How do you test the effectiveness of Isoniazid?
~ Obtain sputum sample - negative sample is proof of effectiveness.
What drug can cause a decrease in visual acuity?
~ Isoniazid (INH) - perform eye exams to determine visual acuity
What labs should be monitored when pt. is taking Cephalosporin?
...
Antihistamine used to treat allergic rhinitis, the common cold, cough, sneezing,
pruritus, urticaria, and to prevent motion sickness
✓✓~ Diphenhydramine (Benadryl)
What is the most common side effect of Benadryl?
✓✓~ Drowsiness
Antitussive used to treat nonproductive cough due to minor respiratory tract
infections or irritants that may have been inhaled.
✓✓~ Dextromethorphan (Robitussin)
What are some of the adverse effects of Robitussin?
Life Threatening?
✓✓~ Nephrolithiasis, Psychosis.
Respiratory Depression and Serotonin Syndrome
What should we be aware of when administering Tiotropium (Spiriva)?
✓✓~ Be cautious giving this to patients with cardiac disorders
,What would you teach a patient when taking Montelukast (Singulair)?
✓✓~ This must be taken on a regular basis for best results - treats exercise-induced asthma as
opposed to a rescue inhaler ; comes orally
What is Albuterol (Proventil) used for?
✓✓~ This is a rescue inhaler used to treat acute asthma attacks. Side effects include tremors and
jitters.
How long can treatment take for a duodenal ulcer?
✓✓~ 1-2 months until ulcer is fully healed
What is the purpose of antacids?
✓✓~ To neutralize acid
What should you be aware of when administering Aluminum Hydroxide?
✓✓~ Use caution in renal and hepatic disorders
How do Histamine 2 Blockers work?
✓✓~ Block H2 receptors of parietal cells in stomach to reduce gastric acid secretion
When administering Nexium, or any Proton Pump Inhibitor, what should you
observe?
✓✓~ Observe hepatic function - this elevates AST, ALT
, Should Nexium be taken with food or on an empty stomach?
✓✓~ On an empty stomach - this allows the stomach lining to be coated. Taking this with food
blocks this process.
What is the mode of action of Sucralfate (Carafate)?
✓✓~ Combines with protein to form a thick paste covering ulcer protecting ulcer from acid and
pepsin. This does not decrease acid production or neutralize acid
What is the mode of action of Diphenoxylate with Atropine (Lomotil) and what are
What is the therapeutic effect of Promethazine (Phenergan)? What should not be
combined with this?
✓✓~ anti-nausea/ vomiting; do not combine with ETOH (ethyl alcohol)
What is the best way to assess and evaluate client understanding?
✓✓~ Teach-Back method; this is a return demonstration
What are some of the side effects of the female reproductive hormone Clomiphene
(Clomid)?
✓✓~ HA, breast discomfort
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