MedMaster by NURSING.com

Amiodarone

Cordarone

a-fib, ventricular arrhythmias, SVT, ACLS protocol for v-fib and v-tach

Prolongs phase 3 of the action potential, makes the heart more tolerant to arrhythmias, inhibits adrenergic stimulation, slows rate, decreases peripheral vascular resistance causing vasodilation

Antiarrhythmic class III, potassium channel blocker

None

• May lead to ARDS, pulmonary toxicity, CHF, bradycardia, hypotension • Increases risk for QT prolongation • Increases digoxin levels • Increases activity of warfarin • Monitor EKG continuously while on therapy • Assess for signs and symptoms of ARDS • Monitor liver function test • Check dosage with another RN • Teach pt to monitor pulse daily and report abnormalities • Avoid drinking grapefruit juice

The purpose of the NCLEX is to ensure that nurses have the knowledge and skills necessary to provide safe and effective patient care. Let's deep dive into how to best answer those NCLEX style questions

Learn more about what you should know before the NCLEX at NURSING.com

Alprazolam

Xanax

Anxiety, panic disorder, manage symptoms of PMS, insomnia, mania, psychosis

Works in CNS to produce anxiolytic effect causing CNS depression.

Antianxiety agent

Benzodiazepine

• Use caution with existing CNS depression, sleep apnea, renal dysfunction, hepatic dysfunction. • May cause CNS depression, drowsiness, lethargy • May lead to physical dependence, may experience tolerance effect • Assess anxiety and mental status • Romazicon (flumazenil) is the antidote for overdose • Grapefruit juice may increase blood levels

Alendronate

Fosamax

Osteoporosis (aging, menopause, corticosteroid induced)

Inhibits osteoclast activity leading to inhibition of resorption of bone

Bone resorption inhibitor

Bisphosphonates

• Take first thing in the morning with full glass of water 30 min prior to eating • Assess serum calcium and vitamin D • May lead to muscle pain

Albuterol

Proventil

Bronchodilator used to prevent airway obstruction in asthma and COPD

Binds to Beta2 adrenergic receptors in the airway leading to relaxation of the smooth muscles in the airways

Bronchodilator

Adrenergic

• May decrease the effectiveness of Beta Blockers • Use caution with ○ Heart disease ○ Diabetes ○ Glaucoma ○ Seizure disorder • Overuse of inhalers can lead to bronchospasm • Monitor for chest pain and palpitations • Can decrease digoxin levels

Hi guys, this is Sandi!   For everyone taking the nclex, there's only one thing on our minds, PASSING, am I right? It's the last hurdle that stands in the way of getting your nursing license and starting April 1st, there's going to be a change to the nclex. 

I've been studying the NCLEX changes for the last two years . . . in this episode I am going to share with you exactly what I have learned about the new scoring matrix multiple response questions  on the NCLEX. . . Yep, its a bit different than what you are “use to” but after listening to this, you will go from stressed to confident as you walk into the testing center on TEST DAY

Acetaminophen

Tylenol

Pain, fever

Inhibit the synthesis of prostaglandins which play a role in transmission of pain signals and fever response

Antipyretic, non-opioid analgesic

• Do not exceed 4g of acetaminophen per day to limit risk for liver, renal, and cardiac damage • Overdose will lead to hepatotoxicity • Acetadote is the antidote for overdose • May increase risk for bleed with warfarin therapy • May alter blood glucose measurements

venous thrombosis, pulmonary embolism, A-fib, myocardial infarction

disrupts liver synthesis of Vitamin K dependent clotting factors

Anticoagulant

coumarins

• contraindicated with bleeding, severe hypertension • can cause bleeding • aspirin and NSAIDs can increase risk of bleeding • azole antifungals increase effects of warfarin • cimetadine(Tagamet) increases warfarin levels • obtain full history of supplements and herbs • large amounts of vitamin K may antagonize effects of warfarin • assess for signs of bleeding • therapeutic levels: PT 1.3-1.5, INR 2.5-3.5 • instruct patient to report any signs of bleeding • patient should not drink alcohol • bleeding times need to be monitored frequently • vitamin K is antidote

Isoptin

hypertension, angina, SVT, migraine

prevents transport of calcium, leading to decreased contraction, decreases SA and AV node conduction

antianginals, antiarrhythmic, antihypertensive, vascular headache suppressants

Ca Channel Blocker

• don't use with 2nd and 3rd degree heartblock • don't use with systolic BP • may cause anxiety, confusion, cough, dyspnea, arrhythmias, CHF, bradycardia, hypotension, elevated liver enzymes, Steven's Johnson syndrome, hyperglycemia, gingival hyperplasia • grapefruit juice can increase effects • can increase levels of digoxin • monitor heart rhythm, intake and output, blood pressure • assess angina

Pitressin

management of diabetes insipidus, VT/VF unresponsive to initial shock, GI hemorrhage

increases water permeability of the kidney's collecting duct and distal convoluted tubule leading to water retention, also increases peripheral vascular resistance leading to increased BP

hormone

antidiuretic hormone

• use caution with HF and CV disease • contraindicated in renal failure and hypersensitivity to pork • monitor BP, HR, and EKG during therapy • monitor urine specific gravity and osmolality • weigh patient and assess for edema • monitor electrolyte panel • do not use with alcohol