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Monday, April 7, 2008

THE 25 MOST IMPORTANT MUST-KNOW DRUGS FOR NCLEX

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.

ANALGESICS:

  1. 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)
  2. NSAID’s e.g. Ibuprofen—Take with food; contraindicated for people with GI ulcers
  3. Morphine: A respiratory depressant. It should be withheld if the respirations are below 10

ANTI-CONVULSANTS:

  1. Dilantin: Causes gum hyperplasia. Advice client to visit dentist frequently

ANTIINFLAMMATORY/STEROIDS

  1. Predisone: Causes Cushing like symptoms. Common side effects are immunosupression(monitor client for infection), hyperglycemia

ANTI-COAGULANTS

  1. Heparin: Monitor pt’s lab work-PTT. Antidote is protamine sulfate
  2. Coumadin: Monitor pt’s lab work—PT. Antidote is Vitamin K

ANTI-PARKINSONIAN

(8 )Cogentin: Used to treat EPS

(9)Sinemet: Drug is effective when tremors are not observed

RESPIRATORY

(10)Theophylline/Aminophylline: Side effects--Tachycardia

CARDIOVASCULAR

(11)Digoxin (Lanoxin): Signs of toxicity: Pt will complaint of visual change in colors. They would also complain of loss of appetite.

ANTIHYPERTENSIVE (PRE-ECLAMPSIA)

(12)Magnesium Sulfate: Monitor for deep tendon reflex and respiratory depression

DIURETICS

(13)Hydrochlothiazide: Monitor potassium levels

(14)Lasix: Monitor potassium levels

(15)Aldactone: Potassium sparing

PSYCHOTROPICS

(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.

MATERNITY

(18) Oxytocin: Assess uterus frequently for tetanic contraction.

ANTIDOTES

(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.

EXTRA NOTES:

  1. When a client is on antibiotics, teach the client to continue taking the medication even though they feel better
  2. Monitor client taking antibiotics such as Vancomycin for ototoxicity. Pt will complain of tinnitus, room spinning (vertigo) and nausea.
  3. Clients taking vasodilators e.g. Verapramil would complain of headache

16 comments:

  1. hey thanks for this info. keep up the good work. -violet.

    ReplyDelete
  2. You are magnificent!!!! I love you for doing this!!!

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  3. thank you for the info..Godbless You

    ReplyDelete
  4. Hello, I'm searching for NCLEX related blogs like mine http://nclexreviewers.com and I stumbled your site, nice blog!. I hope you could also include me in your blogroll.

    By the way, you have a very good writing skills here. Keep up the good work.

    ReplyDelete
  5. Hi, I really like this blog! By the way, what review centers in the Philippines would you recommend for the nursing students?

    ReplyDelete
  6. Alright thanks! I take the NCLEX in two days!

    ReplyDelete
  7. thanks man, i take the nclex in 3 days

    ReplyDelete
  8. This is very helpful ... How I wish I've seen this before I took my test.. Please add Humira, Cardizem,(interventions) ,pls study lots in management of care, ethical and legal aspects and nursing trends... Triage,this is an actual test...

    ReplyDelete
  9. Thanks you so much. I take my test in four days and this is really helpful

    ReplyDelete
  10. Thanks!!! this seems like it's going to be very helpful. I take the exam in a few weeks

    ReplyDelete
  11. Hi I had just given my exam.this really helped me lot.thank you.

    ReplyDelete
  12. Thank you very much for the information.

    ReplyDelete

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