final exam pharm Flashcards
beta blockers
-olol
ACE inhibitors
-pril
CA channel blockers
-pine
A2RB
artan
A client is reviewing the health record of
a client who is starting propranolol to treat hypertension. Which of the following conditions is a contraindication for taking propranolol?
Asthma
-Propranolol is a nonselective beta blocker. This is a drug that works on both beta 1 and beta 2 receptors. Blocking beta 2 receptors can cause bronchoconstriction.
A nurse is providing teaching to a client who is prescribed nitroglycerine for acute angina attacks. Place the following steps in order in which the client should perform them.
- Stop activity
- Take a dose of nitroglycerin
- Wait 5 minutes
- Call 911 if pain is not relieved
Razole
proton pump inhibitors
-omeprazole (Prilosec)
Itidine
H2 blockers
-Ranitidine (tagamet)
got anxiety?
how bout a pam?
-Benzodiazepines
(Lorazepam, Diazepam, Clonazepam)
anti-cholesterol
statins
corticosteroids
asone
2 meds used to treat Parkison’s
-levodopa, carbidopa (Sinemet)
to prevent tooth staining-
use a straw to drink liquid iron preparation
check apical pulse of 1 full minute, hold if <60 bpm
digoxin
treatment of alcohol withdraws
Librium
-do not consume alcohol, will cause very bad N/V
treatment of seizures
dilantin
-therapeutic drug level 10-20
treatment of hypotension; shock, low cardiac output, poor perfusion to vital organs: monitor blood pressure, heart rate & EKG.
dobutamine
used to treat patients with cerebral edema.
Mannitol a hypertonic solution
hyperglycemia
hot and dry, sugar high
hypoglycemia
cold and clammy, need some candy
A nurse in an outpatient facility is caring
for a client who has been taking acarbos for
type 2 diabetes mellitus. Which of the following
laboratory test should the nurse plan to follow?
Liver function test
-Acarbose can cause liver toxicity long term use.
K+ rich foods
bananas, watermelon, citrus fruits, potatoes
please obtain ____ prior to starting antibiotics
culture and sensitivity
during furosemide therapy, pt is at risk for -
potassium loss
A nurse is contributing to the plan of care for a
client who is receiving furosemide IV for
peripheral edema. Which of the following
should the nurse include in the plan (Select all
that apply)
A. Check for tinnitus
B. Report urine output of 50ml/hr
C. Monitor serum potassium levels
D. Elevate the head of the bed slowly before getting up
E. Recommend eating a banana daily
A. Check for tinnitus
C. Monitor serum potassium levels
D. Elevate the head of the bed slowly before getting up
E. Recommend eating a banana daily
For pt receiving TPN, nurse should frequently monitor
glucose & electrolyte levels
Postop patient at risk for developing DVTs will receive
anticoagulation therapy; heparin, enoxaparin
When between two answers, choose the _____ answer such as assess, collect, auscultate, monitor, palpate - instead of the______ except in an ______________.
- assessment
- intervention
- emergency situation where intervention is a must.
If one answer is an ____ such as _______ discard from choices.
absolute, always or never
what can cause ototoxicity?
Aminoglycosides, Lasix, Vancomycin, ASA
reverse agent for heparin toxicity
protamine sulfate;
monitor PTT
reverse agent for Coumadin toxicity
Vitamin K;
monitor PT & INR
reverse agent for ammonia toxicity
lactulose
reverse agent for acetaminophen toxicity
Mucomyst
reverse agent for digoxin toxicity
digibind
heparin prevents
platelet aggregation
dopamine increases
BP
Vtach
lidocaine
Asystole
atropine
CHF
ACE inhibitor
Anaphylactic shock
epinephrine
seizures
valium
Protonix
prevents stomach ulcers
Atropine
decreases secretions
Phenergan-antiemetic
controls N/V
NEVER GIVE ___ IV push
K+
Which type of insulin should the nurse teach the client to expect a peak effect in 1 to 5 hours after administration?
Regular insulin
foods high in calcium
Broccoli, cabbage, and collard greens
1 tsp. = _ml 1 tbsp. = \_\_ml 1 oz. = \_\_ml 1000ml = _Liter 1kg = \_\_lbs 1000mcg = _mg 1 Gram = _mg
- 5mL
- 15mL
- 30mL
- 1 L
- 2.2 kg
- 1mg
- 1000mg
normal sodium levels`
135-145
normal potassium levels
3.5-5.0
Normal calcium levels
8.6-10.6
Normal magnesium levels
1.3-2.1
normal phosphate levels
2.5-4.5
low sodium low fat diet
Soups, Canned vegetables, Carrots, spinach, celery, Bread, Ocean fish, clams,
shrimp, Bologna, Beef, Dill pickle, Milk, American cheese, Cottage cheese, Instant puddings, cake mixes
specific gravity
1.010–1.030
BUN
10-20
digoxin therapeutic level
0.5-2.0
lithium therapeutic levels
0.8-1.5
dilantin therapeutic levels
10-20
Hypokalemia alters the way ____ is metabolized in the body and predisposes to ___________.
digoxin, digoxin toxicity.
adhesive patches
pain control, nitroglycerine patches, hormones, birth control patches, nicotine patches
6 rights
Right drug Right dose Right client Right route Right time Right documentation
anti-depressants
- Tricyclics
- MAOI’s
- SSRI’S
- Atypical Antidepressants
Tricyclics
amitriptyline, amoxapine
line, pine
SSRI
blocks the reuptake of sertonin into the neuron
SD EFFECT:
sexual dysfunction & wt. gain
CONTRA:
Dysrhythmias
-sertraline, paroxetine, fluoxetine
If used with MAOI’s may cause Serotonin Syndrome=seizure, death
If used with TCA’s may cause TCA toxicity
MAOI
Toxic effects=
hypertensive crises
Avoid foods with tyramine
phenelzine, tranylcypromine
SNRI/DNRI
bupropion, venlafaxine
meds for alzheimers
memantine
donepezil
Rivastigmine
galantamine
Metronidazole
Don’t drink alcohol while taking this medication. It will cause stomach pain, N/V, H/A, and flushing.
avoid acetaminophen in pt with __________.
liver dysfunction
Relief of symptoms of allergic rhinitis in adults, particularly those with asthma
montelukast sodium
-Leukotriene receptor antagonist
Short-acting relatively selective B2 adrenergic agonist bronchodilators
Albuterol
Levalbuterol
Anticholinergics
Ipratroium bromide
