Nclex Medications 2024

Nclex Medications 2024 Leave the first rating Students also studied Terms in this set (152) Science Medicine Save 140 Must Know NCLEX Meds 141 terms eyoung389Preview

NCLEX EXAM PREVIEW

110 terms kandykat1012Preview NCLEX meds 2024 200 terms Bellarina33Preview Epic M 56 terms jam Practice questions for this set Learn1 / 7Study using Learn " Hypertensive Mothers Love Nifedipine"

• Hydralazine

-Methyldopa -Labetalol

• Nifedipine

Choose an answer 1 Blood pressure medication safe in pregnancy 2Antabuse (disulfiram) 3TAP4Upper drugs Don't know?

Antabuse (disulfiram)Alcohol deterrent

• Aversion (strong hatred) therapy- a type of therapy designed to make a pt give

up an undesirable habit by causing them to associate it with an unpleasant effect.Antabuse antidoteRevia Antabuse teaching- avoid all forms of ETOH (bc doing so may lead to symptoms of N/V, even death.

- teach them to avoid all items containing alcohol. Ex: mouth wash, cologne,

perfume, aftershave, elixir, most OTC liquid medicine, insect repellent, hand sanitizer, vanilla extract.Antabuse onset and duration is?2 weeks Upper drugscaffeine cocaine PCP/LSD (psychedelics/ Hallucinogens) methamphetamines adderall Upper drugs nursing prioritySuctioning due to seizures Downer drugs nursing priorityIntubation/ ventilation due to respiratory arrest Aminoglycosides"Mycin"

• Gentamycin

-vancomycin -Clindamycin

• streptomycin

-Cleomycin

• tobramycin

**they are the big guns of ABXs. Use them when nothing else works How to administer Aminoglycosides ABX?IV and IM (bc it is excreted in feces and not absorbed in GI Tract)

• administer then q8 hour

when can aminoglycosides be given PO-hepatic encephalopathy... decreases ammonia -pre-op surgery... sterilize bowel -no ototoxicity or nephrotoxicity when given PO PO aminoglycosides-Neomycin

• Kanamycin

Bowel sterilizers" Neo Kan"

• Neomycin
• Kanamycin

TAPTrough —> administer —> peak

• trough before drug administration
• Peak after drug administration
• trough and peak levels are drawn because of a drug's narrow therapeutic

window or index. Ex: Aminoglycosides abx and Digitalis

when to draw through levels30 minutes before next dose

when to draw peak levelssublingual: 5-10 mins after drug is dissolved

IV: 15-30 mins after drug is finished (bag is empty)

IM: 30-60 mins after injection

SQ: see DM lecture

PO: all different; don't even try to memorize

Calcium Channel BlockersThey relax and slows down the heart

• they are NEGATIVE inotropic, chronotropic, dromotropic

Calcium Channel Blockers function- antihypertensive

• antianginal drugs (decrease oxygen demand)
• Antiatrial arrhythmias

Calcium Channel Blockers side effectsheadache hypotension Orthostatic hypotension Peripheral edema Major side effects aminoglycosidesototoxicity and nephrotoxicity Calcium Channel blockers NamesEnds in “dipine”

- also: verapimil, cardizem (diltiazem)

Verapimil (Calan)calcium channel blocker (antihypertensive) Parameters to assess before administering CCB- Assess BP

• Hold if SBP is lower than 100

CCB contraindications- "Nafil drugs" ex: sildenafil (viagra)

• grapefruit

Cardizem (diltiazem)calcium channel blocker, antihypertensive AtropineTreatment for symptomatic SINUS BRADYCARDIA How to administer atropine0.5 mg every 3-5 minutes

- maximum dose: 3.0 mg (6 doses)

Atropine Contraindications-glaucoma

• GI obstruction
• urinary retention
• pregnancy

Sinus Tachycardia Treatment-treat underlying cause first

• Administer Beta blockers "LOL"

Beta Blockers ContraindicationsAsthma, COPD

Atrial Fibrillation TreatmentIf hemodynamically unstable:

-Urgent cardioversion (synchronous electrical or Ibutilide)

If stable:

-Rate control (beta blocker, CCB—> Diltiazem and Verapamil, digoxin) -Anticoagulation (heparin, warfarin)

• if alternative above don't work give AMIODARONE ( this is a nasty drug that can

affect lungs, thyroid and liver) Management options for ATRIAL FIBRILLATIONABCD Anticoagulate B-blockers to control rate Cardiovert/Calcium Channel Blockers Digoxin Amiodarone can affect the following1. LUNGS: can cause restrictive lungs ( PFTs needed)

2. THYROID: will initially present with fatigue. (Thyroid function test needed)

3. LIVER: jaundice, hepatomegaly

• Liver function test needed)

Drugs that causes photosensitivitySulfa drugs

AMIODARONE

Tetracyclines “SAT for a photo” HeparinAnticoagulant

• first line, fast acting 10-15s

What to watch with HEPARIN ?PTT levels

- therapeutic level: 1.5 to 2x normal value

46-70 seconds (more than 70 stop the infusion) Heparin antidoteprotamine sulfate Heparin administration routeIV, SQ