The best way to study for medications for NCLEX is to study it by classifications or body system use methods. Do not study medications at random and do not study it like a Pharmacy student would.
- Aspirin:Do not give together with other anticoagulants. Stop taking Aspirin some days before surgery. Do not give to children with viral infection(Reye syndrome)
- NSAID’s e.g. Ibuprofen—Take with food; contraindicated for people with GI ulcers
- Morphine: A respiratory depressant. It should be withheld if the respirations are below 10
- Dilantin: Causes gum hyperplasia. Advice client to visit dentist frequently
- Predisone: Causes Cushing like symptoms. Common side effects are immunosupression(monitor client for infection), hyperglycemia
- Heparin: Monitor pt’s lab work-PTT. Antidote is protamine sulfate
- Coumadin: Monitor pt’s lab work—PT. Antidote is Vitamin K
(8 )Cogentin: Used to treat EPS
(9)Sinemet: Drug is effective when tremors are not observed
(10)Theophylline/Aminophylline: Side effects--Tachycardia
(11)Digoxin (Lanoxin): Signs of toxicity: Pt will complaint of visual change in colors. They would also complain of loss of appetite.
(12)Magnesium Sulfate: Monitor for deep tendon reflex and respiratory depression
(13)Hydrochlothiazide: Monitor potassium levels
(14)Lasix: Monitor potassium levels
(15)Aldactone: Potassium sparing
(16) Lithium Carbonate: Know therapeutic range (0.8 to 1.2mEq). Also know symptoms of toxicity. Adequate fluid and salt intake is important.
(17) MAOI inhibitors: Have dangerous food-drug interactions. Food with Tyramine should be avoided. For example: aged cheese, wine etc.
(18) Disulfiram (Antabuse): Used for alcohol aversion therapy. Clients started on Disulfiram must avoid any form of alcohol or they would develop a severe reaction. Teach pt to avoid some over-the-counter cough preparations, mouthwash etc.
(18) Oxytocin: Assess uterus frequently for tetanic contraction.
(19) Narcan: Reverses the effects of narcotics
(20)Calcium Gluconate: Antidote for magnesium sulfate
(21)Vitamin K: Antidote for Coumadin
Questions have been asked on NCLEX recently about the following drugs:
(22Tegretol: side effects.
(23)Atropine: What checks do you do before giving this drug (BP.)
(24)Epogen: Used in treating anemia because it increases RBC production.
(25) Acyclovir: anti-viral medication used in treating shingles.
- When a client is on antibiotics, teach the client to continue taking the medication even though they feel better
- Monitor client taking antibiotics such as Vancomycin for ototoxicity. Pt will complain of tinnitus, room spinning (vertigo) and nausea.
- Clients taking vasodilators e.g. Verapramil would complain of headache