Term
Pitocin
(Oxytocin)
Action/Class |
|
Definition
Uterine Stimulant.
Stimulate uterus to increase strength and frequency of contractions. |
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Term
Digoxin
(Lanoxin)
Action/Class |
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Definition
Cardiotonic/Cardiac Glycosides/Cardiac Stimulant/Inotropic
Improve strength of heart muscle
^ cardiac output ^contractility
improves blood flow to kidneys & periphery
Decrease venous pressure.
Stimulates heart to beat more forcefully and more slowly. |
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Term
|
Definition
Drug of Choice for CHF
TX of atrial fib and flutter |
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Term
|
Definition
Hypotension
Bradycardia
Weakness
Fatigue, hypokalemia
Arrythmias
Visual Disturbances
*N/V anorexia (digotoxicity) |
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Term
Digoxin
Nursing Interventions/
General Info |
|
Definition
2 weeks for blood level to be reached.
Serum level b/w 0.8-2.0
Digitilization!
Monitor K levels
Take apical pulse |
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Term
Digitilization
(related to Digoxin) |
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Definition
Achieve therapeutic levels quicker than 2 weeks. Pt is given a loading dose (IV), which is higher than average followed by a maintence dose.
Maintenance Dose: 0.125mg-0.25mg |
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Term
|
Definition
Anticonvulsant/Antiarrythmic/Cardiac Depressant
TX Digoxin induced arrythmias |
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Term
|
Definition
Confusion
Drowsiness
Bradycardia
Hypotension
Hyperplasia (longterm)
Visual Disturbances
SNS depressant |
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Term
Dilantin
Nursing Interventions |
|
Definition
|
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Term
|
Definition
Antiarrythmic/Cardiac Depressant/Dysrhythmic
Restore normal sinus rhythm and prevent reoccurrence of life threatening dysrhythmias. |
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Term
|
Definition
Atrial Fib and flutter
Ventricular Arrythmias |
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Term
Xylocaine
(Lidocaine)
Uses |
|
Definition
Drug of choice
in Acute Ventricular Tachycardia
(IV) |
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Term
Xylocaine
(Lidocaine)
Nursing Interv |
|
Definition
|
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Term
|
Definition
Nitrate Family, Antianginal Drug
Vasodilator
Dilate arteries & arterioles in the periphery therby lowering BP. Reduces workload of heart lowering O2 demand. |
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Term
Calcium Channel Blockers
(TX Angina)
Class/Action |
|
Definition
| Block the movement of calcium ions across cell membranes of cardiac and smooth muscles cells dilating cornary arteries and arterioles and decreasing myocardial O2 demand. |
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Term
Calcium Channel Blockers
Nursing Int |
|
Definition
Take Apical Pulse
Check BP
Don't stop abruptly |
|
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Term
|
Definition
Antiadrenergic/Sympatholytic/TX of HTN
Decrease activity of SNS |
|
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Term
|
Definition
Liver Function Test
Take BP and apical before
Do not stop abruptly |
|
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Term
|
Definition
|
|
Term
|
Definition
Coagulants/Hemostatics
Help formation of blood clots |
|
|
Term
Vitamin K
(Aquamephyton, Mephyton)
General Info |
|
Definition
Fat Soluble required for Clotting
Given IM/SubQ (hurts)
Antidote for OD of Coumadin! |
|
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Term
|
Definition
Prevent Postop DVT & PE
Prevent Clotting
Prevent repeated cereberal thrombosis in person who had a stroke.
TX of coronary occulsion.
Acute MI. |
|
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Term
|
Definition
Test APPT/PPT
Many Drug Interactions
Antidote for OD: Protamine Sulfate |
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|
Term
Warfarin
(Coumadin)
Nursing Int |
|
Definition
Many drug interactions.
No OTC meds.
No cranberry juice (inc risk of bleeding)
Soft tooth brush. Electric razor.
No alcohol. Watch for bleeding.
Call Dr. if fever/rash!
INR & PT |
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Term
|
Definition
Antihyperlipidemic/Antilipemic
Used to lower triglycerides/cholesterol
Stays in intestine & binds to bile acids. Bile acids are breakdown products of cholesterol. The binding of the bile acids decreases reabsorption of cholesterol. |
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Term
|
Definition
Decrease cholesterol levels, regulates energy metabolism, maintains health of skin, tongue, and digestive system.
Deficiency: Pelligra |
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Term
Pelligra
(related to Niacin B3) |
|
Definition
Deficiency of B3.
disturbances in GI tract, skin, tongue, edema, mental confusion, and irritability. |
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Term
|
Definition
Fat Soluble.
Essential for proper vision, growth, healthy skin, mucuous membranes, reprod, & immune system integrity.
Def: Dryness of conjuctiva, skin, mucous membranes, night blindness |
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Term
Vitamin C
(Ascorbic Acid)
Gen Info |
|
Definition
Water Soluble.
Destroyed by light and heat and lost in cooking when water is discarded. It promotes tissue repair, helps with iron absorption, maintains bone and erythopoesis, essential for serotonin synthesis. |
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|
Term
Vitamin C
(Ascorbic Acid)
Deficiency |
|
Definition
Scurvy
Joint tenderness, lowered resistance to infection and delayed wound healing. |
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Term
Cyanocobalamine B12
General Info/Uses |
|
Definition
Water Soluble.
Essential for RBC development.
Def: Pernicious Amenia |
|
|
Term
Pernicious Anemia
(Related to B12) |
|
Definition
Chronic macrocidic anemia where there's a lack of hydrochloric acid in stomach.
Not secreting instrinsic factor, which is necessary for absorption of B12. Have to have IM injections once a month for life. |
|
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Term
|
Definition
Blocks Fat Soluble Vitamins absorption.
Antidote for OD of Fat Souble Vitamins |
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|
Term
Ferrous Sulfate
(Iron)
Uses |
|
Definition
| Helps build up RBCs. Part of hemoglobin to prevent anemia. |
|
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Term
Ferrous Sulfate
(Iron)
SE |
|
Definition
Dark tarry stools
Constipation
N/V |
|
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Term
Ferrous Sulfate
(Iron)
Nursing Int |
|
Definition
OD is called hemosiderosis.
Antidote: Deserfol Mesylate.
Binds to iron and blocks absorption.
It's a chelating Agent. |
|
|
Term
Ferrous Sulfate
(Iron)
General Info |
|
Definition
Mineral.
Component of Hemoglobin for O2 transport.
Def: results in form of anemia where RBCs are hypochromic and microcidic. Light and small. |
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|
Term
Magnesium Sulfate
General Info |
|
Definition
Uterine Relaxant/Calcium antagonist decrease force of uterine contractions.
Control seizure activity associated with preeclampsia/eclampsia.
IV. |
|
|
Term
Magnesium Sulfate
OD Antidote |
|
Definition
Calcium
Do not give to pts with HTN |
|
|
Term
|
Definition
Complication of pregnancy.
HTN, proteinuria, edema.
Leading cause of fetal and maternal illnesses and death. |
|
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Term
|
Definition
Coma and convulsive seizures.
Pregnancy induced HTN and is fatal if untreated.
Cause unknown. |
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|
Term
Testosterone
(Striant)
Class/Action |
|
Definition
Androgen/Male Hormone
Vital role in development and maintenance of secondary sex characteristics necessary for human reproduction. |
|
|
Term
Testosterone
(Striant)
Uses |
|
Definition
Testosterone Deficiency
Hypogonadism(failure of testes to develop)
Post menopausal symptoms
Metastatic Breast cancer
Delays puberty |
|
|
Term
Testosterone
(Striant)
SE |
|
Definition
N/V, H/A
Acne, Anxiety
Thinning hair
Electrolyte & fluid imbalance
Mood changes, jaundice
Hepatotoxicity |
|
|
Term
Antineoplastics
General Info |
|
Definition
Goal of chemo:Destroy cancer cells or to slow growth of metastatic tumors & provide improved quality of life. Provides no cure.
Overwhelming SE. Potential Resistance. |
|
|
Term
|
Definition
| GI SE, N/V, constipation, stomatitis, muscle & nerve effects, weakness, numbness & tingling of hands & feet (temporary), depresses bone marrow, vulnerable to infection. Anemia, bruising, alopecia, irregular menstration/none at all, sperm #reduced. Drug toxic to fetus. |
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|
Term
Antineoplastics
Nursing Int |
|
Definition
Strict aseptic technique.
Protect from infection.
Freq blood counts.
Stool softeners, padded rails.
Antiemetic 1/2hr before chemo.
Good oral care, soft foods. |
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|
Term
MAO Inhibitors
Nursing Int |
|
Definition
| Drug interactions critical! and certain foods most serious reactions involve Tyramine rich foods and Sympathomimetic drugs. |
|
|
Term
Tyramine Foods
(related to MAO inhibitors NI) |
|
Definition
| Avoid basically cheeses, meats, alcohol. |
|
|
Term
Tricyclic Antidepressants TCA
General Info |
|
Definition
Onset of action: 10-14days and full response up to 30 days.
Increase amt of dopamine, norepinephrine, and serotonin. Used for depression. Give at HS. |
|
|
Term
|
Definition
Serious drug interactions can occur because of Lithiums narrow therapeutic index.
Take with food, blood draws, changes in Na intake may alter renal elimnation of Lithium. Monitor BUN and Creat levels. |
|
|
Term
|
Definition
*Tolerance
Ataxia, Sedation
Drowsiness, Visual Disturb.
Lightheadness
H/A, depression
Drymouth, Constipation |
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|
Term
Prinivil
(Lisinopril)
Class/Action |
|
Definition
ACE inhibitor/Antihypertensive.
supress the renin angiotensin aldosterone system. block conversion of angiotensin I to angiotensin II, which is a powerful vasoconstrictor. |
|
|
Term
|
Definition
| TX arrythmias, angina, HTN |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
Capoten
(captopril)
Nursing Int |
|
Definition
Take BP, apical
No potassium rich foods/salt substitutes |
|
|
Term
Lipitor
(atorvastatin)
Uses |
|
Definition
Inconjuction with diet therapy to decrease elevated cholesterol concentrations.
Decrease the risk of atherosclerosis leading to coronary artery disease. |
|
|
Term
Lipitor
(atorvastatin)
Nursing Int |
|
Definition
LFT before you go on drug, 3 months after, and every 6 months.
No grapefruit juice, eye exams, take mostly at dinner. |
|
|
Term
|
Definition
|
|
Term
|
Definition
Check BP
Take Apical
Don't stop abruptly |
|
|
Term
Pravachol
(Pravastatin)
Uses |
|
Definition
Combo with diet therapy to lower elevated cholesterol concentrations.
Decrease the risk of athersclerosis leading to coronary artery disease. |
|
|
Term
Pravachol
(Pravastatin)
Nursing Int |
|
Definition
LFT before you go on drug, 3 months after, and every 6 months.
No grapefruit juice, eye exams, taken mostly with dinner. |
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|
Term
Oral Contraceptives
Class/Action |
|
Definition
Estrogen/Progestin Combo
Progestin Only Products
Inhibit ovaulation. They prevent ovaries from developing a follicle and also alter cervicle mucus thus inhibiting sperm migration and impair/block the implantation of the fertilized ova. |
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Term
|
Definition
Immunity resulting from the development of antibodies in response to the prescence of an antigen, as from a vaccine/toxiod. |
|
|
Term
|
Definition
Immunity acquired by the transfer of antibodies from another individual.
Immune serums/Antitoxic Serums |
|
|
Term
|
Definition
TX hyperkalemia
(high potassium) |
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