lOMoARcPSD|47623843
Remar nclex notes
Adult Health (Labouré College)
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ReMar NCLEX RN Review
NCLEX Pharmacology- Tetracyclines
Tetracyclines
Examples: Tetracycline (Achromycin), Demecyclines (Declomycin), Doxycycline (Vibramycin)
note the -mycin ending but these are not Aminoglycosides!!!!
Uses: Treat bacterial infections, Acne
What to monitor for?
Phototoxicity
Nephrotoxicity
Hepatotoxicity
NCLEX tips about Tetracyclines
If clients are allergic to penicillin then tetracyclines are a viable treatment option.
Tetracyclines will reduce the effects of Oral Contraceptives. Teach clients to use another form
of birth control when taking them.
Tetracyclines will cause photosensitivity teach clients to avoid direct sunlight.
Tetracyclines will increase the effects of Anticoagulants (Aspirin, Coumadin, etc) increasing a
client’s risk for bleeding.
Can women who are pregnant or nursing take tetracyclines? No it will come through the breast
milk and can cause bone defects.
Taking the same idea of not giving tetracycline with breast milk do not give with cow’s milk
either. Drinking milk with tetracycline will reduce the effect of the antibiotic by 50%. The same
is true for antacids, give this drug with a full glass of water
Do Not give tetracyclines to children under 12 as it will cause teeth discoloration. (major point)
Page 1 of 61
Downloaded by Melany L ()
, lOMoARcPSD|47623843
Remember for NCLEX know general points about drugs such as indication, side effects, and
teaching. Do not become busy knowing the smallest details such as tetracyclines block the tRNA
attachment to ribosomes which inhibits protein synthesis. Doing this is a waste of your time, get
the basic knowledge and move on to the next subject.
NCLEX Reye’s Syndrome
Zdravstvuj! I recently found out that I have visitors from Russia. How cool is that? I tried to
learn the language but gave up when I couldn’t find anyone to practice with me :/ Anyways here
is Reye’s.
Reye’s Syndrome is a systemic response to an unknown cause, however the three main staples
of the syndrome
acute encephalopathy
fatty liver
hypoglycemia
are commonly seen after a viral illness. You will most likely see this condition in children.
What are the signs of Reye’s syndrome? Child will present with nausea and vomiting, mental
confusion, seizures, fever
The earlier the diagnosis the better the outcome!
How do you diagnosis this syndrome? blood tests and liver biopsy (*know position and teaching
for liver biopsy)
What is the treatment?
Antibiotics (for viral infection)
IV fluids (for dehydration because of the vomiting)
Dextrose in the IV fluids (for hypoglycemia)
Vitamin K (a fatty liver does not absorb vitamin k very well which put client at risk for
bleeding out)
NCLEX point to note: Do not give Aspirin to children with viral infections due to risk of
Reye’s syndrome.
Page 2 of 61
Downloaded by Melany L ()
, lOMoARcPSD|47623843
Let’s quickly review for NCLEX in my style!
Reye’s syndrome may occur after kids get aspirin to treat viral symptoms. Can you name two
viral infections?
1.
2.
Do not give aspirin to treat flu-like symptoms after what two immunizations?
What is another name NCLEX can (and probably will) use instead of aspirin?
What should you give to treat flu-like symptoms instead of aspirin?
Should a child with Reye’s syndrome be put in isolation?
Clients with encephalopathy (cerebral edema) are at risk for what?
One of the symptoms of Reye’s syndrome is seizures. What are seizure precautions?
Answers:
Influenza and Varicella
Influenza and Varicella
Salicylates
Tylenol or Ibuprofen
No-that would be cruel
Increased intracranial pressure
Seizure precautions- Raise and pad side rails, airway supplies at bedside, if seizure occurs time
it, place pillow under head, do not put anything into the mouth, do not restrain client
Page 3 of 61
Downloaded by Melany L ()
Remar nclex notes
Adult Health (Labouré College)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by Melany L ()
, lOMoARcPSD|47623843
ReMar NCLEX RN Review
NCLEX Pharmacology- Tetracyclines
Tetracyclines
Examples: Tetracycline (Achromycin), Demecyclines (Declomycin), Doxycycline (Vibramycin)
note the -mycin ending but these are not Aminoglycosides!!!!
Uses: Treat bacterial infections, Acne
What to monitor for?
Phototoxicity
Nephrotoxicity
Hepatotoxicity
NCLEX tips about Tetracyclines
If clients are allergic to penicillin then tetracyclines are a viable treatment option.
Tetracyclines will reduce the effects of Oral Contraceptives. Teach clients to use another form
of birth control when taking them.
Tetracyclines will cause photosensitivity teach clients to avoid direct sunlight.
Tetracyclines will increase the effects of Anticoagulants (Aspirin, Coumadin, etc) increasing a
client’s risk for bleeding.
Can women who are pregnant or nursing take tetracyclines? No it will come through the breast
milk and can cause bone defects.
Taking the same idea of not giving tetracycline with breast milk do not give with cow’s milk
either. Drinking milk with tetracycline will reduce the effect of the antibiotic by 50%. The same
is true for antacids, give this drug with a full glass of water
Do Not give tetracyclines to children under 12 as it will cause teeth discoloration. (major point)
Page 1 of 61
Downloaded by Melany L ()
, lOMoARcPSD|47623843
Remember for NCLEX know general points about drugs such as indication, side effects, and
teaching. Do not become busy knowing the smallest details such as tetracyclines block the tRNA
attachment to ribosomes which inhibits protein synthesis. Doing this is a waste of your time, get
the basic knowledge and move on to the next subject.
NCLEX Reye’s Syndrome
Zdravstvuj! I recently found out that I have visitors from Russia. How cool is that? I tried to
learn the language but gave up when I couldn’t find anyone to practice with me :/ Anyways here
is Reye’s.
Reye’s Syndrome is a systemic response to an unknown cause, however the three main staples
of the syndrome
acute encephalopathy
fatty liver
hypoglycemia
are commonly seen after a viral illness. You will most likely see this condition in children.
What are the signs of Reye’s syndrome? Child will present with nausea and vomiting, mental
confusion, seizures, fever
The earlier the diagnosis the better the outcome!
How do you diagnosis this syndrome? blood tests and liver biopsy (*know position and teaching
for liver biopsy)
What is the treatment?
Antibiotics (for viral infection)
IV fluids (for dehydration because of the vomiting)
Dextrose in the IV fluids (for hypoglycemia)
Vitamin K (a fatty liver does not absorb vitamin k very well which put client at risk for
bleeding out)
NCLEX point to note: Do not give Aspirin to children with viral infections due to risk of
Reye’s syndrome.
Page 2 of 61
Downloaded by Melany L ()
, lOMoARcPSD|47623843
Let’s quickly review for NCLEX in my style!
Reye’s syndrome may occur after kids get aspirin to treat viral symptoms. Can you name two
viral infections?
1.
2.
Do not give aspirin to treat flu-like symptoms after what two immunizations?
What is another name NCLEX can (and probably will) use instead of aspirin?
What should you give to treat flu-like symptoms instead of aspirin?
Should a child with Reye’s syndrome be put in isolation?
Clients with encephalopathy (cerebral edema) are at risk for what?
One of the symptoms of Reye’s syndrome is seizures. What are seizure precautions?
Answers:
Influenza and Varicella
Influenza and Varicella
Salicylates
Tylenol or Ibuprofen
No-that would be cruel
Increased intracranial pressure
Seizure precautions- Raise and pad side rails, airway supplies at bedside, if seizure occurs time
it, place pillow under head, do not put anything into the mouth, do not restrain client
Page 3 of 61
Downloaded by Melany L ()
