Pharmacology and Medication Effects
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Questions and Answers

A patient taking prednisone reports experiencing increased anxiety and a rapid heart rate. Which physiological effect of prednisone is most likely contributing to these symptoms?

  • The medication's influence on neurological pathways impacting mood and heart rate. (correct)
  • Increased potassium levels leading to heightened nerve excitability.
  • Fluid retention causing increased blood volume and cardiac output.
  • Direct stimulation of cardiac muscle cells.

A patient with a history of osteoporosis is prescribed long-term beclomethasone (Beconase AQ) for chronic rhinitis. What potential adverse effect should the healthcare provider closely monitor?

  • Exacerbation of osteoporosis due to the long-term side effects of similar drugs. (correct)
  • Increased risk of hypertension due to beclomethasone's stimulant properties.
  • Increased risk of cardiac arrhythmias related to hypokalemia.
  • Urinary retention caused by the decongestant action of beclomethasone.

A patient is prescribed pseudoephedrine for nasal congestion. Which pre-existing condition would be of greatest concern when considering the potential side effects of this medication?

  • Type 2 diabetes mellitus
  • Benign prostatic hyperplasia (BPH) (correct)
  • Hypothyroidism
  • Chronic obstructive pulmonary disease (COPD)

A patient reports persistent dry mouth while taking a non-sedating antihistamine. Which of the following recommendations is most appropriate for managing this side effect?

<p>Increase fluid intake and use sugar-free gum or lozenges. (D)</p> Signup and view all the answers

A patient is prescribed dextromethorphan for a persistent cough. What information is most important to emphasize regarding the appropriate use of this medication?

<p>The potential for the medication to suppress productive coughs and lead to accumulation of secretions. (D)</p> Signup and view all the answers

A patient with active tuberculosis is prescribed isoniazid (INH). What instructions should the nurse provide to the patient regarding medication administration?

<p>Take the medication one hour before or two hours after meals. (D)</p> Signup and view all the answers

A patient taking rifampin for tuberculosis is also on warfarin. What potential interaction should the healthcare provider monitor?

<p>Decreased effectiveness of warfarin. (C)</p> Signup and view all the answers

Which of the following pre-existing conditions would warrant extra monitoring in a patient prescribed isoniazid (INH)?

<p>Chronic Kidney Disease (B)</p> Signup and view all the answers

A patient is prescribed oseltamivir (Tamiflu) for influenza. What should the nurse include in the patient education?

<p>Report any signs of life-threatening arrhythmias immediately. (D)</p> Signup and view all the answers

A patient with a history of asthma is prescribed zanamivir (Relenza) for influenza. What is the most important consideration for this patient?

<p>Ensure the patient can correctly use the Diskhaler delivery system. (D)</p> Signup and view all the answers

What is the primary mechanism of action of amantadine (Symmetrel) in treating influenza A?

<p>Blocking the virus's ability to penetrate the host cell. (B)</p> Signup and view all the answers

A patient with an acute exacerbation of COPD is prescribed glucocorticoids. What is the primary goal of using glucocorticoids in this situation?

<p>To control symptoms and reduce inflammation. (D)</p> Signup and view all the answers

A patient is taking glucocorticoids long-term. What potential adverse effect should the nurse be aware of?

<p>Increased risk of infection (A)</p> Signup and view all the answers

Flashcards

Non-Curative Anti-Inflammatory

Medication, like Prednisone, used to reduce inflammation but not to cure the underlying condition.

Prednisone: Night Sweats

A common side effect of Prednisone involving feeling hot and bothered at night.

Antitussives

These medications prevent coughing; be cautious to allow expectoration.

Nasal Decongestants

Used to shrink swollen nasal mucous membranes; can increase heart rate.

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Diphenhydramine (Benadryl)

An antihistamine used for allergies, known for causing drowsiness.

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Isoniazid (INH)

First-line anti-TB drug, commonly used in a 9-month treatment. Increases risk of hepatotoxicity and peripheral neuropathy.

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Rifampin

Anti-TB drug used with INH for active TB. Can affect other drugs. Monitor PT/INR especially in patients on coumadin.

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Rimantadine (Flumadine)

Antiviral used to control outbreaks of Influenza A.

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Oseltamivir (Tamiflu)

Antiviral to treat flu virus, reduces recovery time by 1-2 days. Rare but serious life-threatening arrhythmias.

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Amantadine (Symmetrel)

Blocks virus uncoating to prevent host penetration.

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Zanamivir (Relenza)

Antiviral agent delivered via Diskhaler. Use cautiously in patients with COPD and asthma.

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Glucocorticoids

Used to control symptoms, not cure underlying diseases. Can be used for acute COPD exacerbations.

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Steroids Monitoring

Need to be closely monitored due to many side effects.

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