Immune

Question 1

Montelukast

Answer 1

• used for excerise induced asthma
• take 2 hours before exercise

Question 2

Epinephrine

Answer 2

• effects adrenergic receptors
• elicits a sympathetic response

Question 3

Oseltamivir time

Answer 3

• give within 48 hours of influenza onset

Question 4

First-line for TB

Answer 4

• INH
  
  • monitor liver
  • may need pyroxidine to counter peripheral neuorpathies
• 6-9 months

Question 5

Pyroxidine

Answer 5

vitamin B6

Question 6

Amphotericin B

Answer 6

• powerful antifungal
• decreases potassium (may need supplement) HYPOKALEMKA
• nephrotoxic (monitor creatinine)
• AmphoTerrible
  
  • client feels terrible during infusion

Question 7

TB meds

Answer 7

• take for 6-9 months
• isoniazid
  
  • may need to add Pyridoxine (vitamin B6)
• rifampicin
• pyrazinamide
• very hepatoxic
  
  • AVOID ACETAMINOPHEN
  • ibuprofen or aspirin instead
• no alcohol

Question 8

Varicellar meds

Answer 8

• Antivirals such as acyclovir or valacyclovir

Question 9

Isoniazid a/e

Answer 9

liver toxicity

Question 10

Metronidazole

Answer 10

• antibiotic (C. diff, appendicitis)
• metal taste is normal
• vaginal conditions
• diverticulitis

Question 11

Sulfamethoxazole-trimethoprim (TMP-SMZ)

Answer 11

• antibiotic
  
  • used in UTI
• rash is expected
• wear sunscreen
• dark drown urine expected
• take with full cup of water
• increase risk of cystalluria (crystals in urine)

Question 12

Hydroxyzine (immune)

Answer 12

• treats seasonal allergies

Question 13

Hydroxychloroquine treats

Answer 13

• immune suppressant
• treats
  
  • malaria
  • lupus
  • rheumatoid arhritis
  • sarcoidosis
    
    • lumps form on lungs, face, lymph nodes

Question 14

H. pylori

Answer 14

• antibiotic
  
  • Amoxicillin
• PPI
  
  • esomeprazole

Question 15

HIV meds

Answer 15

• Tenofovir
• Emtricitabine
• Abacavr
• monitor creatine, liver function

Question 16

Guillain-Barré meds

Answer 16

• plasmapheresis
• immunoglobulin

Question 17

Celecoxib

Answer 17

• NSAID
  
  • increases risk of cardio events like myocardial infarction and stroke
• treats
  
  • osteoarthritis
  • gout
  • dysmenorrhea
  • migraines

Question 18

Zidovudine (ZDV)

Answer 18

• reduce vertical transmission of HIV
• given before cesarean delivery

Question 19

Acetazolamide

Answer 19

• acute mountain sickness (AMS)
  
  • helps with high altitude
• glaucoma
• rids body of excess fluids
• induces metabolic acidosis
  
  • increases RR
    
    • provides more oxyge
• take 24 hours before ascent

Question 20

Hydroxychloroquine can cause

Answer 20

• retinopathy
• anemia
• blood dyscrasia (imbalance in blood)
  
  • leukopenia
• dysrhythmias
  
  • baseline EKG recommended
• DOES NOT CAUSE HYPOGLYCEMIA

Question 21

Ergocalciferol

Answer 21

Vitamin D2

Question 22

Cetirizine

Answer 22

• OTC for seasonal allergies

Question 23

Abacavir

Answer 23

• antiviral
• HIV/AIDS

Question 24

Cefazolin

Answer 24

• 1st gen antibiotic
• given to prevent infection post op
  
  • give 60 min before surgery
• slight risk if client has Penicillin allergy

Question 25

Preoperative antibiotic meds

Answer 25

• Cefazolin
• Vancomycin
• Ceftriaxone

Question 26

Doxycycline

Answer 26

• antibiotic
• UTI, syphillis
• TAKE WITH FOOD/LIQUID LOW!!! IN CALCIUM

Question 27

Vancomycin infusion reaction

Answer 27

• red man syndrome
  
  • rash on torso and neck
• monitor creatine