Exam 4 from study guide/class

Question 1

1st line treatment for type 2 diabetic diagnosed 5 months ago

Answer 1

Lifestyle changes

Then can add Metformin

Question 2

A1C goal for diabetic patient

Answer 2

6.5%

Fasting blood sugar of 126

Question 3

A1C goal for elderly patient

Answer 3

7.5

Question 4

Pramlintide

Answer 4

Meglitinide
Symlin pen: SC injection
Used for major fluctuations and swings in blood sugar

Question 5

Corticosteroids and blood sugar

Answer 5

increase blood sugar–must educate patients

Question 6

Medication for depression in adolescents

Answer 6

Prozac (Fluoxetine)

Question 7

Labs prior to referral to psych or starting psych meds

Answer 7

liver and renal, CBC, CMP

Question 8

Labs for ADHD meds

Answer 8

EKG

Question 9

Medication to give for hyperemesis gravidarum

Answer 9

Zofran

Category B

Question 10

PPI education

Answer 10

Take in AM and 2 hours apart from other drugs; check levels because it will inhibit other drugs

Question 11

First line agent for constipation

Answer 11

Lifestyle–fluids, fiber, exercise

Start with bulk laxatives if still have constipation

Question 12

1st line for diarrhea

Answer 12

Immodium (Loperamide)

Question 13

Select antiemetic based on

Answer 13

Patient’s specific factors–elderly, pregnant

Question 14

Live vaccines

Answer 14

MMR, Shingles, Varicella

Question 15

1st line drugs for heart burn

Answer 15

antacids

Question 16

Meclizine (antivert)

Answer 16

Antihistamine used to prevent and treat N/V and dizziness caused by motion sickness

Question 17

Cymbalta (Duloxetine)

Answer 17

SNRI

Good for pain and depression

Question 18

Levothyroxine (Synthroid)

Answer 18

For hypothyroidism
Take in AM on emopty stomach00dont eat anything for a few hours
Can take up to 6 weeks to reach max effect
Watch for hyperthyroidism symptoms

Question 19

If hypothyroidism switches to hyperthyroidism

Answer 19

Decrease medication, give ab eta blocker to treat palpitations

Question 20

How to treat mild to moderate pain when on opioid

Answer 20

Add an NSAID

Question 21

Moringa

Answer 21

CAM
Works as antioxidant
People take for asthma, anema, arthritis, constipation, diabetes, diarrhea, etc.
Need to educate not just tell the patient to stop

Question 22

Order of tx of GERD

Answer 22

Maalox (antacid) –>H2 blocker–>PPI

Question 23

Antacids and elderly

Answer 23

Do not give to elderly due to metabolic imbalances that can occur

Question 24

Bentyl

Answer 24

Antispasmodic for IBS

Question 25

Vitamin A overdose

Answer 25

Causes liver toxicity

Question 26

Vitamin E

Answer 26

Good for malaborption

Question 27

Nicotine replacement therapy and pregnancy

Answer 27

Contraindicated
Patch and nasal spray are category D
Gum is catgory C

Question 28

Meridia (Sibutramine)

Answer 28

Appetite depressant
SNRI
Increases BP
Banned in a lot of countries

Question 29

Pregnant, diarrhea, increased heart rate

Answer 29

Send to ER

Question 30

Best medications for depression in elderly

Answer 30

SSRI (Citalopram)

TCAs can effect CV status

Question 31

Barbs and benzos in elderly

Answer 31

Avoid

Question 32

If an alcoholic is on a CNS depressant, and you are unsure what the withdrawal is from

Answer 32

Titrate the CNS depression down for another week to avoid abrupt withdrawal

Question 33

What to give if decreased peristalsis post-op due to opioids

Answer 33

Colace (stool softener)

Dulcolax (Stimulant laxative)

Question 34

TZD side effects

Answer 34

Weight gain, edema, hepatic toxicity, hypoglycemia

Question 35

3 drugs for diabetics

Answer 35

ACEI, statin, glucose lowering agent