NCLEX meds 2024

NCLEX meds 2024 (1 review) Students also studied Science Medicine Save 140 Must Know NCLEX Meds 141 terms eyoung389Preview 50 most common meds on NCLEX 79 terms hstark24Preview

NCLEX EXAM PREVIEW

110 terms kandykat1012Preview Mark K 58 terms mik Practice questions for this set Learn1 / 7Study using Learn Iron Sucrose (Venofer) Choose an answer 1Respiratory depression 2 Drowsiness.light-headedness.confusion.unsteadiness (especially in older people, who may fall and experience injuries) dizziness.slurred speech.muscle weakness.memory problems.3 Hyperuricemia (^ serum uric acid level) hypokalemia metabolic alkalosis hyperlipidemia hyperglycemia 4Iron-deficiency anemia in CKD

Terms in this set (200) Morphine SulfateOpioid Analgesic Morphine Sulfate Nursing implications?Reassess pain after administration of morphine. Monitor for respiratory depression and hypotension frequently up to 24 hours after administration of morphine. Place call light signal close to patient. Accompany patient if need to get out of bed to minimize risk of falls.Morphine Antidote?Naloxone (Narcan) Furosemide (Lasix)loop diuretic Furosemide Nursing Implications?(Assess patients for sulfa allergies) Monitor signs of fluid, electrolyte, or acid-base imbalances, including dizziness, drowsiness, blurred vision, confusion, hypotension, or muscle cramps and weakness. Report excessive or prolonged symptoms to the physician.Diseases/Illnesses tx Furosemide?-hypertension -fluid retention (edema)/swelling (oedema) -congestive heart failure -liver disease -kidney disease Morphine S/E?Resp. depression*, sedation, constipation Furosemide S/E?-peeing more than normal -feeling thirsy -dry mouth -headache -feeling confused or dizzy -N/V Furosemide avoid?Too much salt in food -such as processed foods or ready-meals- (causes it to stop working) Furosemide most serious side effect?-very low levels of potassium (hypokalemia) which then can cause life-threatening heartbeat problems Most serious side effect of Morphine?respiratory depression (monitor pt closely post-op) Enapril (Vasotec)ACE inhibitor Don't know?

ACE inhibitors"PRIL" Captopril, Enalapril, Afosiopril Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II (powerful vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium and fluid loss.Check BP before giving (hypotension) *Orthostatic Hypotension ACE inhibitors adverse effectsFatigue Dizziness Headache Mood changes Impaired taste Possible hyperkalemia Dry, nonproductive cough, which reverses when therapy is stopped

Angioedema: rare but potentially fatal

Note: First-dose hypotensive effect may occur

Enalapril MaleateVasotec, Epaned Antihypertensive Ace inhibitors nursing considerations?Monitor her vital signs regularly and her WBC count and serum electrolytes, especially potassium level, periodically. Give potassium supplements and potassium-sparing diuretics cautiously because ACE inhibitors can cause potassium retention and hyperkalemia.When starting an ACE inhibitor?need blood tests to monitor your kidney function and potassium levels Enapril side effects?The side effect most commonly encountered with ACE inhibitors is cough. The cough is characteristically non-productive and stops with the discontinuation of the drug. Other adverse effects of enalapril are hypotension, hyperkalemia, angioedema, cholestatic jaundice, and hypersensitivity reaction Beta Blockers-olol: slow HR, decrease vasoconstriction, decrease O2 consumption.

• Used in: HF, HTN, HR control, angina, migraine. AE: HF, bronchospasm, dizzy,

constipation, suppresses hypoglycemia indicators. Contra: asthma, bradycardia,

SSS. Nursing: check HR before giving. Teach: take med at bedtime, do not stop abruptly. Propranolol=essential tremors, Parkinsons When to take beta blockers?take med at nighttime -do not stop taking abruptly- (nurse check hr before giving) when to take ACE inhibitors-take 20 minutes to one hour before meals -food decreases 35% of captopril absorption

what disease/illnesses associated with ace inhibitor? -hypertension -diabetes -certain chronic kidney disease -coronary artery disease(cad) -heart failure/heart attacks -scleroderma -stroke -other cardiovascular conditions Spironolactone (Aldactone)potassium sparing diuretic Spironolactone S/E?hyperkalemia -feeling dizzy -feeling/being sick -muscle/leg cramps -feeling tired/low energy -breat pain/enlargement esp in men Who takes Spironolactone?-Treats hypertension and heart failure -liver disease -ascites -reduce risk of strokes and heart attacks -leak large amounts of protein into your pee(nephritic syndrome) Spironolactone nursing considerations?Assess blood pressure Monitor electrolytes (potassium) Assess renal function Assess for dehydration and intake and output Monitor weight - *signs of fluid, electrolyte, or acid-base imbalances, including dizziness, clumsiness, drowsiness, headache, blurred vision, confusion, hypotension, or muscle cramps and weakness.Antihypertensive drugs*diuretics -ide *beta blockers -lol *ace inhibitors -pril *CCB -pine *alpha blockers -osin *alpha-2 receptor agonists -benz -cine -dine diuretics end in?ide beta blockers end in?lol ace inhibitors end inpril Alpha-2 Receptor AgonistsAnti-hypertensive drugs -Drugs that decrease sympathetic outflow from CNS, norepinephrine, and stimulate receptors in kidney to reduce renin activity -Decreases CO and indirectly reduce arteriole resistance -Clonidine, methyldopa