Practice 2016 B Flashcards

1
Q

cromolyn - when to take it

A

this is for exercise induced asthma - take 10-15 mins prior to exercise to relieve bronchospasms

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2
Q

tx warfarin overdose

A

vit K

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3
Q

tx parkinsonian a/e of antipsychotic meds

A

benztrophine

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4
Q

chlordiazepoxide and alcohol

A

take to prevent delirium tremens during acute alcohol withdrawal

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5
Q

ASA, lithium, and ibuprofen

A

lithium is okay to take with asa but not with ibuprofen

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6
Q

ergotamine (tx migraine headaches) take when

A

1 tablet at onset of migraine

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7
Q

isosorbide mononitrate

A

nitrate used for clients with angina; leads to vasodilation

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8
Q

heparin OD s/s

5

A
  1. blood in urine
  2. bruising
  3. hematomas
  4. hypotension
  5. tachycardia
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9
Q

positive chvostek’s sign is seen in clients who have

2

A
  1. hypocalcemia

2. hypomagnesemia

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10
Q

isoniazid and photosensitivity

A

photosensititivy is not an a/e

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11
Q

sucralfate

A

forms a protective barrier over ulcers

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12
Q

forms a protective barrier over ulcers

A

sucralfate

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13
Q

famotidine function

A

decreases stomach acid secretion

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14
Q

decreases stomach acid secretion

A

famotidine

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15
Q

rx to reverse cholinergic toxicity

A

atropine

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16
Q

the estrogen receptor blocking action of tamoxifen commonly results in

A

hot flashes

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17
Q

tamoxifen tx

A

breast cancer

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18
Q

tamoxifen a/e

5

A
  1. hot flashes
  2. vaginal discharge
  3. uterine cancer
  4. NV
  5. chest pain
19
Q

betamethasone

A

stimulates surfactant production

20
Q

serum creatinine level above what can indicate a kidney disorder

A

above 1.3

21
Q

docusate mechanism of action

A

surfactant that softens stools by reducing surface tension, allowing water to penetrate more easily into the stool

22
Q

glycerin suppositories

A

osmotic laxatives - lubricate the lower colon and initiate reflex contractions of the rectum

23
Q

bisacodyl

A

stimulant laxatives - stimulate the intestinal wall to cause peristalsis by pulling water into the intestines

24
Q

stimulant laxatives - stimulate the intestinal wall to cause peristalsis by pulling water into the intestines

A

bisacodyl

25
Q

buproprion function

A

tx nicotine withdrawal

26
Q

enalapril and K

A

can cause hyperkalemia due to K retention by the kidneys

27
Q

enalapril cardiac effects

3

A
  1. hypotension
  2. tachycardia
  3. dysrhythmias
28
Q

allopurinol and eyes

A

prolonged use can cause cataracts

29
Q

allopurinol and water

A

drink at least 2 L /day to prevent renal stone formation and kidney injury

30
Q

filgrastim

A

stimulates the bone marrow to produce neutrophils

31
Q

stimulates the bone marrow to produce neutrophils

A

filgrastim

32
Q

creatinine kinase CK levels rise in response to

A

enzymes released with muscle injury - signaling rhabdo (think statins)

33
Q

bumetanide

A

loop diuretic - watch K levels

34
Q

benzo OD

A

give flumazenil

35
Q

leucovorin

A

form of the vitamin folic acid, and is used to treat methotrexate toxicity

36
Q

indication of salicylism

4

A
  1. tinnitus
  2. sweating
  3. headache
  4. dizziness
37
Q

risedronate tx

A

osteoporosis

38
Q

risedronate - how to take

A

sit up for 30 minute after taking

39
Q

metoclopramide

A

antiemetic - can cause tardive dyskinesia

40
Q

methylprednisolone and K

A

decreases potassium levels through urinary excretion

41
Q

s/s of digoxin toxicity

6

A
  1. yellow skin
  2. nausea
  3. vomiting
  4. anorexia
  5. fatigue
  6. (high level) cardiac dysrhythmias
42
Q

anticholinergic - eyes

3

A

blurred vision
dry eyes
mydriasis (pupil dilation)

43
Q

how to administer dantrolene via IV bolus for malignant hyperthermia

A

dilute with 60 ml of sterile water without bacteriostatic agent and inject rapidly