ANTICOAGULANTS ACTION | PARIN- THINS BLOOD TO TX THROMBOLYTIC DISEASE, PULMONARY EMBOLI, MI, DVT AFTER CORONARY ARTERY BYPASS SURGERY AND OTHER CONDITIONS REQUIRING ANTICOAGULATION |
ANTICOAGULANTS RN CONSIDERATIONS | SE= STOMATITIS, BLEEDING, HEMATURIA, DERMATITIS, ALOPECIA, PRURITUSMONITOR BLOOD STUDIES (HCT, OCCULT BLOOD IN STOOL, PTT FOR HEPARIN, PLT, SIGNS OF BLEEDING OR INFECTION |
GINSENG | ANTI-INFLAMMATORY, ENHANCES IMMUNE SYSTEM, ESTROGEN EFFECTS, AND IMPROVES MENTAL AND PHYSICAL ABILITIES |
GINKGO | IMPROVES MEMORY AND CAN BE USED TO TX DEPRESSION, IMPROVES PERIPHERAL CIRCULATION |
ECHINACEA | TX COLDS, FEVERS, UTI |
ST. JOHN'S WORT | USED TO TX MILD TO MODERATE DEPRESSION |