Dosing Practice

Question 1

S/E: Parkinsons meds

Answer 1

Hallucinations

Question 2

S/E Antispasmotics

Answer 2

OAB

Question 3

S/E Macrobid

Answer 3

Lung toxicity

Question 4

S/E: Sulfonylurea

Answer 4

Hypoglycemia

Question 5

What meds are inappropriate for elderly?
Synthroid 75 mcg PO daily
Benadryl 25 mg PO QHS
Norvasc 7.5 mg PO daily
Glipizide 5 mg daily
Melatonin 3 mg PO QHS

Answer 5

Benadryl

Glipizide (SU) -Start low! S/E hypoglycemia

Question 6

Reasons a pt might be on Lovenox (9)?

Answer 6

• Mechanical heart valve (bridge)
• ACS’s
• Reversal Agent
• Pregnant w/VTE risk (Factor V, APS)
• Active CA (better than NOAC)
• Trauma pts (not bleeding)
• Easier than warfarin
• No PTT testing
• PreOp

Question 7

What lab do you need to know for Lovenox dosing?

Answer 7

CrCl

Question 8

T/F: One number is a trend in DM dosing?

Answer 8

False.

Question 9

What do we increase/decrease Lantus & Humalog by?

Answer 9

2-3U

Question 10

SSx Hypoglycemia

“BaLD FAWN”

Answer 10

“BaLD FAWN”
BAd feeling
Lightheaded
Dizzy

Fatigue
Anxiety
Weakness
Nausea

Question 11

Which of following meds that cause Nonpitting BLE Edema:
Synthroid 125 mcg PO daily
Lantus 20 units SQ QAM
Lisinopril 20 mg PO daily
Norvasc 10 mg PO daily
Gabapentin 300 mg PO daily
Vitamin D 1000 units PO daily
Lyrica

Answer 11

Norvasc
Gabapentin
Lyrica

Question 12

Common S/E of Colchicine?

Answer 12

Diarrhea

Question 13

1st line Tx for Trigeminal Neuralgia?

Answer 13

Carbamazepine (Tegretol)
or Oxcarbazepine (Trileptal)

Question 14

Common S/E of Carbamazepine (Tegretol)

Answer 14

See a tiger- “GHLP”
GI- N/V/D
Hyponatremia
Lethargy
Pruritis

Question 15

BAD S/E of Carbamazepine (Tegretol) (4)

“DASH”

Answer 15

DRESS
Aplastic Anemia
SJS/TEN
Hepatic failure

Question 16

Test for what genetic allele w/ Carbamazepine (Tegretol)?

Answer 16

“15 tigers”

HLA-B15:02

Question 17

S/E Albuterol

“PAINT”

Answer 17

(beta-2 agonist effects on the heart, often dose-dependent),

“PAINT”
Palpitations/tachycardia
Anxiety
Insomnia
(adrenergic CNS stimulation)
Nervousness/jitteriness, 
Tremors

Question 18

S/E Lisinopril

Answer 18

“A-CHA”

Angioedema
Cough
Hyperkalemia
AKI

Question 19

Which of following Meds causes Hyponatremia?
Norvasc 5 mg PO daily
Zoloft 75 mg PO daily
Lopressor 50 mg PO BID
Eliquis 5 mg PO BID
HCTZ 25 mg PO daily
Calcium 650 mg PO BID
Vitamin D 1000 units PO daily

Answer 19

ZOLOFT
(SSRI are BIG for Hyponatremia)
HCTZ
(Could go off since already on BP meds)

Question 20

3 Med classes that cause Pill esophagitis.

Which one is found in 50% of cases?

Answer 20

“BAN”
BP’s
ABX (50%)
NSAIDS

Question 21

Which ABX causes the most pill esophagitis?

Other ABX?

Answer 21

MC=TCNs

"B-PACE"
Bactrim, 
Penicillins,  
Azithromycin, 
Clindamycin,
Erythromycin

Question 22

Which of the following Meds causes ED?
Lopressor 75 mg PO BID
Melatonin 3 mg PO QHS
Synthroid 88 mcg PO daily
Sertraline 150 mg PO daily
Lipitor 40 mg PO QHS

Answer 22

Beta blocker- Lopressor (Metoprolol)

SSRI-Sertraline

Question 23

What is the dosing for LMWH (Lovenox) if CrCl >30?

If <30?

Answer 23

CrCl >30 is 1mg/kg/dose SQ Q12hrs

CrCl <30 is 1mg/kg/dose SQ QD

Question 24

What does IR mean? ER?

Answer 24

Immediate release

Extended release

Question 25

Max dose of Lopressor (Metoprolol)?

Max dose of Norvasc (amlodipine)?

Answer 25

100mg BID

10mg QD