NUR 316 Pharm Exam 1 Study Guide
Questions And Answers
Know generic names of drugs, classification the drug belongs to, and the therapeutic use(s) -
ANS *
NSAIDs - ANS -Aspirin (ASA)
-Ibuprofen (Motrin)
-Ketorolac (Toradol)- only NSAID with parenteral route; used to treat moderate to severe pain
-Acetaminophen (Tylenol)
Narcotic Analgesics - ANS -Fentanyl (Duragesic, Sublimaze)
-Morphine
-Naloxone (Narcan)
-Percocet (oxycodone and acetaminophen)
-Codeine
Respiratory Meds - ANS -Diphenhydramine (Benadryl)
-Fexofenadine (Allegra)
-Pseudophedrine: adm by mouth
-Ephedrine -adrenergic decongestant adm -topically
-Flunisolide (AeroBid)
-Dextromethorphan (Benylin and others)
-Guaifenesin (Robitussin DM, Mucinex,others)
-Albuterol (Ventolin)
-Salmeterol (Serevent)
-Ipratropium (Atrovent)
-Montelukast (Singulair)
-Beclomethasone (Beclovent)
-Cromolyn sodium (Intal)
What does the thyroid do? What does it affect? - ANS -Thyroid hormones act throughout
the body, influencing metabolism, growth and development, body temperature, and brain
development
, -Mood: Unusual nervousness, Restlessness, Anxiety, Irritability, Mild to severe fatigue,
Depression
-Weight gain or loss
-Increased sensitivity to hot or cold temperatures
-Bowel movement changes
-Menstrual irregularities
Know hyper/hypo thyroidism
-Levothyroxine
-Propylthiouracil - ANS Hypothyroidism-thyroid replacement-levothyroxine
Hyperthyroidism-antithyroid medication-propylthiouracil
Serious side effects to the anti thyroid drugs - ANS Joint aches.
Changes in taste
Nausea
Significant teaching points of thyroid drugs - ANS function of thyroid, drug name, dosage
and administration, measures to avoid adverse effects, warning signs of problems, and the need
for regular evaluation if used for longer than recommended
Toxic effects of drugs - review the assessments and interventions related to the drug-induced
tissue and organ damage - particularly liver and renal since we have meds with these adverse
effects - ANS Liver:
-oral drugs are absorbed and passed directly into the liver before breakdown and circulation
throughout body
-symptoms include fever, malaise, nausea, jaundice, elevated liver enzymes, change in bilirubin
levels, change in color of urine/stool, etc.
-interventions involve discontinuing the drug and notifying health care provider, offer supportive
measures such as small, frequent meals, skin care, a cool environment, and rest periods
Kidneys:
-Gentamicin frequently associated with renal toxicity
-assessment relates to elevated blood urea nitrogen, elevated creatinine concentration,
decreased hematocrit, electrolyte imbalances, edema, SKIN RASH, elevated BUN, etc.