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Capstone Round 2 > Pharm Comp > Flashcards

Pharm Comp Flashcards

1
Q

Which herb to be mindful of when using Oral Contraceptives

A

St. John’s Wort

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2
Q

Rifampin EXPECTED

A

Orange peecretions

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3
Q

Phenytoin REPORT

A

Skin rash

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4
Q

Coumadin Ø

A 
no prego
no multivitamins (b/c Vit K)
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5
Q

Allopurinol EDUCATE

A

3 quarts of water/day

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6
Q

Prednisone INTERACTION

A

decreases FX oral hypoglycemics

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7
Q

Circulatory overload S/S

A

Dyspnea

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8
Q

Bethanchol is for…

A

inability to void

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9
Q

Montelukast (Singulair) WHEN TO TAKE

A

QD in the evening

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10
Q

Erythromycin (E-Mycin) 2 EXPECTED

A

Yellow emesis

Diarrhea

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11
Q

Therapeutic FX Thyroid Hormones

A

improved mood

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12
Q

Insulins TEMPERATURE

When to give?

A

Room for 28 days ONLY, otherwise refrigerate

30 min prior to food after checking glucose

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13
Q

Cyclophosphamide (Cytoxan) REPORT

A

Flu S/S

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14
Q

Bendryl SFX

A

sedation

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15
Q

Chlorpromazine, jerkyness despide discontinuation means…?

A

Tardive Dyskinesia

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16
Q

-olol, HOLD WHEN

A

HR is ↓ 60

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17
Q

-pril, HOLD WHEN
Relation w/ Salt Substitutes?
FX on weight
Take with food?

A

↓ BP
Don’t use em’
↑
Empty stomach, OK!

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18
Q

Cloudy insulin?

A

GET RID OF IT

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19
Q

Lantus, SLIDING SCALE

A

NO

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20
Q

Calcium flank pain means…?

A

Renal stones

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21
Q

Rectal POSITION?

A

Sim’s

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22
Q

Patient doesn’t recognize pill?

Patient doesn’t wanna take med?

A

Ask what normal one looks like

So be it, document.

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23
Q

Ceftriaxone (Rocephin) route/location to inject

A

IM

Vastus Lateralus

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24
Q

Digoxin
What to measure before giving
Signs Toxicity… LNB!!!

A

Pulse

Loss of appetite
N/V
Blurred/yellow-vision

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25
Q

Aldronate (Fosamax) 4 ADFX

A

Jaw pain
Headache
Blurred vision
Dysphagia

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26
Q

PO meds with infants, POSITION

A

Semi-upright b/c r/o aspiration

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27
Q

Prednisone and RA, Therapeutic FX

A

↑ RoM

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28
Q

This anti-coagulant DOESN’T need to be frequently clot monitored!

A

Enoxaparin (Lovenox)

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29
Q

Medication used to TX sudden anaphylaxis?

A

Epinephrine (Adrenalin)

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30
Q

Medication to TX Cushing’s Triad

A

Mannitol 25 percent

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31
Q

4 S/S of IV Phlebitis… WETS

A

Warmth
Erythema
Throbbing
Streak formation

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32
Q

RBC transfusion starting rate

A

5mL/15minutes

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33
Q

Patient brings in herbal supplement?

A

Check it w/ doctor

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34
Q

Omeprazole TX

A

Acid indigestion

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35
Q

Bad K levels? What to do?

A

Call the provider and inform of level

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36
Q

Beclomethasone (glucocorticoid) REPORT

A

White coating/candidiasis

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37
Q

Regular + Intermediate Insulin Procedure (6 step)

A 
Assess for contaminants
Roll NPH insulin
Inject AIR NPH
Inject AIR Regular
Draw regular
Draw NPH
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38
Q

Eye administration, where on EYE?

A

Conjunctival sac

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39
Q

Topical ointment, skin prep

A

Wash area w/ soap and water

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40
Q

Asthma med Zileuton (Zylfo) REPORT

A

Abdominal Pain

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41
Q

Age when you CAN’T receive live influenza?

A

62

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42
Q 
Cimetidine (Tagamet)
Interferes with 3 medications... CPP
Length of TX
Take with food?
With antacids?

Special power w/ Famotidine

A

Coumadin, Phenytoin, Propranolol
Short term ulcer TX
Yes, to minimize gastric irritation
1 hr before

Unaffected though it’s a antacid

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43
Q 
Aluminum Hydroxide (Amphojel) TX
SFX
A

Heart Burn

Constipation

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44
Q

Safe sources for medication information (3)

A

Published journals
Pharmacists
Physician’s

45
Q

Pancreatic Enzymes FX on Stools

TX of what 2 conditions?

A

↓ fat in the stool

Cystic Fibrosis and Pancreatitis

46
Q

Bumetanide (Bumex) Loop diuretic
REPORT
When to take

A

▲ in hearing

0800 and 0200 to prevent night sweats

47
Q

Patient reports been taking a medication? What to ask?

A

HX (how long have they been taking it)

48
Q

Purpose of NSS with blood transfusions

A

↓ r/o hemolysis

49
Q

Miss a oral contraceptive?

Miss 2?

A

Take it with the next dose.

Double dose for 2 days.

50
Q

Dimenhydrinate (Dramamine) TX

51
Q

Nitroglycerin SFX

52
Q

Class to treat status asthmaticus

A

Short-acting B2-Agonist

53
Q

Anti-coagulant used for IMMEDIATE prophylactic therapy

54
Q

2 Key S/S allergic reaction

A

Pruritis and urticaria

Generalized itching and hives

55
Q

Pain FX on HR

56
Q 
Methotrexate (Rheumatrex) 
Water consumption?
R/T NSAIDS?
Take with food?
SFX (2)
ADFX to Report
A 
2 - 3 L to promote excretion
↑ toxicity (contraindicated)
empty stomach
drowsiness, immunosupression
Unexplained bruising
57
Q

Suppository 5 RULES

A

Normal gloves OK
Water-soluble lubricant
Insert w/ dominant index finger (not applicator)
Patient L sim’s position or modified lithotomy
Insert beyond internal sphincter

58
Q

Ibuprofen medication class
Contraindicated in…
Tx… 2

A

NSAID
Hx bronchospasms
RA and Osteoarthritis

59
Q

Sickle Cell Crisis Pain medication

A

Morphine sulfate

60
Q

Stroke contraindicated medication

A

blood thinners (aspirin, anticoagulants)

61
Q

Herbal supplements contraindicated for the following…
Bleeding disorders (2)
Kidney Stones
Thyroid Treatment

A

Saw palmetto, Garlic (blood thinners)
Cranberry
Soy Isoflavones

62
Q

Methylphenidate (Ritalin) TX

A

ADHD (increases focus)

63
Q

Ampule Procedure (3)

A

Tap top
Wrap top w/ gauze/alcohol swab
Break away from hands

64
Q

A and B blood transufsing to AB

A

Compatible, administer as ordered

65
Q

Sustained-Release Capsules

A

MUST be swallowed whole, no chewy crushy!

66
Q

Disulfiram (Antabuse) what to determine before starting

A

When was the last drink of alcohol

67
Q

Heparin injection

Location, Gauge, Length needle, Time pressured

A

Abdomen, above the iliac crest
25 - 26 gauge
1/2 - 5/8th inch
1 - 2 minutes

68
Q

WIERD syringe question asking to “give X regular insulin with Y long-acting at breakfest hour”

A

Even though you don’t mix long acting w/ short, add them together in 1 syringe

ONLY FOR THIS QUESTION

69
Q

Expectorants TX Cough by…?

A

Stimulating secretions, r/in cough productivity

70
Q

Ferrous Iron is best taking with…?

Vitamin, Environment, Food type.

A

Vitamin C, acidic environments, fruit juice

71
Q

What not to take with Chlorpropamide (Diabinese)

72
Q

When to ▲ Nitro patches and how long to leave them on

A

Every morning

12 hours

73
Q

Feverfew TX

Contraindicated with…?

A

Migraine headaches

Pregos

74
Q

Sucralfate (Carafate) FX

When to take (2)

A

Covers ulcers

1 hr before meals and at bedtime

75
Q

Lithium Carbonate (Eskalith) Monitor WHAT?
Time it takes to start working
Therapeutic dose
Expected SFX

A

Weight daily (r/o hyponatremia and fluid loss)
1 week or so
300 mg TID
Muscle Weakness

76
Q

Verapamil (Calan)
R/T aspirin
With food?
Sprinkle OK?

A

Contraindicated
Yes
Yes

77
Q

Dantrolene (Dantrium)
Time for effect, what declines?
R/T Pain meds?
ADFX

A

1 week or so, muscle strength
Ok to take with
Photosensitivity (care for the sun!)

78
Q

Cyclobenzaprine (Flexeril) FX

A

Relieve muscle spasms

79
Q

Ear drop instillation in…
Kids
Adults

A

Down back

Up back

80
Q

Docusate Sodium (Colace)
Expected FX
How much Water to drink with? (oz)
R/T Mineral oil?

A

1 - 2 soft stools/day
8 oz
Contraindicated, don’t take the oil.

81
Q

Tamoxifen (Nolvadex) TX
3 SFX
What to report

A

Breast Cancer
Vision ▲, Weight GAIN, drowsiness
Unusual Menstrual Bleeding

82
Q

Butorphanol (Stadol) Class of medication

Counter medication

A

Opioid Analgesic

Naloxone (Narcan)

83
Q

Albuterol (Proventil)
Class
3 FX

A

Bronchodilator

↓ wheezing, open airways, ↓ coughing episodes

84
Q

Clozapine (Clozaril)
Class
FX

A

Anti-psychotic

↓ hallucinations

85
Q

Aspirin relation to Warfarin/Heparin

Max mg/day

A

Warfarin = increases effects
Heparin = nothing
4000 mg/day

86
Q

Vicodin Class

87
Q

Nalbuphine (Nubain) 1 ADFX

A

blurred vision

88
Q

How to prevent DAYTIME sedation from anti-histamines

A

Take doses at bedtime

89
Q

Hydroxychloroquine (Plaquenil) toxic reaction

A

↓ visual acuity

90
Q

Fluoxetine and grapefruit juice
When to take.
With food?

A

NOT AFFECTED?!
Morning, causes insomnia at night.
Doesn’t matter

91
Q

Anticholinergic FX (4) - PDTC

A

Photophobia
Dry Mouth
Tachycardia
Constipation

92
Q

Theophylline ADFX

A

Tachycardia

93
Q

Nitroglycerin 3 KEY notes to administration

Ointment vs. Patch

A

Hairless rotated sites
New patch each morning
Remove patch q12hrs

Ointment is covered w/ plastic wrap, patch isn’t

94
Q

Famotidine and Calcium Carbonate Med Classifications

R/t Water

A

Antacids

Take both w/ water

95
Q

Famotidine special properties

A

Ø affect medication metabolization or Cimetidine (Tagament)

96
Q

Furosemide (Lasix) When to take.

R/t NSAIDS

A

Early, b/c insomnia affects

Contraindicated because they ↑ FX lasix, substitute Tylenol

97
Q 
Insulins - Onset, Peak, Duration
Regular
Short R
INtermediate
Glargline Lantus
A

↓ 15min —– 30min - 1hr —– 3 - 4 hr
30min - 1 hr —– 2 - 3 hrs —- 5 - 7 hrs
1 - 2 hr —– 4 - 12 hr —– 18 - 24 hr
1 hr —– X —– 10 - 24 hr

98
Q

Sumatropin FX/2ADFX/what to REPORT/when to STOP

A

Growth hormone
Hyperglycemia, Hypothroidism
Report join pain, stop meds before Epiphyseal plate closes

99
Q

Corticosteroids suffix, 3 ADFX

A

-isone
Cortisone, prednisone, hydrocortisone
Bleeding, Hyperglycemia, Osteoprosis

100
Q

Admin time for…
Whole blood/Packed RBCs
Platelets

A

2 - 4 hours

15 - 30 minutes

101
Q

Hematopoietic Growth Factors FX/ADFX
Epoetin Alfa
Peg/Filgastrim
Oprelvekin

A

↑ RBC, HTN
↑ WBC, bone pain
↑ platelets, cardiac dysrhythmias

102
Q 
Antiemetics ADFX
Promethazine
Metrocloppramide
Scopolamide
Onsansetron + SFX Herbal supplement
A

Anticholinergic + EPS
Anticholinergic + EPS + NMS
Anticholinergic + Sedation (CI - angle closure glaucoma)
EPS + Headache, Herbal - Ginger r/in minor ♥ burn

103
Q 
Pooper Meds Education 
Simethicone - When to take
Loperamide - FX/2ADFX
Bisacodyl - Length of Tx
Docusate - SFX
MOM - Monitor...?
A 
meal times + bedtime
Antidiarrheal, anticholingeric + ↓ GI
Short term
mild cramps
electrolytes
104
Q

H2 Antagonists suffix + FX

Cimetidine 2 ADFX

A

-itidine
Suppresses secretion gastric acid by blocking receptor
↓ sexual drive and CNS

105
Q 
Cimetidine interactions w/...
Warfarin
Phenytoin
Theophylline
Lidocain
A

↑ function

106
Q

Proton Pump Inhibitors suffix and FX

2 ADFX (1 long term use)

A

-prazole
Suppresses secretion of gastric acid by inhibiting enzyme

Similar to Digoxin + Osteoporosis long term

107
Q 
FX Herbal supplements
Black Cosh
Valerian
St. Johns Wort + interaction
Gingo biloba
Ginger
Garlic
A 
Women stuff
sleep
depression (↓ oral contraceptive fx)
Memory
Ant-emetic (↑ bleeding)
↑ bleeding, ↓ blood sugar
108
Q

CAPHE VAL ETH. GA? Toxicity S/S

P.H.E.N.Y.T.O.I.N

A 
P – pharmacological interactions
H - hirsutism
E – enlarged gums
N - nystagmus
Y – yellow-browning skin
T - teratogenicity
O - osteomalacia
I – B and K metabolism
N - neuropathies

Capstone Round 2 (9 decks)

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