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TERM 2 N1260 SKILLS 2 > PHARM QUIZ > Flashcards

PHARM QUIZ Flashcards

1
Q

Why does Miki take Alendronate?

A

Osteoporosis

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2
Q

Describe the action: Alendronate

A

Inhibits osteoclast activity to prevent bone resorption

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3
Q

Name 2 trade names of Alendronate

A

Binosto, Fosamax

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4
Q

Name the therapeutic drug class of alendronate

A

Bone resorption inhibitors

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5
Q

Name some side effects Miki might be experiencing due to alendronate

A

MSK pain, acid regurgitation, eye pain

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6
Q

Describe the absorption of alendronate

A

Poorly absorbed PO

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7
Q

What are the clinical indications for alendronate?

A

Osteoporosis, Paget’s

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8
Q

When should alendronate be administered?

A

First thing in the morning, 30 min before any other food or medications

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9
Q

How should alendronate be administered?

A

Liquid form - do not crush EC capsules

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10
Q

What should the nurse do after the administration of alendronate?

A

Have Miki remain upright for 30 min (regurgitation)

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11
Q

What should the nurse ask Miki before administering alendronate?

A

Ask about any MSK pain
Ask about any acid reflux, dark/tarry stools that may indicate GI upset

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12
Q

Why is Miki taking acetaminophen?

A

Pain due to osteoporosis

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13
Q

Describe the action of acetaminophen

A

Inhibits synthesis of prostaglandins in CNS (which cause pain/fever)

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14
Q

Describe the absorption of acetaminophen

A

Well absorbed PO

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15
Q

What is the half-life of acetaminophen?

A

1-3 hr

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16
Q

What food and drugs interact with acetaminophen?

A

Alcohol (liver)

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17
Q

How should the nurse administer acetaminophen to Miki?

A

-Can be crushed
-Can be taken with or without food
-Administer PRN only

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18
Q

Describe the action of asa

A

Inhibits production of prostaglandins. Inhibits platelet aggregation.

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19
Q

What does asa stand for?

A

Acetylsalicylic acid

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20
Q

What kind of side effects might Miki have from asa?

A

bleeding, GI upset, heartburn, dark stools

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21
Q

How is asa absorbed?

A

Small intestine

22
Q

What is the half life of asa?

A

1-3 hours

23
Q

What are some other uses for asa? (4)

A

Inflammation, pain, fever, Kawasaki’s

24
Q

What kinds of food and drugs interact with asa? (3)

A

-Blood thinners (increase bleed risk)
-NSAIDs (GI irritation risk)
-Ibuprofen (negate antiplatelet)

25
Q

What should the nurse do after administration of asa?

A

Have Miki stay upright 15-30 min

26
Q

What are some trade names for calcium carbonate?

A

Maalox
Caltrate
Tums

27
Q

Why is Miki taking calcium carbonate?

A

Osteoporosis, heartburn

28
Q

What drug class is calcium carbonate?

A

Supplements/antacids

29
Q

What side effects could Miki have from calcium carbonate?

A

GI upset, constipation

30
Q

When should calcium carbonate be administered?

A

About an hour after meals, do not administer within 1-2 hrs of other meds.

31
Q

What should calcium carbonate NOT be taken with?

A

EC tablets

32
Q

What are the trade names of omeprazole?

A

Losec, Prilosec

33
Q

Why is Miki taking omeprazole?

A

GERD

34
Q

What is the drug class of omeprazole?

A

Antiulcer, proton pump inhibitor

35
Q

What does omeprazole do in the body?

A

Binds to an enzyme on gastric parietal cells to prevent H+ transport

36
Q

What kind of side effects could Miki have from omeprazole?

A

Dizziness, diarrhea, bloody stools

37
Q

What 2 of Miki’s meds are BEERS?

A

asa, omeprazole

38
Q

How should omeprazole be administered?

A

Before meals, capsules may be opened and sprinkled on applesauce

39
Q

What is the trade name for ramipril?

A

Altace

40
Q

Why is Miki taking ramipril?

A

Prevent CVA/MI

41
Q

What is the class of ramipril?

A

Antihypertensive, ACE inhibitor

42
Q

What does ramipril do in the body?

A

Vasodilation:
1. Blocks conversion of angiotensin II
2. Prevents degradation of vasodilatory prostaglandins
3. Increases plasma renin
4. Decreases aldosterone

43
Q

What kind of side effects might Miki have from ramipril?

A

Coughing, facial swelling (angioedema)

44
Q

How should ramipril be administered?

A

Capsules can be opened and sprinkled on applesauce, tablets may be crushed. Can be taken with or without food.

45
Q

Why is Miki taking timolol?

A

Intraocular pressure

46
Q

What is the drug class of timolol?

A

Antihypertensive, antiglaucoma, beta blocker

47
Q

How does timolol work in the body?

A

Binds to beta-adrenergic receptors to reduce the effect of adrenaline

48
Q

What kind of side effects could Miki have from timolol?

A

Dizziness, bradycardia, burning eyes, blurry vision

49
Q

How should timolol be administered?

A

After PO meds, press on inner canthus of eye for 1 min

50
Q

What should the nurse do after administering timolol?

A

Monitor for symptoms of systemic absorption, ensure safety due to blurred vision

TERM 2 N1260 SKILLS 2 (3 decks)

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