1. classification of adalimumab
Answer
Therapeutic antirheumatic
Pharmacologic DMARDs,
immunomodulator
2. side effects of adalimumab
Answer
injection site reactions, agranulocytosis, increased risk of sepsis, headaches
3. nursing implications of adalimumab
Answer
- TB testing before and during therapy
- assess for signs of infection as use contraindicated during active infection
- use with caution in the elderly
- do not use in children under the age of 4 years
4. client teaching of adalimumab
Answer
- store in refrigerator
- injection technique, rotate (thigh, abdomen)
- avoid live vaccines and those who have recently received vaccines
5. action of adalimumab
Answer
binds to TNF-alpha to decrease inflammation and de- crease ESR levels
8. nursing implications of amlodipine
Answer
monitor blood pressure and pulse, lung sounds, edema, weight gain, i/o
9. client teaching of amlodipine
Answer
change position slowly to minimize orthostatic hypotension, may cause dizziness.
For hypertension, encourage patient to comply with other interventions such as weight loss, ow
sodium diet, smoking cessation, exercise, reduce stress
10. action of amlodipine
Answer
inhibits transport of calcium into myocardial and vascular smooth muscle cells which will inhibit
excitation and contraction
11. classification of cefriaxone
Answer
therapeutic
Answer
anti-infective pharmacologic
Answer
third generation cephalosporins
, 12. side effects of cefriaxone
Answer
diarrhea associated with clostridium difficile, nau- sea, vomiting, cramps, pancreatitis, acute
renal failure, Stevens Johnson Syndrome, agranulocytosis, suprainfection. IM
Answer
pain at the injection site. IV
Answer
phlebitis at IV site
13. nursing implications of cefriaxone
Answer
- assess for allergy to cephalosporins or penicillin
- assess for signs of anaphylaxis or rash
- assess bowel function
- assess patient for skin rash frequently during therapy
- monitor AST, ALT, bilirubin, BUN, and creatinine
- may increase risk of bleeding with warfarin
14. client teaching of cefriaxone
Answer
- take medication at evenly spaced times
- notify healthcare provider if rash, fever, and diarrhea develop
15. action of cefriaxone
Answer
bind to bacterial cell wall membrane , causing cell death. active against many gram positive
cocci and gram negative pathogens. not active against MRSA or enterococci
16. classification of cephalexin
Answer
therapeutic
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