final Flashcards

1
Q

side effects of anticholinergic medications

A
dry mouth
blurry vision
constipation
drowsy
confusion
tachycardia
dyspnea
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2
Q

explain drug regimen for H. Pylori

A

azole, amoxicillin, myocin (10 days)
bsimuth, metro, tetracycline (14 days)
azole, amoxicillin, myocin (10-14 days)

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3
Q

how does Allopurinol work

A

reduces uric acid in the body

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4
Q

what are contraindications for antitubercular therapy

A

renal/hepatic impairment
alcoholism
diabetic retinopathy
severe hypersensitivty

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5
Q

what education is needed for patient on Isoniazid for TB

A
often taken with vitamin B6
dry mouth
GI distress
not with pregnancy 
increase in blood glucose
photosensitivity 
comply
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6
Q

common side effects of antibiotic use

A
nausea
vomiting
diarrhea
bloating
loss of appetite
abdominal pain
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7
Q

patient education for Tetracycline

A

away from the heat
teratogenic
teeth discoloration
complete the course of the meds

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8
Q

patient education for Tetracycline

A

away from the heat
teratogenic
teeth discoloration
complete the course of the meds

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9
Q

why is a spacer used with an inhaler

A

gets more of the medication into the system

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10
Q

how does Aminophylline work for COPD patients

A

relaxes bronchioles for air passage

reduces wheezing, shortness of breath, difficulty breathing

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11
Q

how does Guaifenesin work (expectorant)

“Guaif/Cough)

A

thins the mucus secretions in the air passages to make it easier to cough up

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12
Q

how does Metformin work

A

decreases the hepatic production of glucose from store glycogen

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13
Q

side/adverse effects of corticosteroids

A
adrenal insufficiency 
osteopororosis
infection
hyperglycemia 
fluid/electrolyte imbalances
decreased growth in children
peptic ulcer disease
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14
Q

explain rotation of injection sites for insulin

A

to avoid atrophy and hypertrophy

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15
Q

what is Cosyntropin used for

A

ACTH stimulation test (addisons/cushings)

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16
Q

how is diabetes insipidus treated

A

antidiuretics (Desmopressin)

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17
Q

what are the osmotic diuretcs used for

A

Mannitol
to decreases intracranial pressure (Glaucoma)
promote excretion of toxic substances

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18
Q

what drugs interacts with thiazides

A

ACE Inhibitors
Corticosteroids
NSAIDS

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19
Q

Patient education for Lasix

A

take it in the morning
rise slowly
take it with food
potassium rich foods

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20
Q

side/adverse of Niacin

A
FLUSHING
hypotension
diarrhea
nausea
headache
dizziness
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21
Q

side/adverse of Niacin

A
FLUSHING
hypotension
diarrhea
nausea
headache
dizziness
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22
Q

antidote for heparin

A

protamine sulfate

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23
Q

antidote for coumadin

A

vitamin K

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24
Q

how do thrombolytic drugs work

A

disentigrates blood clots

destorys fibrin in the clot

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25
Q

side/adverse of thrombolytic therapy

A

bleeding
hematoma
epistaxis
GI bleed

26
Q

therapeutic range of Digoxin

A

0.8-2.0

27
Q

s/s of digoxin toxicity

A
anorexia
diarrhea
N/V
bradycardia
blurred vision
halos
confusion
premature ventricular contractions
28
Q

side/adverse effects of Nitrates

A

headaches (Nitroglycerin)
hypotension
dizziness
flushing

29
Q

how does Tolterodine work

A

for overactive bladder

block parasympathetic nerve impulses

30
Q

antidote for cholinergic drugs

A

Atropine

31
Q

side/adverse effects of cholinergic drugs

A
hypotension
tachycardia 
increased salivation 
increased gastric acid
abdominal cramps
diarrhea 
bronchospams
32
Q

side/adverse effects of cholinergic drugs

A
hypotension
tachycardia 
increased salivation 
increased gastric acid
abdominal cramps
diarrhea 
bronchospams
33
Q

contraindications for nonselective BB

A

COPD

respiratory issues

34
Q

what is epinephrine used for

A
anaphylaxis
bronchospasms
status asthmaticus
cardiogenic shock
cardiac arrest
35
Q

what effects does the adrenergic agonsit drugs have on the sympathetic ns

A
dilation of pupils
dialtion of bronchioles
increased HR
blood vessel constriction
relaxation of GI/bladder/uterus
36
Q

how long do antidepressants take to work

A

1-2 weeks

37
Q

side/adverse of SSRI’s (Venla, Fluox)

A
dry mouth
blurred vision 
insomina
headache
anorexia
N/D
suicidal ideation
38
Q

drugs that interact with SSRI’s (Fluoxetine)

A
alcohol
CNS depressants
apsirin
NSAIDS
anticoagulants
39
Q

patient education for MAOI’s

A

not to be taken with other antidepressants

avoid foods that are high in tyramine

40
Q

side/adverse of Sinemet (carbidopa/levidopa)

A
worsened tremors
D/V
confusion
hallucinations
uncontrolled muscle movements
41
Q

what is therapeutic index

A

desired effect vs. undesired effect

42
Q

how does carbidopa/levidopa work

A

converts dopaime and increases mobility

carbidopa allows more levidopa to reach brain

43
Q

patient education for AED’s (antiepileptic)

*Phenytoin

A
used backup contraception 
not to drive/perform hazardous activities
not to stop abruptly
can increase BGL
teratogenic
44
Q

patient education for opiods

A

no alcohol
dizziness
dyspnea
substance abuse

45
Q

antidote for opiods

A

narcan

46
Q

schedule system for controlled substances

A

1=worst

5=least chance for abuse

47
Q

how neonates/children respond differently to meds compared to adults

A

more alkalinie like gastric pH
thin skin
decreased intestinal surface

48
Q

how neonates/children respond differently to meds compared to adults

A
more alkalinie like gastric pH
thin skin
decreased intestinal surface
higher fluid volume
decreased fat %
decreased protein receoptors
49
Q

how older adults respond differently to meds

A

decrease in body water/body lean mass
decrease in kidney and liver mass/production
decreased ability to maintain homeostasis

50
Q

first pass effect

A

some of the drug is metabolized by the liver and becomes inactivated

51
Q

side effects of epinephrine

A
N/V
palpitations
tachycardia
HTN
dyspnea
MI
sweating
agitation
52
Q

explain what happens when two highly protein bound drugs are taken

A

they compete for protein receptor sites which creates more free drug in the body

53
Q

what is Bethanechol used for

A

urinary retention

54
Q

side/adverse effects of cephalosporins

A

Gi distrubances (N/V/D)
increased bleeding
nephrotoxicity

55
Q

how do NSAIDS work

A

inhibit COX enzyme
1=protect (stomach/platelet aggregation)
2=pull the trigger (pain/inflammation/fever)

56
Q

what is Tensilon (edrophonium) used for

A

tensilon test for myasthenia gravis

57
Q

how does Atropine work

A

(anticholinergic)
works for bradycardia/decrease salivation
acts of muscarinic receptors

58
Q

how do indirect acting choinergic agonists work

A

inhibit/inactivate the enzyme cholinesterase

59
Q

how do aplha adrenergic blockers work (good for peripheral vascular disease)

A

vasodilation
decrease BP
decrease contraction
constrict pupils (mydriasis)

60
Q

side/adverse effects of beta 2 adrenergic agonists

A
tremors
restless
tachycardia
cardiac dysrhythmias
nervousness
dizziness
palpitations
61
Q

how anticholinergics effect the parasympathetic nervous system

A
increase HR
increase urine retention
decrease secretions
decrease GI motility 
dilate pupils