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ATI Proctured BS > Meds & Shit - Part Quatre > Flashcards

Meds & Shit - Part Quatre Flashcards

1
Q

what are some DMARD’s - disease modifying antirheumatic drugs?

A

Methotrexate, auranofin, sulfasalazine, etanercept,penicillamine, prednisone

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2
Q

Methotrexate - increased risk of infection, bone marrow suppression, ulcerative issues, fetal death, hepatic fibrosis..T/f?

A

TRUE

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3
Q

Can auranofin cause toxicity (severe pruitius, rashes, stomatitis), renal toxicity, blood issues, hepatitis, and GI discomfort?

A

yes

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4
Q

Sulfasalazine - GI discomfort, hepatic dysfunction, bone marrow suppression, renal damage - T/F?

A

TRUE

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5
Q

etanercept - injection site irritation, IV infusion reaction, risk of infection, skin reactions, heart failure, and blood issues?

A

YES

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6
Q

Penicillamine - can it cause bone marrow suppression and toxicity issues like rashes and itching?

A

YES

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7
Q

Cyclosporin - can it can infection, hepatotoxicity, nephrotoxicity and hirsutism?

A

YES

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8
Q

Prenidsone - can it increase the risk of infection, osteoporosis, adrenal suppression, fluid retention, GI discomfort, hyperglycemia, hypokalemia?

A

YES

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9
Q

Give nasal drops in a __, head__ position.

A

Lateral/head low

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10
Q

What is phenazopyridine used for?

A

Local anesthetic of the urinary tract - helps with burning while peeing and such.

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11
Q

Atorovastatin - what does it do?

A

Decreases LDL and raises HDL

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12
Q

Atorovastatin - what are some side effects?

A

Hepatotoxicity.liver dysfunction

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13
Q

Atorovastatin - avoid alcohol?

A

YES

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14
Q

Atorovastating - report muscle ___.

A

Aches, pains, tenderness, etc.

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15
Q

Atorovastatin - avoid_____ juice and take at ___, and take with ___.

A

Avoid grapefruit juice, take at night, take with meal.

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16
Q

Aotrovastatin - get HDL, ldl, triglyceride levels tested, as well as kidney function tests. T/F?

A

TRUE

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17
Q

Atorovastatin - peripheral neuopathy (weakness, numbness, tingling, pain in hands/feet) - that’s normal. T/F/

A

FALSE - report these

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18
Q

Lithium level 1.5 - what are some s/s?

A

Diarrhea, nausea, vomiting, thirsts, polyuria, muscle weakness, fine hand tremor, slurred speech

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19
Q

Lithium level 1.5-2 - what are some side effects?

A

GI distress (n/v, diarrhea, confusion, poor coordination, coarse tremors)

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20
Q

Lithium level 2-2.5 - wht are the symptoms?

A

Extreme polyuria, tinnitus, blurred vision, ataxia, seizure, severe hypotension, coma, death

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21
Q

Lithium level greater than 2.5 - what are they symptoms?

A

RAPID PROGRESSION OF SYMPTOMS AND YOUR ONE WAY TICKET TO BAILEY LOVE

22
Q

Phenelzine - MAOI - avoid caffeinated beverages, chocolate, fava beans. T/F?

A

TRUE

23
Q

Warfarin - avoid aspirin, heparin, acteaminophen, glucocorticoids, sulfonamides, parenteral cephalasporins due to..

A

increased risk of bleeding

24
Q

What are some foods high in vitamin K?

A

lettuce, cooked spinach, cabbage, broccoli, brussel srpouts, canola, soybean oil, mayo

25
Q

Warfarin - take __ to __ days to be fully effective.

A

3-5

26
Q

The first administration of transdermal fentanyl patch will be super great and you’ll have relief in 2 seconds. T/F?

A

FALSE - can take several hours.

27
Q

Avoid morphine if history of biliary colic. T/F?

A

TRUE

28
Q

Aminoglycosides (gentamicin, tobramycin - the MYCIN) - can cause what to the ears?

A

Ototoxcity- along with headache, nausea, dizziness, vertigo, etc.

29
Q

mycin’s - can cause neprotoxicity and hypersensitivty - T/F?

A

TRUE

30
Q

Sulamethoxazole/tripethoprin - Bactrim - do not give if patient has ___ deficiency.

A

FOLATE

31
Q

Bactrim - use caution with renal dysfunction and creat clearance of less than ___

A

40

32
Q

Bactrim - do not administer if patient is allergic to what? Or is currently ___.

A

Sulfonamides, thiazide diruetics, sulfonylurea-type oral hypoglycemics, loop dirueitcs….
or if they are currently knocked up.

33
Q

Salicylism - aspirin issues - what are some side effects?

A

Tinnitus, sweating, headache, dizziness, respiratory alkalosis

34
Q

Neostigmine - excessive muscarine stimulation, meaning what?

A

INcreased GI motiliy and secretions/bradycardia, urinary urgency

35
Q

Amitryptiline - can it cause orthostatic hypotension?

A

YES

36
Q

Amitriptyline - can it have anitcholinergic effects?

A

YES - dry mouth, blurred vision, photophobia, urinary hesitancy, retention, constipation, tachycardia

37
Q

TCA’s - sedation possible?

A

YES

38
Q

TCA’s - toxicity comes in as…

A

dysrhythmia’s, mental confusion, agitation, seizures, coma, death, decreased seizure threshold, excessive sweating

39
Q

Heparin - antidote =

want apTT __ to __ times the baseline.

A

Protamine sulfate.

1.5-2times the baseline.

40
Q

What is the normal creat value?

A

0.8-1.3

41
Q

What’s the normal BUN?

A

8-21

42
Q

What’s the normal mag?

A

1.5-2

43
Q

What’s the normal POTASSSSSEUM level?

A

3.5-5

44
Q

What’s the normal sodium level?

A

135-145

45
Q

Hemoglobin normal level?

A

12-17

46
Q

What’s the normal hematocrit level?

A

36-52%

47
Q

What’s the normal RBC level?

A

11-14

48
Q

What’s the normal platelet level?

A

150,000-400,000

49
Q

what’s the normal PT?

A

11-12 seconds

50
Q

What’s the normal apTT?

A

30-40 seconds

51
Q

What’s the normal INR?

A

2-3 seconds

ATI Proctured BS (4 decks)

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