UWorld for Nclex Pharmacology Nursing- Med Surg *Contains main drugs questioned in UWorld and mentioned in MK; Antibiotics, CV drugs, Diuretics,

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DRUG LIST NCLEX ANTIBIOTICS *All antibiotics have GI effects CARDIOVASCULAR MEDICATIONS DIURETICS *All diuretics are contraindicated in clients taking lithium! Hyponatremia can induce lithium tox... icity *ALL diuretics can induce Digoxin toxicity except potassium-sparing diuretics i.e. spironolactone! DIABETIC DRUGS **Watch for hypoglycemia during peaks! INSULIN ORAL HYPOGLYCEMIC AGENTS PSYCH DRUGS *All psych drugs have indications for WEIGHT GAIN and HYPOTENSION *Always taper medications down and never stop dosing abruptly RESPIRATORY MEDICATIONS *For any respiratory medication, think sympathetic effects! Other commonly tested drugs Folate antimetabolite, antineoplastic, immunosuppressant drugs Methotrexate Anticonvulsants Phenytoin NSAIDs Proton pump inhibitors Aspirin Corticosteroids Anticholinergics EXTRA TIPS: • Do not administer anything sedative i.e. opioids, benzodiazepines, barbiturates to clients with increased ICP as it can mask somnolence and decreasing LOC • Always monitor blood pressure in vasodilating medications prior to administration i.e. ACE inhibitors, nitrates • Neuroleptic Malignant Syndrome and Malignant Hyperthermia are similar in terms of symptoms! i.e. muscle rigidity, hyperthermia, mental status changes, tachycardia, tachypnea—difference lies in causes Neuroleptic Malignant Syndrome Malignant Hyperthermia • Causes: Antipsychotics and low dose phenothiazines used as antiemetics i.e. Haldol, chlorpromazine • Treated by: dantrolene for hyperthermia, benzodiazepines for anxiety and agitation, and dopamine agonist bromocriptine • Causes: inhaled anesthetics ie. Halothane, muscle relaxant i.e. succinylcholine • Treated by: dantrolene for hyperthermia, benzodiazepines for anxiety and agitation, NO bromocriptine [Show More]

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