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 (A)</p> Signup and view all the answers

what does prednisone NOT put someone at risk for?

<p>hyponatremia (D)</p> Signup and view all the answers

what type of drug is atropine?

<p>anticholinergic (A)</p> Signup and view all the answers

what is NOT an anticholingeric effect?

<p>restlessness (D)</p> Signup and view all the answers

what can help with dry mouth?

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

what is NOT a contraindication of anticholingerics?

<p>bradycardia (C)</p> Signup and view all the answers

what is NOT a s/e of ferrous sulfate?

<p>diarrhea (D)</p> Signup and view all the answers

taking ferrous sulfate with food will do what?

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

what is a complication of ferrous sulfate?

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

when is albuterol used?

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

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

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

what should someone taking albuterol avoid?

<p>caffeine (C)</p> Signup and view all the answers

what is NOT a s/e of albuterol?

<p>bradypnea (D)</p> Signup and view all the answers

what is NOT an a/e of albuterol?

<p>bradycardia (D)</p> Signup and view all the answers

what does losartan do?

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

what is NOT an a/e of losartan?

<p>constipation (A)</p> Signup and view all the answers

what should you monitor with losartan?

<p>lithium (C)</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 (B)</p> Signup and view all the answers

how many translingual sprays equal one tablet of nitroglycerin?

<p>1 (A)</p> Signup and view all the answers

where should the bottle of nitroglycerin be stored?

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

what is a normal finding after taking nitroglycerin?

<p>headache (A)</p> Signup and view all the answers

what is the long term prophylaxis against angina?

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

what is NOT a proper way to apply nitroglycerin paste?

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

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

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

what is NOT an a/e of beta blockers?

<p>restlessness (D)</p> Signup and view all the answers

which is NOT a correct administration technique for beta blockers?

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

what does digoxin affect?

<p>HR (B)</p> Signup and view all the answers

what needs to be monitored with digoxin?

<p>potassium (A)</p> Signup and view all the answers

what is NOT something we teach the patient about digoxin?

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

what is NOT an a/e of digoxin toxicity?

<p>restlessness (D)</p> Signup and view all the answers

what does spironolactone do?

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

what should the patient NOT do when taking spironolactone?

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

what does NOT need to be monitored when taking spironolactone?

<p>sodium (B)</p> Signup and view all the answers

what is the therapeutic range for INR?

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

what is the therapeutic range for aPTT?

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

what is the antidote for warfarin?

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

which is NOT a patient teaching for warfarin?

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

when do you discontinue warfarin?

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

what is the antidote of heparin?

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

what is NOT assessed before giving protamine sulfate?

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

what is NOT an a/e of heparin?

<p>constipation (B)</p> Signup and view all the answers

what should be avoided when taking heparin?

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

where do you give lovenox?

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

why is lovenox preferred over heparin?

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

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

<p>aspirin (C)</p> Signup and view all the answers

what is the antidote of lovenox?

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

what is NOT included in patient education for lovenox?

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

when should the patient stop taking clopidrel?

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

what is NOT monitored for clopidogrel?

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

when is high dosing dopamine used?

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

what does high dose dopamine do?

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

which is NOT normal for high dose dopamine?

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

what is lidocaine used as with CPR?

<p>antidysrhythmic (A)</p> Signup and view all the answers

what do statins do?

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

what is needed to be monitored for statins?

<p>liver (D)</p> Signup and view all the answers

what is the most common complication of statins?

<p>rhabdomyolosis (C)</p> Signup and view all the answers

what is NOT a s/s of rnhabdomylosis?

<p>constipation (C)</p> Signup and view all the answers

what does NOT need to be avoided with statins?

<p>licorice (B)</p> Signup and view all the answers

when should statins be taken?

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

what other thing can statins cause?

<p>myopathy (C)</p> Signup and view all the answers

what is the effective treatment for H. pylori?

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

when should you take bisacodyl?

<p>bedtime (A)</p> Signup and view all the answers

how long does it take bisacodyl to work?

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

what is NOT contraindicated with bisacodyl?

<p>surgery (D)</p> Signup and view all the answers

what should be increased when taking bisacodyl?

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

how often should bisacodyl be used?

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

which is NOT true about TPN?

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

how do you stop TPN to about rebound hypoglycemia?

<p>tapered (C)</p> Signup and view all the answers

which is NOT a purpose/action of glucagon?

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

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

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

what do we do for a conscious patient experiencing hypoglycemia?

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

what is NOT worth 15 grams of carbs?

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

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

<p>hypokalemia (D)</p> Signup and view all the answers

what happens to newborns who take TMP-SMZ?

<p>jaundice (C)</p> Signup and view all the answers

what is NOT a contraindication of TMP-SMZ?

<p>hypokalemia (D)</p> Signup and view all the answers

what is NOT included in teaching about TMP-SMZ?

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

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

<p>anticholingeric effects (B)</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 (A)</p> Signup and view all the answers

what is NOT included in teaching about fluoroquinolone?

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

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

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

what is NOT a s/s of salicylism?

<p>restlessness (B)</p> Signup and view all the answers

what is NOT a s/s of aspirin toxicity?

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

what is the antidote of aspirin?

<p>charcoal (D)</p> Signup and view all the answers

what is NOT included in the teaching with aspirin?

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

what is NOT a contraindication of aspirin?

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

what is NOT a correct dose for acetaminophen?

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

what is the antidote for acetaminophen overdose?

<p>acetylcysteine (A)</p> Signup and view all the answers

what lab result is NOT monitored for acetaminophen?

<p>aPTT (D)</p> Signup and view all the answers

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

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

what is NOT a complication of calcium supplements?

<p>hypocalcemia (B)</p> Signup and view all the answers

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

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

which is NOT a teaching needed for alendronate?

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

what is NOT a safety administration for baclofen and cyclobenzaprine?

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

what is NOT a client teaching of baclofen and cyclobenzaprine?

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

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

<p>diarrhea (B)</p> Signup and view all the answers

what is an interaction of baclofen and cyclobenzaprine?

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

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

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

what should be avoided with opioids?

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

what is another s/e of morphine or codeine?

<p>constipation (B)</p> Signup and view all the answers

what is the reversal of opioids?

<p>naloxone (C)</p> Signup and view all the answers

what is NOT a s/e of naloxone?

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

what is NOT a contraindication of naloxone?

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

how do you NOT give naloxone?

<p>PO (A)</p> Signup and view all the answers

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

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

what is glucosamine used for?

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

what is a s/e of glucosamine?

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

what is an a/e of timolol?

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

what is a complication of timolol?

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

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

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

how long do you take timolol for glaucoma?

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

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

<p>headaches (D)</p> Signup and view all the answers

what do we do about changed pigmentation while taking latanoprost?

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

what is NOT included in teaching for latanoprost?

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

what is NOT a s/e of pilocarpine?

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

when is pilocarpine used?

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

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

<p>bradycardia (D)</p> Signup and view all the answers

where do all eye medications go?

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

what temperature do ear drops need to be?

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

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

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

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

<p>up and back (A)</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 (B)</p> Signup and view all the answers

how long do you wait in between each eye drop?

<p>3-5 minutes (C)</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 (D)</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 (A)</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 (D)</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 (A)</p> Signup and view all the answers

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