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Original Question
Kindly answer the questions below. Pain Medications How do NSAID’s work? Which COX pathways do they work on? Which one is safest? Why? What are the side effects of too much acetaminophen? How do we ask our patients to measure their pain? How often should we assess for pain? What is the antidote for opioid overdose? How do we administer it? Anesthetics Why do we use anesthetics? What is the patient as risk for developing when under anesthesia? What do we protect when the patient is under anesthesia? What is malignant hyperthermia? How and when does it occur? How do we reverse it? Why is mechanical ventilation required when a patient is on a neuromuscular blocking agent? Respiratory Drugs Why do we prescribe short acting beta agonists to people with asthma or COPD? How do we teach the patient when and how to use them? What are the side effects of these SABAs? Inotropic Drugs Dopamine – why is it given? What precautions do we take when administering it? What is the medication we use to inject into the skin when an IV with dopamine infiltrates? Cholinesterase Inhibitors What drugs are cholinesterase inhibitors? For whom do we give them? What is the expected effect? Anticholinergic Medications For what medical conditions are anticholinergic drugs are contraindicated? Drugs for the GI system Review the antacids. Which ones cause diarrhea? Which ones cause constipation? When should we administer these in relation to taking other drugs? Why do we prescribe proton pump inhibitors? Why are PPIs contraindicated for long term use? What antihistamine and is available over the counter that is used for vertigo? What are the side effects of this drug? Drugs for Hypertension What is the first drug class we prescribe for hypertension resistant to lifestyle modification? Is drug therapy for hypertension considered temporary or lifelong? What are ACE inhibitors? What are the side effects? What do we teach our patients about this drug class? Who should not take an ACE inhibitor? What is the correct way to apply Nitroglycerin (NTG) ointment? Patch? What does the patient need to assess on themselves before they take their dose beta blocker or digoxin each day? Diuretics – Which diuretic is potassium sparing? What electrolyte imbalance are we worried about for the other classes of diuretics? How do we measure the effectiveness of fluid loss or gain? Anticoagulants What is the antidote for Warfarin overdose? What lab test do we use to monitor the therapeutic level of coumadin? What is the antidote for Heparin overdose? What lab test do we monitor for therapeutic levels of heparin? Drugs for Endocrine Disorders How do we mix insulins for injection? Which insulin has the fastest onset? Why can that quick onset be concerning? Corticosteroids – what are their side effects? Why are the contraindicated for people taking NSAIDs? Drugs for Menopause, Contraceptives, Labor What is a potential complication of selective estrogen receptor modulators (SERMs)? When administering oxytocin IV what precautions does the nurse need to take to prevent the infusion from going in too fast? What lab test must be assessed prior to prescribing a contraceptive? What patient teaching do we provide a patient taking the bisphosphonate alendronate (Fosamax) regarding how to take this drug? What precautions must be taken by females when administering finasteride (Proscar) Antineoplastics If a patient has neutropenia what precautions do we implement and what would we teach our patients? Why do we use more than one antineoplastic at a time when treating cancer? What should we do is a vesicant antineoplastic infusion infiltrates? A patient is receiving Vincristine (Oncovin) for non-hodgkins lymphoma. What adverse effect do we need to assess regarding sensation? What might a patient have trouble doing if they suffer from this adverse effect? Cyclophosphamide (Cytoxan) – what are we trying to prevent by encouraging a fluid intake of 2000 mL or more a day? Immunomodulating Drugs Why do we give oprelvekin (Neumega)? What do we monitor? What are the side effects? What lab test do we monitor? Why do we give filgrastim (Neupogen) or pegfilgrastim (Neulasta)? What do we monitor? What are the side effects? What lab test do we monitor? Immunity What is the DTaP vaccine? What does it prevent? Can whooping cough, diphtheria or tetanus be passed to the fetus if a mother contracts one of these during pregnancy? Be able to recognize an example of acquired passive immunity? Eye and Ear medications Review the correct procedure for administration of eye drops, eye ointments, and ear drops? What do we assess with the ophthalmoscope before administering ear drops? Which way to you pull the pinna of the ear for an adult before administering ear drops? Which way if it is a child under 3 years of age?
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