Medications for Midterm

Question 1

name 2 bronchodilators

Answer 1

1. albuterol (venolin/proventil)

2. aminophylline

Question 2

SE of bronchodilators

Answer 2

INC: HR, BP, CP

Question 3

aminophylline BLACK BOX warning

Answer 3

monitor therapeutic levels, toxemia can occur if over 20 mpg/mL

Question 4

name 1 antiprotezoal (antibiotic)

Answer 4

metronidazole (flagyl)

Question 5

name 2 corticosteroids

Answer 5

dexamethasone (decadron)

prednisone (rayos, sterapred)

Question 6

USE of corticosteroids (dexamethasone and prednisone)

Answer 6

anti-inflammatory

Question 7

CONTRAINDICATION of dexamethasone and prednisone

Answer 7

infection, kidney or thyroid dz

Question 8

dexamethasone BLACK BOX warning

Answer 8

may mask sx of infection, or INC risk of serious infection, dc use over 5-7 days

Question 9

name 1 analgesic (non-opioid)

Answer 9

acetaminophen (Tylenol)

Question 10

USES of acetaminophen

Answer 10

anti-pyretic, mild pain

Question 11

CONTRAINDICATIONS of acetaminophen

Answer 11

hepatic/liver impairment, watch with alcoholics

Question 12

acetaminophen BLACK BOX warning

Answer 12

liver damage if you exceed 4g in 24 hrs

Question 13

name 3 anticonvulsants

Answer 13

1. phenobarbital (luminal/solfoton)
2. phenytoin (dilantin)
3. diazepam (valium)

Question 14

USE of anticonvulsants

Answer 14

seizures (phenytoin - status epileptics)

Question 15

SE of anticonvulsants

Answer 15

cardio/resp depression

Question 16

CONTRAINDICATIONS of anticonvulsants

Answer 16

Addison’s, liver/kidney caution

Question 17

Phenobarbital BLACK BOX warning

Answer 17

may DEC potency of coumarin anticoagulant

Question 18

phenytoin BLACK BOX warning

Answer 18

blood drug levels - don’t stop suddenly, must wean

Question 19

name 1 calcium channel blocker

Answer 19

diliatzem (cardizem)

Question 20

USES of diliatzem

Answer 20

angina, HTN, dysrhythmias

Question 21

SE of diliatzem

Answer 21

dec HR

Question 22

with diliatzem you need an IV ____ and there is a max of ___ per day

Answer 22

IV pump needed, max of 480 mg/day

Question 23

name 1 ace-inhibitor

Answer 23

lisinopril (zestril/prinvil)

Question 24

lisinopril is not only an ace-inhibitor but also an _____

Answer 24

anti-hypertensive

Question 25

USES of lisinopril

Answer 25

HTN, CHF

Question 26

SE of lisinopril

Answer 26

cough

Question 27

with lisinopril you should monitor __ and ___

Answer 27

BP and HR

Question 28

SE of tetracycline

Answer 28

dental discoloration

Question 29

tetracycline BLACK BOX warning

Answer 29

photosensitivity

Question 30

beta blockers end in

Answer 30

-olol

Question 31

name 3 beta blockers

Answer 31

1. atenolol (tenorim) 2. metoprolol (loppressor) 3. propranolol (inderal)

Question 32

action of beta blockers (olol)

Answer 32

DEC: excitability of heart, work load, 02 consumption

Question 33

metoprolol BLACK BOX warning

Answer 33

dont DC abruptly -> INC CP or MI

Question 34

propranolol BLACK BOX warning

Answer 34

renal/hepatic impairment (must taper)

Question 35

name 1 anti-anginal

Answer 35

nitroglycerine (nitro-bid)

Question 36

SE of nitroglycerin

Answer 36

HoTN, tachycardia

Question 37

nitroglycerin BLACK BOX warning

Answer 37

don't use w viagra

Question 38

antibiotics/aminoglycosides end in

Answer 38

-micin or -mycin

Question 39

list three antibiotics/aminoglycosides

Answer 39

1. gentamicin (garamycin/cidomycin) 2. vancomycin (vancocin HCL/first vancomycin) 3. azithromycin (Zithromax)

Question 40

____ is the amino glycoside you CANT MIX WITH PENICILLIN

Answer 40

gentamicin

Question 41

____ and ____ are the aminoglycosides you CAN USE WITH PENICILLIN ALLERGY

Answer 41

vancomycin and azithromycin

Question 42

gentamicin and vancomycin BLACK BOX warning

Answer 42

ototoxicity and nephrotoxicity

Question 43

with vancomycin and azithromycin you check ___ and __

Answer 43

BUN and CR

Question 44

name 2 NSAIDS

Answer 44

1. acetylsalicylic acid (aspirin) | 2. ibuprofen (advil/motrin)

Question 45

NSAIDS have ___ properties

Answer 45

anti-inflammatory

Question 46

ASA (aspirin) CAN be used ____ while ibuprofen cant

Answer 46

POST-CABG

Question 47

nursing implications for NSAIDS

Answer 47

coffee ground emesis, give with food and water

Question 48

acetylsalicylic acid BLACK BOX warning

Answer 48

reyes in children

Question 49

ibuprofen BLACK BOX warning

Answer 49

GI bleed, ulceration/perforation, CV thrombotic event (MI/stroke)

Question 50

name 1 loop diuretic

Answer 50

furosemide (lasix)

Question 51

USES for furosemide (lasix)

Answer 51

HTN, heart failure, edema

Question 52

furosemide BLACK BOX warning

Answer 52

K+ depletion, watch depletions due to profound diuresis, pt should be on I&O

Question 53

cephalosporins start with ___ or ___

Answer 53

ceph- or cef-

Question 54

name 2 cephalosporins

Answer 54

1. cefazolin (ancef/kefzol) | 2. cephalexin (keflex)

Question 55

cephalosporins have cross allergies with ____

Answer 55

penicillins

Question 56

you should take cephalosporins on

Answer 56

an empty stomach

Question 57

SE of cephalosporins

Answer 57

anaphylaxis

Question 58

penicillins (antibiotics) end in

Answer 58

-cillin

Question 59

name 3 penicillins

Answer 59

1. penicillin (pen vk) 2. piperacillin/tazobactam (zosyn) 3. amoxicillin

Question 60

with penicillins you should check for allergies to ____

Answer 60

cephalosporins

Question 61

penicillins with ___ cause hyperkalemia

Answer 61

ace inhibitors

Question 62

___ are the safest antibiotics available

Answer 62

penicillins

Question 63

max dosage for penicillin

Answer 63

2000 mg/day

Question 64

penicillin and piperacillin BLACK BOX warning

Answer 64

can cause anaphylaxis

Question 65

USES of beta blockers

Answer 65

HTN, dysrhythmia