NCLEX RN - Pharmacology

QuestionAnswer
SEVEN MED ADMINISTATION RIGHTSCLIENT, ROUTE, DRUG, AMOUNT, TIME, DOCUMENTATION, TO REFUSE TX
ACE INHIBITORS ACTIONPRIL- TX PRIMARY AND SECONDARY HTN BY INHIBITING THE COVERSION OF ANGIOTENSION I TO II

 

 

ACE INHIBITORS RN CONSIDERATIONSSE= HYPOTENSION, HACKING COUGH, N/V, RESP SXMONITOR VITALS, WBCS, AND ELECTROLYTE LEVELS
BETA ADRENERGIC BLOCKERS ACTIONOLOL- HELP LOWER BP, PULSE RATE, AND CARDIAC OUTPUT; ALSO TX MIGRAINES AND OTHER VASCULAR HEADACHES, GLAUCOMA AND PREVENT MIS BY BLOCKING THE SYMPATHETIC VASOMOTOR RESPONSE
BETA ADRENERGIC BLOCKERS RN CONSIDERATIONSSE= ORTHOSTATIC, BRADYCARDIA, CHF, BLOOD DYSCRASIASMONITOR LAB VALUES (PROTEIN, BUN, CR) INDICATING NEPHROTIC SYNDROME, MONITOR VITALS, SIGNS OF EDEMATEACH TO RISE SLOWLY, REPORT BRADYCARDIA, DIZZINESS, CONFUSION,DEPRESSION, OR FEVER AND TAPER OFF MED
AMINOGLYCOSIDESCIN/MYCIN- INTERFERE WITH THE PROTEIN SYNTHESIS OF BACTERIA CASING IT TO DIE
AMINOGLYCOSIDES RN CONSIDERATIONSSE= OTOTOXICITY, NEPHROTOXICITY, SEIZURES, BLOOD DYSCRASIA, HYPOTENSION, RASHOBTAIN ALLERGIES, MONITOR I&O, VITALS, IV SITE, THERAPEUTIC LEVELS, PEAK AND TROUGH LEVELS
BENZODIAZEPINES ACTIONPAM/PATE/LAM- ANTICONVULSANTS/ANTIANXIETYS SEDATIVE/HYPNOTICS
BENZODIAZEPINES RN CONSIDERATIONSMONITOR r, LIVER FNX, KIDNEY FXN, BONE MARROW FXN, SIGNS OF CHEMICAL ABUSE
PHENOTHIAZINES ACTIONZINE- USED AS ANTIEMETICS OR MAJOR TRANQUILIZER AND TO TX PSYCHOSIS WITH SCHIZOPHRENIA
PHENOTHIAZINES RN CONSIDERATIONSSE= EPS, SEDATION, ORTHOSTATIC HYPOTENSION, DRY MOUTH, AGRANULOCYTOSIS, NEUROLEPTIC MALIGNANT SYNDROME
GLUCOCORTICOIDS ACTIONSONE/CORT- USED FOR IMMUNOSUPPRESSION AND ADDISON'S DISEASE; USED TO DECREASE INFLAMMATORY RESPONSE TO ALLERGIES AND INFLAMMATORY DISEASES OR TO DECREASE THE POSSIBILITY OF ORGAN TRANSPLANT REJECTION
GLUCOCORTICOIDS RN CONSIDERATIONSSE= POOR WOUND HEALING, ECCHYMOSIS, BRUISING, PETECHIAE, DEPRESSION, FLUSHING, MOOD CHANGES, HTN, OSTEOPOROSIS, HEMORRHAGEMOINTOR GLUCOSE LEVELS, WEIGHTS, BP, AND SIGNS OF INFECTION
ANTIVIRALS ACTIONVIR- INHIBIT VIRAL GROWTH BY INHIBITING AN ENZYME WITHIN THE VIRUS
ANTIVIRALS RN CONSIDERATIONSREPORT RASH, SIGNS OF INFECTIONS, MONITOR CR FREQ, LIVER PROFILE, BOWEL PATTERN BEFORE AND DURING TX
CHOLESTEROL LOWERING AGENTS ACTIONVASTATIN- HELP TO LOWER CHOLESTEROL AND TRIGLYCERIDE LEVELS TO DECREASE THE POTENTIAL FOR CARDIOVASCULAR DISEASE
CHOLESTEROL LOWERING AGENTS RN CONSIDERATIONSSE= ALOPECIA, DYSPEPSIA, LIVER DYSFXN, MYALGIA, HEADACHEDIET LOW IN CHOLESTEROL AND FAT; MOINTOR CHOLESTEROL, LIVER, RENAL LEVELS/FXN; REPORT VISUAL CHANGES (CATARACTS); MONITOR MUSCLE PAIN AND WEAKNESS
ANGIOTENSIN RECEPTOR BLOCKERS ACTIONSARTAN- BLOCK VASOCONSTRICTOR AND ALDOSTERONE SECRETING ANGIOTENSIN II TO LOWER BP AND INCREASE CO;TX PRIMARY OR SECONDAY HTM AND ARE EXCELLENT FOR PTS WHO COMPLAIN OF COUGHING R/T ACE INHIBITORS
ANGIOTENSIN RECEPTOR BLOCKERS RN CONSIDERATIONSSE= INSOMNIA, DEPRESSION, ANGINA PECTORIS, SECOND DEGREE AV BLOCK, CONJUNCTIVIITIS, IMPOTENCE, MUSCLE CRAMPS, NEUTROPENIA, COUGHMONITOR BP, HR, BUN, CR, ELECTROLYTES, HYDRATION STATUS, AND TO REPORT EDEMA IN FEETS AND LEGS DAILY
CO2 ENZYME BLOCKERS ACTIONCOX- ANTI-INFLAMMATORY DRUGS USED TO TX ARTHRITIS AND PAIN R/T ARTHRITIS (NSAIDS)
CO2 ENZYME BLOCKERS RN CONSIDERATIONSSE= FATIGUE, ANXIETY, DEPRESSION, TACHYCARDIA, TINNITUS, GASTROENTERITIS, STOMATIIS, SUDDEN GI BLEEDINGREPORT CHANGINES IN BOWEL HABITS INDICATING BLEEDING, MONITOR PLATELET COUNT, REPORT EASY BRUISING
HISTAMINE 2 ANTAGONISTS ACTIONTIDINE- BLOCK HISTAMINE 2 RECEPTOR SITES, DECREASING ACID PRODUCTION, USED TO TX GERD, ACID REFLUX, AND GASTRIC ULCERS
HISTAMINE 2 ANTAGONISTS RN CONSIDERATIONSBRADY/TACHYCARDIA, PSYCHOSIS, SEIZURES, AGRANULOCYTOSIS, ALOPECIA, GALACTORRHEAMONITOR BUN, ADMINISTER MED W/MEALS, TAKE ANTACIDS 1HR BEFORE/AFTER MED, CIMETIDINE IN ONE LARGE DOSE AT BEDTIME, SUCRLFATE DECREASES HISTAMINE 2 RECEPTOR BLOCKER EFFECTS
PROTON PUMP INHIBITORS ACTIONPRAZOLE- SUPPRESSES GASTRIC SECRETION BY INHIBITING HYDROGEN/POTASSIUM ATPASE ENZYME SYSTEMS TO TX GASTRIC ULCERS, INDIGESTION AND GERN
PROTON PUMP INHIBITORS RN CONSIDERATIONSSE= INSOMNIA, FLATULENCE, HYPERGLYCEMIATAKE MED PRIOR TO MEALS FOR BEST ABSORPTION, DO NOT CRUSH PROTONIX, USE FILTER WHEN IV PROTONIX, MONITOR LIVER FXN
ANTICOAGULANTS ACTIONPARIN- THINS BLOOD TO TX THROMBOLYTIC DISEASE, PULMONARY EMBOLI, MI, DVT AFTER CORONARY ARTERY BYPASS SURGERY AND OTHER CONDITIONS REQUIRING ANTICOAGULATION
ANTICOAGULANTS RN CONSIDERATIONSSE= STOMATITIS, BLEEDING, HEMATURIA, DERMATITIS, ALOPECIA, PRURITUSMONITOR BLOOD STUDIES (HCT, OCCULT BLOOD IN STOOL, PTT FOR HEPARIN, PLT, SIGNS OF BLEEDING OR INFECTION
GINSENGANTI-INFLAMMATORY, ENHANCES IMMUNE SYSTEM, ESTROGEN EFFECTS, AND IMPROVES MENTAL AND PHYSICAL ABILITIES
GINKGOIMPROVES MEMORY AND CAN BE USED TO TX DEPRESSION, IMPROVES PERIPHERAL CIRCULATION
ECHINACEATX COLDS, FEVERS, UTI
ST. JOHN'S WORTUSED TO TX MILD TO MODERATE DEPRESSION

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