ATI Pharm Musculoskeletal

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Infants are at risk for drug toxicity due to
Decreased liver enzymes, reduced kidney function and reduced liver perfusion

Anaphylactic rations
Wheezing, swallowing difficulty, itching, tachycardia, angiogram facial swelling

A patient is having difficulty remembering taking a med. what form should be given
Extended release because they release over a lengthy period of time a patients can take less often

Preg cat D
Require use of contraception in women of childbearing age, can cause fetal malformations, can pass through the umbilical cord, weight benefits against risk

History of renal insufficiency is taking lithium what should be monitored?
Drug toxicity

Topical med is no longer effective
Tolerance to the drug

OTC meds
Do not require PCp supervision, can interact with other drugs, should be included in history, and may consist toxicity

Naproxen enteric coated
Do not crush or chew meds, drug is supposed to reach small intestine

Small margin of safety with drugs such as Dilantin
Periodic la. Tests, monitor for indications of toxicity, take smallest effective dose

Hospitalized with chest pain, when should discharge plan begin
As soon as possible

Itching
Can indicate drug hypersensitivity and allergic reaction

Fastest rate of absorption
IV

Peak and trough levels help monitor for
Drug tox, max effective dose, constant therapeutic level

Can decrease a patients ability to learn
Cognitive level, language, comfort level, readiness to learm

Peak time
Time it takes drug to demonstrate full therapeutic effect. Blood glucose is lowest at peak drug time

vasotec,ndrug eliminated in kidneys for hypertension, before taking meds
Check creatinine clearance which checks renal and liver function

Calculating drug dosages for children
Older kids have a higher metabolism and metabolize drugs faster

Taking Tylenol and codeine
Achieve desired effect with using lower dosages, both drugs gave similar actions

Tegretol and grapefruit juice
Causes drug toxicity. Inhibits enzyme in liver that metabolizes drugs

Digoxin adverse effect
Cardiac dysrythmias, non therapeutic

Infant drug absorption
Delayed gastric emptying is slower in infants, which can increase absorption in the stomach but not the intestine

Teratogenic drug
Fetal malformation

Patient receiving nitro IV and is changing to oral form, oral dose will be higher because
Decreased bioavailability because of the first pass effect

Parenteral routes
IV, subcutaneous, and IM

OTC and newborn consideration
Newborns weight, how much child breast feeds, benefits to mom outweigh risks to baby, properties of drug

Patient taking modanifil (pro vigil)to treat narcolepsy what considerations
Take drug in morning, non amphetamine stimulant, taking in morning will help to improve wakefulness. Taken1 hr before work

Zolpidem/ambien history of benzo abuse, caution patient drug can cause
Memory impairment

Adverse effects of interferon beta-1a (Avon ex) minimize adverse effects by
Interferon beta drugs can cause feve, chills, headaches and muscle aches. Premedication with acetaminophen or an NSAID can help minimize this

Levodopa dopar will help control parkinson symptoms
Increases dopamine in extra pyramidal center of brain

Adverse effects of depakote
Drowsiness, sedation, rash is a side effect of anti epileptic drugs

Potentially serious adverse effect to interferon
Because of the potential for bone marrow suppression and decreased platelet count patients should report bruising bleeding or fatigue

Ritalin
Increased focus

Memantine namenda for Alzheimer’s instructions
Notify PCP if they start taking OTC antacids that contain sodium bicarbonate because that can decrease excretion leading to toxicity

Adderall adverse effects
Tachycardia

Dopar levodopa for Parkinson’s
Change position slowly because it can cause orthostatic hypotension

Danteolene dantrium for skeletal muscle spasms. What lab test?
Liver function serious adverse effect of dantrolene. Regular intervals and advise patient to report jaundice or abdominal pain

Pramipexole (mirapex) Parkinson’s
Monitor CPK creatinine phosphor insane enzyme found in the heart brain and skeletal muscle. Monitoring CPK can allow possibility of skeletal muscle damage from the drug

Baclofen lioresal instructions
Centrally acting muscle relaxant. Avoid driving

Aricept donepezil for Alzheimer’s. Monitor for
Nausea vomiting and diarrhea. Taking drug with food can help

Temazepam Restoril instructions
Avoid alcohol and other cns depressants, take 30 min before bedtime, taper drug slowly

Imitrex sumatriptan adverse effects
Chest pain is number 1. Should report any tightness in jaw, chest, or back. Not an appropriate choice for history of coronary artery disease

Depakote and Dilantin drug interaction
Valproate acid can cause an increase in phenytoin blood levels causing toxicity

Due to potential for adverse effects tegretol should be
Titration from the lowest possible dosage, visual disturbances, vertigo and ataxia can occur. Dosage should be low

Midazolam versed
Causes amnesia and anti anxiety

Pentothal thiopental what should be monitored
Short acting barbiturate can cause respiratory depression. Mechanical ventilation and monitoring are essential

Lidocaine for spinal anesthesia serious adverse effect
When systemically absorbed lidocaine can cause HYPOTENSION especially when used as a spinal anesthetic

Dantrolene dantrium for muscle spasms
Prolonged diarrhea can cause dehydration and is an adverse effect of dantrolene . Need to report

Valproate acid monitor for what adverse effect
Jaundice abdominal pain and nausea

Selegiline and eldepryl for Parkinson’s and Demerol meperidine can result in
Muscle rigidity, stupor agitation, hypertension, and fever

Installing pilocarpine pilocarpine for glaucoma
apply gentle pressure to nasolacrimal duct for 1 min. Do not touch tip of dropper, remove contact lenses

Thorazine chloropromazine
Wear sunscreen, limit exposure to sunlight

Amitryptiline leaving
Change positions slowly, do not stop taking abruptly, take at bedtime to prevent daytime drowsiness, increase fluid and fiber intake

Lithium for bipolar
Monitor thyroid function tests because hypothyroidism is an adverse effect, patients should report neck enlargement weight gain and lethargy

Nardil phenelzine avoid tyramine amine because
They can trigger hypertension in patients taking phenelzine. Headache nausea and lethargy

Betaxolol eye drops adverse effects
Bradycardia,can also expect some ocular stinging upon admin

Echothiophate glaucoma, monitor for development of of
Cataracts or opacity of the lens, report any changes in vision, cloudiness or halos around the eyes

Wellbutrin
Seasonal affective disorder, smoking cessation, and depression

Prozac
Report suicidal thoughts

A health care professional should question the use timolol for which patient
Asthmatic because a beta blocker can cause bronchospasm

Thorazine for schizo experiencing muscle spasms
Acute dystopia can develop during the first few days of treatment with Thorazine, treatment includes admin if Benadryl

Xanax adverse effects
Anxiety, respiratory depression, sedation and tolerance. Avoid alcohol

Avoiding lithium toxicity
Avoid NSAIDS because they increase the renal absorption of lithium and sodium. Concurrent use is contraindicated

Risperdal, risperidone adverse effects
Polyurethane, can cause new-onset DM. Check glucose regularly

Lithe and furosemide
Lithium toxicity in the form of hypertension, LASIK increases sodium loss and can cause lithium absorption.

Head trauma and Wellbutrin
Can cause seizure activity when patients have a cns tumor or hx of head trauma

bus par
Allow 2 to 4 weeks to feel effects

During and immediately following IV Thorazine what should be monitored
Blood pressure… At risk for hypotension. Should remain supine for 3o min. Essential to infuse slowly

Prozac agitation and confusion
Serotonin syndrome can begin 2 to 72 hours after taking Prozac. Mental confusion, agitAtion

Orthostatic hypotension is common in
Imipramine tofranil.

Effexor venalafaxine and phenelzine/Nardil
Should not be taken together. Phenelzine is an maoi.

malignant hyperthermia what should you do?
Provide cooling measures, discontinue anesthesia

Post-op needs vent, received panchromatic ism, provider should expect prolonged paralysis from
Gentamicin, an amino glycoside, which can interact with neuromuscular blocker increasing prolonged paralysis

Calcitonin-salmon
Make sure not allergic to fish, report rash or itching, prime the pump, report nasal, irritation

Neostigmine ( prostigmin) to increase muscle strength after myasthenia gravis, serious adverse action
Bradycardia, measure apical pulse and notify if below 60 bpm. It is essential to have atropine on hand

Succinylcholine anecdote is a depolarizing neuromuscular blocker
Causes muscle paralysis by binding with cholinergic receptors at the neuromuscular junction. Mimics acetylcholine

Fosamax (alendronate) osteoporosis, adverse effects
Joint pain and muscle pain, nausea, visual disturbance and esophagitis

Enbrel etanercept report which?
Skin rash can cause serious infection such as Steven Johnson syndrome

Neostigmine prostigmin for myasthenia gravis
Keep atropine on hand

Raloxifene evista therapeutic action
Mimics the effects of estrogen on bone tissue. Minimizing or stopping bone loss

Questions thee use of enbrel with DIabetes because the risk of
Infection from both med and disease process

Neostigmine prostigmin contraindicated in
Asthma because ain’t can cause bronchospasm. A monitor breath sounds and have atropine on hand

Rosa max alendronate monitor for what?
Jaw pain, blurred vision, and muscle pain

Calcium supplements
Reports flank pain which indicated renal calculi, patient should increase water intake and report blood in urine or flank Paine

Anectine succinylcholine, develops rigid muscles, tachycardia and spike in temp
Malignant hyperthermia is suspected

Fosamax alendronate
Decreases activity a of osteoclasts

Prednisone and calcium carbonated
Drink 8 oz of water with calcium tabs, chew calcium tabs before swallowing, take drugs 1hour apart, divide doses in 3 doses

Fosamax is contraindicated
Should remain flat on bed rest, patient has to sit or stand for 30 minutes to prevent esophagitis

Raloxifene evista serious adverse reaction to drug
Calf pain indicates DVTa

Enbrel can cause hearts failure, monitor for
Shortness of breath, cough elevated BP and heart rate

Methotrexate
Drink 2 to 3 L per day, can cause kidney damage so you need to drink a lot of water o

Methotrexate teaching
Avoid people who are sick, periodic lab tests, report bruising or Petechia, avoid drinking alcohol

Muscle relaxants such a anectine require cautious use in
Hyper kalmia myasthenia gravis, and respiratory depression

Lithium toxicity
Tremors, confusion, nausea, muscle weakness

Methotrexate monitor for
Can cause gastric irritation so watch for black Garry stools

Evista raloxifene monitor for
Increase activity such as walking, use a contraceptive if there is any chance of pregnancy increase intake of calcium and vitamin

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy A health care professional is caring for a patient who is taking a calcium supplement and reports flank pain. …

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We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy A health care professional is caring for a patient who is taking a calcium supplement and reports flank pain. …

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We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy A health care professional is caring for a patient who is taking a calcium supplement and reports flank pain. …

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