Old content (10 Larkin)

Question 1

Infectious Disease- Non Abx
Ethambutol

Answer 1

Clients will need to make sure they get eye exams q6 months!!!!

Question 2

Infectious Disease- Non Abx
Rifampin

causes what?

Answer 2

May cause urine, saliva, tears, and sweat, etc. to be red-orange- brown colored [can stain soft contact lenses]

Don’t report to provider

STAINED URINE?
DON’T CALL PROVIDER

Question 3

Respiratory Medications
Diphenhydramine (Benadryl)

what is it used for?

What to recommend if client experience dry mouth?

What if they are coming in for allergy testing?

Answer 3

Used to relief or prevention of histamine-related allergies

motion sickness

tx of Parkinson’s disease

promotion of sleep

management of anaphylaxis (alongside epinephrine)

Chew or suck on sugar free candy or OTC throat lozenges, or to chew sugar free gum!!!!!**

need to be stopped at least 4 days before testing,

Question 4

Hematology
Heparin

If on Heparin check what?

Target level?

What does it mean when value is too high or too low

Antidote for overdose/toxicity?

Answer 4

aPTT and PTT

Target therapeutic level of anticoagulation: 40-70 SECONDS

High: Risk for bleeding (patient will die)
Low: chance of forming clots (clots will grow)

Antidote for overdose/toxicity is protamine sulfate

Question 5

Hematology
Warfarin

If on Warfarin check?

Normal PT level?
Target INR level?

Antidote?
Avoid?

Answer 5

PT and INR

Normal PT: 18 seconds

Target levels of INR range from 2-3 (or an average of 2.5)

Antidote for overdose/toxicity is Vitamin K

PO ONLY
cranberry juice

Question 6

Dyslipidemia
Lovastatin

Answer 6

rhabdomyolysis!!!!!!
RUQ abd pain!!!!!

“coca cola” urine or Jaundice

notify provider immediately!!!!!

dosed at bedtime

Question 7

Antihypertensive Medications
Lisinopril (ACE)

Answer 7

Angioedema
Dry cough
avoid salt substitutes containing potassium

Can cause HYPERKALEMIA and RENAL IMPAIRMENT

Question 8

Antiemetics
Scopolamine

Used for?
contraindication?
adverse effects?

Answer 8

N/V associated with motion sickness and post- op N/V

glaucoma

cant see
can’t pee
cant spit
can’t shit
cant sweat

Question 9

Antiemetics
Scopolamine

Apply patch where?
For surgery?
Apply?
Replace?

Answer 9

Apply patch to a hairless, clean, dry area behind ear

For surgery, place behind ear 1 hour before remove 1 day after

Apply 4 hours before exposure to travel to prevent motion sickness

Replace every 3 days PRN

Question 10

Antipsychotics
Lithium

Used for?
Adverse effects? CV
Neuro?

Answer 10

Used for Bipolar disorders

Adverse effects:
cardiac dysrhythmias
hypotension

NEURO:
tremor
confusion
drowsiness, somnolence
impaired memory
seizure

Question 11

Lithium

Narrow therapeutic range?
Monitor what?
Educate clients to avoid what?
Also avoid what?
lithium toxicity signs?

Answer 11

**Narrow therapeutic range:
0.6-1.2 mEq/L!!!!!!

Monitor lithium and serum sodium levels

Educate client to avoid excessive amounts of coffee, tea, and cola b/c of it’s diuretic action

Avoid activities that cause excess sodium loss (heavy exertion, exercise in hot weather, sauna)

fine tremors and thirst

Question 12

Antipsychotics
Fluoxetine

Can also treat?
Asses for?
Administer when?
SSRIs may cause?

Answer 12

Can also treat bulimia, OCD, panic disorder and PMDD

Assess mood for suicidal tendencies, especially during early therapy

Assess for serotonin syndrome

Administer in the morning

decreased libido and sexual dysfunction