ATI PN VATI PHARMACOLOGY FOCUS REVIEW
Do not administer live virus vaccines (varicella or MMR), to a client who is severely immunocompromised. Severe febrile illness is a contraindication to all
immunizations. Modera
...
ATI PN VATI PHARMACOLOGY FOCUS REVIEW
Do not administer live virus vaccines (varicella or MMR), to a client who is severely immunocompromised. Severe febrile illness is a contraindication to all
immunizations. Moderate or severe illnesses with or without fever are also precautions to receiving immunizations.
Chronic neurological disorders include Parkinson’s disease (PD) and seizure disorders. Medications for treatment help manage manifestations and improve quality of
life. Levodopa/carbidopa is the most effective treatment for (PD), but beneficial effects diminish by the end of year 5.
Isoniazid is highly specific for mycobacteria by inhibiting growth of mycobacteria and preventing synthesis of mycolic acid in the cell wall. Isoniazid is indicated for
active and latent tuberculosis. Clients who have liver disease should not take isoniazid. Use cautiously in older adults and clients who have diabetes mellitus or
alcohol use disorder.
Heparin treats disorders necessitating prompt anticoagulant activity (evolving stroke, pulmonary embolism, massive deep-vein thrombosis). Complications include
hemorrhage due to heparin overdose. Monitor vitals signs and withhold heparin if client needs protamine IV (antidote), and should avoid other anticoagulants, including
aspirin. Check aPTT every 4 to 6 hours during initial therapy and once daily thereafter. Therapeutic response raises the aPTT by 1.5 to 2 times (60 to 80 seconds)
1. Identify 3 adverse reactions the nurse would teach the client about prior to administering the varicella vaccine.
Pneumonia
Low blood count
Severe brain reactions
2. A client has been prescribed prednisone for rheumatoid arthritis. Identify three adverse effects of long-term use of this mediation.
Bone loss
Adrenal gland suppression
Osteoporosis
3. List three nursing considerations for the administration of the medicine naloxone.
Principle use is the treatment of opioid overdose. Preferred route of administration is IV. May also be given IM, SQ, and intranasal.
Response is within 1 to 2 minutes; peak action is within 20 to 60 minutes.
Monitor heart rhythm (risk for ventricular tachycardia) and respiratory function.
4. A nurse preparing to administer timolol. What are contraindications for administering this medication.
Sinus bradycardia
Chronic respiratory disease
Clients who have heart failure (greater than 1st degree heart block)
5. Identify two examples (SSRI) selective serotonin reuptake inhibitors.
Fluoxetine
Sertraline
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