Chapter 2 - Giuseppe Flashcards

1
Q

List the FOUR key members of the medication safety team.

A

Doctors(Prescribe), Pharmacists(Dispense), Nurses(Administer),
Patients(Consume).

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2
Q

‘Therapeutic index’ refers to:

A

The margin between effectiveness and toxicity of drugs

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3
Q

Vomiting and diarrhoea may cause a significant loss of which electrolyte from the gastrointestinal tract?

A

Potassium

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4
Q

Mr Giuseppe takes the drug digoxin for his arrhythmia. If his serum digoxin levels are above the therapeutic range, he is at risk for developing digitalis toxicity if he also develops which of the following?

A

Hypokalaemia

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5
Q

Digoxin is made from which flowering she plant?

A

Foxglove

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6
Q

The organ responsible for the excretion of most drugs and their metabolites is the:

A

Kidney

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7
Q

Dehydration results in:

A

A decreased glomerular filtration rate

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8
Q

What is the action of the diuretic frusemide?

A

It blocks the absorption of sodium, chloride and water from the filtered fluid in the kidney tubules, causing an increase in urine output (diuresis).

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9
Q

Frusemide may cause serum potassium levels to:

A

Decrease

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10
Q

Enalapril should be used with caution in patients with:

A

Hypovolaemia and/or dehydration

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11
Q

Adverse effects of digoxin commonly include:

A

Anorexia, nausea, vomiting, diarrhoea, blurred vision, visual disturbances, confusion, drowsiness, nightmares, agitation, depression

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12
Q

Some normal ranges for Mr Giuseppe:

A

Temp - 36.4-37 degrees

RR - 16-20 breaths per minute

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13
Q

Eight most relevant cues for Mr Giuseppe would be:

A
Blood pressure
Blurred vision 
Dizziness
Pulse rate 
Nausea 
Condition of oral mucosa 
Lack of appetite 
Urine output
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14
Q

Giuseppe may have been hypotensive due to insensible fluid loss (vomiting & diarrhoea).

A

TRUE

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15
Q

Giuseppe’s blurred vision was most likely an indication of deteriorating eyesight due to his age.

A

FALSE

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16
Q

Giuseppe’s dizziness and nausea could have been a side effect of one of his medications.

A

TRUE

17
Q

Giuseppe’s nausea and anorexia may have been caused by exacerbation of his gastroenteritis.

A

FALSE

18
Q

Giuseppe’s irregular pulse may have been caused by his hypotension and negative fluid balance.

A

FALSE

19
Q

Giuseppe’s hypotension may have been caused by his negative fluid balance, irregular pulse and moving from a lying to a standing position too quickly.

A

TRUE

20
Q

What were the main concerns about Giuseppe?

A

Medication reaction
Dehydrated
Postural hypotension
Due for discharge