PHARM QUIZ

Question 1

Why does Miki take Alendronate?

Answer 1

Osteoporosis

Question 2

Describe the action: Alendronate

Answer 2

Inhibits osteoclast activity to prevent bone resorption

Question 3

Name 2 trade names of Alendronate

Answer 3

Binosto, Fosamax

Question 4

Name the therapeutic drug class of alendronate

Answer 4

Bone resorption inhibitors

Question 5

Name some side effects Miki might be experiencing due to alendronate

Answer 5

MSK pain, acid regurgitation, eye pain

Question 6

Describe the absorption of alendronate

Answer 6

Poorly absorbed PO

Question 7

What are the clinical indications for alendronate?

Answer 7

Osteoporosis, Paget’s

Question 8

When should alendronate be administered?

Answer 8

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

Question 9

How should alendronate be administered?

Answer 9

Liquid form - do not crush EC capsules

Question 10

What should the nurse do after the administration of alendronate?

Answer 10

Have Miki remain upright for 30 min (regurgitation)

Question 11

What should the nurse ask Miki before administering alendronate?

Answer 11

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

Question 12

Why is Miki taking acetaminophen?

Answer 12

Pain due to osteoporosis

Question 13

Describe the action of acetaminophen

Answer 13

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

Question 14

Describe the absorption of acetaminophen

Answer 14

Well absorbed PO

Question 15

What is the half-life of acetaminophen?

Answer 15

1-3 hr

Question 16

What food and drugs interact with acetaminophen?

Answer 16

Alcohol (liver)

Question 17

How should the nurse administer acetaminophen to Miki?

Answer 17

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

Question 18

Describe the action of asa

Answer 18

Inhibits production of prostaglandins. Inhibits platelet aggregation.

Question 19

What does asa stand for?

Answer 19

Acetylsalicylic acid

Question 20

What kind of side effects might Miki have from asa?

Answer 20

bleeding, GI upset, heartburn, dark stools

Question 21

How is asa absorbed?

Answer 21

Small intestine

Question 22

What is the half life of asa?

Answer 22

1-3 hours

Question 23

What are some other uses for asa? (4)

Answer 23

Inflammation, pain, fever, Kawasaki’s

Question 24

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

Answer 24

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

Question 25

What should the nurse do after administration of asa?

Answer 25

Have Miki stay upright 15-30 min

Question 26

What are some trade names for calcium carbonate?

Answer 26

Maalox Caltrate Tums

Question 27

Why is Miki taking calcium carbonate?

Answer 27

Osteoporosis, heartburn

Question 28

What drug class is calcium carbonate?

Answer 28

Supplements/antacids

Question 29

What side effects could Miki have from calcium carbonate?

Answer 29

GI upset, constipation

Question 30

When should calcium carbonate be administered?

Answer 30

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

Question 31

What should calcium carbonate NOT be taken with?

Answer 31

EC tablets

Question 32

What are the trade names of omeprazole?

Answer 32

Losec, Prilosec

Question 33

Why is Miki taking omeprazole?

Answer 33

GERD

Question 34

What is the drug class of omeprazole?

Answer 34

Antiulcer, proton pump inhibitor

Question 35

What does omeprazole do in the body?

Answer 35

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

Question 36

What kind of side effects could Miki have from omeprazole?

Answer 36

Dizziness, diarrhea, bloody stools

Question 37

What 2 of Miki's meds are BEERS?

Answer 37

asa, omeprazole

Question 38

How should omeprazole be administered?

Answer 38

Before meals, capsules may be opened and sprinkled on applesauce

Question 39

What is the trade name for ramipril?

Answer 39

Altace

Question 40

Why is Miki taking ramipril?

Answer 40

Prevent CVA/MI

Question 41

What is the class of ramipril?

Answer 41

Antihypertensive, ACE inhibitor

Question 42

What does ramipril do in the body?

Answer 42

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

Question 43

What kind of side effects might Miki have from ramipril?

Answer 43

Coughing, facial swelling (angioedema)

Question 44

How should ramipril be administered?

Answer 44

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

Question 45

Why is Miki taking timolol?

Answer 45

Intraocular pressure

Question 46

What is the drug class of timolol?

Answer 46

Antihypertensive, antiglaucoma, beta blocker

Question 47

How does timolol work in the body?

Answer 47

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

Question 48

What kind of side effects could Miki have from timolol?

Answer 48

Dizziness, bradycardia, burning eyes, blurry vision

Question 49

How should timolol be administered?

Answer 49

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

Question 50

What should the nurse do after administering timolol?

Answer 50

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