Prioritization NCLEX questions

Pharmacology LPN/general NCLEX Leave the first rating Students also studied Terms in this set (90) Science MedicineInfectious Disease Save Prioritization NCLEX questions 28 terms madisoncastello Preview New Grad nurse Interview Question...23 terms Cbr1881Preview Pediatric NCLEX Questions 66 terms farzana_talPreview NCLEX 44 terms Tiny Practice questions for this set Learn1 / 7Study using Learn Docusate, glycerin, mineral oil SulfonamidesBactrim, Septra Used for UTIs, otitis, URIs, chrons, arthritis **drink extra water, monitor CBC, take with food Penicillinsamoxicillin, augmentin, unasyn Used for strep, otitis, skin, respiratory infections ***avoid OJ or acidic drinks Choose an answer 1Sulfonamides2Antiviral drugs 3Lubricant Laxatives4Monobactams Don't know?

Cephalosporinscefazolin, cephalexin, cefuroxime, ceftriaxone, cefipime Used for strep, otitis, skin, respiratory infections CarbapenemsUsed for joint/bone infections, organ infections Can cause seizures MonobactamsUsed for skin, abdominal or gynecological infections Good choice for pts allergic to PCN MacrolidesErythromycin, clarithromycin, azithromycin (mycin suffix) Used for skin, resp infections, lymes, STIs OK for pts allergic to PCN ***Can cause heating loss, tinnitus, decreased BC effectiveness, taste changes TetracyclinesEnd in cycline Used for STI, acne, lymes, periodontal infections Can cause coag abnormalities/anemia, discoloration of teeth, decreased BC effectiveness ***Do not take antacids or Ca/Fe containing foods AminoglycosidesGentamicin Used for serious infections, or apthalmic for conjunctivitis ***can caused deafness ***monitor renal labs- creatinine/BUN Fluoroquinolonesfloxacin Used for UTI, respiratory, skin, eye, STI infections ***Do not used in children/elderly MetronidazoleFlagyl Used for intraabdominal, gynecologic, protazoal infections ****Do not take with alcohol and for 48 hours after last dose; lots of drug interactions NitrofurantoinMacrobid Used for UTI VancomycinVancocin Used for MRSA, C-diff *** Run IV slowly to avoid red man syndrome (decrease in BP), monitor for phlebitis Antiviral drugsonly stop virus from replicating/decrease severity and length Used for Infuenza A, Herpes, CMV, HIV TamifluInfluenza agent Acyclovir (Zovirax)Used for Herpes, varicella, CMV ***Take within 72 hours of breakout

AzolesUsed for fungal infections **monitor liver/kidney function (watch for jaundice) Polyenes/perenteral (Amphotericin B)Severe fungal infections of bone/lung/blood ***TOXIC, monitor labs NystatinUsed for thrush OpiodsCodeine, hydrocodone, morphine, hydromophine, fentanyl, methadone, pentazocine, nalbuphine *** Cause sedation, hypotension, bradycardia, constipation *** Use cautiously with resp. or CNS conditions and BPH Opiod toxicity treatmentNarcan ** For severe sedation Ergot alkaloids (ergotamine)Treat sx of migraines *** Do not give with CAD, HTN, PVD Triptans (Imitrex)For acute migraine ** Can cause alterations in BP, tachycardia, dizziness TramadolUltram ** Can cause orthostatic HTN Acetominophen (Tylenol)** Can be toxic to liver (hepatoxicity) *** Do not exceed 4g/4000mg in 24 hours **** acetylcysteine (Acetadote) treats overdose KetoralacToradol *For pain/inflammation Diclofenac SodiumVoltaren ** commonly used for arthritis pain/inflammation Mitotic agent (Colchincine)Taken at onset of gout attack Rapid acting insulinsLispro (Humalog) Aspart (Novolog) Glulisine (Apidra) **onset 15 mins, peak 1-2 hours, duration 3-5 hours Short acting insulinsRegular (Humulin R, Novolin R) *** onset 30-60 mins, peak 2.5hr, duration 6-10 hours Intermediate acting insulinNPH (Humulin N, Novolin N) *** onset 1-2 hours, peak 4-8 hours, duration 10-18 hours

Long acting insulinglargine (Lantus) detemir (Levemir) ** Do not mix, EVER **onset 1-2 hours, duration 24 hours, no peak Sulfonylureasglyburide, glipizide, glimepiride ** Decreases insulin resistance *** can pose reactions for pts allergic to sulfa drugs Biguanides (metformin)Increases uptake of glucose, decreases production of glucose **monitor renal function LevothyroxineSynthroid, levoxyl, levothroid *** Check apical pulse before giving (hold for pulse over 100), give early in the day on an empty stomach Propylthiouracil (PTU)Antithyroid medication ** avoid foods contatining iodine CorticosteriodsPrednisone, hydrocortisone Used for allergic reactions, edema, lupus, ANY CONDITIONS WITH

SWELLING/INFLAMMATION

*** Give early in day with food, monitor BG, monitor for signs of infection, monitor skin integrity, taper gradually to avoid adrenal crisis Alpha 2 agonistsClonidine, Methyldopa For HTN Alpha 1 blockersPrazosin, doxazosin (End in Sin) Cause vasodilation to lower BP Also increase urinary flow rate, relaxes muscle in bladder/urethra (Can be used for BPH too) Beta BlockersPropranolol, metoprolol, atenolol (end in olol) Decrease HR Used for angina, HTN, atthythmias, HF, post MI **smoking decreases effects **check HR prior to giving (hold if less than 60), Check BP prior to giving (hold if systolic less than 90) Ace InhibtorsLisinopril, acptopril, enalapril (End in pril) Lowers BP (For HTN, HF, MI) ** AEs include cough ** monitor K, Na, BUN/creatinine (kidney function) *** teach pt to avoid potassium Angiotensin 2 receptor blockers (ARBs)Losartan, valsartan (Sartans) Decreases BP (For HTN, HF) ** Many herbal interactions