Pharmacology Flashcards

1
Q

What does Follic Acid do?

A

Follic Acid builds body-building cells.

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2
Q

What is a contraindication for Diphenhydramine (Benadryl)?

A

Hypertension.

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3
Q

What is adenosine (Adenocard) for?

A

SVT.

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4
Q

what should you monitor for in a client taking methotrexate (rheumatrex)?

A

Notify provider if sores occur?

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5
Q

A patient is taking Ketorolac (toradol), what do you want to check for?

A

Check the client for bruising.

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6
Q

Digoxin and Lasix should be withheld if the patient has ____?

A

Dysrhythmias.

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7
Q

Sofalol hydrochloride (Betapace) side effect?

A

Decrease in heart rate.

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8
Q

A patient is nonverbal, how to determine pain?

A

Observe the client for behavioral effects.

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9
Q

What is fluoxetrine (Prozac) for?

A

Depression.

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10
Q

Fluoxetrine (Prozac) teaching should include?

A

These patients have an increased risk for bleeding so they should avoid NSAIDs like ibuprofen). Teach them that they can take acetaminophen for headaches instead.

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11
Q

Can Insulin Lantus be mixed with other insulins?

A

NO!

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12
Q

Diabetic patient reports feeling nauseous and lightheaded what is your first priority?

A

Check the client’s blood glucose.

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13
Q

What is Urticaria and dyspnea? What should you do if your patient have an infusion and is experiencing these symptoms?

A

Rash and difficulty breathing. You must stop the infusion if this occurs.

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14
Q

Indications of a medication allergy?

A

“I can’t take _____ because I get a rash”.

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15
Q

Clients that are allergic to sulfonamide may have a cross sensitivity to what diuretic?

A

Thiazide diuretic.

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16
Q

What is sulfanamide & trimethoprim (sulfmethoxazole-trimethoprim) for?

A

These medications are for urinary tract infections.

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17
Q

What is the antidote for warfarin (Coumadin)?

A

Vitamin K. Administering this will stop the bleeding.

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18
Q

What are foods that are high in vitamin K?

A

Green leafy vegetables.

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19
Q

The nurse gives too much heparin, what is the antidote for this medication?

A

Protamine sulfate.

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20
Q

Pregnant mother receives magnesium sulfate, what is the antidote?

A

Calcium gluconate.

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21
Q

What is acetcysteine (mucomyst) for?

A

It is given as an antidote for acetominophen toxicity.

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22
Q

Oral anti-diabetic medications are for which diabetic patients?

A

Type 2.

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23
Q

What are examples of oral anti-diabetic medications?

A

Metformin (Glucophage) and glipizole (Glucotrol).

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24
Q

Medication compliance is seen when a patient has a HbA1c level of?

A

Below 7%

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25
Q

gentamicin (Garamycin) is given for an infection. What should you report to the provider?

A

Report for hearing loss! This can lead to permanent hearing loss which is very bad!

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26
Q

What kind of medication is amitriptyline (Elavil)?

A

Tricyclic antidepressant (TCA).

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27
Q

What is the expected pharmacologic effect of amitriptyline (Elavil)?

A

It blocks the reuptake of norepinephrine and serotonin.

28
Q

A patient is taking amitriptyline (Elavil), what do you want to report to the provider?

A

Report urinary retention.

29
Q

A patient is taking spironolactone (aldactone), you know that this is a potassium ______-diuretic, what should you monitor for?

A

potassium-sparring diuretic. Monitor for hyperkalemia.

30
Q

What are signs of magnesium toxicity?

A
  • Decreased BP
  • Decreased LOC
  • Lethargy
31
Q

A patient is taking donezepil (Aricept), what should you report to the provider?

A

Report episodes of dyspnea.

Dyspnea is caused by elevated acetylcholine levels in the lungs.

32
Q

A patient is taking ranitidine (zantac) what should you monitor for?

A

Green sputum!
Ranitidine (Zantac) decreases gastric pH, thereby increasing the risk of colonization of bacterial infections of the stomach and respiratory tract. This means the client is at risk for pneumonia. Pneumonia is characterized by… green sputum.

33
Q

A patient is taking warfarin (Coumadin) what do you want to teach them about aspirin or tylenol?

A

Educate them not to take aspirin or tylenol.

34
Q

Sulcrafate (Carafate) is a mucosal protectant medication, what does it do?

A

It forms a gel-like substance coating the ulcer and creating a barrier to hydrochloric acid.

35
Q

Client in labor given oxytocin (pitocin) by continous infusion. FHR shows late decels. What is your first priority?

A

DC the pitocin to reduce the contractions.

36
Q

Captopril (Capoten) patient teaching?

A
  • Increases risk for hyperkalemia; avoid salt substitutes.
  • take 1 hour prior to meals
  • this medication can cause neutropenia; monitor for infection.
37
Q

Baclofen (Lioresal) therapeutic outcome?

A

Improves muscle function by decreasing in flexor and extensor.

38
Q

Ceftazidime (Fortaz) is a cephalosporin antibiotic.

A

Don’t administer if a client has a penicillin allergy.

39
Q

Propylthiuracil (PTU) is for hyperthyroidism, what are your expected outcomes?

A
  • Weight gain.
  • Decreased t4 levels.
  • Decreased heart rate
  • Decreased body temperature.
40
Q

A patient receiving metronidazole (Flagyl) should avoid what?

A

Beer.

41
Q

How does Epoetin alfa (procrit) work?

A

It treats anemia by increasing hematocrit, therefor you should monitor for an increase in BP.

42
Q

Phenytoin (Dilantin) can decrease the effectiveness of what medications?

A

Oral contraceptives.

43
Q

Why should you notify your dentist about taking phenytoin (Dilantin)?

A

This medication can cause gingival hyperplasia.

44
Q

When should sumatriptaen (Imitrex) be taken?

A

Taken at the onset of migraines.

45
Q

aPTT is usually?

A

1.5 - 2.0 times the normal.

46
Q

Beclomethasone teaching?

A

Rinse mouth after each use because medication can cause fungal infection of the mouth.

47
Q

What to monitor when patient is taking Lisinopril (Zestril)

A

Monitor and report client for dry cough.

48
Q

Bupropion (Zyban) is a stimulant and can cause what in a patient?

A

Insomnia.

49
Q

Procainamide (Pronestyl) toxicity manifested by?

A

QRS widening greater than 50%.

50
Q

Before administering warfarin (Coumadin), what lab should you check first?

A

Check the client’s INR.

51
Q

What does Oprelvekin (Interlenkin II) do?

A

It increases platelet counts.

52
Q

When should ergotamine (ergostat) be taken?

A

Take one SL tablet at the onset of migraine.

53
Q

Carbamazepine (Tegretol) interferes with what medication?

A

Oral contraceptives.

54
Q

What does nitroglycerin (Nitrobid-IV) do?

A

It lowers the systolic blood pressure.

55
Q

When should the 1st dose of DTaP be administered?

A

1st - 2 months.
3rd - 6 months.
4th - 15-18 months.

56
Q

What is a contraindication for doxycycline (Doxycin)?

A

Pregnancy because it can adversely effect developing bones ad teeth.

57
Q

How should ferrous sulfate be administered?

A

This medication should be administered on an empty stomach.

58
Q

A patient is taking phenazopyridine HCL (Pyridium) teaching should include that?

A

The urine will turn a red-orange color.

59
Q

When taking morphine, the client should increase fiber intake to prevent?

A

opioid induced constipation.

60
Q

Isoniazid (INH) for TB, what should you monitor for?

A

Yellow skin tones or jaundice indicate liver damage.

61
Q

A patient is taking tamoxifen (Nolvadex) what are the side effects?

A
  • Menstrual irregularities
  • Hot flashes.
  • Vaginal discharges.
62
Q

Exenatide (Byetta) patient is at greatest risk for development or pancreatitis.

A

Monitor for abdominal pain.

63
Q

Mannitol (osmitol) therapeutic effect?

A

Decrease intraoccular pressure.

64
Q

Methyphenidate (Ritalin) appropriate intervention?

A

Maintain age-appropriate weight.

65
Q

Captopril (Capoten) is used for what?

A

Treatment of hypertension.