Vicodin – opioid hydrocodone is already added with

acetaminophen in the medication, it is also referred to as Norco

What is a super infection?

When the patient only takes part of prescription of antibiotic for 3
days or 1/2 of the dose.

When is Vancomycin used?

Reserved for when other drugs don't work, usually used for super
infections.
-

Erytromycin – is given as a double dose to get to a critical level

(loading dose)

Side effects of opiods are

- reduced respiration
- constipation
- sedation

Antidote for opoid is naloxone

What is important for a nurse to ask when a patient with TB is

taking rifampicin (Rifadin)?
Diet, sun exposure, type of exercise, use of contact lenses.

Describe the uses of Benadryl and the side effects?

Antihistamine for watery, itchy eyes, runny nose.
Drug causes drowsiness, avoid driving/machinery.

What should a nurse lookout for when giving 2 meds at the same
time?
Check compatibility priority as well as drug to drug interactions.
(after checking order, ID verification)

For NSAID what indicated the patient has a good understanding of

therapy?
"I check my stool regularly for blood"

What are some NSAID that are associated with increased toxicity
in older patients?
Aleve, Motrin, Indocin, Lodine.

What should you include when teaching a patient about Flexeril?

Must avoid ETOH (alcohol)

When looking through a patients med list what should you be

looking for?
Need to insure no drug to drug interactions; get list of alternative
therapy meds that can cause interactions so patient doesn't take
anything that might affect them.

What are important things to ask when taking Home medication

history from a patient?
Ask about OTC, herbs, taking meds as ordered?

What are a nurses responsibility for phase III drug evaluations?

monitoring/observing for adverse effects.

What can we as a nurse do to help with medication compliance?

Insure patient education, safety, address side effects of med. (Take
with food)

What are the most severe effects of hyperkalemia?

renal failure, liver failure, cardiac emergency, respiratory distress.

What is extremely important to maintain patient safety when

giving drugs?
Checking for allergic reaction in patients

When admitting a 12 yo child, what question may the nurse ask

when getting history and she sees secondary teeth (gray)?
Ask if the patient has taken Tetracycline when young.

What is the mechanism of action of Penicillin?

Inhibits cell wall biosynthesis.

Potassium sparing diuretics can lead to hyperkalemia; what would

indicate hyperkalemia?
K=5.9

In a careplan for aminoglycoside what would a nurse implement to

decrease accumulation of a drug in kidney?
Increase fluids.
If a patient is on IV Aminoglycoside for intractable infection in
leg, what is a nurse's priority when it comes to monitoring?
Renal dysfunction

What side effect would indicate adverse effect/toxicity in a patient

that is on a salicylate with rheumatic disease?
Tinnitus.

Teratogenic effects
affects embryo or fetus

Toxic effects
...

adverse effects
...

therapeutic effects
...

Are drugs metabolized the same in all people?

Old?
Young?
Perfusion,fat,muscle,liver,kidney function.
...
What would you teach in an educational even for teaching new
parents about acetaminophen (tylenol)?
Check OTC for inclusions of acetaminophen in ingredients,
could cause Reye's syndrome.

If an Elderly patient comes from PACU and has a narcotic

analgesic before being transferred to the floor what is a nurse's
priority action when patient comes to the floor?
Put the side rails up and bed in low position to avoid falls.

What are some concerns that should be considered before

administering antibiotic Ampicillin and Gentamicin?
If a patient is taking Lasix.

If an Elderly pt comes from PACU and has a narcotic analgesic

before being transferred to the floor. What is the nurse's priority
action when pt comes to floor?
Put side rails up and bed in low position to reduce fall risk.

One of the main antibiotic fatal adverse effect

Anaphylaxis

What is a priority assessment of pt who has received opioid

analgesic?
LOC(level of consciousness)/RR(respiratory rate)

What would an infected tissue culture tell you?

it would identify the specific organsim
What are the Nurse's responsibility in medication administration?
Teach how to cope w/therapy for best outcome; providing therapy
as well as medications; evaluating the effectiveness of therapy.

What S&S(signs and symptoms) would you expect from an

anaphylactic reaction?
Tachypnea, elevated B/P, respiratory distress.

How do anti-infectives produce a therapeutic effect?

goal of anti-infectives is to interfere with normal functioning of
organism?

What statement would tell you that a patient has on understanding

of med discharge teaching?
I will add the names and dosages of meds to my medication list in
my wallet.

Rights of medication order – what needs to be in an order

Pharmagennomics – African americans

Muscle relaxants – desired effect, side effects, complications, can

you just stop taking it, when to stop, how well they metabolize

Opoid/muscle relaxants – danger signs and what to look for; and

signs of an overdose

Drugs that damage the liver (NSAID) , kidney (gentamycin)

Adverse effect of a migraine –

Cluster/tension headches, what they are and the difference - is
called what

Antidote for acetaminophen is called – ….The antidote stinks and

smells bad

Look at the discussion

Peniscillin vs cephasporin – they have a cross sensitivity

The useless diagram –

Antiobiotics that cause superinfection – meropenem

Know about how a medication error is reported

Certain antiobiotics are extremely toxic to the liver and kidney

Phases of drug trials –

Difference btw an adverse effect and side effect

Nurses drug guide is used to look up drugs

Morphine reduces respiration

Opoid adverse effect

Discharge teaching sheet