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This is the book that’s being used to answer the following questions for the review Karch: Focus on Nursing Pharmacology, Eighth Edition Amy Karch; Rebecca Tucker ISBN: 978-1-975129-68-2 Chapter Chapter Objective 35 2 | 5 Nursing assessments goserelin long-term glucocorticoid therapy -adverse effects p. 601, Box 36.5 2 | 5 Evaluation of effectiveness ganirelix acetate 2 | 5 Mineralocorticoids Lab assessments 2 | 4 | 5 Evaluation of effectiveness desmopressin (DDAVP) 5 Assessment/Patient teaching growth hormone 2 | 4 Treatment of hyperprolactinemia Drug of choice 2 hypothalamic hormone indications 3 long-term growth hormone treatment-diagnostic testing p. 579, Box 35.1 36 2 | 3 | 5 Hydrocortisone tx and diabetes p. 597, Box 36.3 1 | 5 long-term mineralocorticoid tx Pt teaching 2 Glucocorticoid Indications 1 | 2 Corticosteroid administration times p. 594, Box 36.1 1 | 2 Long-term corticosteroid therapy Risks 2 | 4 prednisone Peak 40 1 progestin vaginal gel Adverse effects 3 oral contraceptives Priority assessment 4 Adverse effects raloxifene 2 fast-acting abortifacient Priority nursing diagnosis 5 Nursing priority actions carboprost 2 | 5 oral contraceptives- nursing outcome evaluation p. 675, Box 40.3 2 ergotism Manifestations of 2 menotropins Actions of drug 2 chorionic gonadotropin Actions of the drug 5 Depo-Provera injections p. 675, Box 40.3 41 4 Androgens p. 697, Table 41.1 3 Androgens in children-adverse effects 5 Creatine-patient teaching p. 701, Box 41.3 2 anabolic steroids Adverse effects 2 Lab results indicative of androgen therapy 2 Older adult-patient teaching Androgen therapy 2 Assessment findings Androgen therapy 5 Nursing actions Danazol 3 Contraindications/Cautions testosterone 3 Patient teaching testosterone 2 sildenafil citrate Patient teaching 2 tadalafil Contraindications 2 | 5 Sildenafil-dosing p. 705, Table 41.3 46 5 sublingual nitroglycerin-patient teaching p. 798, Box 46.3 5 metoprolol Onset of action 5 Nitroglycerin Pt teaching-lifestyle changes 2 Nitroglycerin safe usage- Patient teaching 47 4 hormone replacement therapy and CAD p. 818, Table 47.3 5 Cholestyramine-adverse effects 1 hydroxymethylglutaryl-coenzyme A (HMG-CoA) reductase inhibitor Mechanism of action 5 Metabolic syndrome-assessment findings p. 810, Table 47.1 2 Know the different classes and their mechanism of action Cholesterol meds 2 Pravastatin-contraindications & adverse effects p. 823, Box 47.7 3/5 1/5 Lifestyle modifications -effects of exercise -reduction of CAD risk -evaluation of effects p. 816, Box 47.5 p. 812, Table 47.2 3 Lifespan considerations-pregnancy Lifespan considerations-children Lifestyle considerations-women of childbearing age Appropriate medication: p. 816, Box 47.5 Common causes of increased chol in kids 5 Laboratory monitoring HMG-CoA reductase inhibitor 5 Diet therapy Bile sequestrants 48 5 Contraindications/need for increased monitoring anticoagulant therapy 2 Treatment for AMI (acute myocardial infarction) Drug of choice 2 Patient teaching warfarin 1 Factors that inhibit clotting process 2 Drugs that have antiplatelet effects 2/5 Nursing actions related to adverse effects Warfarin 2 systemic hemostatic drug Appropriate drug 2/4 Heparin – indications p. 838, Table 48.1 3 Lifespan-children Approved drug for anticoagulant tx p. 834, Box 48.1 2 Nursing priority interventions Alteplase administration 5 hemophilia A Discharge teaching | p. 834, Box 48.1 2 antihemophilic agent- routes of admin p. 851, Table 48.4 49 5 Nursing assessment Iron therapy 5 vitamin B12 deficiency Nursing assessment 2/5 Priority teaching Hydroxyurea 2 Drugs that stimulate formation of RBCs 1/5 Nursing actions to prevent crises Sickle cell 5 Adverse/side effects Iron therapy 2 Appropriate drug therapy megaloblastic anemia 4 Indications Folic acid 51 1 Know the actions of each class of diuretics 5 Pat teaching Diuretic therapy at home 4 Diuretic tx for pt with glaucoma p. 892, Table 51.1 2 | 5 Chlorothiazide tx-side effects 3 Lifespan-child p. 892, Table 51.1 2 DDI Adverse effects acetazolamide 4 Patient teaching-diabetes hydrochlorothiazide 2 | 5 First-line tx Essential HTN 5 fluid rebound-pt teaching to avoid p. 895, Box 51.2 5 Furosemide nursing actions p. 894, Box 51.1 52 5 Prevention of UTI postoperative 5 Doxazosin tx Appropriate nursing diagnoses 2 Phenazopyridine Best therapeutic effect 5 Priority nursing assessment Fosfomycin 2 Drug of choice for UTI with renal impairment 2 Terazosin Mechanism of action 2 Dutasteride Contraindications 5 Drug of choice for UTI p. 909, Table 52.2 3 Lifespan-child with recurrent UTI p. 908, Box 52.1 5 Patient teaching Methenamine 57 2 histamine-2 antagonist drugs Effects/actions 5 digestive enzyme replacement therapy Appropriate nursing diagnosis 5 OTC antacids Side/adverse effects 5 Patient teaching esomeprazole 5 Metabolic alkalosis causes 5 Patient education sucralfate 2/5 proton pump inhibitors Contraindications 1 Peptic ulcer-signs and symptoms p. 996, Box 57.2 1 CF & pancreatic enzymes Signs of nonadherence 5 pancreatic enzymes Administration 58 2 DDI metoclopramide 5 castor oil- indication for use p. 1020, Table 58.1 5 metoclopramide indication 2 opioid-induced constipation-drugs of choice p. 1024, Box 58.2 2 lubiprostone Therapeutic action in IBS: p. 1033, Box 58.5 59 2/5 Trimethobenzamide- DDI/Pt teaching 5 Aprepitant Appropriate nursing action 5 central nervous system effects associated with an antiemetic Nursing diagnoses ½ ondansetron Mechanism of action in nausea Evaluation of therapeutic effect Adverse effects 5 Antiemetic for motion sickness Patient teaching 2 Phenothiazine Contraindications 5 nonpharmacologic measures for nausea/vomiting 3 Lifespan-female client Admission assessment questions for vomiting and nausea

 
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