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Pharmacology Final Flashcards

1
Q

What Medication controls T4 Increases thyroid levels

A

Levothyroxine

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2
Q

What Does Levothyroxine Do?

A

Control Body Metabolism

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3
Q

Uses of Levothyroxine

A

Hypothyroidism

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4
Q

What is the drug of choice for hypothyroidism condition ?

A

Synthroid

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5
Q

Should a client change brands of thyroid replacement drugs?

A

NEVER!!!

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6
Q

The most common adverse reactions of Levothyroxine/synthroid

A

Hyperthyroidism
Toxicity/overdose

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7
Q

Levothyroxine Contraindications

A

Thyrooxicosis
Recent MI
Cardiac HX

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8
Q

Interactions of Synthroid and insulin or oral anti diabetics?

A

Increases risk for hyperglycemia
Increases blood sugars

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9
Q

Interactions of Synthroid with and anticoagulant?

A

Increased risk for bleeding

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10
Q

PTU

A

Pro pill Theo racil

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11
Q

PTU Actions

A

Decreases thyroid levels
Inhibits the manufacture of thyroid hormones

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12
Q

PTU Uses

A

Treatment of hyperthyroidism

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13
Q

Examples of hyperthyroidism Medications

A

PTU
Methimazole

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14
Q

What is a treatment for cancer of the thyroid?

A

Radioactive Iodine 131 I

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15
Q

PTU adverse reactions

A

Destroys thyroid cells

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16
Q

Ongoing assessment anti thyroid treatment

A

Check for signs and symptoms of infection-agranulocytosis

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17
Q

Possible adverse reactions of PTU

A

Hypothyroidism

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18
Q

Signs and symptoms of thyrotoxicosis

A

High fever
Tachycardia
Diarrhea
Vomiting and altered mental status

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19
Q

How long will it take for the full effects of the thyroid replacements hormones?

A

24-48 hours

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20
Q

What are some therapeutic effects?

A

Reversal of hypothyroid symptoms

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21
Q

How are thyroid hormone replacement are administered

A

Every morning before breakfast on an empty stomach for life

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22
Q

When on thyroid hormone replacement closely monitor the patient with diabetes for what?

A

Hyperglycemia

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23
Q

When on thyroid hormone replacement closely monitor the patient with CV disease for what?

A

MI-CAD

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24
Q

Tapazole and PTU: what are some daily nursing actions?

A

Daily weight

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25
Q

Thyroid hormone replacement therapy is

A

Every morning FOR LIFE!

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26
Q

Take Synthroid when?

A

Before breakfast on empty stomach

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27
Q

What symptoms should a client notify a physician while taking synthroid

A

Signs of hyperthyroidism
Signs and symptoms of infection

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28
Q

Do not change ____________ without calling the MD!!!!!!

A

brand or trade names

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29
Q

Levothyroxine

A

Synthroid

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30
Q

Methimazole

A

Tapazole

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31
Q

Hematologic adverse reactions

A

Bone suppression

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32
Q

Red cells

A

Anemia

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33
Q

Infection

A

White cells

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34
Q

Platelets/ bleeding

A

Blue cells

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35
Q

because the signs and symptoms of hyperthyroid (tachycardia)

A

Client might be started on a beta blocker
To decrease the heart rate

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36
Q

Hyperthyroidism Signs and symptoms

A

Wide pulse pressure
Lid lag
Sweating
Neurotic anxiety
Fine tremor
Strong rapid pulse
Sbrisk reflexes
Low LDL
Diarrhea
Weight loss despite increase of Appetite
Osteoporosis
Atrial fibrillation

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37
Q

Hypothyroidism signs and symptoms

A

Slowing of mind and body
Weak heartbeat
Constipation
Myxedema
Slow reflexes
Hair thinning
Depression “schizophrenia” irritability
Big tongue
Croaky voice
Dry skin
Cold skin
Cold intolerance

38
Q

Immunostimulants actions

A

Stimulates the body to make more r-w-b cells (hematopoiesis)

39
Q

Immunostimulants adverse reactions

A

Bone pain
Hypertension
Nausea / vomiting
Alopecia

40
Q

What is anemia

A

Decreased HGB with low oxygen levels in RBC

41
Q

Erythropoiesis stimulants agents do what?

A

Stimulates/regulates production of RBC

42
Q

Epstein is contraindicated in clients with

A

Uncontrolled hypertension

43
Q

Immunostimulants use cautiously in clients with

A

Hypertension
CHF
Or HX of seizures

44
Q

Iron deficiency anemia adverse reactions

A

GI irritation
n/v
Constipation and dark black stools

45
Q

Why do we need vitamin B12

A

Cell growth
Myelin development for nerve fibers

46
Q

What are some vitamin B12 food sources

A

Meats
Milk
Eggs
Cheese

47
Q

Precautions for b12

A

Pulmonary disease

48
Q

Early diagnosis of vitamin b 12 deficiency if continues for more than 3 months

A

Lesions on the spinal cord may develop

49
Q

How is B12 given

A

Parenterally and weekly via Z track injection

50
Q

Where is b 12 given

A

IM large muscle mass

51
Q

Educating the clients about iron

A

Take with water on empty stomach!!!!
DO NOT take with antacids
Mix with juice and drink through a straw

52
Q

Why spread out dosages evenly?

A

May cause CONSTIPATION!

53
Q

why should a client mix the liquid iron with juice or drink with a straw

A

To prevent staining of the teeth

54
Q

Adverse reaction with neupogen

A

Bone pain
Nausea
Vomiting
Diarrhea

55
Q

Which clients are contraindicated in taking Epogen or procrit

A

CHF
Seizures
Hypertension

56
Q

Immunosuppressants

A

For autoimmune disease reducing organ rejection

57
Q

Immunosuppressant drugs suppress and __________ the immune system

58
Q

Filgrastim

59
Q

Pegfilgrastim

60
Q

Epogen

A

E poitin Alfa

61
Q

Procrit

62
Q

Cyanocobalamin

63
Q

Imuran

A

Azathioprine rheumatoid arthritis

64
Q

Sandimmune

A

Cyclosporine

65
Q

Humira

A

Adalimumab

66
Q

Otezla

A

Apremilast

67
Q

Remicade

A

Infliximab

68
Q

What is the antidote of heparin?

A

Protamine sulfate

69
Q

CNS depressant given antihistamine

A

Monitor sedation

70
Q

What are the signs of benzodiazepine not adverse reactions?

A

Metallic taste

71
Q

Hypercalcemia, specific, potassium, sparing, diuretics for

A

Cirrhosis patient

72
Q

When is thyroid medication administered?

A

Before breakfast on an empty stomach

73
Q

Anemia low iron patient getting iron supplement adverse reaction

A

Black tarry stool

74
Q

Parental administration IM

75
Q

Give opioid to a patient opioid therapy non-contraindication

A

Bronchial asthma

76
Q

One thing you know it’s true about Narcan

77
Q

When given nitroglycerin use

78
Q

In general fluid and electrolyte dehydration

A

Dry mouth, muscle pains tachycardia, leg pain

79
Q

When to notify doctor

A

PT 2.5 INR greater than three there’s bleeding PT exceeds 1.5 control value.

80
Q

Stuff makes you puke, seizure corrosive Kostic

81
Q

What not to use with IBS?

A

Laxatives

82
Q

Hypnotic drugs

A

Drowsiness or sleep

83
Q

Antidepressant block

84
Q

Rare reaction, potentially fatal

A

Neural malignant syndrome

85
Q

Which anticonvulsant hyperplasia

A

Phenytoin/Dilantin

86
Q

Face movements, involuntary

A

Tardive dyskinesia

87
Q

Beta adenergetic acting

A

Treat, hypertension

88
Q

Before administering beta adenergic drug take

A

Blood pressure on both arms

89
Q

Carbidopa common adverse reactions

A

Unsteady movement, dry mouth, anorexia

90
Q

What best describes type one diabetes

A

Insulin before age 20

91
Q

What are common side effects of hypo thyroidism?

A

Weight gain, sleepiness, bradycardia

92
Q

Always do what

A

Verify the prescription

Pharmacology (15 decks)

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