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ATI Pharmacology Study Guide 2020 With Complete Solutions, Exams of Nursing

Nystatin - ANSWER-should be applied topically to the area affected with candidiasis, usually four times daily. Adults and older children can swish the nystatin suspension around in their mouth for a period of time and then swallow it. Since infants and very young children cannot follow these directions, the medication should be applied orally using a swab. Prothrombin Time (PT) - ANSWER-used to monitor warfarin therapy NPH insulin - ANSWER-peak: 4-14hrs duration: tobramycin - ANSWER-30 mins before and after for lab values Meperidine (Demerol) - ANSWER-Tx: Moderate to severe pain Contraindications: Hypotension (SBP <100), respiratory depression, respiratory distress due to asthma/COPD, shock, bowel obstruction, patients who have taken MAOIs within the past 2 weeks Class: Opiod Analgesic

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ATI Pharmacology Study Guide 2020
With Complete Solutions
Nystatin - ANSWER-should be applied topically to the area affected with candidiasis,
usually four times daily. Adults and older children can swish the nystatin suspension
around in their mouth for a period of time and then swallow it. Since infants and very
young children cannot follow these directions, the medication should be applied orally
using a swab.
Prothrombin Time (PT) - ANSWER-used to monitor warfarin therapy
NPH insulin - ANSWER-peak: 4-14hrs
duration:
tobramycin - ANSWER-30 mins before and after for lab values
Meperidine (Demerol) - ANSWER-Tx: Moderate to severe pain
Contraindications: Hypotension (SBP <100), respiratory depression, respiratory distress
due to asthma/COPD, shock, bowel obstruction, patients who have taken MAOIs within
the past 2 weeks
Class: Opiod Analgesic
Cumulative Effects - ANSWER-- effect occurs with repeated doses of a medication are
given and the rate of administration exceeds the rate of metabolism or excretion. Due to
older adults decreased kidney function, meperidine can quickly reach a toxic level when
given over several days, which can cause seizures.
Dimenhydrinate - ANSWER-antihistamine
tx nausea
It is used to treat acute attacks of Meniere's disease and vertigo, as well as to reduce
nausea and vomiting from radiation sickness.
Digoxin toxicity - ANSWER-GI effects (anorexia, n/v, abdominal pain), CNS effects
(fatigue, weakness, diplopia, blurred vision, yellow-green or white halos around objects)
-Anorexia-
-Loop diuretics such as furosemide can cause hypokalemia, which greatly increases the
risk of digoxin toxicity.
Tx: is used to treat heart failure, usually along with other medications. It is also used to
treat certain types of irregular heartbeat (such as chronic atrial fibrillation).
Class:
Cyclobenzaprine - ANSWER-Muscle Relaxant
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ATI Pharmacology Study Guide 2020

With Complete Solutions

Nystatin - ANSWER-should be applied topically to the area affected with candidiasis, usually four times daily. Adults and older children can swish the nystatin suspension around in their mouth for a period of time and then swallow it. Since infants and very young children cannot follow these directions, the medication should be applied orally using a swab. Prothrombin Time (PT) - ANSWER-used to monitor warfarin therapy NPH insulin - ANSWER-peak: 4-14hrs duration: tobramycin - ANSWER-30 mins before and after for lab values Meperidine (Demerol) - ANSWER-Tx: Moderate to severe pain Contraindications: Hypotension (SBP <100), respiratory depression, respiratory distress due to asthma/COPD, shock, bowel obstruction, patients who have taken MAOIs within the past 2 weeks Class: Opiod Analgesic Cumulative Effects - ANSWER-- effect occurs with repeated doses of a medication are given and the rate of administration exceeds the rate of metabolism or excretion. Due to older adults decreased kidney function, meperidine can quickly reach a toxic level when given over several days, which can cause seizures. Dimenhydrinate - ANSWER-antihistamine tx nausea It is used to treat acute attacks of Meniere's disease and vertigo, as well as to reduce nausea and vomiting from radiation sickness. Digoxin toxicity - ANSWER-GI effects (anorexia, n/v, abdominal pain), CNS effects (fatigue, weakness, diplopia, blurred vision, yellow-green or white halos around objects) -Anorexia- -Loop diuretics such as furosemide can cause hypokalemia, which greatly increases the risk of digoxin toxicity. Tx: is used to treat heart failure, usually along with other medications. It is also used to treat certain types of irregular heartbeat (such as chronic atrial fibrillation). Class: Cyclobenzaprine - ANSWER-Muscle Relaxant

Omeprazole - ANSWER-a proton pump inhibitor

  • reduces gastric acid secretion and treats duodenal and gastric ulcers, prolonged dyspepsia, gastrointestinal reflux disease, and erosive esophagitis. Interventions: long term use increases risk of fracture Ofloxacin Otic - ANSWER-Administration: Applying gentle pressure with a finger to the tragus of the ear after administration will facilitate movement of the fluid down the ear canal. Clopidogrel - ANSWER--- is an antithrombotic and antiplatelet medication; therefore, it poses a risk of serious bleeding. The nurse should monitor for signs of bleeding such as black, tarry stools and report these findings to the provider. Spironolactone - ANSWER-Restrict foods high in potassium Repaglinide - ANSWER-HbA1c DM Diphenhydramine (Benadryl) - ANSWER-Contraindications: Oxycodone Vancomycin - ANSWER-Adverse effect: Hypotension Rapid infusion of vancomycin can cause a phenomenon known as Red Man syndrome. The nurse can minimize the risk of this from occurring by slowly infusing the medication over a period of 60 min or longer. Varicella Immunization - ANSWER-contraindications: -pregnancy -infection with HIV -altered immune system 12-15 months of age 4-6 years of age second dose can be any time 3 months or later 12 year visit for catch up Zidovudine - ANSWER-Adverse effects: severe anemia Epoetin - ANSWER-stimulates the RBC production Phenylephrine - ANSWER-adverse effects: Increased Heart rate Digoxin - ANSWER-Adverse effects: Blurred vision, nausea, dysrhythmias Contraindication: Furosemide

Tx: pre op med to decrease saliva secretions antispasmodic drug to treat peptic ulcers increase heart rate with bradycardia Carbamazepine - ANSWER-Class: Anticonvulsant Tx: seizure, nerve pain, bipolar disorder Adverse effect: Blurred vision Lithium toxicity - ANSWER-side effects: Tremors, Metallic taste, neuro symptoms besides parenthesia Tx: mood disorders, prevent episodes of mania Normal levels: 0.6-1. -maintain constant sodium intake Amikacin - ANSWER-Class: Antibiotic side effects: Ototoxicity, Auditory neurotoxicity, Nephrotoxicity, Kidney disease with reduction in GFR Furosimide (Lasix) - ANSWER-Diuretic Fluid retention Normal potassium levels: 2.5- Medication error: administration 10.0 mg po daily should be just (10mg ) Citalopram (Celexa) - ANSWER-Class: Antidepressant Tx: depression side effects: Abnormal sexual function, Disorder of ejaculation Glipizide - ANSWER-Class: antihyperglycemic TX: monitor high blood sugar levels Lovastatin - ANSWER-class: antihyperlipidemic Tx: High cholesterol levels Phenylephrine - ANSWER-nasal decongestant Clozapine (Clozaril) - ANSWER-Class: antipsychotic adverse effects- agranulocytosis, neutropenia NOT a first-line agent reserved for refractory or treatment-resistant illness Alendronate (Fosamax) - ANSWER-Tx: osteoporosis Administration: take with 8oz of water

Zidovudine - ANSWER-Tx: HIV/AIDs Adverse effects: severe anemia Sumatriptan - ANSWER-Tx: migraines Contraindications: fluoxetine(tx: depression) (adverse effects: tremors) Isotretinoin - ANSWER-Nursing interventions: monitor liver enzymes after 1 month, nosebleeds may occur , report any thoughts of self harm, need to obtain 2 neg pregnancy tests Simvastatin - ANSWER-tx: high cholesterol adverse effect: muscle pain eplerenone - ANSWER-class: diuretic treat HTN, adverse effects; diarrhea, decreased sodium levels, vaginal bleeding, increased potassium levels cause of potassium retention effect Valproic Acid - ANSWER-Tx: seizures adverse effects: abdominal pain Baclofen (Lioresal) - ANSWER-Class: Skeletal Muscle relaxant

  • TX: muscle spasms
  • Side Effects: drowsiness, dizziness, weakness, tiredness; headache; sleep problems (insomnia); nausea, constipation; or urinating more often than usual.
  • Nursing Inter: be alert for signs of hyperglycemia, confusion, drowsiness changes in mood and behavior Spironolactone (Aldactone) - ANSWER-Tx: HTN and HF -Side Effects: Hyperkalemia, Gastrointestinal irritation -Adverse Effects: increased thirst, signs of kidney problems, mental/mood changes, muscle spasms, breast pain -Precautions: Tell Dr. of slow pulse. Avoid potassium salt, drowsiness may occur, avoid taking within 4hrs of betime -Interactions: kidney/liver problems, high potassium/low sodium, addisons disease;
    drug interactions: lithium Fentanyl - ANSWER-Opioid Analgesic -sedation Nursing Interventions: The nurse should have the opioid reversal agent naloxone and resuscitation equipment available in the event that the client develops manifestations of opioid toxicity such as sedation. Requires a written consent bc its a narcotic. naloxone - ANSWER-Class: