Medications and Administration Instructions
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Questions and Answers

Which type of antacid is based on aluminum?

  • Magnesium hydroxide
  • Aluminum hydroxide (correct)
  • Calcium carbonate
  • Sodium bicarbonate

    • What is a common side effect of proton pump inhibitors?

  • Diarrhea (correct)
  • Fatigue
  • Nausea
  • Constipation

    • How should fiber and fluids be recommended for constipation?

  • Alongside bulk-forming laxatives (correct)
  • As a sole remedy without other medications
  • With high doses of stimulant laxatives
  • As a long-term treatment plan

    • What is a warning associated with stimulant laxative use?

    <p>Long-term use can be detrimental</p> Signup and view all the answers

    What should patients monitor while taking lubricant laxatives?

    <p>Electrolyte levels</p> Signup and view all the answers

    When should H2 blockers be taken for effective results?

    <p>Before meals</p> Signup and view all the answers

    Which type of laxative requires cautious temporary use?

    <p>Stimulant laxative</p> Signup and view all the answers

    What is advised for those taking phenothiazines?

    <p>To avoid sedation and dizziness</p> Signup and view all the answers

    What should patients be advised to monitor for when taking loop diuretics?

    <p>Electrolyte imbalances and dizziness</p> Signup and view all the answers

    Which of the following are potential side effects of hormone manipulation therapy?

    <p>Hot flashes and mood swings</p> Signup and view all the answers

    What is important to monitor when a patient is treated with an ACE inhibitor?

    <p>Cough, dizziness, and kidney function</p> Signup and view all the answers

    When taking thiazide diuretics, patients should be advised to monitor for which of the following?

    <p>Hypokalemia and potassium-depleting medications</p> Signup and view all the answers

    What precautions should be advised to patients taking a thrombin inhibitor?

    <p>Monitoring for bleeding and avoiding risky activities</p> Signup and view all the answers

    Which potential adverse effect should be noted when prescribing beta blockers for hypertension?

    <p>Fatigue, dizziness, and avoiding abrupt cessation</p> Signup and view all the answers

    What additional information should patients be aware of when using anticholinergics?

    <p>Monitoring for urinary retention and dry mouth</p> Signup and view all the answers

    When advising on the use of statins, which of the following should be emphasized to patients?

    <p>Liver enzyme monitoring and awareness of muscle aches</p> Signup and view all the answers

    Study Notes

    Medications and Administration Instructions

    • NNRTIs (Non-Nucleoside Reverse Transcriptase Inhibitors): Take with a meal and stay well-hydrated. Watch for rash, nausea, and fatigue.

    • Biological Response Modifiers (BRMs): Proper administration technique is crucial. Monitor for flu-like symptoms or injection site reactions.

    • Targeted Therapies: Specific monitoring needs depend on the medication. Understand the mechanism of action for each agent.

    • Hormone Manipulation: Be aware of potential side effects like hot flashes. Patient adherence is important.

    Diuretics

    • Loop Diuretics: Increase fluid intake and monitor for electrolyte imbalances, dizziness, and muscle cramps.

    • Osmotic Diuretics: Take with ample fluids and be mindful of potential fluid and electrolyte disturbances.

    • Thiazide Diuretics: Monitor for hypokalemia and avoid potassium-lowering medications.

    • Potassium-Sparing Diuretics: Monitor potassium levels; be aware of potential hyperkalemia.

    Cardiovascular Medications

    • ACE Inhibitors: Monitor for cough, dizziness, and kidney function. Potential for angioedema.

    • Direct Vasodilators: Avoid sudden position changes; be alert for headache or palpitations.

    • Alpha-Beta Blockers: Monitor for dizziness and fatigue. Avoid abrupt discontinuation. Monitor lung function.

    • Calcium Channel Blockers: Take as prescribed. Monitor for edema, headache, and constipation.

    • Beta-Blockers (Hypertension): Caution regarding fatigue, dizziness, and abrupt cessation. Monitor lung function.

    Lipid-Lowering Medications

    • Statins: Routine liver enzyme monitoring and watch for muscle aches.

    • Cholesterol Absorption Inhibitors: Take at the same time each day. Be aware of potential diarrhea.

    • HMG-CoA Reductase Inhibitors: Routine liver monitoring and potential muscle pain.

    • Fibrates: Avoid alcohol; watch for muscle pain/weakness.

    • Bile Acid Sequestrants: Take with meals; remain hydrated. Monitor for constipation or gas.

    Anticoagulants and Antiplatelets

    • Thrombin Inhibitors: Monitor for bleeding; avoid activities increasing bleeding risk.

    • Clotting Factor Synthesis Inhibitors: Proper administration and bleeding monitoring are essential.

    • Antiplatelets: Increased risk of bleeding; implement precautions.

    Chemotherapy Support Medications

    • 5HT3-receptor Antagonists: Administer before chemotherapy. Watch for headaches or constipation.

    • Anticholinergics: Avoid mentally demanding activities due to sedation, dizziness, and blurred vision. Be mindful of dry mouth, constipation, and urinary retention.

    Gastrointestinal Medications

    • Antacids: Various types exist (aluminum-based, magnesium-based, calcium-based, sodium bicarbonate, and combinations).

    • Proton Pump Inhibitors: Take daily before the first meal. Potential side effects include headache, diarrhea, and abdominal pain.

    • Phenothiazines: Avoid sun exposure and extreme heat; caution regarding sedation, dizziness, and dry mouth.

    • Dopamine Agonists: Administer with food and hydration. Alert to potential sudden sleep episodes.

    Laxatives

    • Bulk-Forming Laxatives: Increase fluid intake; start with low doses to prevent obstruction.

    • Osmotic Laxatives: Administer with fluids; especially monitor electrolytes in older adults.

    • Lubricant Laxatives: Temporary use only; maintain hydration.

    • Emollient/Stool Softeners: No specific significant warnings.

    • Stimulant Laxatives: Avoid long-term use. Recommend fiber and fluids for constipation.

    • Antimotility/Antidiarrheal Drugs: Avoid if fever or bloody diarrhea. Be aware of potential constipation.

    Other Medications

    • Histamine H2 Blockers: Administer before meals. Be aware of dizziness or headache.

    • Cytoprotective Agents: Take with food; monitor for nausea or constipation.

    • Alpha-Adrenergic Agonists: Avoid mentally demanding tasks because of potential sedation.

    • Beta-Adrenergic Blocking Agents: Fatigue, dizziness, and avoid abrupt cessation. Monitor lung function.

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    Description

    This quiz covers essential medication guidelines, focusing on non-nucleoside reverse transcriptase inhibitors, biological response modifiers, diuretics, and their respective administration strategies. It emphasizes monitoring for side effects and patient adherence to enhance treatment efficacy. Test your understanding of these vital nursing concepts.

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