Pharmacology Quiz on Arrhythmia and Medications
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Pharmacology Quiz on Arrhythmia and Medications

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Questions and Answers

What should be done when a chemotherapy patient treated with capecitabine shows a 30% decrease in neutrophils?

  • Administer G-CSF before the next cycle of chemotherapy
  • Administer G-CSF and cease chemotherapy (correct)
  • Administer G-CSF after 72 hours of chemotherapy
  • Administer G-CSF soon after chemotherapy
  • What is the correct method for diluting phenytoin to avoid precipitation?

  • Dilute directly in the IV line without additional fluids
  • Dilute in sterile water and refrigerate
  • Dilute in sodium chloride (NaCl) in a volume of 50-100 ml (correct)
  • Dilute in dextrose prior to administration
  • What should not be considered in medication error analysis when no manager is present?

  • Root cause
  • Common cause
  • System cause
  • Apparent cause (correct)
  • What is a common prophylactic treatment used with amlodipine?

    <p>Ramipril</p> Signup and view all the answers

    What is the normal drug level for gentamicin in the blood after administration?

    <p>1 mg/ml</p> Signup and view all the answers

    Which medication is prescribed for a patient with arrhythmia for rate control?

    <p>Calcium Channel Blockers (CCB)</p> Signup and view all the answers

    What is likely to cause precipitation when mixing phenobarbitone with an infusion?

    <p>Phenobarbitone mixed with 50% dextrose</p> Signup and view all the answers

    What is the concern when a patient taking levodopa is also taking vitamins?

    <p>Vitamin B6 could reduce the efficacy of levodopa</p> Signup and view all the answers

    What is the best advice to prevent oral thrush in a patient using inhaled corticosteroids?

    <p>Use a spacer with the inhaler</p> Signup and view all the answers

    Which medication should be avoided in a patient with a penicillin allergy who has a urinary tract infection?

    <p>Amoxicillin</p> Signup and view all the answers

    What is the primary goal of corticosteroid inhalation therapy in asthma?

    <p>To prevent asthma attacks</p> Signup and view all the answers

    What should a pharmacist advise a patient experiencing oral thrush while using an inhaler?

    <p>Practice good oral hygiene</p> Signup and view all the answers

    How can bacteria be eliminated when preparing an infusion that may contain Gram-positive bacteria?

    <p>Sterilize with radiation</p> Signup and view all the answers

    Study Notes

    Rate control drug for arrhythmia

    • Calcium channel blockers (CCB) are used to manage arrhythmia
    • Beta blockers (BB) are also used to manage arrhythmia
    • Digoxin is a medication used to treat various heart conditions including arrhythmia

    Precipitation of phenobarbitone

    • Phenobarbitone mixed with 50% dextrose can cause precipitation

    Preparation of Phenobarbitone

    • Water for injection is the preferred diluent for phenobarbitone preparation

    Nitrofurantoin and GFR

    • High GFR doesn't require alteration of nitrofurantoin dosage
    • High GFR means the drug is efficiently metabolized

    New Product Marketing

    • It is unprofessional for pharmacists to participate in promotional surveys for unclaimed or unapproved products

    Dispensing Brand Name Medication

    • Both insulin Lispro and simvastatin should be dispensed by brand name when specified in the prescription

    Managing Vomiting in Parkinson's Disease

    • Domperidone is a suitable antiemetic for patients taking carbidopa and levodopa

    Vitamin Interaction with Levodopa

    • Vitamin B6 can interfere with the effectiveness of levodopa therapy

    Antibiotic Choice for UTI in Penicillin Allergic Patient

    • Nitrofurantoin is a suitable antibiotic choice for UTI in patients with penicillin allergy

    Oral Thrush and Inhalation Therapy

    • Inhaled corticosteroids are a common cause of oral thrush
    • Poor inhalation technique can contribute to oral thrush

    Best Advice for Oral Thrush with Inhalation Therapy

    • Use a spacer during inhalation therapy to minimize the risk of oral thrush

    Prevention of Endotoxins in Preparation

    • Heat at 80°C is effective in eliminating endotoxins in preparations

    Asthma Control and Corticosteroid Inhalation

    • Corticosteroid inhalation therapy plays a key role in preventing and controlling asthma

    Medication Error Analysis

    • Root cause analysis is a crucial aspect of medication error analysis
    • System cause, apparent cause, and common cause are also important considerations in medication error analysis

    Gentamicin Monitoring

    • The normal therapeutic range for gentamicin levels is 2-10 mg/ml
    • A level of 2 mg/ml is considered within the normal range

    Chemotherapy and Neutrophil Count

    • A 30% decrease in neutrophils during chemotherapy with capecitabine requires immediate attention
    • Administer G-CSF immediately prior to or within 24-72 hours of the next chemotherapy cycle is the recommended course of action

    Prophylaxis with Amlodipine

    • Ramipril is a potential prophylactic medication with amlodipine

    Cytotoxic Drug Disposal

    • Contamination of workers via inhalation and absorption through skin should be prioritized when discarding cytotoxic medications

    Phenytoin Crystallization

    • Sodium chloride (NaCl) is a common cause of phenytoin crystallization

    Precipitation with Phenytoin

    • Dextrose can produce precipitates with phenytoin

    Capecitabine and Neutrophil Count

    • Administer G-CSF immediately prior to or within 24-72 hours of the next chemotherapy cycle is the recommended course of action

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    Description

    Test your knowledge on pharmacological treatments for arrhythmias, including the use of calcium channel blockers and beta blockers. This quiz also covers drug preparation, dosage adjustments, and marketing ethics in pharmacy. Review essential information about medications like phenobarbitone and nitrofurantoin as you prepare for your exams.

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