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NCLEX > Pharm > Flashcards

Pharm Flashcards

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0
Q

Do or do not chew nitro tabs?

A

Do not

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1
Q

Take Nitro on empty or full stomach?

A

Empty

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2
Q

Protect nitro from (3)

A

Light, moisture, heat

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3
Q

Sublingual nitro: burning, tingling sedation normal?

A

Yes

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4
Q

1st sign of toxicity with lidocain?

A

Drowsiness

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5
Q

Sign of severe toxicity with Lidocain?

A

Seizures

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6
Q

Therapeutic range of lidocain?

A

1.5mcg/mL

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7
Q

Therapeutic range of digitalis?

A

0.5-2ng/Ml

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8
Q

Indications for lidocain? (3)

A

PVC’s
V tach
V fib

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9
Q

What 2 main drugs need to be decreased while pt is taking amiordorone?

A

Digitalis, Coumadin

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10
Q

3 unusual side effects of amiodarone?

A

ARDS/ respiratory effects; GI/ liver effects; photosensitivity

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11
Q

CNS side effects of amiodarone?

A

Ataxia, dizziness, p neuropathy

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12
Q

Drugs to avoid while taking ACE inhibitors?

A

K+ sparing

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13
Q

Monitor for what with ACE inhibitor first dose?

A

First dose syncope

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14
Q

Common side effects with ACE’s (5)

A

Cough, angioedema, HA, dizziness, GI irritation

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15
Q

ARBS: Administer with or without regard to meals?

A

Without

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16
Q

Do not take (2) with ARBS..

A

K+Sparing

Cold preparations/nasal decongestants

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17
Q

ARBS all end in “_______”

A

Sartan

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18
Q

Review what while pt is taking ARBS?

A

Renal fx tests

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19
Q

If pulse is < ____ or SBP is < ____, hold beta blockers and call doc

A

60; 90

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20
Q

Do not give beta blockers to pts with… (Conditions-6)

A 
COPD
asthma
CHF..?
Sinus Brady
Heart block greater than 1st
Diabetes
21
Q

Calcium channel blockers end in “-___” (3)

A

-dil, -pine, -mil

22
Q

Ca channel blockers should be taken with _____ or ____.

A

Milk or meals

23
Q

Most common SE of Ca channel blockers

A

HA

24
Q

Other common SE of CC blockers: (5)

A 
Hypotension
Syncope
Peripheral edema
Bradycardia 
Constipation
25
Q

Avoid giving CC blockers when what are present?

A

Heart blocks

26
Q

If patient experiences _______ or _____ while on vasodilators, it should be reported.

A

Muscle/joint aches, fever

Lupus-like reaction

27
Q

Vasodilators should or shouldn’t be taken with meals?

A

Should

28
Q

2 big warnings (diseases) with vasodilators

A

CAD

Rheumatic heart disease

29
Q

Report _____ ______ with vasodilators

A

Peripheral edema

30
Q

Only 2 vasodilators:

A

Apresoline

Loniten

31
Q

Vasodilators increase _____ and ____ blood flow

A

Renal, cerebral

32
Q

When should diuretics be taken?

A

With or after meals in AM

33
Q

Dig tox can be induced by hypo/hyperkalemiA?

A

Hypo (monitor while taking diuretics and dig together)

34
Q

C/I with diuretics? (Due to too much diuretics)

A

Alcohol

35
Q

Loop diuretics are Sulfonamides? T/F?

A

True

36
Q

Lasix is ____toxic

A

Oto

37
Q

Loop diuretics may cause hypo____

A

Calcemia

38
Q

Hospitalization is required for IV ____

A

Heparin

39
Q

Hep is often prescribed with _____

A

Heart valve replacements

40
Q

Pts on anticoagulants should decrease intake of vitamin K. 4 examples of Vitamin K…

A

Fish
Liver
Spinach
Cabbage

41
Q

Therapeutic range of PT on Coumadin

A

1.5-2.5 x control

42
Q

INR should be

A

2-3

43
Q

T/F pts on Coumadin may use acetaminophen

A

True. Should not use ASA

44
Q

Action of Coumadin

A

Clot preventer

45
Q

Action of warfarin

A

Clot buster

46
Q

PTT therapeutic range

A

1.5-2.5 x control

47
Q

Monitor what two things with heparin

A

Platelets

PTT

48
Q

Antidote for lovenox?

A

Protamine sulfate

49
Q

Allergy That is C/I with lovenox

A

Pork

50
Q

How Is lovenox given? Route and rules

A

SC; do not give IM, do not aspirate, do not massage

51
Q

Give lovenox ____hours prior to surgery

A

2

NCLEX (6 decks)

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