ATI PROCTORED PHARMACOLOGY STUDY GUIDE LATEST(2021)

ATI PROCTORED PHARMACOLOGY STUDY GUIDE LATEST(2021) Antibiotics affecting the Bacterial Cell Wall: Priority Findings to report to the Provider • Antibiotics includes penicillin’s, cephalosporins, carbapenems, and monobactams Complications: Allergies, anaphylaxis, renal impairment, Hyperkalemia, dysrhythmias, Hypernatremia • Notify Provider if allergies are present Older Adults: Client teaching about insulin administration • Older adult clients might not be able to drive to the providers office, grocery store, or pharmacy. Assess support systems available for older adult clients. • Older adults are at risk for altered metabolism of medication due to decreased kidney and liver function because of the aging process • Older adults can have vision alterations (yellowing of the lens, decreased depth perception, cataracts), which can affect ability to read information and administer medication Airflow Disorders: Teaching about Theophylline Methylanilines • Theoplylline purpose is relaxation of bronchial smooth muscle, resulting in bronchodilation. • Oral theophylline is used for long-term control of chronic asthma or COPD • Route: oral or IV • Interactions: Caffeine increases CNS and cardiac adverse effects of theophylline levels. • Nursing Considerations: Advise clients to avoid consuming caffeinated beverages (coffee, caffeinated colas). • Phenobarbital, phenytoin, and rifampin decrease theophylline levels • Advise clients to take medication as prescribed. If a dose is missed, the following dose should not be doubled. • Instruct clients not to chew or crush, these medications should be swallowed whole. • Advise patients to observe for manifestations of theophylline toxicity (N&V, Seizures), and notify provider.