Final Concept Review Flashcards

1
Q

Why don’t liquid drugs need to be disintegrated?

A

they are already in a solution unlike pills and tablets

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2
Q

Why is insulin, growth hormones, and protein-based drugs given parenteral?

A

to avoid being crushed in the small intestine

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3
Q

Why do some meds need to be given with food?

A

food increases gastric acid, gastric acid breaks down the meds, so more food =more gastric acid

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4
Q

What do high creatinine or BUN levels indicate?

A

decreased kidney functions and drugs that need to eliminated through the kidneys should be given in a lower dose

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5
Q

After administering a suppository, what should be done?

A

have the patient lay on their side for 20 minutes

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6
Q

What can occur with too much albuterol use?

A

this is a bronchodilator that acts on beta 2 receptors, but using it too much can cause it to act on beta 1 and increase HR and BP

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7
Q

A patient given bethanechol to treat urinary retention is voiding a lot and has loose stool. What is your next action?

A

this is normal

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8
Q

What do antiparkinsons and anticholinergics treat?

A

muscle tremors and rigidity

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9
Q

When taking methylphenidate, what should be avoided?

A

caffeine

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10
Q

When should zolpidem be given?

A

this is a nonbenzodiazepine sleep aid and should be given 30 minutes before bedtime

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11
Q

Why do benzodiazepines need to be tapered off?

A

they can cause tremors and muscle twitching if stopped abruptly

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12
Q

A patient just had spinal anesthesia. What is the priority education that should be given?

A

lay flat for 6-8 hours to avoid losing spinal fluid and getting a headache

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13
Q

How long do anticonvulsants need to be taken?

A

for a lifetime

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14
Q

What can hydantoins cause?

A

gingival hyperplasia

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15
Q

What needs to be reported from a pt taking opioids?

A

urinary retention

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16
Q

What should be reported in a pt taking topical antipsychotics?

A

muscle spasms

17
Q

What is given to treat acute anxiety in a child?

A

an anxiolytic lorazepam

18
Q

When should SSRIs be given?

A

in the morning

19
Q

What foods need to be avoided when taking amoxicillin?

A

acidic fruits and juices

20
Q

What should be monitored when giving levofloxacin?

A

blood sugar bc it increases the effect of hypoglycemic meds

21
Q

Amphotericin B

A

not absorbed from the GI tract and can cause neprotoxicity and electrolyte imbalance

22
Q

What are some symptoms of cystitis?

A

frequency and painful urination

23
Q

What is detrol given for?

A

overactive bladders

24
Q

Diphenhydramine

A

can cause drowsiness and urinary retention bc of its anticholinergic effects

25
Q

What drug can be given to hyperthyroid pts. to decrease HR?

A

beta blockers

26
Q

What should be avoided with metronidazole?

A

alcohol

27
Q

Why can’t erythromycin and macrolides be given IM?

A

painful irritation

28
Q

What can occur if vancomycin is infused too fast?

A

red man syndrome

29
Q

What education should be given to pts taking nystatin suspensions?

A

it should be swished to coat the tongue and buccal mucosa