Pharm Test 8

Question 1

Know the teaching for patients who will administer their own insulin

Answer 1

• Rotate sites, 30 mins before meals

Question 2

• Hypothyroidism symptoms

Answer 2

hair loss, apathy, intolerance to cold, receding hairline, lethargy, dry skin, muscle aches and weakness, constipation, fatigue, facial and eyelid edema, dull blank expression, brittle nails, anorexia

Question 3

• Hyperthyroidism symptoms

Answer 3

intolerance to heat, fine, straight hair, facial flushing, enlarged thyroid, tachy, high systolic BP, finger clubbing, tremors, diarrhea, weight loss, breast enlargement, muscle wasting

Question 4

Hypoglycemia symptoms

Answer 4

cold pale skin, excessive sweating, trembling, nervousness, paresthesia, headache, fatigue, weak, confusion, irritability, palpitations, high HR and RR, seizure, coma

Question 5

Hyperglycemia symptoms

Answer 5

polyuria, polydipsia, polyphagia, fruity breath, dry mucous membrane, rapid, deep breathing (Kussmaul) flushed, dry ski, weak and drowsy hypotension, high HR, blurry vision, numbness, tingling

Question 6

Know the side effects and adverse effects of levothyroxine and corticosteroids.

Answer 6

palpitations, dysrhythmias, anxiety, insomnia, weight loss, heat intolerance

Question 7

Know the symptoms of cushing’s disease

Answer 7

• Round face, obese, round belly, stretch marks, skinny extremities, “buffalo hump-fat pad” high HR, glucose, sodium and hypertension, red face-rosy cheeks, hirsutism-facial hair, poor immune response, poor wound healing, bruising, fractures, joint and bone pain, mood swings,

Question 8

Know which medications affect insulin absorption

Answer 8

Salicylates (Aspirin), Sulfa antibiotics, MAOIS, ACE inhibitors, Beta-blockers, alcohol, octreotide

Question 9

Know the medication a patient with insulin toxicity would take

Answer 9

Glucagon/glucose

Question 10

Know the proper way to administer ear drops and the different types of eye drops

Answer 10

Ear- pull up and out, let sit for at least 2 mins laying on opposite side
Eye- pull lower lid down and administer then press your finger against inside corner or closed eye

Question 11

Know which electrolyte is very important to follow in diabetics, especially those receiving insulin.

Answer 11

• Sodium, possibly potassium

Question 12

Know the ways in which we assess patients for osteoporosis

Answer 12

• Bone density scan- muscle spasms, localized pain ,stiffness, joint and bone enlargement

Question 13

Know the side effects of Timolol eyedrops and what symptoms to watch out for.

Answer 13

local burning and stinging upon instillation; no systemic effects as long as applied correctly…otherwise hypotension & dysrhythmia are possible

Question 14

Understand how immune response can affect diabetics and their insulin needs

Answer 14

Hyperglycemia in diabetes is thought to cause dysfunction of the immune response which fails to control the spread of invading pathogens in diabetics

Question 15

Know the side effects of Latanaprost eye drops

Answer 15

conjunctival edema, tearing, dryness, burning, pain, irritation, itching, photophobia, and visual disturbances; eyelashes may grow thicker & darker

Question 16

Know the herbal remedy for joint pain and degeneration

Answer 16

Glucosamine- building cartilage and decreases mild arthritis and pain
Chondroitin- promotes cartilage repair

Question 17

Know which medications interact poorly with gout treatments

Answer 17

thiazide diuretics, aspirin, cyclosporine, chronic alcohol use

Question 18

Know the MOA of desmopressin

Answer 18

synthetic analog of ADH that acts on kidneys to increase the reabsorption of water

Question 19

Know which electrolytes can be affected by steroids

Answer 19

May decrease potassium and sodium, T3 and T4, may cause fluid retention

Question 20

Know the teaching for Aledronate (Fosamax)

Answer 20

empty stomach 2 hours before breakfast; must remain sitting upright for 30 minutes and first meal is eaten to prevent esophagitis**