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ATI Pharm study guide latest 2023/ 182 Questions and correct answers
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ATI Pharm study guide latest 2023/182 Questions and correct answers
Indication of allergy - -urticaria, rash, hypotension, dyspnea
-Potassium Infusion - -Never administer Iv bolus, rapid Iv infusion
can result in fatal hyperkalemia
Dilute Potassium and give no more than 40 mEq of iv solutium to
prevent vein irritaion
give no faster than 10 mEQ
Cardiac monitoring is indicated for serum potassium levels
outside of normal parameters,
-Treatment for cocaine toxycity - -Benzodiazepine may be used
to treat cocaine toxicity
Chordiazepozide use if the patient is able to tolarete oral intake
Diazepam and Lorazepam parenteral route if oral intake is not
tolerate
-Ondasentron - -Prevent nausea and vomiting that may be
caused by surgery/medicine to treat cancer
-Interactions with Carbamazepine - -Decreases effects of oral
contraceptives and warfarin
grape juice increazes carbamazepine levels
phenytoin and phenorbytal decreases effects of carbamazepine
-Adverse effects of carbamazepine - -CNS Nystagmus, double
vision, vertigo,staggerin gait, headache,
Birth deffects: spina bifida, neural tube defect
Bood dyscrasia: leukopenia, anemia
Hypo osmolality: fluid overload as in HF
Skin disorders: dermatitis, rash's, Steve Johnson's syndrome
-Contra indications of Influenza - -LAIV: contra indicated for
adults over 50 years old
children under 2 yrs old
,immunocompromised patients, chronic disease and antiviral
medications,
Pregnant women should not receive the live vaccine
hx of Guillain Barrier syndrome
-Monitoring the pt receiving magnesim sulfate for pre term labor
- -When given in high doses, magnesium sulfate can cause
cardiac arrest and respiratory failure
When levels become too high, the dose can be lowered.
Common sign of toxicity: Loss of knee jerke reflex
Calcium gluconate can help reverse effects of magnesium sulfate
-Rifampin - -Sidfe effects
discoloration of body fluids: Orange urine, saliva, sweat
Hepatoxicity (jaundice, anorexia, fatigue, monitor liver function
avoid alcohol
mild gi discomfort: associated with anorexia, nausea and
abdominal discomfort, usually mild and does not require
intervention
-Fluticasone/Salmeterol - -Adverse Effects/ client teaching
Rinse mouth (water/salt water)
monitor mouth for redness, sores, or white patches
candidias treat with nystatin oral suspension
Adrenal gland suppression
administer oral glucocorticoid on an alternate day dosing
schedule
monitor blood glucose levels
taper dose, do not stpo abruptly
Bone Loss:
Perform weight bearing exercises
consume diet with sufficient calcium and vit D
Hyperglycemia:
Diabetics should have blood glucose monitored
May need increase in insulin dosage
Myopathy
Report signs of muscle weakness, medication may be decreased
Peptic Uncer disease
Avoid NSaids
, report black tarry stools, administer with food or meals
Infection
Sore throat weakness, malaise
F&E imbalances
weight gain, edema, weakness
-Proper Injection Technique Antibiotics affecting bacterial cell
wall - -IM injection should be performed caitiously to avoid
injection into a nerve or an artery
admnister IM injection deep in a large muscle mass
rotate injection site
complete entire course of therapy regardless of presence of
symptoms
-Vancomycin - -Treatment of Serious infections caused by
Staphylococcus aureus, E.coli, or staphylococcus epidermis
Clostridium difficile
Adverse effects
Ototoxicity
Renal toxicity
-Intervention for a Lithium level - -Less than 1.5 mEq:
Withhold medication and notify provider
Administer new dosaged based on serum lithium levels
1.5 to 2.0 mEq/L
Whithold medication and notify provider
Administer new dosage based on serum lithium levels
If severe, it may be necessary to promote excretion
2.0 to 2.5 giver alert clients an emetic
Perform gastric lavage or administer urea, mannitol or
aminophylline to increase rate of excretion
greater than 2.5
Hemodialysis
-Nirtoprusside Infusion
Centrally acting vasodilator - -Direct vasodilation of arteries and
veins resulting in rapid reduction of blood pressure
(decrease preload and afterload)
Therapeutic Uses
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