Review

Question 1

Allopurinol teaching

Answer 1

Drink 2-3L water/day

Question 2

Methotrexate side effect and teaching

Answer 2

Risk for infection and CBC Q3-6 mos because of bone marrow suppression.

Question 3

Hydrochloroquine teachig

Answer 3

Baseline eye exam, exam q6 mos, stop for blurred vision

Question 4

Sulfasalazine administration

Answer 4

Enteric Coates

Question 5

Etanercept and infliximab teaching

Answer 5

Can reactivate TB or hep B, report flu or allergic reaction

Question 6

Cyclosporine

Answer 6

Notify painful urine and infection. Contraindicated w active chicken pox. Grapefruit and erythromycin cause toxicity. Stay w client 30 after infusion

Question 7

Belimumab

Answer 7

For SLE. Depression, insomnia, and migraine may occur.

Question 8

Baclophen

Answer 8

May increase glucose and liver enzymes and cause jaundice. Contraindicated in epilepsy.

Question 9

Oxybutinin

Answer 9

Contraindicated in MG

Question 10

Atropine

Answer 10

Anticholinergic, pyridostigmine antidote (drug for MG).

Question 11

Zofran

Answer 11

30 before chemo

60-120 before radiation

Question 12

Nystatin

Answer 12

For stomatitis. Report if it doesn’t work.

Question 13

Pyridostigmine

Answer 13

Helps muscles function better in MG. Increase salivation, secretion, and sweat.
So atropine is the antidote in the event that clients are secreting too much

Question 14

Doxorubicin

Answer 14

IV vesicant. Watch heart closely. Increase fluids

Question 15

Cyclophosphamide

Answer 15

Immunosuppressant for leukemia or lymphoma, phenobarbital/rifampin/allopurinol react badly.

Question 16

Leuprolide

Answer 16

Decrease testosterone to slow spread of cancer. Risk for stroke, MI, PE, and liver toxicity. Assess for bone pain

Question 17

Tamoxifen

Answer 17

Adjuvant post mastectomy. Helps prevent breast cancer. Can cause uterine malignancy. Assess bone pain

Question 18

Pegfilgastrim

Answer 18

Colony stimulating factor. After radiation, 2 doses a week apart.

Question 19

Neutro
Baso
Eo

Answer 19

Fight infection. 1.5-8
Contain heparin for damaged tissue
Allergic and parasite response, releases chemicals

Question 20

Inflammation and physical barriers

Answer 20

Innate immunity

Question 21

TCell

BCell

Answer 21

T: defends viruses fungi and bacteria. Cell to cell death. Ss: reoccurring fungus or yeast infections.
B: defends against bacteria mostly. Ss: reoccurring strep, pneumonia, ear infection. Western blot is test to detect short term immunity.

Question 22

Good pastures

Answer 22

Antibodies attack lungs and kidneys and cause bleeds. So you cough or pee blood. Plasmapheresis and dmards

Question 23

MG first common SA

Answer 23

Diplopia/Pitosis

Question 24

Scleroderma emergency precedence

Answer 24

Kidney
Lung
GI

Causes Raynauds.

Penacillimine to reduce fibrosis.

Question 25

Fibromyalgia notes

Answer 25

Low seratonin and substance P. Phys exam may be negative.

Question 26

Adjuvant | Neoadjuvant

Answer 26

After surgery kill residual cells | Before surgery to shrink mass

Question 27

Mammogram Clinical breast exam Colonoscopy DRE

Answer 27

Annual women 40+ Annual for women 40+ 3 years 20-39 Age 50 then q10 years Men over 50

Question 28

Stage 1 Stage 2 Stage 3 Stage 4

Answer 28

Up to 2cm Up to 5cm w axilarry snd lymph node More than 5 w axillary and lymph node Metastasis

Question 29

Radiation fatigue

Answer 29

2 months