Mark Klimek NCLEX Pharm 11

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NCLEX EXAM PREVIEW

110 terms kandykat1012Preview 140 Must Know NCLEX Meds 141 terms eyoung389Preview Mark K 2,000 te kris Practice questions for this set Learn1 / 7Study using Learn 70% N and 30% R, may have to make your own on boards, no 70/30 on the floor Never hold the hormone for what patient?patient who is NPO with mydexema Addison's disease easy way to rememberAdd a Sone (sone = steroid) Choose an answer 1Never hold the hormone for what patient? 2Med hints for IM injections 3If 70/30 insulin it is4INR lab values Don't know?

Best default order for click and drag order questions? Hold ..... med Assess ..... what med does Prepare ...... the correction Call ..... or notify Rarely if ever answer ...call Doctor, NCLEX wants you to think critically INR lab values2-3, critical value if off, potential for patient to bleed. Use default order for order ?'s (hold all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or notify Potassium lab values3.5-5.3 If low it is a critical lab to worry about assess the heart and then prepare to give K if high, hold all K, assess heart (EKG), give D5W and reg insulin, call if really high, hold, assess, prepare, call STAT Get someone else involved!Dangerous!!If question says there is pitocin running and there are complications stop pit first then LIONpit Pain meds in laborknow your peaks for IV, IM, PO, Subling. If baby is likely to be born when the pain med is peaking don't give! Why? Respiratory depression in baby OB medications tocolyticsstop contractions, Brethine causes maternal tachycardia, Nifedipine (dipine - CCB) causes Hypotension and headache OB medications oxytocicsmakes labor more intense, Pitocin, Methergine, Cervidil OB medications Fetal/Neonatal Lung medsBetamethasone, speeds the development of the baby's lungs, given to Mom before baby is born, given IM, will increase the blood sugar of Mom Survanta (surfactant)given to baby after baby is born given trastracheal through the airway develops lungs Med hints for IM injectionsLook for 1's in both parts (the 1 looks like an I), guage and length, 21 g, 1 inch means IM Med hints for SQ injectionslook for 5's in both parts (the 5 looks like an S), guage and length, 25 g, 5/8 inch means SQ Drawing up Insulin rulesR then N, Draw up R then N, NRRN the whole process Pressurizing Insulin ruleput air into N then R , NRRN the whole process If 70/30 insulin it is70% N and 30% R, may have to make your own on boards, no 70/30 on the floor Heparin is given IV or SQ NOT PO, info re: Heparin works immediately, labs Ptt or any clotting or bleeding time, antidote: protamine sulfate, course: 21 days, pregnancy: YES (Class C pregnancy drug, use caution)

Coumadin is given PO, info re: Coumadintakes days to work, labs ONLY PT-INR, antidote: Vit K (think Koumadin), course:

forever, prengancy: NO (never use)

If a diuretic ends in the letter X it is a potassiumwasting drug plus Diurel Baclofen/ Flexorilmuscle relaxant, think on your back loafin'! makes a patient drowsy, weak muscles, don't drink, don't drive, don't care of kids under 12 Piaget's stage Sensorimotor age 0-2, totally When can a child give themselves their own insulin shot? 7 What 2 parts are always irrelevant in a prioritization question?age and gender (NCLEX is testing discrimination against agism), age only important for peds All psych drugs causelow BP and weight change (usually gain) Phenothiazinesall end in 'zine Ex: Thorazine, Compazine, they are major tranquilizers so think safety 'Zines for theZanny In large doses Phenothiazines areanti-psychotics In small doses Phenothiazines areanti-emetics Side effects of PhenothiazinesAnticholinergic (dry mouth), Blurred vision, Constipation, Drowsiness, Extrapyramidal syndrome (parkinsons), Fotosensitivity, aGranulocytosis (low WBC's) #1 problem or concern for patient taking Phenothiazines SAFETY Deconoate drug isa long acting IM form given to non compliant patients Tricyclic Antidepressants aremood elevators to treat depression Examples of Tricyclic anti depressantsElavil, tofranil, aventyl desyrel Side effects of Tricyclic medicationsAnticholinergic(dry mouth), Blurred Vision, Constipation, Drowsiness, Euphoria

HInt: Elavil starts with E so this group goes through E

How long does a tricyclic need to be taken before results are seen?2-4 weeks Benzodiazepines are foranti anxiety, they are minor tranquilizers, have 'zep in the name, EX: Diazepam (Valium), plus Xanax, Often given pre op, muscle relaxant, alcohol withdrawal, seizures, facilitates mechanical ventilation Benzodiazepines worksquickly, must not take for 6 weeks, keep on Valium until Elavil kicks in

Side effects for BenzodiazepinesAnticholinergic (dry mouth), Blurred Vision, Constipation, Drowsiness Number one nursing concern for patient taking Benzo's isalso safety MAOI'santidepressants, happy pills Depression is caused by a deficiency ofnorepinephrine, dopamine and serotonin in the brain

Names of MAOI'sMAR, NAR, PAR: Marplan, Nardil, Parnate

Side effects of MAOI'sAnticholinergic (dry mouth), Blurred vision, Constipation, Drowsiness How long can a person be on MAOI's and how long before they work?rest of life, 2-4 weeks MAOI's interact with LOTSAvoid all foods containing Tyramine, causes fatal hypertension Tyramine foodsFruits and Veggies are okay except remember salad BAR, avoid Banannas, Avacados, Raisins, Grains are okay except for active yeast, no organ meats, no preserved meats, no dairy, no alcohol, tinctures, caffiene, chocolate, licorice, soy sauce Lithiumfor bipolar disorder (manic depression) it decreases mania Side effects of Lithiumpeeing, pooping, parasthesia Lithium Toxicity2 or greater, tremors, metallic taste, severe diarrhea, number one intervention, give fluids, if sweating give electrolytes too Lithium monitor what levelssodium, low sodium levels prolong lithium's half-life, causing lithium toxicity, high sodium levels decrease the effectiveness of lithium Prozacit an SSRI, similar to Elavil so same info as Tricyclic's Prozac causesinsomnia, so give before noon, so if BID, give at 6A and 12N NOT at bedtime When changing the dose of Prozac for an adolescent or young adult, watch for suicide 'zine, 'zep, 'zapall tranquilizers a good guess about psych med weeningdecrease the dose of the old drug Haldoljust like the Thorazine's, also has a deconoate form Dose of Haldol for elderly patient should behalf of usual adult dose Clozaril (Clozapine)'zap's, for schizophrenia