Pharm

Question 1

C. diff

treatment

Answer 1

Metronidazole (Flagyl) is an anti-infective drug commonly used to treat C difficile.

For severe C difficile infection, oral vancomycin may be used; intravenous vancomycin is ineffective.

Question 2

Epinephrine and Norepinephrine

-function-

Answer 2

Vasoconstrictors

Question 3

Duloxetine

1) Class
2) Use
3) Side effect

Answer 3

1) SNRI = psych
2) Depression and Pain (neuropathy)
3) Sedation

Question 4

TCA

1) uses
2) side effects

Answer 4

1) Depression & neuropathy

2) can’t see, pee, spit, or shit

Question 5

MAOI

-side effects-

Answer 5

M = massive HTN crisis

A = avoid Tyramine (fermented foods)

O = OTC meds

O = other antidepressants

I = increased suicide risk 1-2 weeks

Question 6

SSRI

-side effects-

Answer 6

S = suicide risk increase

S = slow onset and taper off

S = serotonin syndrome, sweaty, hot, and fever

R = rigid muscles, restlessness, & agitation

I = increased heart rate

Question 7

MAOI

3

Answer 7

1) Phenelzine
2) Selegiline
3) Isocarboxazid

Question 8

TCA

2

Answer 8

1) Amitriptyline

2) Imipramine

Question 9

SNRI

1

Answer 9

Duloxetine

Question 10

SSRI

3

Answer 10

1) Sertraline
2) Citalopram
3) Escitalopram

Question 11

Proton Pump Inhibitor

Answer 11

cause suppression of stomach acid

Question 12

Levothyroxine

-aka-

Answer 12

Synthroid

Question 13

SNRI

-side effects-

Answer 13

sedation

Question 14

MAOI

uses (3)

Answer 14

1) Depression
2) Panic disorder
3) Social phobia

Question 15

SSRI

uses (3)

Answer 15

1) Depression
2) Anxiety
3) PTSD

Question 16

SNRI

uses (2)

Answer 16

1) Depression

2) Chronic pain

Question 17

Sulfonylurea

1

Answer 17

Glipizide

Question 18

ACE Inhibitors

-side effects (3)-

Answer 18

1) Dizziness
2) Orthostatic
3) Hyperkalemia

Question 19

Magnesium sulfate

-uses (2)-

Answer 19

1) Electrolyte imbalance

2) Seizure

Question 20

Insulin Glargine

-precaution-

Answer 20

Do not mix with any other insulin

Question 21

Amiodarone

1) Class
2) Use

Answer 21

1) Antiarrhythmia

2) After epinephrine in v-fib and v-tach.

Question 22

Digoxin toxicity

Answer 22

Nausea, loss of appetite, and vomiting

Question 23

Dopamine

-class-

Answer 23

Vasopressor

Question 24

Lactulose

1) Use
2) Warning sign

Answer 24

1) Improves mental status by removing ammonia (think: hepatic encephalopathy)
2) Loose stools ok, but watery stools indicate lactulose overdose.

Question 25

Ascorbic acid | -use-

Answer 25

Treatment of scurvy through collagen synthesis

Question 26

Aspirin toxicity | -early sign-

Answer 26

Tinnitus - ringing in the ears

Question 27

Epoetin alfa | -human recombinant erythropoietin-

Answer 27

hematopoietic growth factor The erythropoietin is produced in the kidney and stimulates bone marrow production of red blood cells (RBCs). Epoetin alfa is used to stimulate RBC production, prescribed if client has symptomatic anemia with hemoglobin of <10 g/dL.

Question 28

Levetiracetam | -Keppra-

Answer 28

used to treat seizures has minimal drug-drug interactions compared to phenytoin and often preferred antiepileptic medication.

Question 29

Hydrochlorothiazide

Answer 29

Potassium wasting diuretic

Question 30

Thiazide diuretics

Answer 30

Potassium-wasting

Question 31

Sildenafil

Answer 31

Viagra

Question 32

Sulfasalazine

Answer 32

used for mild to moderate chronic inflammatory Rheumatoid Arthritis and inflammatory bowel disease.  Important adverse effects include crystalluria with kidney injury, yellow-orange skin and urine discoloration, folic acid deficiency, and photosensitivity.

Question 33

Who can receive live attenuated vaccines?

Answer 33

Healthy individuals age 2-49

Question 34

What to give for Hyperkalcemia

Answer 34

1) Calcium gluconate | 2) Regular insulin with dextrose

Question 35

Lower BP during pregnancy

Answer 35

1) Hydralazine | 2) Labetalol

Question 36

Beta-blocker | -side effects-

Answer 36

Wheezing may indicate bronchoconstriction or bronchospasm.  The nurse should assess for any history of asthma or other respiratory problems and report to the HCP.

Question 37

Adenosine

Answer 37

Drug of choice for paroxysmal supraventricular tachycardia (PSVT)

Question 38

Naproxen | aka Alieve

Answer 38

NSAID

Question 39

Synthetic ADH

Answer 39

Vasopressors = -pressin Desmopressin Side effects Low Na = headaches = death