NCLEX UWorld Pharmacology

NCLEX UWorld Pharmacology 5.0 (1 review) Students also studied Terms in this set (63) Science Medicine Save 140 Must Know NCLEX Meds 141 terms eyoung389Preview NCLEX-RN For 2...Teacher 33 terms TutorDkPreview Pharmacology NCLEX Questions 49 terms notnursingPreview NCLEX 60 terms car Nephrotoxic Meds-mycin antibiotics (aminoglycides) -keterolac (Toradol) -NSAIDs -digoxin Hepatotoxic Meds-tylenol -NSAIDs Naloxone (Narcan)-weans in 1-2 hours -IV or nasal spray -if unresponsive d/t anesthesia or opioids: administer oxygen, assess respiratory rate, notify HCP, prepare second dose Narcan, no need to call rapid response/code team NSAIDsNON-STEROIDAL ANTI-INFLAMMATORY DRUGS

-ex: aspirin, ibuprofen, naproxen

-use at lowest dose necessary for short amount of time

-risks: GI toxicity, kidney injury, HTN, heart failure, bleeding risk

-do not use if hx cardiac problems Aspirin-side effects: black tarry stools, ringing in ears (earliest sign), bruising, tachycardia, hypotension

-ASA toxicity: treated with activated charcoal then IV sodium bicarbonate, sx

disorientation/vomiting/diaphoresis/restlessness, tinnitus

Opioids-if taking extended release for chronic pain teach to take even if pain is not present -monitor respiratory status when taking with short acting opioids -IV 2-3 minute push then check 15-30 minutes after admin -nausea/vomiting usually subsides after initial treatment -take with food EX -morphine -hydrocodone -codeine -fentanyl -heroin (illegal substance) SE -sedation -respiratory depression -hypotension -constipation -risk for addiction Codeine-narcotic used for acute pain or cough suppressant -can cause accumulation of secretions so do not prescribe to people with respiratory disorders Topical Medications-allow 30 minutes before washing off to ensure medication is absorbed -avoid heat -local irritation is common Clozapine-antipsychotic -increased risk for infection -serial white blood count testing is necessary -report all s/s of infection SE -weight gain -drooling -significant sedation -agranulocytosis

Lithium-prescribed for bipolar disorder -if kidney issues are present (including dehydration) question prescription

LITHIUM TOXICITY

-n/v, diarrhea, confusion, agitation SE -drowsiness -weight gain -dry mouth -avoid sodium depletion -eat regular diet -adequate fluids -avoid NSAIDs -takes up to 3 weeks to be effective

THERAPEUTIC RANGE

-0.6-1.2

Tricyclic AntidepressantsTYLINE/PRAMINE Amitriptyline, nortriptyline, imipramine, desipramine, clomipramine, doxepin, amoxapine.

SE -constipation -restlessness -dizziness MAOIsisocarboazid, phenelyzene, tranylcpromine -avoid tyramine containing foods (aged cheeses, cured meats, beers, overripe fruit)

SSRIsXETINE/PRAM/ALINE fluoxetine, paroxetine, sertaline, citalopram

SEROTONIN SYNDROME

-agitation -confusion -tachycardia -diaphoresis -tremors -hyperreflexia -insomnia -sexual dysfunction SE -weight gain (long term use) -increased suicide risk at beginning of therapy (if reporting increase in energy and no change in depression further assessment is needed) -sexual dysfunction -serotonin syndrome *SE should subside in 3 months Antidepressant General Info-do not immediately stop medications -takes weeks to take effect -do not take these drugs together -takes about 2 weeks for meds to get out of system so a 2 week "med break" is recommended if switching classes of antidepressants ADHD MedsNeurostimulants (increase dopamine)

-ritalin: only in school year bc it stunts growth

-dexedrine -addreall -concerta -focalin/ focalin XR -daytrana -vyvanse

-methylphenidate: short acting

Non-stimulants:

-strattera (NRI)

-Intuniv: effectiveness depends on the pt

SE -weight loss -stunt growth -HTN -tachycardia -tics -restlessness -insomnia -abuse potential -helps maintain focus on activity -improves listening skills