End of Chapter Review Flashcards
What assessment best indicates that the sumatriptan is exerting its desired therapy?
When a patient claims that the migraine has been terminated after the drug has been administrated
When prescribed ergotamine which statement needs further teaching?
I am not at risk for physical dependence
Propanolol helps with migraine HAs, what should you do for the pt when they say “I do not have high bp!”
instruct that it is for migraine HAs too for vasodilation!
What should you monitor for when a pt is on celecoxib as well as warfarin?
Bleeding d/t celecoxib having a bleeding risk
What should you do if a pt takes ETOH 4-5/drinks/day and acetaminophen q day?
Tell them to limit their acetaminophen admin to <2g/day!!!!
What should you monitor for when a pt is on prednisone?
Neck and back pain, hyperglycemia, hypertension, and hypokalemia
When a pt is on a GC, what should you instruct them NOT to do?
abruptly d/c the medication on their own
What is a s/sx of Cushing sx?
Mm. weakness, glycosuria, buffalo hump, and HYPERglycemia NOT hypoglycemia!
A pt taking a high dose of ASA and has gi irritation and pain what should you recommend?
Get a scrip for celecoxib (2nd gen NSAID)
When does methotrexate start to work?
it should take 3-6 weeks
What can Enteracept cause?
Liver injury
A pt with acute gouty arthritis wants a drug to help with painful flare-up what would you recommend?
Naproxen rather than
Allopurinal, Febuxostat or Prebencid
What happens if a patient develops a rash and is on allopurinol?
STOP it immediately and assess for liver and/or kidney failure d/t allopurinol having a major a/e of hypersensitivity syndrome
What is a medication aside from conventional therapy used for GOUT?
Pegloticase (expensive but last line)
What food item should be avoided if a patient is also taking calcium supp?
Spinach
What med would you prescribe if a pt is dx with hyperparathyroidism?
Salmon calcitonin
What should you do with all Ca++ infusions?
Warm the bag!!
If a pt is on chronic glucocorticoids for many years, what should you assess for?
Atrophy of the dermal and epidermal layers
What is most important when teaching about UVB radiation ?
It occurs the greatest between 10a-4p
What should a female pt be educated on if they are taking isotretinoin for severe acne?
Contrceptives d/t avoidance of pregnancy as it can cause major harm to the baby
14 yo w/ moderate acne should be started on what after topical meds?
Oral abx such as doxycycline
