THE Check Principle Applied in Pharmacology: Remember To Take Your Tagamet With Meals!
THE Check Principle Applied in Pharmacology: Remember To Take Your Tagamet With Meals!
THE Check Principle Applied in Pharmacology: Remember To Take Your Tagamet With Meals!
Gapuz
PART V
THE
CHECK PRINCIPLE
APPLIED IN PHARMACOLOGY
Remember to
take your
Tagamet with
meals!
It stands for…
H –ow will you know if the medication is effective. What are your
assessment parameters in monitoring the effects of the drug?
C – lient teaching tips. What would you tell your patient to expect.
You should be able to give instructions related to the
therapeutic and side effects of the drug.
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
A
Aldomet (Methyldopa)
C – Antihypertensive
H – Decreased BP
E – Take the drug regularly exactly as prescribed
C – Impotence can be expected
K – Check the BP, the drug may cause hypotension
a. photosensitivity c. urticaria
b. impotence d. tarry stool
Answer: (B)
Aminophylline (Theophylline)
C – Bronchodilator
H – Ease of breathing
E – Best taken in the morning on an empty stomach, because the
drug causes insomnia
C – Stop smoking as it interferes with the drugs’ effectiveness
K – Check the heart rate, the drug may cause tachycardia
Maintain adequate urine output
Avoid caffeine containing foods
a. bradycardia c. tinnitus
b. tachycardia d. ecchymosis
Answer: (B)
Antabuse (Disulfiram)
M - OUTH WASH
O - VER THE COUNTER COLD REMEDIES
F - RUIT FLAVORED EXTRACTS
F - OOD SAUCES MADE UP OF WINE
A - FTER SHAVE LOTION
V - INEGAR
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
S - KIN PRODUCTS
Apresoline ( Hydralazine)
C – Antihypertensive
H – Decreased blood pressure
E – Best taken with food
C – Rise slowly from a lying or sitting position
K – Monitor for signs and symptoms of orthostatic hypotension
Monitor the heart rate for tachycardia
a. bradykinesia c. tremors
b. occulogyric crisis d. propulsive gait
Answer: (C)
ASA (Aspirin)
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Answer: (D)
Atropine Sulfate
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
a. hypocalcemia
b. bone-marrow depression
c. increased intracranial pressure
d. nephrotoxicity
Answer: (D)
Cephulac (Lactulose)
Answer: (D)
D
Demerol (Meperidine HCL)
Answer: (C)
Answer: (D)
Digoxin (Lanoxin)
a. hypertension c. tinnitus
b. oliguria d. vomiting
Answer: (D)
Dilantin (Phenytoin)
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Diuril (Chlorothiazide)
C – Diuretic
H – Increased urine output
E – Best taken with food early in the day, so sleep will not be
disrupted by increased urination
C – Protect the skin from exposure to the sun
Muscle weakness in the lower extremities indicate
hypokalemia
Increase K in the diet
K – Monitor weight
Answer: (D)
Elavil (Amitriptyline)
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Answer: (D)
F
Ferrous SO4
G
Garamycin (Gentamicin)
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Answer: (D)
H
Haldol (Haloperidol)
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Answer: (D)
INH (Isoniazid)
Answer: (A)
Regular
Semilente
2. Intermediate acting:
NPH
Lente
3. Long acting
Ultra Lente
H – Normal blood sugar level
E – Best given before breakfast
C – Report signs and symptoms of hypoglycemia (tremors,
nervousness)
K – Serve meals on time to prevent hypoglycemia
When mixing these types of insulin, inject air into the NPH
insulin first before the regular insulin, but aspirate the regular
insulin first before the NPH insulin
L
C – Loop diuretic; blocks the reabsorption of sodium in the loop of
Henle
Ex. Furosemide (Lasix)
Remember: Lasix – it’s a loop diuretic which acts on the
ascending loop
H – Increased urine output
E – Best given in the morning
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
C – Eat bananas and citrus fruits because they are good sources of
potassium
K – Monitor serum potassium levels, it can cause hypokalemia
a. 10 mg/min c. 4 mg/kg
b. 4 mg/min d. 100mg/day
Answer: (B)
Lithium Carbonate
C – Antimanic
H – Decreased hyperactivity
E – Best taken after meals
C – Increase fluid intake (3 L /day) and sodium intake (3 gm./day)
Avoid activities that increase perspiration
K – It takes 10-14 days before therapeutic effect becomes evident.
Antipsychotic is administered during the first two weeks to
manage the acute symptoms of mania until lithium takes effect
Monitor serum level, normal is .5-1.5 meq/L.
Nausea, Anorexia, Vomiting, Diarrhea and Abdominal cramps
indicates lithium toxicity
Mannitol is administered if toxicity occurs
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Magnesium SO4
C – Anticonvulsant
H – (-) Convulsion
E – No specific
C – Diarrhea is a side effect
K – Keep the antidote, calcium gluconate at the bedside
Assess the patient’s respiratory rate, (should be at least
12/min.) deep tendon reflex and urine output, (should be at
least 30 ml./hr.)
Answer: (D)
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Answer: (C)
Mestinon (Pyridostigmine)
a. constipation c. diarrhea
b. urinary retention d. dry mouth
Answer: (C)
a. hypotension c. hypokalemia
b. hypertension d. hyperphosphatemia
Answer: (B)
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
C – Antidepressant
H – Increased appetite; adequate sleep
E – Best taken after meals
C – Report headache; it indicates hypertensive crisis
Avoid tyramine containing foods like:
A-vocado
B-anana
C-heddar and aged cheese
S-oysauce and preserved foods
K – Monitor the BP
Morphine SO4
Nitroglycerin
Answer: (B)
O
P
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Penicillin
Answer: (B)
C – Antihistamine
H – (-) Allergy
E – No specific
C – Avoid alcohol and prolonged exposure to sunlight
K – Do not administer SC, tissue necrosis may occur
Answer: (B)
Pitocin (Oxytocin)
Answer: (C)
Probenecid (Benemid)
C – Antigout
Ex. Colchicine (Novocolchine)
- control inflammation of the attack
Probenecid (Benemid)
- increases excretion of uric acid
Allopurinol (Zyloprim)
- decreases production of uric acid
H – Decreased uric acid levels
E – Best taken with meals
C – Change position slowly
K – Increase fluid intake
a. Probenecid c. Colchicine
b. Allopurinol d. Tylenol
Answer: (A)
Prostigmin (Neostigmine)
a. lidocaine c. atropine
b. epinephrine d. procainamide
Answer: (C)
PTU (Propylthiouracil)
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
S
Streptomycin
Answer: (D)
Symmetrel (Amantadine)
T
Tagamet (Cimetidine)
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Answer: (C)
Sample question: The nurse is caring for a patient with severe back
strain. The nurse administers diazepam (Valium) 10 mg qid. Which
observation is most indicative of the need to reassess this order?
a. drowsiness
b. hyperesthesia of the arms
c. loss of appetite
d. severe muscle spasms
Answer: (D)
Vitamin K (Phytonadione)
Answer: (B)
X
Xylocaine (Lidocaine)
Sample question: The nurse will plan to assess for the following
side effects related to intravenous lidocaine therapy:
Answer: (A)
Y
Yutopar (Ritodrine)
Zyloprim (Allopurinol)
Answer: (B)
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
N.B.
Let’s SYNTHESIZE!
After going through that list, I’m sure you would agree with me
if I tell you that we can still make things MORE SIMPLE. Let’s
start …
Acetaminophen…………………………………………….Acetylcysteine
Benzodiazepine……………………………….……………….Flumazenil
Coumadin………………………..……………………………….Vitamin K
Curare……………………………………..…...Endrophonium (Tensilon)
Cyanide poisoning………..…….……………..………....Methylene blue
Digitalis…………………………..……….……..…………………Digibind
Ethylene poisoning………………………..…….…..Fomepizol (Antizol)
Heparin……………………………...…..……….…….Protamine Sulfate
Iron………………………………..….Deferoxamine Mesylate (Desferal)
Lead……………………………….…...…...…Edetate Disodium (EDTA)
Dimercaprol (BAL)
Succimer (CHEMET)
Lovenox..………………………………………….………Protamine SO4
Magnesium sulfate………………….……………….Calcium Gluconate
Morphine sulfate………………..……………...Naloxone Hydrochloride
Methotrexate……………………………………………....….Leucovorine
Mestinon…………………………………………………..Atropine Sulfate
Neostigmine……………...…………………Pralidoxime Chloride (PAM)
Penicillin…………………………...…………………………..Epinephrine
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Allopurinol Flagyl
Apresoline Inderal
ASA Morphine
Azulfidine Pancreatin
Benemid Serpasil
Dilantin Tagamet
Diuril Tylenol
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Adriamycin……..……………………………………….Reddish
Bactrim………………………………………………Red Orange
Dilantin…………………………………………..……Pink tinged
Flagyl…………………………………………………..Brownish
Azulfidine…………………………………………Orange Yellow
Rifabutin………………………………………………Red Orange
Rifampicin………………………………………….Red Orange
Robaxin………………………………Brown, Black or Greenish
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Anaphylactic Shock……………………………………….Penicillin
Bone Marrow suppression………………Chloramphenicol, AZT
Hepatotoxicity………………………………………………..….INH
Renal Toxicity………………………………..…..Aminoglycosides
Ototoxicity………………………………………..Aminoglycosides
Photosensitivity……………………………………..Antipsychotics
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