NCLEX Quick Tips

NCLEX Quick Review Pharmacology

MAOIs – Do not give food with tyramine as it may cause hypertensive crisis.

Do not give tetracycline at bed time.

Do not let patients lie down because it might cause gastric reflux.

Do not give metformin to someone having procedures with contrast dye. Metformin can cause acute renal failure.

Drawing insulin – (RN), Draw up regular before drawing up NPH.

Never give potassium in IV push.

When giving loop diuretics, watch for potassium depletion.

Disulfiram is given to alcoholics to curb impulsive drinking.

Dopamine treats cardiogenic shock.

Propranolol is contraindicated in patients with bronchial asthma.

Anticholinergic effect – Won’t be able to spit, pee, poop, or see.

Carbamazepine is contraindicated within 14 days of MAOI administration.

Anticoagulant drugs – Monitor PTT for heparin and monitor platelet count, bleeding, and s/s infection.

Carafate – before meals.
Tagamet – with food.
Antacids – After meals.

Administer librium during alcohol withdrawal.

Antabuse is given for alcohol deterrence.

When taking hypertensive medications, teach patient about orthostatic hypotension. Patient must change positions slowly.

Administer diuretics in the morning so patient doesn’t constantly wake up to urinate.

Rifampin turns urination orange.

Digoxin – Side effects are increased when the patient is hypokalemic. Monitor the potassium. Digoxin has a negative chronotropic effect (slows the heart rate). Hold the dose if heart rate is less than 60.

Digitalis toxicity – bradycardia, tachycardia, dysrhythmias, nausea, vomiting, and headache. Contact Physician as soon as possible.

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