Podcast
Questions and Answers
What is a critical aspect to monitor when administering digoxin?
What is a critical aspect to monitor when administering digoxin?
What adverse reaction should patients be aware of when taking cromolyn for asthma?
What adverse reaction should patients be aware of when taking cromolyn for asthma?
How do antianxiety agents primarily affect the central nervous system?
How do antianxiety agents primarily affect the central nervous system?
What should nurses monitor for in patients taking Histamine 2 Receptor antagonists for peptic ulcers?
What should nurses monitor for in patients taking Histamine 2 Receptor antagonists for peptic ulcers?
Signup and view all the answers
What is an important precaution for clients taking antihypertensives?
What is an important precaution for clients taking antihypertensives?
Signup and view all the answers
Which medication requires daily administration for preventative control in asthma?
Which medication requires daily administration for preventative control in asthma?
Signup and view all the answers
Which symptom indicates digoxin toxicity that should be monitored?
Which symptom indicates digoxin toxicity that should be monitored?
Signup and view all the answers
What should patients taking Histamine 2 Receptor antagonists avoid doing immediately after taking their medication?
What should patients taking Histamine 2 Receptor antagonists avoid doing immediately after taking their medication?
Signup and view all the answers
Which schedule drug has the highest potential for abuse?
Which schedule drug has the highest potential for abuse?
Signup and view all the answers
What is a common adverse effect of first-generation antihistamines?
What is a common adverse effect of first-generation antihistamines?
Signup and view all the answers
What is a key risk when a patient on ACE inhibitors stands up too quickly?
What is a key risk when a patient on ACE inhibitors stands up too quickly?
Signup and view all the answers
Why must pulse and blood pressure be monitored after the first dose of ACE inhibitors?
Why must pulse and blood pressure be monitored after the first dose of ACE inhibitors?
Signup and view all the answers
What type of inhaler is primarily used for immediate relief of acute respiratory distress?
What type of inhaler is primarily used for immediate relief of acute respiratory distress?
Signup and view all the answers
What is a characteristic of carbonyl iron supplements?
What is a characteristic of carbonyl iron supplements?
Signup and view all the answers
Which population requires caution when administering antihistamines?
Which population requires caution when administering antihistamines?
Signup and view all the answers
Which of the following is a reason to hold an ACE inhibitor medication?
Which of the following is a reason to hold an ACE inhibitor medication?
Signup and view all the answers
What is the primary purpose of bupropion in pharmacotherapy?
What is the primary purpose of bupropion in pharmacotherapy?
Signup and view all the answers
Which adverse effect is commonly associated with the use of bupropion?
Which adverse effect is commonly associated with the use of bupropion?
Signup and view all the answers
What should patients be advised regarding Dornase Alfa?
What should patients be advised regarding Dornase Alfa?
Signup and view all the answers
What is a primary concern when administering cyclooxygenase inhibitors?
What is a primary concern when administering cyclooxygenase inhibitors?
Signup and view all the answers
What is not advised when initiating an IV infusion?
What is not advised when initiating an IV infusion?
Signup and view all the answers
Which symptom indicates that a nurse should conduct frequent oral care for a patient on bupropion?
Which symptom indicates that a nurse should conduct frequent oral care for a patient on bupropion?
Signup and view all the answers
The primary action of cyclooxygenase inhibitors is to:
The primary action of cyclooxygenase inhibitors is to:
Signup and view all the answers
Which medication is indicated to decrease the viscosity of pulmonary secretions in cystic fibrosis?
Which medication is indicated to decrease the viscosity of pulmonary secretions in cystic fibrosis?
Signup and view all the answers
Study Notes
Cardiac Glycosides
- Digoxin requires baseline vital signs monitoring to ensure safety during administration.
- Toxicity symptoms include vomiting, anorexia, and confusion; vigilance is critical, especially for patients on furosemide.
- For infants and children, the therapeutic window for digoxin is narrow, demanding careful dosage.
Asthma Medications
- Cromolyn acts as a mast cell stabilizer, preventing allergic responses associated with asthma.
- Adverse reactions include irritation; patients should wear contacts and follow daily dosing guidelines for effective prevention.
Anti-Anxiety Medications
- These agents are prescribed for anxiety symptoms, convulsive disorders, and preoperative sedation.
- They depress subcortical levels of the CNS and the limbic system leading to a calming effect.
Peptic Ulcer Disease Treatments
- Histamine 2 Receptor antagonists inhibit gastric acid secretion and reduce pepsin output.
- Common adverse effects are confusion, headache, and dizziness; patients should avoid antacids within one hour of taking these medications.
Antihypertensives
- Used to manage and control chronic hypertension; patients should rise slowly from sitting or lying positions to prevent dizziness.
- Continuation of medication is crucial even if symptoms improve to reduce thrombotic risks.
Schedule Drugs
- Schedule V drugs have minimal abuse potential, while Schedule I drugs possess high potential for abuse and are primarily for research.
- Schedule II drugs have moderate abuse potential and require non-renewable prescriptions.
Antihistamines
- They block H1 receptor sites to counteract histamine effects; drowsiness is a common adverse effect in first-generation antihistamines.
- Caution is advised when administering to older adults or those with glaucoma due to increased sensitivity.
Inhalers: MDI and DPI
- Metered Dose Inhalers (MDI) are pressurized devices delivering medication directly where needed; useful as rescue inhalers for acute respiratory relief.
ACE Inhibitors
- Can lead to orthostatic hypotension; patients should take care when standing up to avoid falls.
- Monitoring of pulse and blood pressure is necessary after the first dose, particularly for those on diuretics; hold the medication if systolic BP is below 90 mmHg.
Mineral Deficiencies
- Carbonyl iron is a slow-absorbing iron supplement; it requires high doses to become toxic to patients.
IV Infusion Management
- For calculating flow rate, multiply the dose per kg by weight in kg and further by 60 minutes to determine dose per minute.
- Patients should be advised not to raise their arms over their heads to assist in an effective IV infusion.
Antidepressant Reuptake Inhibitors
- Bupropion inhibits dopamine reuptake in the CNS and is utilized for smoking cessation.
- Potential side effects include tremors, dry mouth, and motor seizures; patients may experience frequent mood changes and need regular oral care.
Cyclooxygenase Inhibitors
- These medications inhibit cyclooxygenase and prostaglandin synthesis; NSAIDs are common examples used for pain, inflammation, and fever.
- Monitoring for GI bleeding is imperative due to the adverse effects associated with this class of drugs.
Cystic Fibrosis Medications
- Dornase alfa is an inhaled recombinant DNA agent that reduces pulmonary secretion viscosity, enhancing lung function.
- Should not be taken with antacids and must be ingested with meals; common side effects include skin rashes, vomiting, and anorexia.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on cardiac glycosides, particularly digoxin. This quiz covers essential information regarding administration, safety margins, and signs of toxicity. Understand the critical factors necessary for patient care when using these medications in various populations.
