NCLEX Pharmacology, Medications Kaplan NCLEX RN

NCLEX Pharmacology, Medications Kaplan NCLEX RN Leave the first rating Students also studied Terms in this set (374) Science Medicine Save 140 Must Know NCLEX Meds 141 terms eyoung389Preview Kaplan Pharmacology Integrated Teacher 75 terms geal2022Preview Mark K/Dr. Sharon TOP 50 NCLEX D...66 terms trm5k54zx4Preview Kaplan 90 terms cad

ClozapineClass: Atypical Antipsychotic

Use: schizophrenia

Adverse effect: ECG changes - QT prolongation

Nursing considerations: leukopenia (weekly WBC checks), weight gain, drowsiness

Colchicineanti-inflammatory treatment for gout AllopurinolUric acid reducer treatment for gout and kidney stones NSAIDSibuprofen Watch for interactions with the four "G's" increases risk of bleeding ginkgo garlic ginger ginseng Psyllium hydrophilic mucilloidlaxative bulk-forming safest laxative increases water absorption or retention within the stool

Docusate sodiumlaxative emollient laxative of the fecal-softener type could result in dependency bowel damage electrolyte imbalance Magnesium hydroxidelaxative saline laxative hypertonic and works osmotically by drawing water into the intestine and surrounding tissues stool consistency is affected becoming watery bowel distention causes perstalsis chronic use = electrolyte imbalance and dependency Bisacodyllaxative Stimulant laxative causes an irritation via nerve stimulation directly on intestine wall Black Cohoshherb useful with menopausal symptoms but interaction with antihypertensive drugs causing hypotension Isoprotenerolbeta 1 and beta 2 adrenergic receptors used for bradycardia, torsades de points, beta blocker toxicity (too much of beta blockers lowers heart rate) given after maximum dose of atropine given

Adverse effects: raises heart rate so tachycardia, angina, bronchial asthma,

pulmonary edema Norepinephrinevasoconstrictor used for severe hypotension or cardiogenic shock NEVER GIVE A CONSTRICTOR TO A DRY HEART, give blood or fluid before giving Infuse with dextrose solution, not saline Monitor bp and heart rate protect from light

Adverse effects: reflex hypotension or bradycardia (need to taper off)

Dopaminevasoconstrictor used in renal failure and shock NEVER GIVE A CONSTRICTOR TO A DRY HEART, give blood or fluid before giving

Adverse effects: reflex hypotension or bradycardia (need to taper off)

Do NOT give with sodium bicarb in same IV line, bicarb will deactivate dopamine Epinephrinenon-selctive adrenergic agonist stimulates alpha and beta adrenergic receptors used for anaphylaxis and used for vfib, asystole, PEA causes bronchodilation, vasoconstriction Adverse effects: just like having an adrenilane rush so patient can be very jittery, irritable, fearful, tachycardia, dysrythmias, hypertension Diphenhydramineantihistamine given in conjuction with epinephrine to treat anaphylactic shock will address tissue induced histamine and skin pruitis IM or IV for shock Dobutaminebeta 1 - adrenergic agonist increases force of contraction of heart improved cardiac output increases heart rate Andrenergics Med NamesNorepinephrine, Phenyl (tissue necrosis if it leaks into tissue out of IV), Dopamine (tissue necrosis if it leaks into tissue out of IV, Do NOT give with sodium bicarb in same IV line), Epinephrine (given during vfib or PEA), Dobutamine, Isoproterenol Andrenergics ActionsStimulates Beta-2 Receptors in Lungs (causes brochodilation) Andrenergics UsesCOPD, Cardiac Arrest Andrenergics Side EffectsDysrhythmias, Tremors, Anticholinergic Effects (dry mouth, urinary retention), Hypertension, Hypotension Andrenergics Nursing ConsiderationsMonitor B/P, Monitor Peripheral Pluses, Check Output, use IV infusion pumps

Antianxiety Med NamesPams and Lams, Chlordiazepoxide (short term), Buspirone (long term),

Hydroxyzine (long term), Meprobamate (anxiolytics nonbenzos) (herbals:) kava,

melatonin Antianxiety Actionsaffect neurotransmitters (CNS depressent) Antianxiety Usesanxiety disorders, manic episodes, panic attacks Antianxiety Side EffectsSedation (no driving), confusion, hepatic dysfunction Benzodiazepines-pams Antianxiety Nursing ConsiderationsPotential for addiction/overdose, Avoid Alcohol, Monitor LFT, taper dose, not to be taken with MAO inhibitor Antacids Med NamesAluminum hydroxide, magnesium hydroxide (diarhea), calcium carbonate (constipation), aluminum/magnesium hydroxide Antacids Actionneutralize gastric acids Antacids Usespeptic ulcer, indigestion, reflex esophagitis, GERD, stress ulcer Antacids Side Effectsconstipation, diarrhea, acid rebound Antacids Nursing ConsiderationInterferes with absorption of antibiotics, iron preps, INH (TB med), oral contraceptives Monitor bowel functions Pregnant people cannot take liberally Antidysrhythmics Med NamesQunidine, Lidocaine, Flecainide, Propanolol, Amiodarone (photophobia), Verapamil, Atropine, Digoxin, Adenosine Antidysrhythmics Actioninterfere with electrical exciablility of heart Antidysrhythmics UsesA-Fib and flutter, tachycardia, PVCs Antidysrhythmics Side EffectsLightheadedness, hypotension, bradycardia, urnary retention Antidysrhythmics Nursing ConsiderationMonitor VS and Cardiac Rhythm, orthostatic hypotension Beta Blockers-lol can cause bronchspasms airway is a consideration check heart rate before given, held if less then 50bpm and should be notified Antibiotics GeneralAllergies, Super Infections (broad spectrum, yeast infection cdiff, black hairy tongue candiasis), Organ Toxicity