Contra

Question 1

GI protectant

Answer 1

Renal failure - aluminum toxicity

Question 2

Prostaglandin

Answer 2

Pregnancy- causes abortion

Question 3

Chemical stimulants

Answer 3

Acute abdominal disorders

Question 4

Bulk stimulants

Answer 4

Acute abdominal disorders

Question 5

Osmotic laxatives

Answer 5

Acute abdominal disorders, appendicitis, surgical, fecal impaction, intestinal obstruction

Question 6

Lubricant

Answer 6

Acute abdominal disease

Question 7

GI stimulants

Answer 7

GI obstruction

Question 8

Phenothiazines

Answer 8

CNS depression, severe hypotension or hypertension, severe liver dysfunction

Question 9

Interferons

Answer 9

Pregnancy and lactation

Question 10

Interleukin

Answer 10

Pregnancy and lactation

Question 11

Colony stimulating factors

Answer 11

Pregnancy and lactation, renal and hepatic disease, radiation and chemotherapy will inhibit colony effects

Question 12

Immune modulators

Answer 12

Severe hepatic impairment
Pregnancy and lactation

Question 13

T and B suppression

Answer 13

Hepatic dysfunction

Question 14

Interleukin antagonists

Answer 14

Allergy to E. coli , renal, infection, immunosuppression

Question 15

Monoclonal antibodies

Answer 15

Fever
Fluid overload

Question 16

Salicylates

Answer 16

Abnormal bleeding

Question 17

NSAID

Answer 17

allergy to sulfa or salicylate, HTN, peptic ulcer, GI bleed

Question 18

Gold compound

Answer 18

DM, CHF, renal/hepatic, blood dyscrasias, pregnancy and lactation -
Increased toxicity of gold compounds

Question 19

TNF

Answer 19

Acute infection, cancer, sepsis, TB, hepatitis, myelosuppression, demyelination-
Contra due to TNF suppressing immunity thus making it hard to fight of infection

Question 20

Glucocorticoids

Answer 20

Acute infection, lactation

Question 21

Mineralocorticoids

Answer 21

HTN, CHF, cardiac disease-
Due to corticoid causing increased blood volume

Question 22

Antitussive

Answer 22

Patients who need to cough- like pneumonia
Relative- head injury and CNS suppression, respiratory conditions

Question 23

Topical nasal decongestant

Answer 23

Conditions that might exacerbate due to increase in SNS (prostate and glaucoma)
Legion in mucous membranes can cause systemic absorption

Question 24

Oral decongestants

Answer 24

Caution with conditions that can exacerbate due to increase SNS

Question 25

Topical nasal steroid decongestant

Answer 25

Acute infection

Question 26

Antihistamine

Answer 26

Caution with renal and hepatic, arrhythmia

Question 27

Mucolytics

Answer 27

Caution with bronchospasm, peptic ulcer, esophageal varices

Question 28

Leukotriene receptor antagonists

Answer 28

Not for acute asthma attack

Question 29

Nitrates

Answer 29

Severe anemia, head trauma, ED pills, pregnancy and lactation

Question 30

Beta blockers

Answer 30

Bradycardia, heart block, cardiogenic shock, asthma and COPD, pregnancy and lactation

Question 31

Ca block

Answer 31

Heart block, sick sinus, renal and hepatic, pregnant and lactating

Question 32

Cardiac glycosides

Answer 32

Ventricular tachycardia or fibrillation, heart block, sick sinus, acute MI, renal, electrolyte

Question 33

Phosphodiesterase inhibitors

Answer 33

Severe aortic or pulmonary disease, MI, fluid volume deficiency, ventricular arrhythmia

Question 34

HCN block

Answer 34

HF, hypotension, sick sinus, AV block, bradycardia, pacemaker, hepatic

Question 35

Class 1

Answer 35

Bradycardia, heart block, CHF, hypotension, electrolytes

Question 36

Class 2

Answer 36

Sinus Bradycardia, AV block, cardiogenic shock, CHF, asthma and respiratory depression, pregnant and lactation

Question 37

Class 3

Answer 37

Caution with shock, hypotension, respiratory depression, prolong qt, renal and hepatic

Question 38

Class 4

Answer 38

Sick sinus, heart block, bradycardia, pregnancy and lactation, CHF, hypotension