Final Exam Shortened

Question 1

Yazmin

Answer 1

monophasic
birth control
may increase K+ (dys like v-fib and v-tach)
don’t take if liver, kidney, or adrenal or ACE and ARBs

Question 2

sucralfate pt teaching

Answer 2

dosed 4x/day
take 1-2hr apart from food
empty stomach
antacids 30 min before or after
no smoking or ETOH
proper diet

Question 3

lithium therapeutic range and electrolyte imbalance

Answer 3

0.5-1.5
sodium depletion

Question 4

PPI pt teaching

Answer 4

could cause thrombocytopenia esp nexium
don’t take w plavix

Question 5

ACE side effect not in ARBS

Answer 5

coughing but they’re not effective in African Americans

Question 6

why tamsulosin instead of proscar

Answer 6

alpha blocker and higher affinity to bladder and prostate
less systemic SE

Question 7

rosuvastatin and hepatic function

Answer 7

monitor LFTs q6-8 weeks
AST and ALT 2.5x normal is acceptable
no grapefruit juice w statins

Question 8

Ativan antidote

Answer 8

flumazenil (mazicon)

Question 9

Infliximab (Remicade)

Answer 9

tumor necrosis factor- alpha blocker
for gout
not given with cardiac or CVA
immunosuppressant for RA

Question 10

colchicine MOA

Answer 10

anti gout
inhibits migration of leukocytes to inflamed site
relieves symptoms, not prevention

Question 11

digoxin toxicity if? and range

Answer 11

hypokalemia
0.5-2

Question 12

proscar pt teaching

Answer 12

DON’T TOUCH THE PILL ESP IF CHILD OR PREG

Question 13

urecholine MOA

Answer 13

NON-OBSTRUCTIVE urinary retention
treats atony of bladder
stimulates cholinergic receptors
rest and digest

Question 14

mestinon

Answer 14

overdose=cholinergic crisis
antidote is ATROPINE

Question 15

heparin PTT

Answer 15

25-35?
check q4h

Question 16

warfarin PT/INR

Answer 16

2-3 in afib
2.5-3.5 in other things
abx increase PT, check within 3 days of abx

Question 17

SSRIs

Answer 17

less drug interactions
hyponatremia!

Question 18

allopurinol

Answer 18

eye exams!

Question 19

cytoxan

Answer 19

anticancer
AR: hemorrhagic cystitis, empty bladder q2-3h
fluids 2-3L/day
hematuria
cardio toxicity in high doses

Question 20

celebrex black box

Answer 20

stroke
NSAID

Question 21

epoetin alfa

Answer 21

measured by Hm
thromboembolic events if >12

Question 22

5-FU cancer

Answer 22

IV onset 10-14 days
avoid live vaccines

Question 23

adriamycin

Answer 23

cardiac toxicity

Question 24

valsartan

Answer 24

renal toxicity

Question 25

reye syndrome

Answer 25

baby aspirin DON’T TAKE IT

Question 26

furosemide

Answer 26

lasix
K+ wasting
potent

Question 27

valproic acid

Answer 27

hepatotoxicity

Question 28

dilantin

Answer 28

hypotension
gingival hypoplasia

Question 29

terbutaline

Answer 29

increase mom and baby HR to prevent labor

Question 30

nalbuphine (nubain)

Answer 30

resp depression
opioid

Question 31

phenothiazine

Answer 31

-azine
typical antipsychotic
everything slows down (rest and digest)
don’t take w CNS dep or kava kava

Question 32

prozac

Answer 32

makes u energetic and suicidal

Question 33

amiodarone

Answer 33

antidysrhythmic

Question 34

dexta

Answer 34

urinary spasms?