NCLEX MEDS TO KNOW
Help!
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| ACE | show 🗑
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| CHOLESTRAMINE (QUESTRAN) | show 🗑
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| show | -VIR (in name)
Tx: HIV,viral infections, HSV, HEP C, Chicken pox, RSV
Ex: Ritonovir (Norvir)
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| BENZOS | show 🗑
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| BETA BLOCKERS | show 🗑
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| CCB | show 🗑
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| GLUCOCORTICOIDS/CORTICOSTERORIDS | show 🗑
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| show | -DINE or TIDINE
Decreased secretion of gastric acid
Tx: Acid Reflux, GERD, Heart burn, prevent ulcers
Adverse Rxn: dizziness, hallucinations, sleepiness
Ex: Semetadine (Tagament)
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| NITRATES | show 🗑
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| PPI | show 🗑
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| show | -contains SULF
Suppresses bacterial growth
Tx: Infections
Ex: Sulfasazine
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| THIAZIDE DIURETICS | show 🗑
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| THROMBOLYTIC | show 🗑
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| THYROID HORMONE | show 🗑
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| BRONCHODILATORS | show 🗑
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| ABX | show 🗑
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| REVERSE TRANSCRIPTASE or ANTIHYSTAMINE | show 🗑
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| show | -ZINE
Adverse fx: EPS
Tx: schizophrenia, N/V (phen and comp)
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| show | -OXIN
Tx: CHF and Heart Arythmias
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| show | -OPINE
EX: Atropine
SE: can't see, pee, sit, poo (Activates SNS-flight or fight)
NO with GLAUCOMA = Icreases IOP
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| show | -Increases BP, HR, RR
-Decreases GI, UO (constipation and urinary retention)
-dilated pupils (blurry vison)
-constricted blood vessels and dry mouth
(FLIGHT OR FIGHT)- acts on Increased ACH
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| show | -decreased HR
-constriced pupils
-Relaxed
-Increased sex drive
-warm, dry skin
REST AND DIGEST- acts on Decreased ACH
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| Is DIG K sparing or wasting? | show 🗑
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| show | K SPARING
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| What can sudden stopping of TEGRETOL cause? | show 🗑
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| show | (Most Benzo, vir meds, depression meds)
-BUSPAR
-VARAPAMIL
-TEGRETOL (CARBAMAZEPINE)
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| show | -CA med
-30% can cause OTO TOXICITY
-drink 8-10 glasses of water
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| ANALGESIC | show 🗑
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| show | -CAINE
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| show | Tx: Heart problems (Ventricular arrhythmia's) caused by MI
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| ANTI-ULCER | show 🗑
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| show | -MIDE
-ZIDE
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| show | -IDE
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| show | -SONE
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| show | -NIUM
anesthesia to produce paralysis
(inhibits AcH)
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| show | OLD & YOUNG (greater risk of toxicity)
- Absorption
-Excretion
-Distribution
-Metabolism
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| show | Breastfeeding and Pregnancy
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| show | Antacids (affects the absorption of med)
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| What can RN do in regards to medications? | show 🗑
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| What kids of meds should not be taken with other prescribed mediations (unless MD approved)? | show 🗑
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| show | -Oral Hypoglycemic (decreaseds glucose production)
-given in combo with repglinidine
Adverse Fx: Muscle Pain
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| METOCLOPRAMIDE (Reglan) | show 🗑
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| ANTICOAGULANT | show 🗑
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| ANGIOTENSION RECEPTOR | show 🗑
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| show | -OLOL
Tx: Decrease BP, P, CO, Migraines , Glaucoma
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| AMINOGLYCOSIDES | show 🗑
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| show | Tx: for Depression, anxiety, OCD
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| show | UNSTABLE ANGINA
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| show | -1 every 5 min for 3 min
-if not relieved go to ER
DONT give if BP is below 90/60
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| show | Think Alice in Wonderland
-HOT
-LOC Changes
-RED (flushed face)
-DRY/THIRSTY
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| What kids of Meds are COLCHINE and ALLOPURINOL | show 🗑
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| VERAPAMIL (Calan) | show 🗑
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| What med is given for ASYTOLE (no heart beat)? | show 🗑
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| show | ACE
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| What med is given for ANAPHYLACTIC SHOCK? | show 🗑
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| show | VALIUM
ATAVAIN
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| What med is given for BIPOLAR? | show 🗑
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| show | AMIODARONE
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| show | Massive cell destruction following chemo = Inc. uric acid levels
SE: allopecia, decreased resistance to body
Need to contact MD before getting vaccinations
-NO ASA or ETOH
Ex: Elspar, Tamoxifen, Megestrol, alduphosphamide, Busuifan, Vincristine, Beomy
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| TDL of LITHIUM | show 🗑
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| TDL of DILANTIN (Phenytoin) | show 🗑
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| TDL of DIGOXIN (Lanoxin) | show 🗑
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| show | Tx: Hypothyroidism/Myexedema
May take several weeks to work. Affects PT time
Adverse: Chest pain, nervousness, tremors, D, insomnia, heat intolerance
Take on EMPTY STOMACH in AM.
-w/h if P is above 100
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| show | 10-20
Toxicity: Restless, dizziness, Insomnia, seizure, HA
Tx: Asthma/COPD bronchospasms (works by relaxing smooth muscle)
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| Antidote of IRON | show 🗑
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| show | N-ACETYLCYSTEINE (MUCOMYST)
Liver failure possible for 4 days
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| show | LIBRIUM
-bad N/V will occur with any ETOH consumption or products (lotions, cough syrup)
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| show | VIT K
PT 10-12 sec (control)
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| Antidote of HEPARIN/LOVENOX/DALTEPARIN | show 🗑
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| show | DIGIBIND
-K will make it worse
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| show | CALCIUM GLUTAMATE
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| Antidote to NARCOTIC ADDICTS | show 🗑
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| MAOI Drugs | show 🗑
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| show | Tx: Parkinsons and EPS of other drugs
Adverse fx: Increased T, confusion and visual hallucinations
SE: Constipation, Increased HR, blurry vision, decreased UO
NO in GLAUCOMA
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| show | TDL: 10-20
BRONCHODILATOR (give 1st)
-Increases the risk of DIG TOX
-Decreased effect of LI and DILANTIN, L K & Mg
Tx: Ashtma and COPD
Give W/FOOD
SE: GI upset, Increased HR, HTN, N/V
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| show | BRONCHODILATORS (before glucocorticoids)
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| show | Tx: TB
Risk: Phenotoin TOX if taken w/ DILANTIN, peripheral neuritis, hepatic, Jaundice
-take vit B6 to prevent neuritis (monitor LFT's)
-BP will Decrease then return
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| PREDNISONE | show 🗑
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| show | Tx: Seizures TDL: 10-20
SE: wght gain, hyperplasia of gums, RED URINE
Adverse: **RASH-STOP MED** (not abruptly)
DONT give with THEOPHYLLINE (decreased effectiveness) or INH (phenytoin tox)
**DONT STOP ABRUPTLY **
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| DIGOXIN | show 🗑
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| show | ANTIDOTE for TYLENOL (Acetaminophen)
-most common poisoning in children
-Admin Orally
Sx of Toxic Tylenol: Jaundice, penia, Rash, hypoglycemia
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| RIFAMPIN (Ridadin) | show 🗑
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| What SE do ALL PSYCH meds have? What one is DIFFERENT? | show 🗑
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| Mg SULFATE | show 🗑
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| SINEMET (Levodopa and Carbidopa) | show 🗑
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| show | Surfactant/Steroid
Tx: Lung expansion
-give 2nd (bronchodilator 1st-open up lungs)
Ex: Glucocorticoid inhaler
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| show | ASPRIN/NSAID
-Associated with Reyes Sx (occurs after viral infection)
Sx: V, lethargy, irritability (Baby-D & Increased K)
-GIVE TYLENOL
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| When should this med be taken: CARAFATE (Sulcrafate)? | show 🗑
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| When should this med be taken: most ABX? | show 🗑
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| When should this med be taken: ZOCOR? | show 🗑
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| When should this med be taken: VIBRAMYCIN? | show 🗑
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| When should this med be taken: NSAIDS? | show 🗑
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| show | WITH MEALS
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| show | WITH MEALS
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| show | WITH MEALS
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| show | WITH MEALS
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| When should this med be taken: **THEOPHYLLINE**? | show 🗑
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| show | WITH MEALS (daily dose)
**BEDTIME** (once daily dose)
-H2 antagonist
Tx: GERD, Heartburn, Ulcers
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| show | WITH MEALS
Tx: HTN or CHF
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| When should this med be taken: ACYCLOVIR? | show 🗑
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| When should this med be taken: **K SUPPLEMENTS**? | show 🗑
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| show | WITH MEALS
Tx: Acid Indigestion (antacid)
Take 1-2 hrs before Tetracycline (will Dec effectiveness of Tetra)
Ex of Tetra: Doxycycline and Vibramycin (Bacterial genital infx)
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| show | WITH MEALS in PM
Tx:Coronary Artery Dz, Hyperlipidemia (decreases Cho)
Adverse: muscle pain/tenderness/weakness esp. when with malaise or fever
Tx: CA (Chemo med)
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| show | WITH MEALS
Tx: Cerebral Edema, SHOCK, adrenal insufficiency, MS
Adverse: Adrenal insufficiency (fatigue, muscle weakness, joint pain, fever, anorexia, N, SOB, dizziness, fainting)
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| show | WITH MEALS
Tx:RA & Gouty Arthritis
-NSAID (decrease inflammation, pain & Temp)
Adverse: GI bleed, chest pain, SOB, weakness, slurred speech
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| show | DOXYCYCLINE/VIRBAMYCIN/TETRACYCLINE HCL
Tx: Bacterial genital infections (gonorrhea, syphilis, rectal infx), Anthrax, Acne, H.pylori, roseasa)
-Take WITH MEALS
-Avoid direct sunlight/UV, wear protective clothing/sunscreen
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| When should this med be taken: TETRACYCLINES? | show 🗑
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| show | AM MED
Tx: Anti-Immflammatory
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| When should this med be taken: DIURETICS? | show 🗑
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| show | AM MED
Tx: Alzheimers
-AVOID OTC Sleep or Cold meds (increase anticholinergic fx)
-Tell MD before receiving ANETHESIA
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| show | AM MED
Tx: ADHD & Narcolepsy
-DONT drink fruit JUICE with oral solution
-Decreases SEIZURE threshold, report Seizures
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| When should this med be taken: ANTACIDS? | show 🗑
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| show | AFTER MEALS (2 hrs)
**or 1 hr BEFORE**
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| When should this med be taken: GROWTH HORMONE? | show 🗑
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| show | PM MED & BEFORE MEALS
Tx: Peptic Ulcer
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| What meds cause RED FLUIDS? | show 🗑
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| What is the Tx for EPS? | show 🗑
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| show | ANTIPSYCHOTIC MEDS
-Atypical won't cause
Most Common: Haloperidol (Schizophrenia), Thorazine
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| What are EPS symptoms? | show 🗑
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| What can you NOT take with MAOI? | show 🗑
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| What can you NOT take with EGG allergies? | show 🗑
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| What interferes with Dilantin (Phenytoin)? | show 🗑
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| What can you NOT take with LEVODOPA/CARBIDOPA (Sinamet)? | show 🗑
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| If you are ALLERGIC to BAKERS YEAST what VACCINE can you NOT get? | show 🗑
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| If you have an MI what med can you NOT use? | show 🗑
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| If you have GLAUCOMA what drugs can you NOT take? | show 🗑
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| What drugs DECREASE EFFECTIVENESS of THEOPHYLINE? | show 🗑
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| What INCREASES the risk of DIGOXIN TOX? | show 🗑
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| What med should INH be taken with? | show 🗑
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| show | SICKLE CELL CRISIS (severe pain, trouble breathing, anemia)
Tx: Pancreatitis
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| What med can you NOT give if you have PANCREATITIS? | show 🗑
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| show | DEMORAL
**DONT give MORPHINE**
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| show | Mg SULFATE
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| What BEVERAGES can you NOT have if you are taking ANTIPSYCHOTICS? | show 🗑
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| What DZ can you NOT give ISOTONIC solution to? | show 🗑
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| show | -NS (w/blood prod)
-LR (burns-more E)
-D5W
-D5 1/4 NS
Goes into the VASCULAR space
Makes FV and BP go UP
Tx: N/V, sweating, burns, hemm, trauma
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| What are HYPOTONIC Solutions? | show 🗑
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| What DZ can you NOT give HYPOTONIC Solution to? | show 🗑
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| show | Volume Expander(particles)= PULLS from CELLS into VASCULAR
-D10W
-3% NS
-5% NS
-TPN
-ALBUMIN
You can add E to Iso/Hypo = Hyper
Tx: Dec Na, 3rd spacing (edema, burns, acities)
RETURNS volume to VASCULAR space
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| show | HYPERTONIC (would increase fluid in vascular space which is already increased since they have pulmonary edema)
-watch for FVE
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| show | -GINKO
-GINGER
-GENSING
-GARLIC
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| show | -GO INTO SURG
-PLAVIX
-ANTIPLATLET
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| show | VIT C
Tx: Gout
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| What VS should you HOLD NITROGLYCERINE? | show 🗑
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| What med should you NOT take if you are going into SURGERY? | show 🗑
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| show | -PREGNANT
-STEROIDS
-ACTIVE INFECTION
-IMMUNOCOMPROMISED
-ALLERGY to GELATIN or NEOMYCIN
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| What is DILAUDID used for? | show 🗑
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| ASA poisoning SX and TX? | show 🗑
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| 4 Actions of Glucocorticoids | show 🗑
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| show | Increases= PTH (parathyroid)
Decreases = Calcitonin
If there is no PTH the pt can have a seizure due to hypocalcemia (too low Calcium)
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| show | In the lungs it is a potent vasoDILATOR
(think O --> Open )
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| What is the category for Coffee, Tea, ETOH, cigarettes? | show 🗑
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| show | AE: sleepiness during the day
-there are no side effect of HA, discolored urine or irregular HR
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| show | Renal Failure (the way drugs leave the system)
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| What is the only thing that can be added to a TPN or PPN line? | show 🗑
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| show | Empties formula directly into the stomach to be digested.
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| show | Directly into the blood stream and bypasses the digestive system bc it is not working properly.
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| show | Into a peripheral vein, but is long enough to empty into the large veins going directly into the heart
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| show | It empties directly into the large vein of the heart, reeducating rip of damage to smaller veins.
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| show | It empties just above the heart muscle to be distributed.
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| What does the control refer to when dealing with medication and bleeding times? | show 🗑
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| show | It is usually slightly prolonged so that clotting will not occur.
1.5-2 times the control (pre-bleeding time)
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| show | Naloxone (Narcan)
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| show | Increases circulating volume when RBC are adequate
-Replaces losses w/o altering consentrations
-Helpful in Na replacement
ISOTONIC
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| LR | show 🗑
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| D5W | show 🗑
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| 1/2 NS 0.45% | show 🗑
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| D5 1/2NS | show 🗑
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| D5 LR | show 🗑
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| D5NS | show 🗑
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