Pharmacologic Basis for Nursing Practice
Pharmacologic Basis for Nursing Practice NUR 3145
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This 3 page Class Notes was uploaded by Willis Bartoletti on Monday October 12, 2015. The Class Notes belongs to NUR 3145 at Florida International University taught by Staff in Fall. Since its upload, it has received 33 views. For similar materials see /class/221769/nur-3145-florida-international-university in Nursing and Health Sciences at Florida International University.
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Date Created: 10/12/15
Exam 4 Study Guide Pharmacology 3145 Spring 201 1 Dr Chonin Chapter 48 Oral dextromethorphan therapeutic effect begins 30 minutes after administration Loratadine Claritin has the potential adverse effect of drowsiness Pseudoephedrine Sudafed adverse effect of tachycardia indicates the need to discontinue the medication and the patient needs to see the HCP Guafenesin and alcohol potentiate drowsiness Chapter 49 IV dosing of acetylcysteine Mucomyst may be slowed if the patient develops an adverse effect of facial ushing and diphenhydramine Benedryl may be given to decrease the response Common adverse effect of bronchodilator inhalers is irritation of the throat Common adverse effects of inhaled corticosteroids includes the potential for infection and voice impairment Theophylline should be taken on an empty stomach to minimize adverse effects When a patient experiences the adverse effect of diarrhea suggest increasing uid intake to avoid dehydration Chapter 50 Antacids can be continued with ranitidine Zantac but should be at least 2 hours after dosing Omeprazole Prilosec may increase the risk of hip fracture Aluminum with Magnesium hydroxide Mylanta may cause hypophosphatemia Pancrelipase Pancrease MT is contraindicated in patients allergic to pork as it derived from pigs Orlistat Xenical patients need to be taught how to assess food for fat content and to skip doses if the meal is fatfree Chapter 51 Abdominal pain vomiting and fever are indicators of the need for prompt medical attention when noted in a patient treated for irritable bowel syndrome Allergic reactions to diphenoxylate HCL with atropine sulfate Lomotil include uticaria pruritus swelling of gums and anaphylaxis When the medication is effective for diarrhea the dosage can be decreased Magnesium hydroxide Milk of Magnesia is known to interact with many medication and polypharmacy needs to be assessed Chapter 52 Signs of hypoglycemia include blurred Vision fatigue trembling irritability headache and paresthesias Insulin reaction is treated by taking an oral form of glucose either liquid or tablet Type 1 Diabetes insulin needs must be individualized for sports activities Metformin Glucophage is known to cause weight loss as an antihyperglycemic agent Any change in types of insulin medications may cause hypoglycemia NPH insulin peaks in 412 hours Alcohol use in glyburide Diabeta therapy may cause a disulframlike reaction Chapter 53 Patients taking a Somatropin growth hormone need to have their height measured at each HCP Visit Patients with Turner s Syndrome have a greater risk for cardiovascular disorders with Somatropin and are a significant precaution to note Desmopressin DDAVP may cause hypertension It is available as a nasal spray for longterm use Early adverse effects of Calcitreol Rocaltrol include bone pain weakness headache and dry mouth An early sign of agranulocytosis is fever and sore throat indicative of infection Chapter 54 The primary cause of ED is atherosclerosis Hypercholesterolemia would be seen in a patient with a history of MI and prescribed for testosterone Height measurements would be assessed for patients taking testosterone for delayed onset on puberty Sildenafil Viagra has delayed absorption when taken with a high fat meal Minoxidil Rogaine requires at least 4 months of BID daily applications for male pattern baldness Prostate specific antigens PSA needs to be monitored at every visit for patients with benign pro static hypertrophy Chapter 55 Alendronate FosamaX should not be ordered for patients who are unable to be sitting upright or standing for at least 30 minutes after dosing to prevent esophageal ulcerations Osteoporosis prevention and therapy includes walking and lightmoderate weight bearing exercise Prescribed estrogens can increase the risk of cardiovascular events such as MI and CVA Signs of which include pain in the chest headaches and dizziness Oral contraceptives are often ineffective when antimicrobials are taken due to decreased levels of circulating hormones therefore additional forms of birth control are needed at that time Birth control patches are applied on the day the menstrual cycle begins on a place that will not be rubbed by tight clothing Breakthrough bleeding is a common adverse effect of estrogen therapy caused by hormonal uctuation Chapter 56 Fetal heart rate is continuously monitored when the mother is in preterm labor The mother should lie on her left side to increase fetal circulation and decrease hypotension Full term pregnancy is 40 weeks and steriods can be given to the mother when in preterm labor to increase fetal surfactant levels Signs of magnesium toxicity are hypotension and diaphoresis Serum Mg levels are normally 1722 mgdl Misoprostol Cytotec should not be given to produce uterine contractions in women with previous histories of CSections due to the possibility of uterine rupture Methylergonovine Methergine is used to control postpartum bleeding but can cause hypertension
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