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Nur. 161 Final Exam With Questions And 100% ALL DETAILED CORRECT ANSWERS
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JACKLINENur. 161 Final Exam With Questions And 100% ALL DETAILED CORRECT ANSWERS
Terms in this set (53)
Nurses drug guide
a phenomenon in which drugs given orally are carried directly to the liver after absorption,
where they may be largely inactivated by liver enzymes before they can enter the general
First pass effect
circulation; oral drugs frequently are given in higher doses than drugs given by other routes
because of this early breakdown
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, amiloride (Midamor)
15-20 mg/d PO with monitoring of electrolytes
Adjunctive treatment of edema caused by HF, liver disease, or renal disease; hypertension;
hyperkalemia; and hyperaldosteronism
Special consideration: Not for use in children
spironolactone (Aldactone)
100-200 mg/d PO for edema; 100-400 mg/d PO for hyperaldosteronism; 50-100 mg/d PO for
hypertension
Potassium sparing diuretics Pediatric: 3.3 mg/kg/d PO
Adjunctive treatment of edema caused by HF, liver disease, or renal disease; hypertension;
hyperkalemia; and hyperaldosteronism
Special consideration: Can be used in children with careful monitoring of electrolytes
triamterene (Dyrenium)
100 mg/d PO b.i.d.
Adjunctive treatment of edema caused by HF, liver disease, or renal disease; hypertension;
hyperkalemia; and hyperaldosteronism
Special consideration: Not for use in children
lab values
uses of a drug that are not part of the stated therapeutic indications for which the drug was
Off label
approved by the FDA; off-label uses may lead to new indications for a drug
Kg conversions
Antibiotic/anti-infective
Use: chlamydia, malaria, acne, rickettsia infections, gonorrhea (when penicillin is
contraindicated
Side effects: glossitis, dysphagia, GI upset, diarrhea, phototoxicity, superinfection,
hypersensitivity reactions, discoloration and inadequate calcification of teeth of fetus if taken
Tetracycline
during pregnancy
Nursing considerations: culture and sensitivity test, highly nephrotoxic after expiration date
Client education: 1 hour before or 2-3 hours after meals, do not take with milk or antacids or
iron, wear sunscreen and protective clothing, topical applications may stain cloths, barrier
contraceptives, good oral hygiene
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