Exam (elaborations)
NUR 3145 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS
- Course
- NUR 3145
- Institution
- Florida State University
NUR 3145 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS
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NUR 3145 EXAM 2 QUESTIONS WITH COMPLETESOLUTIONS
A patient receiving an IV antibiotic must have what blood levels
drawn and why? Correct Answers must have serum peak and
trough blood levels drawn to prevent toxicity and for therapeutic
levels.
-Monitor peak/trough levels for nephrotoxicity (dizziness,
tinnitus, hearing loss).
Acetaminophen is Correct Answers (Cyclooxygenase
Inhibitor)
- a nonopioid analgestic, for mild to severe pain
- present in over 600 medications
- contraindicated in severe liver dieases and glucose-6-
phosphate dehydrogenase deficiency
- caution in young and old patients
- 81 mg usually works
- alternative for aspirin
- ensure safety measures
- Hepatotoicity, rash, constipation, anemia, neuropathy are
effects
- interacts with alcohol
*ANTIDOTE: ACETYLCYSTEINEL*
Acute Pain is: Correct Answers sudden onset pain, usually
subsides when treated.
ADHD Medication details include Correct Answers Give on
empty stomach, Stimulate areas in the brain responsible for
mental alertness and attentiveness,
,- amphetamine (Adderall, others), methylphenidate (Concerta,
Ritalin), atomoxetine (Strattera)
-Nonaddictive but may cause suicidal thinking/behavior
Adverse Effects of CNS Stimulants include: Correct Answers -
Wide range, dose-related
-Tend to "speed up" body systems
-Palpitations, tachycardia, hypertension, angina, dysrhythmias,
nervousness, restlessness, anxiety, insomnia, nausea, vomiting,
diarrhea, dry mouth, increased urinary frequency, others
Aminoglycosides are: Correct Answers -ex: Gentamycin;
narrow-spectrum drugs, most commonly prescribed for
infections by aerobic, gram-negative bacteria; very potent
antibiotic
Monitor peak and trough blood levels of these drugs to prevent
nephrotoxicity and ototoxicity
-Symptoms of ototoxicity: dizziness, tinnitus, and hearing loss
-Symptoms of nephrotoxicity: urinary casts, proteinuria, and
increased BUN and serum creatinine levels
*Use one dose daily & keep trough: at or below 1mcg/mL
Tetracyclines
Amphotericin B is Correct Answers To reduce the severity of
the infusion-related reactions, pretreatment with an antipyretic
(acetaminophen), antihistamines, antiemetics, and
corticosteroids may be given.
-Use IV infusion pumps & the most distal veins possible.
-Some oral forms should be given with meals to decrease GI
upset; others require an empty stomach (CHECK).
, Analeptic med details include Correct Answers Neonatal
apnea, bronchopulmonary dysplasia, postanesthetic respiratory
depression
Analgesic & anti-pyretic details : Correct Answers •Little to no
ant-inflammatory effects; OTC & in combo
•Blocks pain impulses pain impulses peripherally by inhibiting
prostaglandin synthesis
•Mild to moderate pain/fever; headaches & minor pain/aches
•*Alternative for those who can't take ASA
Analgesic NSAID: Correct Answers acting to relieve pain
Anorexiant medication details include Correct Answers -
Suppress appetite control center in the brain
- EX: orlistat (Xenical): Lipase inhibitor, not a CNS stimulant,
To treat obesity, May cause fecal incontinence
Antabuse is Correct Answers (Disulfiram)
- alters metabolsim of alcohol
- SE- headache, fatigue
- AE: Hepatotoxicity
- can increase CNS depression if combined with
benzodiazepines
- can't drink 3-4 days after taking this (causes reaction)
Anti-gout drugs indications include: Correct Answers Gout:
inappropriate uric acid metabolism,caused by
underexcretion/overproduction of uric acid or when uric acid
crystals are deposited in tissues & joints (resulting in pain)
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