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NUR 304 ( LATEST 2024 / 2025 ) DRUGS | GUARANTEED A+ ACTUAL QUESTIONS AND ANSWERS
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NUR 304 ( LATEST 2024 / 2025 ) DRUGS | GUARANTEED A+ ACTUAL QUESTIONS AND ANSWERS
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NUR 304 DRUGS1. Diabetes insipidus
Answer
has to do w/ADH AND PEE
NOT ENOUGH ANTIDIURETIC HORMONE, NOT ABLE TO HOLD ONTO THEIR URINE
2. Vasopressin (Pitressin) ACTION
Answer
Synthetic ADH that acts on kidneys to in- crease water reabsorption
3. Vasopressin (Pitressin) CONTRAINDICATIONS
Answer
Patients w/
-renal failure
(WE NEED IT TO WORK ON KIDNEYS)
-CVD, Heart failure
(BC WE WANT PATIENTSTO HOLD ONTOWATER, HEARTWILL HAVE TO WORK
HARDER)
4. Vasopressin (Pitressin) ADVERSE EFFECTS
Answer
WHHAN
-Water intoxication
-Headache
-Hypertension
-Abdominal pain
-Nausea
5. Vasopressin (Pitressin) DRUG INTERACTIONS
,DECREASED
-heparin
-liththium
-alcohol
-phenytoin
INCREASED ANTIDIURETIC EFFECT
Answer
Carbamazepine, TCA antidepressants
6. Vasopressin (Pitressin) MONITOR
Answer
-vs
-I&O
-Electrolytes
-urine (specific gravty)
-AVOID alcohol
-No excessive amounts of h2o
7. Anti-thyroid medication
Answer
Propylthiouracil (PTU) &
Radioactive Iodine Iodine 131
8. Propylthiouracil (PTU) ACTION
Answer
Interferes with thyroid hormone synthesis
-cant form their t3 & t4
9. Propylthiouracil (PTU)
Answer
,GRAVES DISEASE, NEEDS FREQUENT LABS
-& other forms of hyperthyroidism
10. Iodine 131
Answer
Isotope created by iodine and is attracted to thyroid gland radiates thyroid gland, partial or
complete obstruction of thyroid gland (takes 1-3 months. Max benefits 3-6 months)
11. Propylthiouracil (PTU) CONTRAINDICATIONS
Answer
- Preg Cat X
- dont give to breast feeding pts.
12. Propylthiouracil (PTU) ADVERSE EFFECTS
Answer
- agranualcytosis - low wbc (monitor CBC)
- may have rash
- lost of taste
13. PTU anti-thyroid drug NURSING CARE
Answer
PTU
Answer
- can develop agranulocytosis may appear 4-8 weeks after treatment. (Infection due to low wbc)
-can have metalic taste in mouth and increase salivation
14. Iodine I-131 PT TEACHING
Answer
SUBSCRIBE
, - pt is radioactive after therapy for a few days
- limit close contact, no more than 30 min a day
- cant be around children or pregnant women after therapy
- women who come in contact cant get pregnant after 1 year
- double flush urine
15. Hypothyroidism drug
Answer
Levothyroxine (Synthroid, Levothroid)
16. Levothyroxine (Synthroid, Levothroid) ACTION
Answer
Synthetic for of t4
17. Levothyroxine (Synthroid, Levothroid) ADRS
Answer
-NO ADRS if used correctly
-If dose is high = hyperthyroidism
18. Levothyroxine (Synthroid, Levothroid) PRECAUTIONS
Answer
Older patients start on lower dose due to cardiac stimulation
-they are more sensitive
19. Levothyroxine (Synthroid, Levothroid) INTERACTIONS
Answer
-Any drugs that ef- fect absorption (antacids, iron, BSAs)
-warfarin (increase anticoagulant effects)
-anti-diabetic agents (increase insulin requirements)
-Digoxin levels (may have to reduce its dosing)
SUBSCRIBE
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