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NCLEX Drug Class Cheat Sheet ScienceMedicine Lizzie_Bee Save 140 Must Know NCLEX Meds 141 terms eyoung389Preview
NCLEX EXAM PREVIEW
110 terms kandykat1012Preview Pharmacology NCLEX Questions 49 terms notnursingPreview 75 Free 75 terms car ACE Inhibitor "-pril" (catopril/lisinopril) anti-hypertensive, MI, Heart Failure monitor potassium levels
ANGIOEDEMA
Dry cough - leads to med adherence issues -> UNSAFE not for 2nd/3rd trimester Calcium Channel Blockers "dipine" (almlodipine/nifedipine + diltiazem + verapamil) antihypertensive helpful with rate control in Afib/flutter+SVT
NO BRADYCARDIC PT/ HEART FAILURE/HEART BLOCK
NO GRAPEFRUIT JUICE
Taper dose if d/c monitor HR + BP (can have rebound tachycardia!) Alpha Blockers "sin" (prazosin/doxazosin) antihypertensive works by vasodilatation -> lower BP NSAIDs decrease effect take med at bedtime to decrease side effects (i.e. w/ other antiHTN -> syncope/dizziness) consult before OTC started
alpha agonist "-dine" (clonidine/gaunficine HCl + methyldopa) anti-hypertensive/ HTN crisis NOT ALLOWED W/ ANTICOAGULANTS/ HEPTIC FAILURE ( look at AST/ALT)
DONT GIVE TO CLIENTS ON MAOI
take at bedtime
LEUKOPENIA - AT RISK FOR INFECTION (CBC)
report jerky movements, prolonged dizziness, rash or yellowing of skin Beta Blockers -olol" (metoprolol/atenolol/propanolol/labetalol) lower BP and HR
NOT TO BE ADMIN TO AV BLOCK/SINUS BRADY PT
NOT FOR ASTHMA/BRONCHOSP ASM/HF patients masks effects of HYPOGLYCEMIA -caution in diabetics look for bronchospasm/bradycardia/hypoglycemia if HR less than 60 or BP less than 100 = HOLD + call provider Vasodilators nitroprusside/nitroglycerin/hydralazine HTN emergency drug caution in elderly/hepatic + renal dx/electrolyte imbalance patients
KEEP IN PROTECTIVE CONTAINER
cyanide toxicity (have methylene blue on hand) BIG TIME HTN - may have HA Cardiac Glycoside Digoxin (Lanoxin) increases contraction force and increases CO HF + AFIB = good given with loop diuretics -> HYPOKALEMIA RISK ARBS + ACE w/ Dig = HYPERKALEMIA RISK verapmil= toxicity increase risk
LOOK FOR VOMITTING/WHITE OR YELLOW HALOS AROUND LIGHT/DIPLOPIA/BLURRED VISION
check apical pulse for 1 min prior to admin if pulse <60 IF TOXIC = GIVE Digoxin IMMUNE FAB
Antianginal Nitro's can be given sublingual/sustained relase tab/trasndermal patch or onitment for acute angina/prophylaxis too
NOT TO BE GIVEN WITH ERECTILE DYSFUNCTION PILLS
SUBLINGUAL:
may use up to 3 tabs in 15 mins - BUT CALL 911 after first tab if pain not gone replace tabs every 6 mos + WEAR MEDIC ALERT BRACELET
OINTMENT:
apply with gloves cover area it is placed with plastic wrap and tape gradually reduce the amount given over 4-6weeks
PATCH:
apply to upper chest/side, pelvis, inner or upper arm rotate sites and only worn for 12-14 HRS Antidysrhythmic Agents Adenosine, amiodarone, atropine adenosine for SVT -> normal can cause bronchospasm or prolonged asystole flush immediately after IV push w/ NS Amiodarone V fib or V-tach can cause cardigenic shock or bradycardia and respiratory issues
INCOMPATIBLE WITH HEPARIN
monitor for respiratory complications atropine for sinus brady-> normal monitor for anti-cholinergic effects Terms (12) Hide definitions
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