Exam III - Final Flashcards by Kimberly Goodalis

Q

Which drug is the Inotropic cardiac glycoside?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

C. Digoxin

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Cardiac glycosides are used to treat heart failure, specifically…

A. Cardiac decompensation
B. Atrial fibrillation
C. Ventricular fibrillation
D. Acute MI

A

B. Atrial fibrillation

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Dobutimine is used to treat…

A. Cardiac decompensation
B. Atrial fibrillation
C. Ventricular fibrillation
D. Acute MI

A

A. Cardiac decompensation

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

What is the beta-1 selective vasoactive adrenergic used to treat cardiac decompensation?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

A. Dobutimine

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which heart failure drug increases myocardial contractility, diastolic filling and urinary output while decreasing conduction, edema, and SOB?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

C. Digoxin

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which drug used to treat heart failure and cardiac decompensation is administered via IV continuous infusion only?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

A. Dobutimine

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which heart failure drug is used for chemical stress testing?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

A. Dobutimine

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which heart failure medication is contradicted with hypokalemia?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

C. Digoxin

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which heart failure drug interacts with Amiodarone, antidysrhthmics, beta blockers, calcium channel blockers and PPIs??

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

C. Digoxin

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which cardiac glycoside can cause visual disturbances such as halo vision?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

C. Digoxin

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which heart failure medication is contradicted for those with v-tach & V-fib?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

C. Digoxin

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Digoxin is contradicted with…

A. Grapefruit juice
B. Alcohol
C. Dairy products
D. Bran

A

D. Bran

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which beta-1 selective vasoactive adrenergic increases cardiac output, contractility, stroke volume and diuresis?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

A. Dobutimine

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which antidysrhthmic increases action potential duration?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

C. Amiodarone

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which antidysrhthmic slows conduction?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

A. Diltiazem

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which antidysrhthmic is a Class IV?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

A. Diltiazem

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which Class III antidysrhthmic is used to treat dysrhythmias, tachycardia and A-fib that are not responsive to other drugs?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

C. Amiodarone

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which antidysrhthmic can cause pulmonary toxicity?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

C. Amiodarone

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which antidysrhthmic should not be given if pulse is <60, >100 or systolic BP is <90?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

A. Diltiazem

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which antidysrhythmic interacts with digoxin and warfarin?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

C. Amiodarone

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which antidysrhythmic is contradicted with severe hypotension and 2nd and 3rd degree heart block?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

A. Diltiazem

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which antidysrhythmic should be taken with food?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

C. Amiodarone

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which antidysrhythmic should be transitioned from IV to PO prior to discharge?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

A. Diltiazem

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Which Class III antidysrhythmic causes photosensitivity and visual halos after 6 months of use?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

C. Amiodarone

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Which beta vasoactive andrenergic is used to treat shock and cardiopulmonary arrest? A. Dobutamine B. Dopamine C. Epinephrine D. Norepinephrine

B. Dopamine

Which beta vasoactive adrenergic is contradicted with Pheochromocytoma (adrenal gland tumor)? A. Dobutamine B. Dopamine C. Epinephrine D. Norepinephrine

B. Dopamine

Which alpha/beta adrenergic increases heart rate, blood pressure, and contractility and is a vasoconstrictor? A. Dobutamine B. Dopamine C. Epinephrine D. Norepinephrine

C. Epinephrine

Which alpha/beta vasoactive adrenergic is contradicted with MAOIs? A. Dobutamine B. Dopamine C. Epinephrine D. Norepinephrine

C. Epinephrine

Esmolol counteracts the effects of toxicity of which vasoactive adrenergic? A. Dobutamine B. Dopamine C. Epinephrine D. Norepinephrine

C. Epinephrine

Which andrenergic drug has dysrhythmias as a side effect? A. Dobutamine B. Dopamine C. Epinephrine D. Norepinephrine

C. Epinephrine

Which adrenergic has muscle cramps as a side effect? A. Dobutamine B. Dopamine C. Epinephrine D. Norepinephrine

B. Dopamine

What would you expect to see in a patient in anaphylactic shock from a bee sting prior to administration of epinephrine? A. Hypertension B. Hypotension

B. Hypotension

Which beta-adrenergic agonist can cause mild tremors? A. Fluticasone B. Salmeterol C. Methylprednisolone D. Albuterol

D. Albuteral

Which beta-adrenergic agonist is long acting and typically given twice daily? A. Fluticasone B. Salmeterol C. Methylprednisolone D. Albuterol

B. Salmeterol

Which respiratory drug decreases inflammation and enhances activity of beta agonists? SATA A. Fluticasone B. Salmeterol C. Methylprednisolone D. Albuterol

A. Fluticasone C. Methylprednisolone Corticosteroids

Which respiratory drug is administered intranasal and orally? A. Fluticasone B. Salmeterol C. Methylprednisolone D. Albuterol

A. Fluticasone

Which classification of acid controlling drugs interacts with digoxin? A. Antacids B. PPIs C. H2 receptors

B. PPIs Pantoprazole, Omeprazole, Lansoprazole

Which antacids are suggested with renal disease?

Aluminum salts

Which antacids are contraindicated with renal disease?

Calcium, Magnesium, Sodium bicarbonate

Which antacids can cause metabolic alkalosis?

Sodium bicarbonate

Tums are which kind of antacid?

Calcium

What is the mechanism of action for antacids?

Neutralize stomach acid, | Promote gastric mucosal defense

Which antacids cause diarrhea?

Magnesium

Which antacids cause constipation?

Calcium, | Aluminum

What are the side effects of ondasetron?

``` Orthostatic hypotension, prolonged QT interval, headache, severe dizziness, diarrhea, bronchospasm ```

Which serotonin blocker can cause sudden cardiac death?

Ondasetron

What are the indications for ondasetron?

Chemo related N/V, Post op N/V, Hyperemysis Gravidarum

Which anterior pituitary drug is a growth hormone antagonist ? A. Somatropin B. Vasopressin C. Octreotide D. Desmopressin

C. Octreotide

Which anterior pituitary drug is used to treat carcinoid tumors and esophageal varices? A. Somatropin B. Vasopressin C. Octreotide D. Desmopressin

C. Octreotide

Which posterior pituitary drug is used for diabetes insipidus, GI hemorrhage, hemophilia A, and vasodilatory shock? A. Somatropin B. Vasopressin C. Octreotide D. Desmopressin

B. Vasopressin

Which pituitary drug interacts with Cipro causing prolonged QT intervals? A. Somatropin B. Vasopressin C. Octreotide D. Desmopressin

C. Octreotide

Which pituitary drug requires consistent glucose monitoring due to side effects of hyper/hypo glycemia? A. Somatropin B. Vasopressin C. Octreotide D. Desmopressin

C. Octreotide

Which pituitary drug requires having nitroglycerin readily available? A. Somatropin B. Vasopressin C. Octreotide D. Desmopressin

B. Vasopressin

Which pituitary drug is a vasoconstrictor and primarily works to increase the reabsorption of water, reducing pulmonary edema? A. Somatropin B. Vasopressin C. Octreotide D. Desmopressin

B. Vasopressin

Which pituitary drug relieves the VIP symptoms (severe diarrhea, flushing, and potentially life threatening hypotension) associated with carcinoid tumors? A. Somatropin B. Vasopressin C. Octreotide D. Desmopressin

C. Octreotide

What is the serotonin agonist used to treat migraine headaches?

Sumatriptan

By which routes are sumatriptan administered? SATA A. PO B. IM C. SQ D. Transdermal

A. PO C. SQ D. Transdermal

What is the maximum number of injections of sumatriptan per day?

2 Spaced 1 hour

Which CNS stimulants are used for ADHD, narcolepsy, decreased energy and motivation?

Amphetamine, | Methylphenidate

These CNS stimulants should be taken on an empty stomach 30-45 minutes before meals and the last dose should be given 4-6 hours before bed?

Amphetamine, | Methylphenidate