Pharm

Question 1

Indication of ergotamine

Answer 1

Migraine headache

Question 2

What labs require monitoring when taking gemfibrozil?

Answer 2

LFTs -> risk for liver toxicity

Question 3

What drug is used to stop preterm labor?

Answer 3

Nifedipine

Question 4

What medication allergy is a contraindication to ceftriaxone?

Answer 4

Piperacillin - cephalosporins + penicillins

Question 5

Monitor for what AE of sulfasalazine (taken for UC) + notify provider?

Answer 5

Jaundice

Question 6

Pt receiving continuous heparin drip has aPTT of 90 sec. What should the RN do?

Answer 6

Slow infusion rate, contact provider, assess pt for bleeding

Question 7

Monitor for what AE on chlorothiazide (taken for HTN)?

Answer 7

Muscle weakness -> potassium wasting diuretic -> hypokalemia

Question 8

What lab value do you need to monitor for pt on filgrastim?

Answer 8

Neutrophil count - treats neutropenia -> increased count

Question 9

AE of IV gentamicin

Answer 9

Proteinuria - nephrotoxicity -> monitor for oliguria + hematuria

Question 10

Contraindication of metoclopramide (taken for n/v)

Answer 10

GI obstruction

Question 11

Pt presents with mask-like facial expression + involuntary movements/tremors after taking chlorpromazine for schizophrenia. What is pt experiencing and what med is used to treat it?

Answer 11

Parkinsonism -> Amantadine (antipark med used to treat EP manis)

Question 12

Labs to monitor while taking valproic acid

Answer 12

PTT - alters coagulation
AST + ALT - hepatotoxic

Question 13

Teaching for IV morphine bolus

Answer 13

Resp depression can occur within 7 minutes after administration

Question 14

What baseline test is needed before starting amitriptyline?

Answer 14

ECG

Question 15

Therapeutic effects of tamoxifen

Answer 15

Antiestrogenic

Question 16

`Teaching for intranasal calcitonin-salmon (for postmenopausal osteoporosis)

Answer 16

To activate the pump on the initial use by holding the bottle upright + depressing the 2 white side arms toward the bottle six times

Question 17

What adverse effect of adenosine (administered via IV bolus for paroxysmal a. tach) do we need to monitor for?

Answer 17

Dyspnea -> causes bronchoconstriction (but is short lived)

Question 18

Common adverse effect of hydroxyzine

Answer 18

Dry mouth - anticholinergic

Question 19

What is an expected finding related to pupil size during a heroin overdose?

Answer 19

Pinpoint –> opioid toxicity
(increase size during opioid withdrawal)

Question 20

What type of insulin is insulin glulisine?

Answer 20

rapid acting (15 mins to onset of action)

Question 21

What kind of acidosis can metformin cause and what are the manifestations?

Answer 21

Lactic acidosis - myalgia, malaise, somnolence, hyperventilation

Question 22

Early manifestation of theophylline toxicity

Answer 22

Tremors (CNS stimulation)

Question 23

Manifestations of neuroleptic malignant syndrome

Answer 23

fever, resp distress, diaphoresis, HTN or htn

Question 24

What AE should you monitor for a pt on mannitol via continuous IV infusion

Answer 24

Lung crackles (bibasilar crackles) -> osmotic diuretic that precipitates HF + pulm edema

Question 25

When should an infant receive the DTaP?

Answer 25

2 months