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NCLEX Meds Part II
Info from meds mentioned in NCLEX-style questions
57
Nursing
Undergraduate 4
07/02/2013

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Cards

Term
bolus of mag sulfate side effects
Definition
facial flushing; loss of DTR or resp depression should be reported
Term
betamethasone
Definition
  • 12 mg IM 24 hrs apart for labor between 24-34 wks
  • corticosteroid
Term
propantheline bromide (Pro-Banthine)
Definition
  • used to reduce secretions & spasms of the GI tract with diverticulitis
  • take 30 min before meals & at bedtime
  • food interferes with action & absorption
Term
head injuries & pain management
Definition
  • Tylenol good
  • opioids may cause sedation that masks neurological changes
Term
most accurate way to calculate safe dosages for children
Definition
BSA
Term
meds given during PTCA
Definition
  • anticoagulant (heparin)
  • calcium agonist and/or nitrates to reduce coronary artery spasm
  • not antihypertensive
Term
corticosteroid side effects
Definition
  • hirsutism
  • adrenal suppression
  • acne
  • mood swings
  • osteoporosis
  • delayed growth
Term
imipramine (Tofranil)
Definition
  • tricyclic antidepressant
  • takes 2-4 wks for full effects
Term
aminophylline
Definition
  • bronchodilator
  • relaxes smooth muscles of bronchioles
Term
dopamine
Definition
used to restore blood pressure in normololemic pts
Term
first line of treatment for nephrotic syndrome
Definition
corticosteroids
Term
peak action of regular insulin
Definition
30-90 min
Term
peak action of intermediate insulin (Novolin N)
Definition
6-14 hrs
Term
treatment of rheumatic fever
Definition
montly penicillin injections to prevent recurrence
Term
risperidone (Risperdal) side effects
Definition
elevated blood sugar, menstrual irregularities, dizziness, decreased libido
Term
amitriptyline (Elavil) response
Definition
antidepressant; initial response happens in 1-3 weeks -> more energy -> higher suicide risk; optimal response takes 1-2 months
Term
Thorazine (chlorpromazine) adverse effect
Definition
tardive dyskinesia
Term
severe lithium toxicity
Definition
mannitol to get rid of it; ataxia, confusion, large output of dilute urine, blurred vision, clonic movement, seizures, severe hypotension, coma, death
Term
buprenorphine (Subutex)
Definition
prevents heroin abuse
Term
lithium contra
Definition
renal disease
Term
benztropine mesylate (Cogentin)
Definition
treats EPS side effects of Haldol, like stiff stooped posture
Term
side effects of Haldol
Definition
increased BP, tachy, EPS, diarrhea, ab pain
Term
amitriptyline (Elavil)
Definition
anticholinergic
Term
clonidine (Catapres)
Definition
slow acting; can be used in alcohol withdrawal; can stabilize vital signs; used in conjunction with benzodiazepine; alpha-blocker anti-hypertensive
Term
naltrexone (Revia)
Definition
long term alcohol abstinence
Term
meds for C. diff
Definition
Vancomycin, metronidazole (Flagyl)
Term
writing med names
Definition
must be written out (no MSO4)
Term
"do not use" abbreviations
Definition
cc, Q.D. (write daily), Q.O.D.
Term
Klonopin (clonazepam)
Definition
anti-anxiety/anti-seizure
Term
allergy to penicillins
Definition
may also have allergy to cephalosporins (like cefoxitin (Mefoxin))
Term
Mefoxin (cefoxitin)
Definition
caustic, may cause phlebitis; 2nd generation cephalosporin
Term
Narcan in newborns
Definition
admin q2min until adequate respiratory function returns & response to stimuli
Term
possible side effect of Thorazine
Definition
gynecomastia (temporary)
Term
IM injections
Definition
18-27 G, 1-1.5 inches long, 1-3 mL
Term
1st line meds for older adults with nerve pain/neuropathies
Definition
topical anesthetics; then maybe Cymbalta (12 wks)
Term
Lidocaine patch
Definition
can wear up to 3 at once; 12 hrs on, 12 hrs off; wear during waking hours
Term
adverse effects of clopidogrel (Plavix)
Definition
GI bleeding; thrombocytopenia
Term
sign Plavix is working
Definition
ease in swallowing (angina causes neck muscles to tighten)
Term
topiramate (Topamax)
Definition
anti-seizure; helps chronic migraines; causes birth defects
Term
sumatriptan (Imitrex)
Definition
anti-migraine; vasoconstricts neural area; best taken during aura; potentially increase fetal deaths
Term
botulinum toxin (Botox)
Definition
for 15+ migraines a month; may be used q12 weeks; preg Cat C
Term
NPH insulin
Definition
intermediate; peaks at 8 hrs
Term
penicillins & aminglycosides
Definition
not IV compatible
Term
aminoglycoside example
Definition
Gentamicin
Term
levothyroxine sodium (Synthroid) & pregnancy
Definition
dosage may change; thyroid gland triples in size during pregnancy
Term
aluminum hydroxide (Amphojel)
Definition
for peptic ulcer & GERD; binds with digoxin, lowering its effectiveness, may need higher dose of digoxin; binds with warfarin, may need higher dose; may cause constipation
Term
magnesium-based antacids
Definition
may cause diarrhea
Term
omeprazole (Prilosec)
Definition
proton pump inhibitor; decreases amount of gastric acid secreted; give 30 min before meals; for PUD & GERD
Term
prednisone
Definition
may increase blood glucose; causes adrenal insufficiency after 7 days, so DON'T STOP SUDDENLY; emotional lability, anxiety, insomnia, overwhelming fatigue, avoid alcohol
Term
grapefruit
Definition
inhibits drug metabolizing enzyme, leading to elevated levels of some meds
Term
heat & patches
Definition
heat increases vasodilation = more drug into system
Term
Fentanyl patch
Definition
replace q3days; takes 24 hrs to reach full effect; place on upper torso
Term
nitro paste admin
Definition
paste goes on side of patch with numbers
Term
foods that interfere with absorption of iron
Definition
coffee, tea, dairy
Term
insulin by IV
Definition
regular insulin only
Term
decongestant action
Definition
vasoconstricts
Term
dopamine
Definition
vasopressor for shock & heart failure; increases CO, contractility & renal perfusion; tachy is adverse effect; side effects include hypotension, cardiac dysrhythmias
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