Pharm

Question 1

What is a peak

Answer 1

Highest level of med- taken after med is given

Question 2

Who prepares TPN?

Answer 2

Pharmacy

Question 3

What should be monitored with TPN and why?

Answer 3

Glucose- high glucose can have an osmotic diuresis effect on the body

Question 4

What med can cause tendon rupture?

Answer 4

Cipro

Question 5

What tendon is most likely affected in tendon rupture

Answer 5

Achilles’ tendon

Question 6

When can tendon rupture occur when a pt is admin Cipro?

Answer 6

As much as 8-12 weeks after the med is stopped

Question 7

What does potassium sparing mean ?

Answer 7

Inhibits the excretion of potassium from the tubules and therefore keeps potassium in the body

Question 8

Potassium sparing diuretics are often used with which 2 types of drugs

Answer 8

Loop diuretics

Thiazides

Question 9

Name 2 potassium sparing diuretics

Answer 9

Lasix

Aldactone

Question 10

What is positive inotrope

Answer 10

Increases pumping action of the heart

Question 11

What is negative inotrope

Answer 11

Decreases force of contraction of the heart

Question 12

If a pt gets a headaches from the admin of nitro, should you stop the med?

Answer 12

No - continue tx

Question 13

Which insulin gets drawn first - reg or nph?

Answer 13

Regular

Question 14

When mixing insulin, what is the rule

Answer 14

Clear— cloudy

Question 15

When DM pt getting contrast dye, what medication should be held

Answer 15

Metformin

Question 16

Why should metformin be held when a DM pt is going through dye contrast studies

Answer 16

Can cause lactic acidosis and renal impairment

Question 17

When should metformin be held when a DM pt is undergoing contrast studies

Answer 17

Pre and post contrast studies

Question 18

When should thyroid meds be taken

Answer 18

Same time each day

Question 19

Should thyroid meds be taken before or after eating

Answer 19

Before eating- on an empty stomach

Question 20

What is PTU caused by

Answer 20

Overacting thyroid

Question 21

What increases the absorption of iron in the body

Answer 21

Vit c

Question 22

What decreases the absorption of iron in the body

Answer 22

Calcium

Question 23

What is the difference bx anticoagulant and anti-platelets

Answer 23

Anticoagulants interfere with clotting process

Antiplatelets interfere with plt aggregation

Question 24

Name some examples of anti-plt

Answer 24

ASA

Plavix

Question 25

What routes is heparin administered

Answer 25

IV | SQ

Question 26

Onset of heparin effectiveness

Answer 26

Immediate

Question 27

What labs should be done when heparin is admin

Answer 27

Ptt/ aptt

Question 28

What is a heparin antidote

Answer 28

Protamine sulfate

Question 29

What should the ptt/ aptt values be with heparin

Answer 29

35-80

Question 30

What is the normal aptt?

Answer 30

30- 40 secs

Question 31

If the _____ lab value is ______, we admin protamine sulfate for the antidote to heparin

Answer 31

``` Aptt Too high (above 80) ```

Question 32

What is a normal INR levels with no coats?

Answer 32

1-2

Question 33

What routes is warfarin admin

Answer 33

Po | IV (rare)

Question 34

How long does it take warfarin to be effective after being admin the first dose

Answer 34

3- 5 days

Question 35

What labs are drawn when pts are taking warfarin

Answer 35

INR

Question 36

What is the antidote for warfarin

Answer 36

Vit k

Question 37

What should the INR be at a therapeutic level with Coumadin

Answer 37

2-3 | 2.5-3.5 with an artificial valve

Question 38

Thrombolytics must be admin by what time frame after a clot/ cva

Answer 38

4-5 hours

Question 39

Ppl with ________ _____________ have a fit b-12 deficiency

Answer 39

Pernicious anemia

Question 40

How is vit b-12 admin and why

Answer 40

Injected | Ppl w/ pernicious anemia do not make the subs in the stomach to absorb/ break down b12

Question 41

Antacids should be admin how long after iron admin

Answer 41

60 mins

Question 42

What are some common s/e's of diuretics

Answer 42

Hypokalemia Hyponatremia Hyperglycemia

Question 43

When taking k sparing diuretics, what dietary item should be avoided

Answer 43

Salt substitutes

Question 44

What abx are known to be nephro and ototoxic

Answer 44

Gentamicin | Vancomycin

Question 45

What abx can cause red mans syndrome

Answer 45

Vanco

Question 46

How can red mans syndrome be avoided

Answer 46

Vanco must be admin over an hour

Question 47

What s/s will be seen with red mans syndrome

Answer 47

Decreased bp | Flushed look

Question 48

Methotrexate lowers what lab values

Answer 48

Wbc's Plts RBC's

Question 49

What should be monitored with methotrexate

Answer 49

Infec

Question 50

Plaque nil is known for causing _________ damage

Answer 50

Retinal

Question 51

Pts with gout should avoid which dietary foods

Answer 51

Purines- -organ meats Gravies Sardines

Question 52

What 2 meds are normally given to ppl with gout

Answer 52

1- zyloprim- long term maintenance | 2- colchicine - flare up

Question 53

When a pt is on NSAIDs, what should be monitored

Answer 53

Bleeding

Question 54

What suffixes are assoc with psych meds

Answer 54

Lam | Pam

Question 55

When pts are taking MAOI's, they should avoid what?

Answer 55

Tyramine

Question 56

What can happen if a pt ingests tyramine when taking MAOI's

Answer 56

Hypertensive crisis

Question 57

A-typical anti-psychotics are known to cause what

Answer 57

Agranulocytosis

Question 58

What should be monitored with patients on a-typical antipsychotics

Answer 58

CBC - WBC count

Question 59

Haldol is a ________ anti-psychotic

Answer 59

Typical

Question 60

Common adverse Rxns of haldol

Answer 60

TD | EPS

Question 61

Lithium is a med given for

Answer 61

Bipolar

Question 62

Lithium toxicity increases with what condition and how can it be Prevented

Answer 62

Hyponatremia | - maintain adequate Na and hydration

Question 63

What medication can cause lithium toxicity

Answer 63

NSAIDs

Question 64

What is the ther lithium level

Answer 64

0.4-1.4

Question 65

Parkinson's meds are C/I with what med and condition

Answer 65

MAOI's, benztropine (cogentin) | Narrow angle glaucoma

Question 66

What is the time frame for emergency contraception

Answer 66

Must be taken within 72 hrs

Question 67

What is the antidote for mg

Answer 67

Calcium gluconate

Question 68

What does magnesium tox look like

Answer 68

*** decr DTR's *** Decr urine output Low BP Decr RR

Question 69

S/s lactic acidosis

Answer 69

Change in LOC Myalgia Malaise Hyperventilation

Question 70

What med may be given for PP bleeding

Answer 70

Methergine

Question 71

Methergine is C/I in what condition

Answer 71

HTN

Question 72

What risks can cause PP hemorrhage

Answer 72

Overstretching Overusing Multiples

Question 73

What 2 reasons is pitocin used for

Answer 73

Induce/ augment labor | PP hemorrhage

Question 74

What is the main s/e of pitocin

Answer 74

Incr BP

Question 75

What is the purpose of tocolytics

Answer 75

Relax uterus

Question 76

Name 2 tocolytics

Answer 76

Terbutaline | Mg

Question 77

Pts on protonix are at an increased risk for what and why?

Answer 77

PNA | Decreases the acid that would have killed upper respiratory bacteria

Question 78

What drug class is risperidone

Answer 78

A-typical antipsychotic

Question 79

What conditions is risperidone used for

Answer 79

Schiz BPD Autism

Question 80

Pts taking symbicort are at risk for _____ and why?

Answer 80

Oral candidiasis- PO steroids

Question 81

When should synthroid be taken and why

Answer 81

In the morning | Causes insomnia

Question 82

When is a trough level drawn

Answer 82

15 mins before dose admin

Question 83

When is a peak level drawn?

Answer 83

30 mins after dose is admin

Question 84

The meningitis covers how many strains of meningitis

Answer 84

4

Question 85

What meds cause ototoxicity in high doses

Answer 85

Lasix Gentamycin Aspirin

Question 86

Can it's who are allergic to pcn take cephalosporins and a possible reason why?

Answer 86

No | Cross sensitivity

Question 87

What are the most common cephalosporins

Answer 87

Keflex | C-core

Question 88

What is the most common quinolone

Answer 88

Cipro

Question 89

Other than bacterial infects, what is Cipro used or ?

Answer 89

STD's | Anthrax

Question 90

What is the most common macrolide

Answer 90

Azithromides (z-pack)

Question 91

What are macrolide so used to treat

Answer 91

Resp infection

Question 92

What is used to treat Lyme disease

Answer 92

Doxycycline

Question 93

Who is at most risk for c-diff

Answer 93

Pt in a hospital on an IV abx

Question 94

What is the first drug of choice for seizures

Answer 94

Keppra

Question 95

What is the old drug used for seizures

Answer 95

Dilantin

Question 96

What are common ED meds

Answer 96

Levitra Viagra Cialis

Question 97

Iron antidote

Answer 97

Deferoxamine

Question 98

What are PRBC's admin for ?

Answer 98

Severe anemia

Question 99

How is amount of PRBC's to admin adequately dosed?

Answer 99

Each unit of PRBC's will increase RBC's by 1 g/ dL

Question 100

What is admin for burns

Answer 100

FFP

Question 101

What should be monitored in burn victims

Answer 101

Albumin

Question 102

What is the normal albumin range

Answer 102

3.5- 5

Question 103

What is admin for hemophilia

Answer 103

Cryoprecipitate factor VIII

Question 104

What do you monitor for when admin a hemophiliac cryoprecipitate factor VIII ?

Answer 104

PTT

Question 105

What is the normal PTT range

Answer 105

30-40

Question 106

What is the ther PTT range

Answer 106

45-80

Question 107

S/s of benzo wd

Answer 107

Tachycardia Hand tremors Seizures

Question 108

What is an example of benzo

Answer 108

Xanax

Question 109

What is a trough

Answer 109

Lowest level - usually taken before med is given