NUR 117 Final Exam Drug List Questions
With Correct Answers
Warfarin |(Coumadin) |- |CORRECT |ANSWER✔✔-Classification: |Anticoagulant
Action: |Stops |the |process |of |forming |a |clot/prevents |a |clot |from |getting |bigger
Coumadin |works |specifically |on |clotting |factors |that |are |Vitamin |K |dependent |*if |patient |is |
taking |a |lot |of |Vit |K, |this |works |against |coumadin |(Vit |K |is |the |antidote |for |coumadin)
*Take |at |same |time |qday |- |tell |pt's |to |take |@ |6pm |qday
To |test |to |see |if |coumadin |is |working |- |test |prothrombin |time |and |INR |(if |INR |is |greater |than |3,
|call |the |physician |- |blood |may |be |too |thin)
Protamine |Sulfate |- |CORRECT |ANSWER✔✔-*Antidote |for |Heparin |(Heplock) |& |Enoxaparin |
(Lovenox)
Vitamin |K |- |CORRECT |ANSWER✔✔-*Antidote |for |Warfarin |(Coumadin)
Atenolol |(Tenormin) |- |CORRECT |ANSWER✔✔-Classification: |Beta |Blocker
Action: |Block |beta |sites |in |the |heart |to |cause |relaxation
,Uses: |HTN, |MI, |HF |- |it |is |standard |of |care |for |any |patient |who |has |had |an |MI |to |go |on |a |beta |
blocker |to |decrease |the |workload |on |the |heart
*Beta1 |(cardio |selective) |- |use |in |pts |with |KNOWN |pulmonary |disease
*Beta2 |(non |cardio |selective) |- |NOT |FOR |USE |IN |PTS |W/ |KNOWN |PULMONARY |DISEASE
*How |to |remember: |Generic |names |for |beta |blockers |all |end |in |'lol'
Digoxin |(Lanoxin) |- |CORRECT |ANSWER✔✔-Classification: |Cardiac |Glycoside |(Heart |Failure |
Pharmacotherapy)
Uses: |Works |on |the |cardiac |cells |to |slow |down |conduction |through |the |heart |to |improve |
contractility |- |if |they |improve |contractility |= |improve |CO
Special |facts: |Very |tight |window |of |therapeutic |levels |- |Make |sure |the |patient |is |taking |the |
RIGHT |dose |*teach |assessments |before |taking |this |medication |- |take |pulse |*APICAL |PULSE |FOR
|ONE |FULL |MINUTE |- |do |NOT |count |peripheral |pulse |- |can |also |do |a |blood |dig |level |: |0.5 |- |2 |: |
anything |greater |than |2 |is |considered |too |high |- |s/s |of |toxicity |include |: |N/V, |anorexia, |see |
halos |around |lights |or |visual |disturbances, |h/a |*antidote |is |digoxin |immune |fab |*there |is |a |
close |link |between |dig |and |potassium |levels |- |when |a |patient |becomes |hypokalemic |= |can |
affect |dig |levels |because |decreased |potassium |causes |an |increase |in |dig! |- |wear |a |medic |alert |
bracelet |when |taking |this |medication
Simvastatin |(Zocor) |- |CORRECT |ANSWER✔✔-Classification: |HMG-CoA |Reductase |Inhibitors |
(Statins)
Uses: |For |high |cholesterol |and |CAD |- |more |so |for |the |prevention |of |a |coronary |event |(used |to |
lower |cholesterol)
,*Do |NOT |drink |grapefruit |juice!* |
S/E: |Muscle |pain, |tenderness, |weakness |of |extremities |- |CALL |PHYSICIAN |IMMEDIATELY, |
because |these |medications |are |very |damaging |to |the |liver! |
These |medications |are |NOT |SAFE |to |take |while |pregnant |OR |breastfeeding!
Statin |drugs |are |BEST |TAKEN |@ |HS
Acetaminophen |(Tylenol) |- |CORRECT |ANSWER✔✔-Classification: |Non-narcotic |Analgesic
Used |to |treat |MILD |pain; |Reduce |fever; |Does |NOT |reduce |inflammation
S/E: |Hepatitis/Liver |Toxicity
Nursing |Considerations: |Stick |with |recommended |dose!
MAX |DOSE |IN |24 |HOUR |PERIOD |- |4G |OR |4000MG
Some |people |may |use |to |commit |suicide
Acetylcysteine |(antidote)*
If |the |patient |takes |on |a |regular |basis, |they |need |to |have |their |liver |monitored |by |their |
physician
Ezetimibe |(Zetia) |- |CORRECT |ANSWER✔✔-Classification: |Cholesterol |Absorption |Inhibitor
Action: |Absorbs |cholesterol |in |the |SMALL |INTESTINE |by |pulling |the |cholesterol |out |in |the |stool
, Typically |not |seen |alone, |more |often |in |combination |with |other |drugs |to |lower |cholesterol |- |
these |drugs |do |not |fix |the |cholesterol |problem, |just |helps |decrease |cholesterol |level |*need |to |
fix |the |problem |too
Metoprolol |(Lopressor) |- |CORRECT |ANSWER✔✔-Classification: |Beta |Blocker
Action: |Block |beta |sites |in |the |heart |to |cause |relaxation
Uses: |HTN, |MI, |HF |- |it |is |standard |of |care |for |any |patient |who |has |had |an |MI |to |go |on |a |beta |
blocker |to |decrease |the |workload |on |the |heart
*Beta1 |(cardio |selective) |- |use |in |pts |with |KNOWN |pulmonary |disease
*Beta2 |(non |cardio |selective) |- |NOT |FOR |USE |IN |PTS |W/ |KNOWN |PULMONARY |DISEASE
*How |to |remember: |Generic |names |for |beta |blockers |all |end |in |'lol'
Promethazine |(Phenergan) |- |CORRECT |ANSWER✔✔-Classification: |Antiemetic
|(antipsychotic/phenothiazine) |*these |are |NOT |given |for |motion |sickness
Action: |Alter |the |effect |of |dopamine |in |the |CNS
*THIS |MEDICATION |IS |ABSOLUTELY |PROHIBITED |TO |GIVE |TO |A |CHILD |UNDER |2 |YEARS |OLD!
S/E: |NMS |(Neuroleptic |Malignant |Syndrome)
Extrapyramidal |Reactions
Sedation
With Correct Answers
Warfarin |(Coumadin) |- |CORRECT |ANSWER✔✔-Classification: |Anticoagulant
Action: |Stops |the |process |of |forming |a |clot/prevents |a |clot |from |getting |bigger
Coumadin |works |specifically |on |clotting |factors |that |are |Vitamin |K |dependent |*if |patient |is |
taking |a |lot |of |Vit |K, |this |works |against |coumadin |(Vit |K |is |the |antidote |for |coumadin)
*Take |at |same |time |qday |- |tell |pt's |to |take |@ |6pm |qday
To |test |to |see |if |coumadin |is |working |- |test |prothrombin |time |and |INR |(if |INR |is |greater |than |3,
|call |the |physician |- |blood |may |be |too |thin)
Protamine |Sulfate |- |CORRECT |ANSWER✔✔-*Antidote |for |Heparin |(Heplock) |& |Enoxaparin |
(Lovenox)
Vitamin |K |- |CORRECT |ANSWER✔✔-*Antidote |for |Warfarin |(Coumadin)
Atenolol |(Tenormin) |- |CORRECT |ANSWER✔✔-Classification: |Beta |Blocker
Action: |Block |beta |sites |in |the |heart |to |cause |relaxation
,Uses: |HTN, |MI, |HF |- |it |is |standard |of |care |for |any |patient |who |has |had |an |MI |to |go |on |a |beta |
blocker |to |decrease |the |workload |on |the |heart
*Beta1 |(cardio |selective) |- |use |in |pts |with |KNOWN |pulmonary |disease
*Beta2 |(non |cardio |selective) |- |NOT |FOR |USE |IN |PTS |W/ |KNOWN |PULMONARY |DISEASE
*How |to |remember: |Generic |names |for |beta |blockers |all |end |in |'lol'
Digoxin |(Lanoxin) |- |CORRECT |ANSWER✔✔-Classification: |Cardiac |Glycoside |(Heart |Failure |
Pharmacotherapy)
Uses: |Works |on |the |cardiac |cells |to |slow |down |conduction |through |the |heart |to |improve |
contractility |- |if |they |improve |contractility |= |improve |CO
Special |facts: |Very |tight |window |of |therapeutic |levels |- |Make |sure |the |patient |is |taking |the |
RIGHT |dose |*teach |assessments |before |taking |this |medication |- |take |pulse |*APICAL |PULSE |FOR
|ONE |FULL |MINUTE |- |do |NOT |count |peripheral |pulse |- |can |also |do |a |blood |dig |level |: |0.5 |- |2 |: |
anything |greater |than |2 |is |considered |too |high |- |s/s |of |toxicity |include |: |N/V, |anorexia, |see |
halos |around |lights |or |visual |disturbances, |h/a |*antidote |is |digoxin |immune |fab |*there |is |a |
close |link |between |dig |and |potassium |levels |- |when |a |patient |becomes |hypokalemic |= |can |
affect |dig |levels |because |decreased |potassium |causes |an |increase |in |dig! |- |wear |a |medic |alert |
bracelet |when |taking |this |medication
Simvastatin |(Zocor) |- |CORRECT |ANSWER✔✔-Classification: |HMG-CoA |Reductase |Inhibitors |
(Statins)
Uses: |For |high |cholesterol |and |CAD |- |more |so |for |the |prevention |of |a |coronary |event |(used |to |
lower |cholesterol)
,*Do |NOT |drink |grapefruit |juice!* |
S/E: |Muscle |pain, |tenderness, |weakness |of |extremities |- |CALL |PHYSICIAN |IMMEDIATELY, |
because |these |medications |are |very |damaging |to |the |liver! |
These |medications |are |NOT |SAFE |to |take |while |pregnant |OR |breastfeeding!
Statin |drugs |are |BEST |TAKEN |@ |HS
Acetaminophen |(Tylenol) |- |CORRECT |ANSWER✔✔-Classification: |Non-narcotic |Analgesic
Used |to |treat |MILD |pain; |Reduce |fever; |Does |NOT |reduce |inflammation
S/E: |Hepatitis/Liver |Toxicity
Nursing |Considerations: |Stick |with |recommended |dose!
MAX |DOSE |IN |24 |HOUR |PERIOD |- |4G |OR |4000MG
Some |people |may |use |to |commit |suicide
Acetylcysteine |(antidote)*
If |the |patient |takes |on |a |regular |basis, |they |need |to |have |their |liver |monitored |by |their |
physician
Ezetimibe |(Zetia) |- |CORRECT |ANSWER✔✔-Classification: |Cholesterol |Absorption |Inhibitor
Action: |Absorbs |cholesterol |in |the |SMALL |INTESTINE |by |pulling |the |cholesterol |out |in |the |stool
, Typically |not |seen |alone, |more |often |in |combination |with |other |drugs |to |lower |cholesterol |- |
these |drugs |do |not |fix |the |cholesterol |problem, |just |helps |decrease |cholesterol |level |*need |to |
fix |the |problem |too
Metoprolol |(Lopressor) |- |CORRECT |ANSWER✔✔-Classification: |Beta |Blocker
Action: |Block |beta |sites |in |the |heart |to |cause |relaxation
Uses: |HTN, |MI, |HF |- |it |is |standard |of |care |for |any |patient |who |has |had |an |MI |to |go |on |a |beta |
blocker |to |decrease |the |workload |on |the |heart
*Beta1 |(cardio |selective) |- |use |in |pts |with |KNOWN |pulmonary |disease
*Beta2 |(non |cardio |selective) |- |NOT |FOR |USE |IN |PTS |W/ |KNOWN |PULMONARY |DISEASE
*How |to |remember: |Generic |names |for |beta |blockers |all |end |in |'lol'
Promethazine |(Phenergan) |- |CORRECT |ANSWER✔✔-Classification: |Antiemetic
|(antipsychotic/phenothiazine) |*these |are |NOT |given |for |motion |sickness
Action: |Alter |the |effect |of |dopamine |in |the |CNS
*THIS |MEDICATION |IS |ABSOLUTELY |PROHIBITED |TO |GIVE |TO |A |CHILD |UNDER |2 |YEARS |OLD!
S/E: |NMS |(Neuroleptic |Malignant |Syndrome)
Extrapyramidal |Reactions
Sedation
