pharm condensed kinda

Question 1

what does adenosine treat (a rushing dennys scene)

Answer 1

converts superventricular tachycardia (fast tapping fingers while waiting) to NSR

Question 2

how does adenosine slow down the heart

Answer 2

slows AV node conduction

Question 3

how do u give adenosine? (a dennys scene)

Answer 3

rapid IV push because it has a half life of 10 secs (fast run away push cart in a dennys scene) and follow w a saline flush

Question 4

what should u do after giving IV adenosine

Answer 4

immediate saline flush

Question 5

what does adenosine cause before reverting to NSR (*manager has to stop everything to calm a hectic dennys scene)

Answer 5

transient asystole but restarts in a couple secs

Question 6

what symptoms does the pt experience after receiving adenosine (rapid run away push cart hits diner and he thinks hes gonna die)

Answer 6

chest pain and sense of impending doom

Question 7

how will pt’s skin and breathing look after receiving adenosine

Answer 7

flushed (vasodilation of veins near skin cause flushing) and dyspnea

Question 8

side effects of adenosine (a dennys scene)

Answer 8

-flushing
-dyspnea
-chest pain
-sense of impending doom
-transient aystole

Question 9

what pregnancy risk category is adenosine

Answer 9

category C (pregnant woman eating at C rated restaurant)

Question 10

what cardiac problems are adenosine contraindicated for

Answer 10

2nd and 3rd degree heart block
AV block
atrial flutter
a-fib
(dont give adenosine to a 2nd/3rd degree center who lies on AV block)

Question 11

what resp issues should u be careful with giving adenosine

Answer 11

asthma

Question 12

what does atropine (a tropic peein) treat

Answer 12

bradycardia (slow HR when chilling in the tropics)
heart block (only had enough sun block to put over heart in the tropics)
reduces airway secretions (dry mouth & eyes while in the sun in the tropics)

Question 13

how does atropine (a tropic peein) work

Answer 13

anticholinergic which works on parasypathetic nervous system

Question 14

what anticholinergic treats death rattle (built up mucus and saliva in throat when pts dying)

Answer 14

atropine

Question 15

name common anticholinergic side effects

Answer 15

-constipation
-urinary retention
-confusion
-pupil dilation (mydriasis)

Question 16

what eye disease is atropine contraindicated for

Answer 16

glaucoma (atropine causes mydriasis which increases ICP)

Question 17

antidote for atropine

Answer 17

physostigmine

Question 18

what does digoxin trear

Answer 18

a fib
heart failure

Question 19

what does digoxin do

Answer 19

increases contraction strength and decreases HR

Question 20

what imbalance can cause digoxin toxicity

Answer 20

hypokalemia

Question 21

what does epoetin alfa do

Answer 21

make RBCs

Question 22

adverse BP effect of epoetin alfa

Answer 22

hypertension

Question 23

what does alosetron treat

Answer 23

severe diarrhea

Question 24

how does pregnancy effect the kidneys

Answer 24

increased renal blood flow so accelerated excretion

Question 25

why do kids get inhaled glucocorticoids instead of oral

Answer 25

oral causes adrenal suppression and stunts growth

Question 26

what can a rash after taking antiseizure med be

Answer 26

steven johnson syndrome

Question 27

what is an expected cardio adverse effect of sumatriptan

Answer 27

chest pressure and heavy arms

Question 28

what does phenazopyridine do

Answer 28

relieves burning and pain from UTI

Question 29

what can mycins do to bowels

Answer 29

cause persistent diarrhea from superinfection

Question 30

what does etonogesterel do

Answer 30

birth control

Question 31

why cant u take st johns wort w meds

Answer 31

makes drugs metabolize faster in liver

Question 32

what system does theophylline toxicity affect

Answer 32

cns

Question 33

what does sodium phosphate do

Answer 33

cleanses bowels of stool

Question 34

what should lupus pt add to their diet

Answer 34

calcium and vitamin D supplements (give selina gomez the D)

Question 35

what time of day should diuretics be taken

Answer 35

morning

Question 36

how does valproic acid affect the blood

Answer 36

alters coagulation

Question 37

what to check in blood when taking valproic acid

Answer 37

ptt ast alt

Question 38

what does valproic acid do the liver

Answer 38

hepatotoxitiy

Question 39

how does phenytoin affect the heart

Answer 39

slows it down

Question 40

phenytoin IV should not exceed what rate

Answer 40

50 mg/min

Question 41

what happens to BP if phenytoin given too quickly

Answer 41

hypotension

Question 42

how long til nph insulin works

Answer 42

1-2 hrs (nph movie would be 1-2 hrs)

Question 43

how long til insulin glulisine works

Answer 43

15 mins

Question 44

how do tb meds affect the eyes

Answer 44

changes visual acuity and color identification (tb pt would be confused at a traffic light)

Question 45

what does ginko biloba do

Answer 45

dilates blood vessels

Question 46

how does ginko bilboa affect alzheimers

Answer 46

can help in early stafes

Question 47

how does zileuton (leukotriene modifiers) affect the liver

Answer 47

increases ALT lvls

Question 48

what does raloxifene and esrogen drugs increase risk of concerning blood

Answer 48

dvt pulmonary embolism stroke

Question 49

what can hydroxychloroquine toxity cause

Answer 49

vision changes

Question 50

how do tetracyclines affect rhe skin

Answer 50

photosensitivity

Question 51

why should a preg pt not in active labor not use misoprostol for peptic ulcer disease

Answer 51

cn cause expulsion og developing fetus

Question 52

what to give to alcoholic w ataxia, nystagmus, and altered LOC (wernicke-korsakoff sydrome)

Answer 52

thiamine

Question 53

what is clopidogrel used for

Answer 53

antiplatelet

Question 54

what does pegloticase treat

Answer 54

severe chronic gout if everything else doesnt work

Question 55

how is pegloticase given

Answer 55

through IV

Question 56

what is a severe adverse effect of pegloticase

Answer 56

anaphylaxis

Question 57

what does dobutamine do

Answer 57

raises low bp by constricts blood to improve cardiac output

Question 58

what do vassopressors treat

Answer 58

hypotension

Question 59

whats an adverse effect of interferon beta-1a

Answer 59

flu like symptoms

Question 60

what does metoclopramide do

Answer 60

treats nausea and vomiting by blocking dopamine

Question 61

what does ezetimibe treat

Answer 61

hyperlipidemia

Question 62

when should omeprazole be taken

Answer 62

before meals

Question 63

what treats acute gout

Answer 63

nsaids

Question 64

where shoudl subq heparin be administered

Answer 64

into abdomen

Question 65

what type of drug is fentanyl and what it used for

Answer 65

opioid agonist and break through pain

Question 66

what endocrine effects to watch for w potassium sparing diuretics

Answer 66

gynecomastia impotence irregular periods hirtuism

Question 67

what does filgrastim treat

Answer 67

neutropenia

Question 68

what does linezolid and gram positive antibiotics cause

Answer 68

neuropathy peripherphal and optic

Question 69

nitroglycerin drug class

Answer 69

vasodilator

Question 70

what can glucocorticoids cause in stomach

Answer 70

peptic ulcers

Question 71

what to monitor for in thiazide siureics caused by hypokalemia

Answer 71

muscle weakness

Question 72

what time should cholesterol meds be taken

Answer 72

evening

Question 73

what muscle problem is contraindicated for cipro

Answer 73

tendonitis

Question 74

ecg sign of hypokalemia

Answer 74

u wave presence

Question 75

ecg sign of hyperkalemia

Answer 75

wide qrs tall t waves

Question 76

what can increase lithium

Answer 76

nsaids

Question 77

when shoudl pt take off nitro patch

Answer 77

evening

Question 78

phenytoin toxicity sign

Answer 78

enlarged lymphnodes

Question 79

hep b vaccine allergy

Answer 79

yeast

Question 80

what can clonzapine cause

Answer 80

high cholesterol

Question 81

how does gentamicin affect potassium

Answer 81

hypokalemia

Question 82

how does gentamicin affect breathing

Answer 82

causes apnea

Question 83

how does gentamicin affect hearing

Answer 83

can impair it

Question 84

how does gentamicin affect urine

Answer 84

proteinuria