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NBRC Questions > RRT Questions: Pharmacology A > Flashcards

RRT Questions: Pharmacology A Flashcards

1
Q

What should the patient do when getting meds via SVN to enhance medication delivery?

A

1-3 second breath hold.

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2
Q

With large volume nebulizers, what should you do if the patient has thick secretions?

A

Add a heating element.

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3
Q

How many mg’s are in 1 mL of a 0.083% solution?

A

0.83 (Just move the decimal point to the right one place)

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4
Q

If you are giving an antibiotic, a bronchodilator, and a corticosteroid, what sequence do you give them in?

A
  1. Bronchodilator (and/or anticholinergic)
  2. Corticosteroid (don’t forget to rinse the mouth!)
  3. Antibiotics
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5
Q

What is the best way to control secretions?

A

Good hydration.

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6
Q

If a patient is allergic to penicillin, what should you NOT give?

A

Mucomyst

Mucomyst should not be given if pt is allergic to penicillin.

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7
Q

Before giving mucomyst, you should give ___.

A

A bronchodilator.

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8
Q

What does the abbreviation LTRA stand for?

A

Leukotrine Modifier

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9
Q

There are three LTRA’s. What are they?

A

Montelukast and Zileuton (for 12 y/o or older)

Zafirlukast (For 5 y/o or older)

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10
Q

What drug is recommended for exercise induced asthma and are given to prevent an asthma attack?

A

Mast cell stablizers. (Cromolyn Sodium)

For prevention of asthma, not for a current asthma attack.

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11
Q

What are the side effects to diuretics?

A

Hypokalemia, Hypochloremia, and metabolic alkalosis.

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12
Q

What is level 1 Modified Ramsay Scale?
What is level 3 Modified Ramsay Scale? (Optimal)
What is level 5 Modified Ramsay Scale?

A

1: Anxious (Needs more sedation)
3: Responds to verbal commands (Optimal)
5: Paralysed (Too much sedation)

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13
Q

Your patient’s current does of Albuterol is insufficient. Should you increase the dose or the frequency first?

A

First increase the dose until you hit the maximum.

Then increase the frequency.

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14
Q

What is a secondary use for Albuterol? (Not bronchodilation)

What dose should you use for this?

A

High doses (10 mg) treat hyperkalemia

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15
Q

What class of drug is Salmeterol?

A

LABA

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16
Q

What class of drug is Theophyline?

A

Methylxanthine

17
Q

How do methylxanthines work?

A

They indirectly increase the amount of cyclic AMP, which causes bronchodilation.

18
Q

Methylxanthines may also be known as ___.

A

Phosphodiesterase Inhibitors

19
Q

What class of drug is Fluticasone?

A

Inhales Corticosteroid

20
Q

What’s the brand name for Fluticasone?

A

Flovent

21
Q

Name three potent, rescue anti-inflammatory steroids.

A

Prednisone, Methylprednisolone, Solu-Medrol

22
Q

If you have an asthma patient in the ER who is declining, what drug should you give? (Besides albuterol)

A

Prednisone, Methylprednisolone, or Solu-Medrol.

Give these to Asthma patients only in an emergency.

23
Q

What drug do you use to treat thrush?

A

Nystatin

24
Q

What drug is especially indicated for patients with cystic fibrosis? (Not mucomyst)

A

Dornase Alfa

25
Q

What class of drug should you give before giving Mucomyst?

A

A bronchodilator.

26
Q

Name a non-steroidal drug that is used used for mild to moderate persistent asthma.

A

Montelukast

27
Q

What class of drug is Montelukast?

A

Leukotrine Modifier

28
Q

When would you give nebulized morphine?

A

Relieve dyspnea in end-stage COPD patients

29
Q

What drug is used to treat Pneumocystis Jiroveci?

A

Pentamidine (NebuPent)

30
Q

What kind of patients often get Pneumosystis jeroveci?

A

HIV/AIDS patients

31
Q

What is used to administer Pentamidine?

A

Respirgard II

32
Q

Name an adverse effect from Pentamidine.

A

Bronchospasm

33
Q

Gram positive bacteria have names ending in ___.

You should treat them with ___ or ___.

A

-coccus

Pennicillin or keflex

34
Q

Medications that treat gram negative bacteria have names ending in ___.

A

-acin

35
Q

Medications that treat fungal infections have names ending in ___.

A

-azol

NBRC Questions (22 decks)

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