Exam (elaborations)
N450 Med Quiz (1).
- Course
- Institution
Exam of 21 pages for the course N450 - Ch. 3 - Principles of Geriatrics at N450 - Ch. 3 - Principles of Geriatrics (N450 Med Quiz (1).)
[Show more]
Seller
Follow
modockochieng06
Content preview
N450 Med QuizAtorvastatin (Lipitor) - ANS-Therapeutic class: lipid-lowering agent
Pharm. class: Hmg CoA reductase inhibitor
Atorvastatin (lipitor) common indications - ANS-Adjunct mgmt of primary high cholesterol and
dyslipidemia
Atorvastatin (lipitor) critical nursing responsibilities - ANS-- diet history (fat consumption)
- serum cholesterol and triglyceride levels before start and at 2-4 weeks after starting lipitor
- liver function testing (increases bilirubin)
- Cannot take with Grapefruit
- watch for muscle pain, tenderness or weakness (common side effect or rhabdomyolysis
what is the trade name for atorvastatin? - ANS-Lipitor
What contraindications are for atorvastatin? - ANS-NO grape fruit
No macrolide antibiotics (ex. erythromycin)
No azole antifungals
No fibric-acid agents
Some immunosuppressants.
What is the trade name of Aspart? - ANS-Novorapid
What ther. and pharm. class of Aspart? - ANS-ther: antidiabetic, hormones
pharm: pancreatics
what are common indications of Aspart? - ANS-Control of hyperglycemia for pt's with t1 or t2
DM
Is Aspart rapid or long acting insulin? - ANS-rapid-acting insulin
rapid onset and shorter duration than human regular insulin and should be used with an
intermediate or long acting insulin.
Aspart critical nursing responsibilities? - ANS-- BGM q6hr and A1C q3months
- S&S hypoglycemia (anxiety, tingling in extremities, cool, pale skin, hunger, headache)
- clarify all orders and double sign doses (HIGH ALERT MED)
- Pt. should carry glucose tabs
instruct pt. on S&S of hypo and hyperglycemia
What is the therapeutic and pharmacologic class of Amlodipine? - ANS-ther: antihypertensive
pharm: calcium channel blocker
,what is the indication of amlodipine? - ANS-Mgmt of hypertension
angina pectoris
vasospastic (Prinzmetal's) angina
critical nursing responsibilities for amlodipine? - ANS-- monitor BP and pulse, monitor ECG
- monitor intake and output
- instruct pt to watch for swelling of hands and feet
- watch for signs of HF (peripheral edema, crackles/rales, dyspnea, weight gain)
- for angina, assess location, duration and intensity and precipitating factors of PAIN. (think
PQRSTU?)
What is Budesonide's trade name? - ANS-pulmicort neb
what is the therapeutic and pharm. class for budesonide? - ANS-ther: anti-inflammatory
pharm: corticosteroid
Common indications of budesonide? - ANS-maintenance and prophylaxis of asthma
critical nursing responsibilities for budesonide? - ANS-- monitor resp status and lung sounds
- after clinical effect obtained should decrease dose to lowest possible for relief
(corticosteroid=immunosuppression)
- should not be used for an acute asthma attack but can be used
AFTER bronchodilator
- watch for adrenal insufficiency (anorexia, nausea, weakness, fatigue, hypotension,
hypoglycemia) during initial therapy and periods of stress (LIFE THREATENING).
- Labs: adrenal function tests to assess degree of hypothalamic-pituitary-adrenal (HPA) axis
suppression
Albuterol (salbutamol and ventolin) neb - ANS-ther: bronchodilator
Pharm: adrenergics
common indication: albuterol neb - ANS-treatment or prevention of bronchospasm in asthma
and COPD
critical nursing responsibilities for albuterol neb? - ANS-assess lung sounds, pulse, BP, note
potential for high HR.
note sputum
monitor for paradoxical bronchospasm (wheezing)
rinse mouth (min. dry mouth and clean mouth piece 1x/wk)
use air flow at 6-10 L/min and breathe normally
Calcium gluconate therapeutic class? - ANS-mineral and electrolyte replacement/supplement
, common indications for calcium gluconate - ANS-treatment and prevention of hypocalcemia
emergency treatment of hyperkalemia and hypomagnesemia
and adjunct in cardiac arrest
critical nursing responsibilities for calcium gluconate? - ANS-- observe for S&S of hypocalcemia
(paresthesia "pins and needles", muscle twitching, cardiac arrthymias, laryngospasm, colic,
Chvostek's or Trousseau's sign)
- monitor BP, Pulse, ECG
- vasodilation= hypotension, bradycardia, arrhythmias, and cardiac arrest
- IV should be warmed and given through small bore needle to minimize phlebitis
- may cause burning (administer slowly to avoid cardiac arrest)
- Patient should remain recumbent for 30-60 min after IV administration.
therapeutic and pharm. class of captopril? - ANS-ther: antihypertensives
Pharm: ACE-inhibitor
common indications for captopril? - ANS-- Treatment/mgmt of HTN
- Mgmt of HF
Critical nursing responsibilities for Captopril? - ANS-Monitor BP and pulse
Assess for angioedema (swelling of face, extremities, difficult breathing/swallowing)
Give 1 hr BEFORE meals or 2 hrs AFTER meals
Encourage pt to comply with additional interventions (wt. reduction, low sodium diet, exercise).
For HF, watch wt. and assess for fluid overload reduction.
Cefazolin Trade Name - ANS-Ancef
Therapeutic and pharm. class for cefazolin? - ANS-ther: anti-infective
pharm: cephalosporin
Common indications for cefazolin? - ANS-- treatment of infection d/t skin infection, pneumonia,
UTI, bone/joint infection.
- bacterial endocarditis prophylaxis (dental and upper resp. procedures).
- Perioperative prophylaxis
critical nursing responsibilities for cefazolin? - ANS-Assess for infection (increase WBC, VS)
History of reactions to penicillins (Observe for anaphylaxis)
Obtain C&S specimen (can give 1st dose prior to results)
Monitor bowels (diarrhea, abd. cramping, fever, and bloody stools)
Watch for rash frequently (stevens-johnson syndrome)
Change sites every 48-72 hr to prevent phlebitis
Therapeutic and Pharm. class of ceftriaxone? - ANS-ther: anti-infective
pharm: 3rd generation cephalosporin
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
74735 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now