Focus Review RN Pharmaoclogy Online Practice 2019 B PDF

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Focus Review: RN Pharmacology Online Practice B Remediation

1. Growth Factors: Monitoring for Adverse Effects of Epoetin Alfa  Hypertension  Secondary to elevation level in hematocrit level  Monitor Hgb levels and blood pressure. If elevated, administer antihypertensive medications 2. Medications Affecting Blood Pressure: Contraindications for Receiving Propranolol  Bronchoconstriction  Avoid clients who have asthma  Clients who have asthma should receive beta1 selective agent 3. Psychotic Disorders: Adverse Effects of Clozapine  Risk of fatal agranulocytosis  Baseline and regular monitoring of WBC per protocol (weekly, then monthly required)  Notification of the provider of indication of infection (fever, sore throat, mouth lesions) is necessary. 4. Miscellaneous Central Nervous System Medications: Evaluating therapeutic outcome of Baclofen  Acts in the CNS to enhance GABA, produce sedative effects, and depress hyperactive spasticity of muscles.  There are no direct effects on skeletal muscles  Relief of spasticity related to cerebral palsy, spinal cord injury, and multiple sclerosis. 5. Airflow Disorders: Client Teaching About Methylprednisolone  Grapefruit juice interferes with the metabolism of many medication, resulting in an increased blood level of the medication.  Foods high in vitamin K (dark green vegetables, eggs, carrots) can decrease the anticoagulant effects of warfarin.  Foods high in protein can increase he metabolism of the anti-Parkinson’s medication levodopa, which decrease the medication’s absorption and amount of transported to the brain. 6. Antibiotics Affecting Protein Synthesis: Contraindicated Medications During Pregnancy  Yellow or brown tooth discoloration, hypoplasia of tooth enamel  Avoid administration to children younger than 8 years of age and to clients who are pregnant

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Hepatoxicity (lethargy, jaundice) Avoid administration of high daily doses IV. Suprainfection (Pseudomembranous colitis -diarrhea, yeast infection of the mouth, pharynx, vagina bowels.

7. Depressive Disorders: Evaluating Client Understanding of Fluoxetine  GI bleeding  Use caution in clients who have a history of GI bleed or ulcers and in clients taking other medication that affect blood coagulation  Report indication of bleeding (dark stool, coffee-ground emesis) 8. Psychotic Disorders: Review Laboratory Results Prior to Administering Clozapine  Baseline and regular monitoring of WBC per protocol (weekly, then monthly required)  Notification of the provider of indication of infection (fever, sore throat, mouth lesions) is necessary.  Obtain adverse effects: sedation, hypersalivation, orthostatic hypotension, and anticholinergic effects 9. Sedative-Hypnotics: Teaching a Client Who Is Taking Zolpidem  Major substances associated with substance use disorder include alcohol, caffeine, cannabis hallucinogens, inhalants, opioids, sedatives/hypnotics/anxiolytics, stimulants, tobacco, and other (or unknown) substance (anabolic steroids, betel nut, and unidentified black market substances. 10. Bone Disorders: Identifying a Therapeutic Response to Calcium Citrate      

Paresthesia of the fingers and lips (early manifestation) Muscle twitches as hypocalcemia progresses Seizure due to irritability of the central nervous system Frequent, painful muscle spasms at rest in the foot or calf (charley horses) Positive Trousseau’s sign (hand/finger spasm with sustained blood pressure cuff inflation) History of thyroid surgery or irradiation of the upper chest or neck, which places a client at risk for developing hypocalcemia....