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HESI Pharmacology Exit Exam Terms in this set (232) What is the indication for metoclopramide/reglan? Prevention of chemotherapy-induced emesis and diabetic gastroparesis Side effects of metoclopramide/reglan Drowsiness, EPS such as tremors Notify MD€7,37
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HESI Pharmacology Exit Exam Terms in this set (232) What is the indication for metoclopramide/reglan? Prevention of chemotherapy-induced emesis and diabetic gastroparesis Side effects of metoclopramide/reglan Drowsiness, EPS such as tremors Notify MD
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HESI Pharmacology Exit Exam
Terms in this set (232)
What is the indication for metoclopramide/reglan? Prevention of chemotherapy-induced emesis and diabetic gastroparesis
Side effects of metoclopramide/reglan Drowsiness, EPS such as tremors
Notify MD if what occurs when using metoclopramide/r...
HESI Pharmacology Exit Exam
Jeremiah
Terms in this set (232)
What is the indication for Prevention of chemotherapy-induced emesis and diabetic gastroparesis
metoclopramide/reglan?
Side effects of metoclopramide/reglan Drowsiness, EPS such as tremors
Notify MD if what occurs when using Tremors
metoclopramide/reglan
What is the indication xenical (orlistat, Alli) For PTs with BMI of 30+; LT weight control
SE of xenical (orlistat or alli) Oily stool and flatulence
Nursing implications for a pt on xenical Ask pt to describe dietary intake since SE are increased if greater than 30% of fat is in
(orlistat or alli) diet.
What can decrease side effects of xenical Fiber laxatives like Metamucil help decrease SE by binding to the fat.
(orlistat or alli)
Which type of fluids need plenty of water? Bulk forming laxatives
Why do you need plenty of fluids when Because they can produce esophageal and or intestinal obstruction
taking bulk forming laxatives
Last BM and characteristics, abdominal pain, fever and obstruction. Assess dietary and
Laxative use assessment
fluid intake.
With laxative use the nurse should Encourage fluids, fiber and exercise as tolerated/indicated
Laxative use and result in Lack of bowel tone which can lead to dependency
what is ondansetron (zofran) antiemetic
What is ondansetron (zofran)used for? Prevention of N/V associated with chemotherapy and radiation therapy.
Who should you use caution with when PTs with liver failure
giving ondansetron/zofran?
Drugs for ulcerative colitis and crohns 5 aminosalicylates; mesalamie, sulfasalazine.
How do 5 aminosalicylates; (mesalamie, They decrease GI inflammation
sulfasalazine) work?
Side effects of 5 aminosalicylates; Nausea, rash, arthralgia, hematological disorders
(mesalamie, sulfasalazine)
Which drug can cause colitis/c.diff Linezolid/zyvox
What kind of infection is c.diff Suprainfection
What is azithromycin/zithromax? An antibiotic
What does azithromycin/zithromax treat? STDs such as: gonorrhea and chlamydia
How much azithromycin/zithromax is usually One dose of 1g or 2g.
required?
If a female pt has trichomonas (any STI) and Yes!
is asymptomatic does the male need to be
tested?
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azithromycin/zithromax can cause what? Hepatotoxicity- elevated liver enzymes
What is nitrofurantoin/cipro used for? An antibiotic for UTI
nitrofurantoin/cipro side effect Hepatotoxicity, skin reactions, neuropathy
Give with milk or meals check LFTs. Watch for numbness or tingling of extremities this
nitrofurantoin/cipro nursing considerations
can be an irreversible peripheral neuropathy
Drug of choice for treating c.diff? Metronidazole/flagyl
When is metronidazole/flagyl to be taken? With food and around the clock
What should be avoided when taking Alcohol; can cause a disulfiram-like reaction
metronidazole/flagyl and why?
how are aminoglycosides ,(-mycin, -micin), given IV for several days
administered?
what is an adverse effect of aminoglycosides decreased hearing/ototoxicity and nephrotoxicity
(-mycin, -micin)
what labs need to be evaluated when given BUN and creatinine
aminoglycosides (-mycin, -micin)?
DOC for MRSA vancomycin
what is MRSA severe staph infections that have become resistant to most antibiotics
acute care requires frequent monitoring og serum drug level for dose adjustment. peak
implications for giving vancomycin
and trough schedule. trough is drawn just prior to next dose.
risks when using vancomycin nephrotoxicity and ototoxicity
thrombophlebitis, red man syndrome if infused too rapidly: flushing or rash of upper
SE of vancomycin
body, dyspnea, itching, hypotension- can be lethal
how long should IV vancomycin infuse? greater than 60 minutes
it is a sulfonamide for treatment of UTI. combination increases efficacy and inhibits
what is trimethoprim/sulfamethoxazole?
metabolism of folic acid at two different points
what is trimethoprim/sulfamethoxazole sulfa allergy
known for?
nursing implications for assess for rash due to potential for stevens johnson syndrome
trimethoprim/sulfamethoxazole
penicillins have a ____ to ____ cross-sensitivity; cephalosporins. they are structurally similar.
observe respiratory status for first 30 minutes when administering for the first time.
nursing considerations for penicillins
watch for anaphylaxis if allergic to one or the other may have cross sensitivity
what can a nurse treat penicillin anaphylaxis epinephrine
with?
do not take for viral illnesses. take entire prescription as ordered. don't take if not
nursing considerations for antibiotics
needed as it can produce resistance.
what is ribavirin(copegus) indicated for? antiviral for treatment of hepatitis C that has failed other treatment
ribavirin(copegus) SE hemolytic anemia
what is ticarcillin/clavulanic acid (timentin)? broad spectrum/extended spectrum penicillins
nursing considerations for do not administer in same infusion with aminoglycosides
ticarcillin/clavulanic acid (timentin)
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