Focus List Exam 3 GPT2217-2 PDF

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M. Taylor

NUR 1141 Pharmacology

Study Guide: Test #3

Things to Remember: ✓ Understand the prototype and nursing discussed in class for the drugs list ✓ Math will make up 10% of the test for all test ✓ You must know the vocabulary terms. ✓ Disclaimer: Following this study guide is no guarantee of any grade on the exam Drug Focus List CANCER DRUGS • Basic anatomy: normal vs malignant vs benign tumor o Cell cycle o Key terms for cancer o Influences of cancer o CCNS v CCS drugs • Safe Handling/Oncologic Emergencies o Nursing Implications o Cause/Treatment • Antitumor antibiotics o doxorubicin (adriamycin)- Actions, Side effects, nursing implication, and patient teaching • Alkylating agents o cyclophosphamide (cytoxan)-Actions, Side effects, nursing implication, and patient teaching • Antimetabolites o 5-fluorouracil (adrucil)- Actions, Side effects, nursing implication, and patient teaching, contraindication • Plant alkaloid o Vincristine (Oncovin)-Actions, Side effects, nursing implication, and patient teaching • Hormones & Hormone Antagonists o Actions, Side effects, nursing implication, and patient teaching • Target therapy o Understanding the basic functions and Basic nursing interventions CARDIOVASCULAR DRUGS ● Basic anatomy for the cardiovascular system: o Preload vs Afterload o Diminished Coronary Blood Flow o Cardiac Conduction System o Measurement of Electrical Activity o Autonomic Control of the Heart o Cardiac Output (CO) o Starling’s law of the heart o Understanding the following effects: ▪ Chronotropic ▪ Dromotropic ▪ Inotropic

M. Taylor

NUR 1141 Pharmacology

Study Guide: Test #3

● Heart failure o Symptoms and compensation mechanism o diagnostic tests (Cardiac Enzyme, EF, BNP, & ANP) o right sided vs left sided o non-pharmacologic treatment ● Cardiac glycosides o Digoxin-action/use, SE, nursing implications, contraindications, toxicity, labs o Phosphodiesterase Inhibitors (Milrinone lactate)- action and precautions o Other agents used to treat heart failure ● Diuretics o Basic functions: Specifically understanding the part of the nephron or organ it effects o Role of the nursing when administering diuretics and any contraindications o Thiazide (HCTZ) –action, patient teaching, S/E, Nursing implications o Loop (Furosemide) - action, patient teaching, S/E, Nursing implications o Potassium sparing (Spironolactone)- action, patient teaching, S/E, Nursing implications o Osmotic diuretic(mannitol)- action, patient teaching, S/E, Nursing implications o Carbonic anhydrase inhibitor (acetazolamide)- action and use o Combination therapy-class, action, patient teaching, S/E, Nursing implications ● Antianginals o Basic understanding of agina and types o Beta-blocker-S/E, selective vs nonselective, action, patient teaching, Nursing implications o Nitrates (Nitroglycerin)- action, patient teaching, S/E, Nursing implications o Calcium channel blockers (amlodipine, verapamil)- action, patient teaching, S/E, Nursing implications ● Antidysrhythmic o Basic understanding of the conduction cycle and cardiac action potential o Understanding the role of the different class of medication: ▪ Sodium Channel Blockers (Quinidine Sulfate &Lidocaine)- action, patient teaching, S/E, Nursing implications ▪ Calcium Channel Blockers (Diltiazem &Verapamil)- action, patient teaching, S/E, Nursing implications ▪ Beta-blocker (Propranolol)- action, patient teaching, S/E, Nursing implications ▪ Potassium Channel Blockers (Adenosine & Amiodarone)- action, patient teaching, S/E, Nursing implications ● Anticoagulants o Basic understanding of clotting process o Heparin, Lovenox, and Coumadin ▪ Use, actions, Antidotes, patient teaching, S/E ▪ Nursing Intervention and monitoring

M. Taylor

NUR 1141 Pharmacology

Study Guide: Test #3

● Antihypertensive o Basic A&P for the incidence of HTN ▪ Risk factor ▪ Non-Pharmacologic vs pharmacologic treatment ▪ RAAS system ▪ Age and Ethnic groups to considerations o Understanding the action of each class of anti-HTN ▪ Calcium channel (VND)- action, patient teaching, S/E, Nursing implications ▪ Betablockers (-olols)- action, patient teaching, S/E, Nursing implications ▪ ACE inhibitors (-prils)-action, patient teaching, S/E, Nursing implications ▪ ARBS (-sartan)-action, patient teaching, S/E, Nursing implications ▪ Central acting agonist (clonidine)- action, patient teaching, S/E, Nursing implications ● Antiplatelets o Aspirin- Action, Indication, nursing actions o Basic understanding of peripheral blood flow and peripheral vascular disease o Cause, Sign/symptoms, & Treatment o Medication: ▪ Cilostazol: Use, Action, Indication, and nursing actions ▪ Hemorrheologic (Pentoxifylline): Use, Action, Indication, and nursing actions ● Thrombolytic (-ase) o Purpose, Function o MI vs Stroke o Indication, Antidote, Patient teaching, and Nursing intervention •

Blood Transfusion o Module Information o Basic Anatomy and Physiology o Nursing Process o Monitoring for Side-Effects

M. Taylor

NUR 1141 Pharmacology

Study Guide: Test #3

RESPIRATORY DRUGS ● Basic understanding of the Anatomy ● Nervous System Involvement ● Allergic Rhinitis o Basic understanding of the inflammatory process ● Histamine o 1st vs 2nd Generation o Diphenhydramine (Benadryl) ▪ action, patient teaching, S/E, Nursing implications o Cetirizine (Zyrtec) Loratadine (Claritin) ▪ action, patient teaching, S/E, Nursing implications ● Intranasal Corticosteroids/Glucocorticoids o Flonase- action, patient teaching, S/E, Nursing implications o Budesonide (Pulmicort, Rhinocort)- action, patient teaching, S/E, Nursing implications ● Nasal Decongestants Sympathomimetics o Oxymetazoline (Afrin)- action, patient teaching, S/E, Nursing implications ● Decongestants o Intranasal vs Oral ● Antitussives o Codeine and Hydrocodone- action, patient teaching, S/E, Nursing implications o Dextromethorphan- action, patient teaching, S/E, Nursing implications ● Expectorants o Guaifenesin (Mucinex)- action, patient teaching, S/E, Nursing implications ● Mucolytics o Acetylcysteine (Mucomyst)- action, patient teaching, S/E, Nursing implications ● Sinusitis and Pharyngitis o Basic understanding of disease process and treatment ● Inhaled vs PO respiratory drugs o Basic understanding of routes ● Knowing the difference between Asthma, Chronic Bronchitis, and Emphysema o Asthma attack vs Regular maintenance o Goals of Therapy o Basic understanding of Peak Flow Meter o Basic understanding of Asthma Treatment Plan ● Treatment classes o Bronchodialator ▪ Epinephrine- use, action, patient teaching, S/E, Nursing implications o Beta 2-Adrenergic Agonists/Sympathomimetics ▪ (Albuterol) -use, action, patient teaching, S/E, Nursing implications o Anticholinergics ▪ Ipatroprium (Atrovent) -use, action, patient teaching, S/E, Nursing implications o Methylxanthines/Xanthines

M. Taylor

NUR 1141 Pharmacology

Study Guide: Test #3

▪ Aminophylline (Truphylline); Theophylline (Slo-Bid, Theo-Dur)- use, action, labs, patient teaching, S/E, • Nursing implications o Corticosteroids/Anti-Inflammatory ▪ Budesonide rs (Pulmicort)-use, action, patient teaching, S/E, Nursing implications o Leukotrine Receptor Antagonists ▪ Montelukast (Singulair)-use, action, patient teaching, S/E, Nursing implications o Mast Cell Stabilizers ▪ Cromolyn (Intal)-action, patient teaching, S/E, Nursing implications

● Patient Teaching for Inhaled meds administration: o Peak-Flow Meter o MDI with spacer o MDI o Dry Powder diskus...