NR 293 Chapter 10 pharm test 2 ROK - Chamberlain | NR293 Chapter 10 pharm test 2 ROK

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NR 293 Chapter 10 pharm test 2 ROK - Chamberlain Chapter 10 • Morphine drug action, therapeutic indications, administration, side effects and patient education o Opioid agonist o Schedule II... controlled substance- for sever pain and has high abuse potential • Dosage adjustments for when patient is taking multiple narcotics • Demerol drug action, therapeutic indications, administration, side effects and patient education • Long-term use of Demerol o Not recommended because of the unpredictable effects of neurometabolites at analgesic doses and seizure risk • Lidocaine (Lidoderm patch) drug action, therapeutic indications, administration, side effects and patient education • Assessment and treatment of opioid overdose o Naloxone and naltrexone- can reverse adverse effects such as respiratory depression o Withdrawal symptoms • Considerations for patient safety and nursing assessments in the administration of narcotics o Known drug allergy o Severe asthma o CNS depression- leads to respiratory depression o Treat pain before it becomes severe • Narcotic tolerance o Repetitive exposure, over time, induces changes in drug receptors that reduce the drugs effecrs o Increased likelihood of withdrawal symptoms in abrupt discontinuation Chapter 11 • Review malignant hyperthermia o Genetically linked adverse reaction to anesthesia o Rapid rise in body temperature with tachycardia, tachypnea and sweating • Succinlycholine expected effects • Consider important nursing assessments and interventions when caring for patients before anesthesia(preanesthesia), during anesthesia, and after anesthesia(postanesthesia) o Use caution in elderly- cardiac and respiratory problems, polypharmacy, declining liver function o Neonates at higher risk of upper airway obstruction o Drug interactions- antihypertensives and beta blockers o Check vitals, gag reflex, orientation • Herbal products and surgery o Assess patients level of homeostasis o Can increase sedating effects, bleeding, adverse cardiac effects Chapter 12 • Indications for giving sedatives and hypnotics o Hypnotics- given in low to moderate doses calm or soothe the CNS, at high doses can cause sleep o Sedatives- inhibitory effect on the CNS, reduce nervousness, excitability and irritability w/o causing sleep • Patient education for sleep aid medication • Benzodiazapines (zolpidem[Ambien] drug action, therapeutic indications, administration, side effects and patient education - - - - - - - - - - - - - Chapter 37 • Bronchodilatiors drug action, therapeutic indications, administration, side effects and patient education o Relax bronchial smooth muscle, which causes dilation of the bronchi and bronchioles that are narrowed as a result of the disease process • Beta agonist drug action, therapeutic indications, administration, side effects and patient education o Commonly used during the acute phase of an asthmatic attack to quickly reduce airway constriction and restore airflow to normal • Albuterol (Proventil) drug action, therapeutic indications, administration, side effects and patient education o Short-acting beta2-specific bronchodilating beta agonist o If used too frequently, dose-related adverse effects may be seen- beta1 receptors are stimulated, which causes nausea, increased anxiety, palpitations, tremors and an increased heart rate • Salmeterol (Serevent) self-administration o Should never be given more than twice daily • Xanthine drug action, therapeutic indications, administration, side effects and patient education • Corticosteroid drug action, therapeutic indications, administration, side effects, and patient education related to inhaled respiratory medications • Beclomethasone dipropionate (Beclovent) drug action, therapeutic indications, administration, side effects and patient education • Fluticasone (Flovent) drug action, therapeutic indications, administration, side effects and patient education • Implications of inhaled steroid discontinuation [Review tapering dosages] • Therapeutic indicators for bronchodilator efficacy related to patient responses • Patient teaching for multiple inhalers, i.e., one inhaler is a bronchodilator and the other is a corticosteroid. • Aminophylline (Aminophylline) intravenous administration monitoring and safety • Aminophylline (Aminophylline) interactions • Theophylline (Theo-Dur) interactions Chapter 44 • NSAIDs drug action, therapeutic indications, administration, side effects and patient education • Acetaminophen (Tylenol) drug action, therapeutic indications, administration, side effects and patient education • Potential interactions between NSAIDS and other drugs • Pediatric use of NSAIDs and aspirin • Flexeril drug action, therapeutic indications, administration, side effects and patient education • Acetaminophen (Tylenol) and the use of OTC drugs • Signs/Symptoms and treatment of salicylate overdose Chapter 54 • Epoetin alpha (Epogen) drug action, therapeutic indications, administration, side effects and patient education o Causes progenitor cells in the bone marrow to manufacture large numbers of immature RBCs and to greatly speed up their maturation. Ineffective w/o adequate body iron stores and bone marrow function, also need to receive an oral iron preparation o Contraindicated in cases of uncontrolled hypertension and when hemoglobin levels are above 10 g/dL for cancer patients and 12 g/dL for renal patients o Can increase tumor growth and risk for thrombosis • Iron preparations drug action, therapeutic indications, administration, side effects and patient education o Dietary sources- meats, certain vegetables and grains must be broken down by gastric juices before iron can be absorbed o Foods containing ascorbic acid may help iron absorption • Relationship of iron to pediatric deaths o Most common cause of pediatric poisoning deaths o Enteric tablets resemble candy • Prevention of neural tube defects o Folic Acid Helps prevent spina bifida, anencephaly and encephalocele • Ferrous sulfate drug action, therapeutic indications, administration, side effects and patient education [Show More]

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