NR FINAL EXAM STUDY GUIDE CORRECTLY VERIFIED.2023 VSU.Qualified.Download to score A, Exams of Nursing

Download NR FINAL EXAM STUDY GUIDE CORRECTLY VERIFIED.2023 VSU.Qualified.Download to score A and more Exams Nursing in PDF only on Docsity! NR FINAL EXAM STUDY GUIDE CORRECTLY VERIFIED.2023 VSU.Qualified.Download to score A Drugs for cardiovascular • Antianginals : Nitroglycerin ▪ 3 tablets every 5 minutes x15 minutes ▪ Call 911 after 1st tab ▪ Do not take with ED drugs (sildenafil=Viagra) • Antidysrhythmics: Digoxin Including norm digoxin levels as well as signs and symptoms of Digoxin Toxicity ▪ Therapeutic 0.5-2.0 ▪ Toxicity: affects colored vison, halos, low potassium (hypokalemia) ▪ Always check pulse, hold if HR below 60 ▪ Antidote: digibind • Antihypertensive: Calcium Channel Blockers, ACE inhibitors, Nonselective Beta Blockers, Beta Blockers (Metoprolol, Atenolol) Including pathophysiology indications ▪ Calcium Channel Blockers ▪ ACE inhibitors ▪ Beta blockers -LOL ▪ Non selective beta blockers: Timolol • Glaucoma • Decreases aqueous humor production, decrease IOP • Hold gentle pressure on the nasolacrimal duct 30-60 seconds after application overdose can cause systemic effects • Antilipemics : Statins ▪ Cholesterol, lowers LDL ▪ Diet and exercise first medication ▪ Adverse effects: Rhabdomyolysis = muscle weakness, tea colored urine ▪ Take them in the evening for natural rhythm ▪ No warfarin or grapefruit • Diuretics: o Loop : Furosemide “Furiously getting rid of sodium and water” ▪ Lasik/Bumex ▪ Quick acting emergency ▪ Lithium toxicity (low sodium) ▪ Hypokalemia (low potassium) ▪ Push slowly ototoxicity ▪ Give early in the morning Chamberlain College of Nursing NR 293 Final Study Guide ▪ Check weight daily, same time, same clothes • o Potassium Sparing : Spironolactone ▪ Aldactone ▪ Hyperkalemia - avoid foods high in potassium/salt substitutes (licorice) ▪ Interferes with lithium, NSAIDS, ACE ▪ Irregular menses, post-menopausal bleeding, impotence o Thiazide : Hydrocholorthiazide ▪ Similar to LOOP but NOT QUICK acting ▪ Hypokalemia/ hypoglycemia ▪ Blurred vision, impotence o Mannitol (Osmitrol) IV only ▪ Intracranial pressure ▪ Increased ocular pressure ▪ Adverse: convulsions, pulmonary congestion ▪ Contraindications: IC bleeding • Antiemetics – nausea/vomiting o Ondansetron - Zofran ▪ Before chemo, radiation, post op, pregnant morning sickness ▪ Sudden cardiac death ▪ Extra pyramidal movements – tardive dyskinesia (excessive movements of eyes, lips or face) ▪ IV or PO (dissolves under tongue) o Metoclopramide – Reglan ▪ Facilitates peristalsis ▪ Extra pyramidal symptoms – tardive dyskinesia (excessive movements of eyes, lips or face) ▪ Causes drowsiness/sedation – don’t drive • Laxatives: o Docusate o Bisacodyl o Lactulose– Cephulac ▪ Decrease ammonia levels and improve mental status ▪ For people with liver enlargement/liver failure ▪ Take with full glass of water ▪ Increase motility and fiber Chamberlain College of Nursing NR 293 Final Study Guide o Take on empty stomach with water o Add vit d and calcium into diet Ophthalmic Drugs • Mydriatics: dilates pupil o Safety protect eyes limited vision = FALL RISK • Miotics: constricts pupil o Use for glaucoma o Relieves pressure on optic nerve Non selective beta blockers: Timolol • Glaucoma • Decreases aqueous humor production, decrease IOP • Hold gentle pressure on the nasolacrimal duct 30-60 seconds after application overdose can cause systemic effects DRUG Categories: CNS drugs • Opioids/Pain Management: o Hydromorphone (Dilaudid) o Morphine o Oxycodone (Percocet) o Acetaminophen (Tylenol) o Fentanyl (Duragesic) o Aspirin and NSAIDs: Ketorelac (Toradol) • Muscle Relaxants: Baclofen, Cyclobenzaprine (Flexeril) Education and Teaching • Neuromuscular blockers/Anesthetics: Nalbuphine (Nubain) • Cholinergics: Tensilon • Antiepileptics: Depakote (Valproic Acid) (, Keppra (Levicteractam) , Dilantin (Phenytoin) CNS/Psychotherapeutic Drugs: • Stimulants: Amphetamine (Adderall) • Antidepressants: SSRIs: Fluoxetine (Prozac) • Antipsychotics: Clozapine (Clozaril), Haloperidol (Haldol) Chamberlain College of Nursing NR 293 Final Study Guide Musculoskeletal Drugs • Osteoporosis tx: Miacalcin Respiratory drugs • Montelukast (Singulair) Used to prevent asthma attacks; not used to treat acute attacks • Albuterol : Used to treat acute attacks ie Wheezing, respiratory distress • Atrovent (Ipratropium) • Theophylline/Aminophylline • Cromolyn • Anticongestants/Antitussives/Expectorants • Bronchodilators/Inhaled corticosteroids Beclamethasone Anti-infectives • Antibiotics: o Tetracycline o Cephalosporin’s o Metronidazole (Flagyl) o Piperacillin + tazobactam (Zosyn) • Vancomycin • Ceftriaxone • Sulfa drugs: Bactrim (SMZ-TMP) Drugs for treating UTI: o Nitrofurantoin (Macrodantin) o Pyridium • Antivirals: HSV and hepatitis tx • HIV Drugs: Protease inhibitors • Antitufungals: Terbinafine (Lamisil) • Antituberculars: Rifampin • Antihelminthics: Vermox GI drugs • GERD/PUD Tx: o Sucralfate (Carafate) o Aluminum hydroxide (Amphojel) Acid-controlling drugs : • Antacids (along vs. combination) indication, contraindication, Aluminum salts/Magnesium salts/Calcium Salts/Sodium Bicarbonate • Blocking drugs (H2 receptor antagonists):” tidine” cimetidine Chamberlain College of Nursing NR 293 Final Study Guide • Proton pump inhibitors: “ prazole” omeprazole ( Prilosec); Pantoprazole (Protonix) Miscellaneous acid-controlling drugs: • Sucralfate- Coats the GI tract • Misoprostol • simethicone • Laxatives: o Bulk-forming o Enulose (Lactulose), • Vitamins & Mineral Supplements: o Iron o Vitamin C o Vitamin D HAART Retrovirals Zidovudine Antidotes Flumazenil (Romazicon) Protamine Sulfate Vitamin K Naloxone (Narcan) Glaucoma Propine—Mydriatric effect Pilocarpine—miotic effect Please Use Previous Study/Review guides given prior to Exams. This is a Cumulative final.