Pharm 1 Final
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Questions and Answers

What is the general outcome of prednisone?

  • suppresses inflammation (correct)
  • reduces pain
  • stops secretions
  • promotes wound healing

    • what is a long term use complication of prednisone?

  • rapid wound healing
  • adrenal insufficiency (correct)
  • glaucoma
  • decreased blood glucose

    • how should you stop taking prednisone?

  • stop whenever
  • stop when inflammation goes away
  • taper the dose (correct)
  • on it for life

    • when would you need to increase the dose of prednisone?

    <p>in times of stress</p> Signup and view all the answers

    what does prednisone NOT put someone at risk for?

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

    what type of drug is atropine?

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

    what is NOT an anticholingeric effect?

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

    what can help with dry mouth?

    <p>sucking on hard/cour candies</p> Signup and view all the answers

    what is NOT a contraindication of anticholingerics?

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

    what is NOT a s/e of ferrous sulfate?

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

    taking ferrous sulfate with food will do what?

    <p>relieve GI complications, but reduce absorption</p> Signup and view all the answers

    what is a complication of ferrous sulfate?

    <p>anemia/GI Bleeds</p> Signup and view all the answers

    when is albuterol used?

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

    which is NOT a how do we know if montelukast was effective?

    <p>breathing improved</p> Signup and view all the answers

    what should someone taking albuterol avoid?

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

    what is NOT a s/e of albuterol?

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

    what is NOT an a/e of albuterol?

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

    what does losartan do?

    <p>lower BP</p> Signup and view all the answers

    what is NOT an a/e of losartan?

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

    what should you monitor with losartan?

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

    when should you call 911 when taking nitroglycerin?

    <p>after the first tablet dissolves and chest pain continues</p> Signup and view all the answers

    how many translingual sprays equal one tablet of nitroglycerin?

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

    where should the bottle of nitroglycerin be stored?

    <p>cool, dark place</p> Signup and view all the answers

    what is a normal finding after taking nitroglycerin?

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

    what is the long term prophylaxis against angina?

    <p>nitroglycerin paste</p> Signup and view all the answers

    what is NOT a proper way to apply nitroglycerin paste?

    <p>spreading across 3.5 inches</p> Signup and view all the answers

    what do you need to check before giving a beta blocker?

    <p>HR and BP</p> Signup and view all the answers

    what is NOT an a/e of beta blockers?

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

    which is NOT a correct administration technique for beta blockers?

    <p>monitor hemoglobin</p> Signup and view all the answers

    what does digoxin affect?

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

    what needs to be monitored with digoxin?

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

    what is NOT something we teach the patient about digoxin?

    <p>checking apical pulse</p> Signup and view all the answers

    what is NOT an a/e of digoxin toxicity?

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

    what does spironolactone do?

    <p>hold onto potassium</p> Signup and view all the answers

    what should the patient NOT do when taking spironolactone?

    <p>use salt substitutes</p> Signup and view all the answers

    what does NOT need to be monitored when taking spironolactone?

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

    what is the therapeutic range for INR?

    <p>2-3</p> Signup and view all the answers

    what is the therapeutic range for aPTT?

    <p>60-80</p> Signup and view all the answers

    what is the antidote for warfarin?

    <p>vitamin k</p> Signup and view all the answers

    which is NOT a patient teaching for warfarin?

    <p>take OTC meds</p> Signup and view all the answers

    when do you discontinue warfarin?

    <p>5-7 days before surgery</p> Signup and view all the answers

    what is the antidote of heparin?

    <p>protamine sulfate</p> Signup and view all the answers

    what is NOT assessed before giving protamine sulfate?

    <p>opioid use</p> Signup and view all the answers

    what is NOT an a/e of heparin?

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

    what should be avoided when taking heparin?

    <p>OTC meds and NSAIDS</p> Signup and view all the answers

    where do you give lovenox?

    <p>love handles</p> Signup and view all the answers

    why is lovenox preferred over heparin?

    <p>lower risk of bleeding</p> Signup and view all the answers

    what does lovenox prevent ischemic complications with for unstable angina/NSTEMIs?

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

    what is the antidote of lovenox?

    <p>protamine sulfate</p> Signup and view all the answers

    what is NOT included in patient education for lovenox?

    <p>watch videos</p> Signup and view all the answers

    when should the patient stop taking clopidrel?

    <p>5-7 days before surgery</p> Signup and view all the answers

    what is NOT monitored for clopidogrel?

    <p>potassium levels</p> Signup and view all the answers

    when is high dosing dopamine used?

    <p>shock or HF</p> Signup and view all the answers

    what does high dose dopamine do?

    <p>constricts renal blood vessels</p> Signup and view all the answers

    which is NOT normal for high dose dopamine?

    <p>leg pain</p> Signup and view all the answers

    what is lidocaine used as with CPR?

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

    what do statins do?

    <p>decrease LDL</p> Signup and view all the answers

    what is needed to be monitored for statins?

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

    what is the most common complication of statins?

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

    what is NOT a s/s of rnhabdomylosis?

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

    what does NOT need to be avoided with statins?

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

    when should statins be taken?

    <p>evening/bedtime</p> Signup and view all the answers

    what other thing can statins cause?

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

    what is the effective treatment for H. pylori?

    <p>H2/PPI with antibiotics</p> Signup and view all the answers

    when should you take bisacodyl?

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

    how long does it take bisacodyl to work?

    <p>6-12 hours</p> Signup and view all the answers

    what is NOT contraindicated with bisacodyl?

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

    what should be increased when taking bisacodyl?

    <p>fiber and fluid</p> Signup and view all the answers

    how often should bisacodyl be used?

    <p>short term</p> Signup and view all the answers

    which is NOT true about TPN?

    <p>use if it has an oily appearance</p> Signup and view all the answers

    how do you stop TPN to about rebound hypoglycemia?

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

    which is NOT a purpose/action of glucagon?

    <p>easiest to administer</p> Signup and view all the answers

    for an unconscious patient, how do we NOT give glucagon?

    <p>PO glucagon</p> Signup and view all the answers

    what do we do for a conscious patient experiencing hypoglycemia?

    <p>15-15 rule</p> Signup and view all the answers

    what is NOT worth 15 grams of carbs?

    <p>3-4 saltine crackers</p> Signup and view all the answers

    what is NOT an a/e of trimethoprim-sulfamethoxazole?

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

    what happens to newborns who take TMP-SMZ?

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

    what is NOT a contraindication of TMP-SMZ?

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

    what is NOT included in teaching about TMP-SMZ?

    <p>take with milk</p> Signup and view all the answers

    what is NOT a s/e or a/e of fluoroquinolone?

    <p>anticholingeric effects</p> Signup and view all the answers

    those who take fluoroquinolones are at a higher risk of c. diff infection. what should this person do?

    <p>take probiotics 2 hours after</p> Signup and view all the answers

    what is NOT included in teaching about fluoroquinolone?

    <p>stop the medication when symptoms subside</p> Signup and view all the answers

    what is NOT included in s/e or a/e of aspirin?

    <p>decreased risk of GI bleed</p> Signup and view all the answers

    what is NOT included in s/e or a/e of aspirin?

    <p>impaired liver function</p> Signup and view all the answers

    what is NOT a s/s of salicylism?

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

    what is NOT a s/s of aspirin toxicity?

    <p>cool skin</p> Signup and view all the answers

    what is the antidote of aspirin?

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

    what is NOT included in the teaching with aspirin?

    <p>crush or chew enteric coated tablets</p> Signup and view all the answers

    what is NOT a contraindication of aspirin?

    <p>liver insufficiency</p> Signup and view all the answers

    what is NOT a correct dose for acetaminophen?

    <p>4g/day for undernourished</p> Signup and view all the answers

    what is the antidote for acetaminophen overdose?

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

    what lab result is NOT monitored for acetaminophen?

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

    what is NOT a s/e or a/e of calcium supplements?

    <p>diarrhea, n/v</p> Signup and view all the answers

    what is NOT a complication of calcium supplements?

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

    what is the a/e of bisphosphanate (alendronate)?

    <p>esophageal damage</p> Signup and view all the answers

    which is NOT a teaching needed for alendronate?

    <p>must be taken with food</p> Signup and view all the answers

    what is NOT a safety administration for baclofen and cyclobenzaprine?

    <p>take when sitting down</p> Signup and view all the answers

    what is NOT a client teaching of baclofen and cyclobenzaprine?

    <p>hold urine</p> Signup and view all the answers

    what is NOT a s/e or a/e of baclofen and cyclobenzaprine?

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

    what is an interaction of baclofen and cyclobenzaprine?

    <p>CNS depressants</p> Signup and view all the answers

    what is the biggest side effect of opioid agonists (morphine, codeine)

    <p>respiratory depression</p> Signup and view all the answers

    what should be avoided with opioids?

    <p>CNS depressants</p> Signup and view all the answers

    what is another s/e of morphine or codeine?

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

    what is the reversal of opioids?

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

    what is NOT a s/e of naloxone?

    <p>respiratory depression</p> Signup and view all the answers

    what is NOT a contraindication of naloxone?

    <p>people with renal failure</p> Signup and view all the answers

    how do you NOT give naloxone?

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

    how long after giving naloxone do you monitor for respiratory depression?

    <p>2 hours</p> Signup and view all the answers

    what is glucosamine used for?

    <p>joint health</p> Signup and view all the answers

    what is a s/e of glucosamine?

    <p>GI upset</p> Signup and view all the answers

    what is an a/e of timolol?

    <p>stingning discomfort</p> Signup and view all the answers

    what is a complication of timolol?

    <p>systemic effects</p> Signup and view all the answers

    what do we teach to avoid systemic effects when taking timolol?

    <p>occlude lacrimal duct</p> Signup and view all the answers

    how long do you take timolol for glaucoma?

    <p>for life</p> Signup and view all the answers

    what is NOT a s/e or a/e of latanoprost?

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

    what do we do about changed pigmentation while taking latanoprost?

    <p>nothing, it is normal</p> Signup and view all the answers

    what is NOT included in teaching for latanoprost?

    <p>take with food</p> Signup and view all the answers

    what is NOT a s/e of pilocarpine?

    <p>face pain</p> Signup and view all the answers

    when is pilocarpine used?

    <p>emergency treatment of acute angle-closure glaucoma</p> Signup and view all the answers

    what is NOT a s/e or a/e of pheylephrine?

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

    where do all eye medications go?

    <p>conjunctival sac</p> Signup and view all the answers

    what temperature do ear drops need to be?

    <p>room temperature</p> Signup and view all the answers

    how long do you remain side-lying after ear drop are administered?

    <p>2-5 minutes</p> Signup and view all the answers

    how do you hold an adult's ear when giving ear drops?

    <p>up and back</p> Signup and view all the answers

    where do you press on the ear to allow the medication to each the inner ear?

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

    how long do you wait in between each eye drop?

    <p>3-5 minutes</p> Signup and view all the answers

    where do you put the cap of the drops?

    <p>cap down on a clean surface faced up</p> Signup and view all the answers

    what do you give to someone who has had an allergic reaction to blood in the past?

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

    what do you NOT do if there is a reaction during a blood transfusion?

    <p>continue to tranfusion</p> Signup and view all the answers

    what do you give if there is swelling of lips or throat during a blood transfusion?

    <p>epi/O2</p> Signup and view all the answers

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