NUR 211 Medications
- classification of adalimumab
- side effects of adalimumab
Answer Therapeutic antirheumatic Pharmacologic DMARDs, immunomodulator
Answer injection site reactions, agranulocytosis, increased risk of sepsis, headaches
- nursing implications of adalimumab
- TB testing before and during therapy
- assess for signs of infection as use contraindicated during active infection
- use with caution in the elderly
- do not use in children under the age of 4 years
Answer
- client teaching of adalimumab
- store in refrigerator
- injection technique, rotate (thigh, abdomen)
- avoid live vaccines and those who have recently received vaccines
Answer
- action of adalimumab
Answer binds to TNF-alpha to decrease inflammation and de- crease ESR levels
- classification of amlodipine 1 / 3
Answer therapeutic
Answer antihypertensive pharmacologic
Answer calcium channel blocker
- side effects of amlodipine
Answer headache, dizziness, fatigue, edema, bradycardia, hypotension, flushing
- nursing implications of amlodipine
Answer monitor blood pressure and pulse, lung sounds, edema, weight gain, i/o
- client teaching of amlodipine
Answer change position slowly to minimize orthostatic hypotension, may cause dizziness.
For hypertension, encourage patient to comply with other interventions such as weight loss, ow sodium diet, smoking cessation, exercise, reduce stress
- action of amlodipine
Answer inhibits transport of calcium into myocardial and vascular smooth muscle cells which will inhibit excitation and contraction
- classification of cefriaxone
Answer therapeutic
Answer anti-infective pharmacologic
Answer third generation cephalosporins 2 / 3
- side effects of cefriaxone
Answer diarrhea associated with clostridium difficile, nau- sea, vomiting, cramps, pancreatitis, acute renal failure, Stevens Johnson Syndrome, agranulocytosis, suprainfection. IM
Answer pain at the injection site. IV
Answer phlebitis at IV site
- nursing implications of cefriaxone
- assess for allergy to cephalosporins or penicillin
Answer
- assess for signs of anaphylaxis or rash
- assess bowel function
- assess patient for skin rash frequently during therapy
- monitor AST, ALT, bilirubin, BUN, and creatinine
- may increase risk of bleeding with warfarin
- client teaching of cefriaxone
- take medication at evenly spaced times
Answer
- notify healthcare provider if rash, fever, and diarrhea develop
- action of cefriaxone
Answer bind to bacterial cell wall membrane , causing cell death. active against many gram positive cocci and gram negative pathogens. not active against MRSA or enterococci
- classification of cephalexin
- / 3
Answer therapeutic