Pharm 3 Flashcards
what are the three classes of acetylsalicylic acid (aspirin)?
a. analgesic
b. antipyretic
c. anti-inflammatory
d. all of the above
d. all of the above
what class is bumetanide (Bumex)?
a. loop diuretic
b. corticosteroid
c. antibiotic
d. organic nitrate
a. loop diuretic
what dose of dopamine would you use for cardiogenic shock?
a. 1-2 mcg/kg/min
b. 2-10 mcg/kg/min
c. 10-20 mcg/kg/min
d. 20-40 mcg/kg/min
b. 2-10 mcg/kg/min
FYI - per nwmc a.o.:
SBP >70 (2.5 mcg/kg/min) and
SBP <70 (5 mcg/kg/min)
what do you administer that is a suspended mixture and is indicated if the patient has ingested toxins?
activated charcoal (class: adsorbent)
what is can be administered for hypocalcemia?
calcium chloride
if a drug needs to pass the blood-placenta barrier, it must be _______.
a. free form
b. intravenous
c. lipid soluble
d. enteral
c. lipid soluble
what is a contraindication for amiodarone (Cordarone)?
a. second degree AV block
b. third degree AV block
c. amiodarone allergy
d. all of the above
d. all of the above
what drug is a beta-1 agonist?
a. glucagon (Gluca-gen)
b. thiamine (vit V1)
c. epinephrine
d. midazolam (Versed)
c. epinephrine
what drug is a pituitary hormone and polypeptide?
a. oxytocin (Pitocin)
b. insulin (Humulin)
c. epinephrine
d. thiamine (vit B1)
a. oxytocin (Pitocin)
what medication antagonizes action of acetylcholine transmission from the vagal nerve?
a. lorazepam (Ativan)
b. phenylephrine (Neo-synephrine)
c. methylprednisolone (Solu-Medrol)
d. ipratropium bromide (Atrovent)
d. ipratropium bromide (Atrovent)
what medication may be administered for PSVT that is refractory to adenosine?
a. albuterol
b. atropine
c. diltiazem (Cardizem)
d. amiodarone
b. diltiazem (Cardizem)
what is a contraindication for adenosine (Adenocard)?
a. second degree AV block
b. third degree AV block
c. sick sinus syndrome
d. all of the above
d. all of the above
what class of shock may you give morphine to?
a. cardiogenic
b. anaphylactic
c. hypovolemic
d. distributive
a. cardiogenic
each nitroglycerin tablet is ____ mg, and may be repeated to a total of ____ doses.
a. 0.4, 3
b. 0.2, 4
c. 0.6, 3
d. 0.8, 2
a. 0.4, 3
what medication has the following characteristics: anti-inflammatory effects, immunosuppressive effects, and stabilizes cellular membranes
methylprednisolone (Solu-Medrol)
you find patient that has chest pain, SOB, rales, and BP 148/50, which medication do you provide first?
a. albuterol
b. magnesium sulfate
c. oxygen
d. naloxone (Narcan)
c. oxygen
this medication when given inadvertently as an intra-arterial injection may produce an ateriospasm resulting in necrosis and potential amputation
lorazepam (Ativan)
what is a contraindication of succinylcholine?
a. hyperkalemia
b. muscle disorders
c. burn victim
d. ocular injuries
e. all of the above
e. all of the above
what medication combines with cholinergic receptors of the motor end plate to produce depolarization hydrolyzed by acetylcholinesterase?
succinylcholine
what medication stimulates alpha receptors causing vasoconstriction?
a. naloxone (Narcan)
b. atropine
c. phenylephrine nasal spray (Neo-synephrine)
d. lidocaine
c. phenylephrine nasal spray
this medication is a potent bronchodilator and catecholamine with alpha and beta effects which increase HR and BP
epinephrine
what is an indication for giving epinephrine IM or Sub-Q?
a. severe bronchospasm
b. bronchiolitis
c. asthma
d. all of the above
d. all of the above
what is a contraindication for magnesium?
hypermagnesemia
what medication would you give for post-partum hemorrhage?
oxytocin (Pitocin)
what medication effects the limbic system, thalamus, and hypothalamus and reduces the seizure threshold?
midazolam (Versed)
what medication has an off-label or secondary use that relaxes or inhibits the GI system?
glucagon
what is a synthetic adrenocorticoid with predominance of glucocorticoid action and serves as an anti-inflammatory?
dexamethasone
what medication is required for carbohydrate metabolism (often indicated in patients with chronic alcoholism or suspected Wernicke or Korsakoff syndrome)
Thiamine (vit B1)
what medication is a histamine H1-receptor antagonist (blocks histamine receptors)?
diphenhydramine (Benadryl)
what class of drug has anti-inflammatory and immunosuppressive effects?
glucocorticosteriods
when would you use a lidocaine pre-mixed bag of 2 g in 500 mL with an infusion dose of 2 mg/min?
this is the maintenance infusion for ROSC after VF or pVT
what medication would be for the suppression of ventricular arrhythmias (VF, VT, PVCs)? and what dose(s)?
lidocaine:
pulseless 1.0 - 1.5
without pulse 0.5 - 0.75
what are vasopressors for post ROSC?
a. dopamine infusion
b. epinephrine infusion
c. nitroglycerin infusion
d. both a and b
d. both a and b
