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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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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
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