Pharmacology Flashcards

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1
Q

Which would be appropriate for the RN take with regard to nursing care provided by LPN

  1. Delegate the performance of abdominal dressing change to LPN
  2. Supervise & document the patient assessment completed by the LPN
  3. Assign the LPN the administration of insulin to a patient with Type 1 diabetes
  4. Delegate checking and recording of vitals on all eight patients to LPN.
A
  1. Assign the LPN the administration of insulin to a patient with Type 1 diabetes

LPNs are responsible for their own practice.

The RN could assign but not delegate tasks to LPN

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2
Q

How should you store prefilled insulin syringes, cartridges, and pens?

A

Upright. Needle towards the ceiling

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3
Q

Metformin & 2nd generation sulfonylureas

Glyburide (glibenclamide)
Glipizide
Gliclazide
Glimepiride

Have this Contradiction

A

Not for use during pregnancy

Insulin is safe to use during pregnancy

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4
Q

Assess before and after giving Amlodipine
Isradipine
Nifedipine
Nisoldipine
Felodipine

Verapamil
Diltiazem

Calcium channel blockers

A

Swelling ankles & feet: Peripheral & Pulmonary Edema

Weight gain

Bradycardia

Hypotension

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5
Q

Name Suffix for CCBs and give examples:

Plus, 2 other popular examples.

List SE

A

Amlodipine
Isradipine
Nifedipine
Nisoldipine
Felodipine

Verapamil
Diltiazem

Peripheral & Pulmonary Edema
Weight Gain
Bradycardia
Hypotension

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6
Q

Prescribed apixaban (Eliquis), (dabigatran), Xarelto® (rivaroxaban), and Savaysa® (edoxaban).

Are prescribed for what health problems

A

Prevent of Thrombosis related to A Fib & DVT /PE

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7
Q

Antacids can interfere with the absorption of Clopidogrel (antiplatelet drug).

Name other meds it affects the absorption of

A

digoxin
iron
pazopanib - Kidney cancer & late stage sarcoma
tetracycline antibiotics
quinolone antibiotics such as ciprofloxacin

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8
Q

Which would the nurse question for HF

  1. Carvedilol 3.125mg PO 2qDay
  2. Lisinopril 5 mg PO 1qDay
  3. Digoxin 1.25 mg PO 1qDay
  4. Isosorbide dinitrate 20mg PO 2qDay
A
  1. Digoxin 1.25 mg PO 1qDay

Digoxin maintenance dose is very low (0.1 - 0.375) mg daily.

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9
Q

25 mg atenolol PO 1qDay. Which would you report to HCP

  1. HR 58
  2. Cold hands and feet
  3. Reported Depression
  4. Reported tiredness
A
  1. Reported Depression

HR 58 & Cold hands & feet are to be expected responses

Depression is a negative SE

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10
Q

Match

Hypothyroidism/ Hyperthyroidism

Methimazole / Levothyroxine

A

Hypothyroidism: Methimazole

Hyperthyroidism: Levothyroxine

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11
Q

Which type of drugs are the following

Azithromycin
Amantadine
Fluconazole
Ethambutol

A

Azithromycin: Antibiotic
Amantadine: Antiviral
Fluconazole: Antifungal
Ethambutol: Antitubercular

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12
Q

Oxybutynin 5mg anticholinergic used to treat an overactive bladder
Which will be possible side effects

  1. Diarrhea
  2. Dry mouth
  3. Dizziness
  4. Headache
  5. Rash
  6. Constipation
A
  1. Dry mouth
  2. Dizziness
  3. Headache
  4. Constipation

Think; What do anticholinergics do? Dry secretion. Hence, all these choices make sense

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13
Q

CKD haemodialysis 3x weekly. Receiving epoetin alfa SQ. What is the purpose of this drug?

  1. Stimulate RBC production
  2. Stimulate platelets production
  3. Stimulate WBC production
A
  1. Stimulate RBC production
    Used in CKD, Anemia, increase RBC before surgery
  2. Stimulate platelets production
    Oprelvkin: Used during chemotherapy
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14
Q

Use

  1. Promethazine
  2. Prochlorperazine
  3. Meclizine
  4. Granisetron

Labyrinth disorders (Motion Sickness & Méniè)

Antiemetics with sedating effects: Nausea (Used by 2 of the drugs)

5HT³-receptor Antagonist N/V after chemo

A
  1. Meclizine
    Labyrinth disorders (Motion Sickness & Méniè)
  2. Promethazine
  3. Prochlorperazine
    Antiemetics with sedating effects: Nausea (Used by 2 of the drugs)
  4. Granisetron
    5HT³-receptor Antagonist N/V after chemo
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15
Q

Which medication would you question

  1. Omeprazole for Peptic Ulcer Disease (PUD)
  2. Ranitinde for GERD
  3. Diphenoxylate with atropine for Constipation
  4. Odansetron for Nausea from chemotherapy
A
  1. Diphenoxylate with atropine for Constipation

Diphenoxylate with atropine is used to treat Diarrhea. It’s a Mu-opid and slows down intestinal motility

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