Final

Question 1

Bethanechol (Duvoid)

Class, MOA

Answer 1

Class: muscarinic cholinergic agonist
MOA: similarly to ACh, selective for muscarinic receptors to cause parasympathetic stimulation

Question 2

Atropine (Atropen)

Class

Answer 2

Class: antidote for cholinergic agonists, and treats bradycardia

Question 3

Phenobarbital (Luminal)

ADE 3

Answer 3

• decreased LOC
• respiratory depression
• anticholinergic side effects

Question 4

Fluoxetine (Prozac)

Class, MOA

Answer 4

Class: SSRI
MOA: selectively inhibits serotonin reuptake

Question 5

risperidone (risperdal)

CLass, MOA

Answer 5

Class: SGA (Second Gen Antipsychotic)
MOA: antagonizes dopamine, serotonin, and alpha adrenergic receptors

Question 6

Lithium

MOA

Answer 6

inhibits dopamine receptor sensitivity, alters nerve and muscle cell activity

Question 7

famotidine (Pepcid)

ADE 6

Answer 7

• CNS effects
• pneumonia
• hepatitis
• blood dyscrasias
• SJS/TEN
• angioedema

Question 8

Omeprazole (Prilosec)

ADE

Answer 8

• headache
• diarrhea
• nausea
• vomiting

Question 9

desmopressin (Nocdurna)

what is it

Answer 9

exogenous ADH

Question 10

glargine (Lantus)

Duration

Answer 10

long acting

Question 11

Prazosin

Class, MOA

Answer 11

• Class: Selective Alpha 1 Adrenergic antagonist
• MOA: inhibit sympathetic activation causing vasodilation

Question 12

Furosemide (Lasix)

Class, MOA, pt education, monitor

Answer 12

• Class: loop diuretic
• MOA: inhibits loop of Henle and proximal and distal convoluted tubule sodium and chloride resorption
• Pt education: ?
• Monitor: BUN/Cr/GFR

Question 13

Diltiazem (Cardizem)

Class, MOA

Answer 13

• Class: nondihydropyridine CCB
• MOA: Decreased preload, afterload, workload with decreased vasospasm and increased O2 supply.

Question 14

Lisinopril (Zestril)

Class, MOA, ADE 3, monitor 2

Answer 14

• Class: Angiotension-Concerting enzymeinhibitor (ACEi)
• MOA: act in the lungs to prevent ACE conversion from angiotensin I to angiotensin II.
• AE: Angioedema, hyperkalemia, renal impairment
• Monitor: kidney function, potassium

Question 15

Atorvastatin (lipitor)

ADE 3

Answer 15

• AE: Rhabdomyolysis, acute renal failure, hepatotoxicity

Question 16

Ezetimibe (Zetia)

Class, MOA

Answer 16

• Class: cholesterol absorbing inhibitors
• MOA: blocks small intestine cholesterol absorption

Question 17

Nitroglycerin (Nitrostat)

Class, MOA, ADE

Answer 17

• Class: Organic Nitrates
• MOA: The body converts nitroglycerin (NTG) to the vasodilator nitric oxide (NO), which ultimately stimulating smooth muscle relaxation
• AE: Severe hypotension, syncope,
• headache

Question 18

metoprolol (Lopressor, Toprol)

Class, MOA, pt education

Answer 18

• Class: beta adrenergic antagonist
• MOA: decrease the heart rate and myocardial contractility reducing cardiac output

Question 19

spironolactone (Aldactone)

Class, MOA

Answer 19

• Class: potassium sparing diuretic, aldosterone receptor antagonist
• MOA: antagonizes aldosterone-specific mineralocorticoid receptors primarily in the distal convoluted tubule, decreasing Na and water reabsorption and increasing K retention