Unknowns

Question 1

Drug Induced Hypervolemia

Answer 1

PIN CD

-Corticosteroids
-NSAIDS
-IV fluids
-DHPs
-PIO/ROSIgliatzone

Question 2

SIADH causing meds for Euvolemic HypNa

Answer 2

-SSRI/SNRI, tricyclic
-Haloperidol/phenothiazines
-Carb
-Anticancer (vinca, cis, cyclo)
-Opiates, Nicotine

Question 3

Vasopressin Receptor Antagonists

Answer 3

-Short term hyponatremia

SHOULD NOT BE USED IN HYPOVOLEMIC HYPONA

-conivaptan (cirrhosis) (IV), tolvaptan (oral)

Question 4

HypoK Drug Induced

Answer 4

-B2 agonist (albuterol)
-Levothyroxine
-Insulin, verapamil (OD)
-Thiazide, LP
-AG, AB, MC
-Penicillin, cisplatin
-Laxatives
-SPS, PAT, SZ

PS B LIT LA

Question 5

Hyper Ca Drug Induced

Answer 5

-Thiazides
-Vit D, Ca
-Lithium
-Theophylline
-Tamoxifen
-Ganciclovir

cal got TTT an LVG

Question 6

HypoCA Drug Induced

Answer 6

-Loops
-Phenobarbital, phenytoin
-Ketoconazole
-Calcitonin
-Fluoride, NaPhos, cinacalcet

KC is a PLF

Question 7

Hypophos drug induced

Answer 7

-Diuretics
-GC
-Na bicarb

Question 8

Tresiba

Answer 8

insulin degludec

Question 9

Humalog

Answer 9

insulin lispro

Question 10

Novolog

Answer 10

insulin aspart

Question 11

Januvia

Answer 11

sitagliptin

Question 12

Onglyza

Answer 12

saxagliptin

Question 13

Tradjenta

Answer 13

linagliptin

Question 14

Trulicity

Answer 14

dulaglutide

Question 15

Victoza or Saxenda

Answer 15

liraglutide

Question 16

Farxiga

Answer 16

dapagliflozin

Question 17

Jardiance

Answer 17

empagliflozin

Question 18

Amaryl

Answer 18

glimepiride

Question 19

Diabeta or Micronase

Answer 19

glyburide

Question 20

Correct Ca Equation

Answer 20

no icu pts

Question 21

lb and kg

Answer 21

1 kg = 2.2 lb

Question 22

In and M

Answer 22

1 in = 0.0254 m

1 m = 39.37 in

Question 23

ibw eq

Answer 23

men
50 kg + 2.3 kg x (every inch over 5 ft)

women
45.5 kg + 2.3 kg x (every inch over 5 ft)

Question 24

CR CL

Answer 24

Normal 66-143

(blood Cr 0.5-1.2)

Question 25

G6PD Foods/Drugs to Avoid

Answer 25

-Chlorpropamide
-Dabrafebib
-Dapsone
-Methylene blue
-Nitrofurantion, nifuratel, nitrofurazone
-Phenazopyridine
-Primaquine, tafenoquine
-Rasburicase, pegloticase

-Fava, henna
-Napthalene (mothballs, deodorant)
-Phenyl hydrazine

u kno + NNN, quine, case, phena, blue

Question 26

Drug Induced G6PD

Answer 26

-ALL CILLINS (penicillin)
-Cephalothin
-Cephaloridine

-Quinidine, quinine
-HCTZ
-Rifampin
-Sulfonamides
-Insulin
-Tetracycline
-Melphalan
-Tylenol
-Hydralazine
-Diclofenac
-Ibuprofen

Question 27

Benefits of IV Iron

Answer 27

-Effective
-Rapid correction
-Large doses
-Compliance assured
-No GI effects

BUT
-Monitoring IV
-Allergic/IV rxn
-Equipment/personnel
-Higher costs

Question 28

Oral Iron Benefits

Answer 28

-Effective
-Low risk of AE
-Low costs

BUT
-GI AE
-Low compliance
-May be inadequate for severe cases
-Several months (higher total cost?)

Question 29

Thyroid Storm

Answer 29

> 103 F, sweating, tachy, AF, dehydrated, delirium

TX
-PTU + BB (P) + Steroid + Iodine

Start Iodine after 1 hr of antithyroid drugs

Question 30

Thyroid Monitoring

Answer 30

Ft4 and total T3: 2-6 wk after start
-once euthyroid, dose can be decreased 30-50%, repeat in 4-6 wk for labs
-then test 2-3 mo
-if long term: every 6 mo
-continue med for 12-18 months, then d/c if labs TSH normal at that time

Question 31

BP Diagnosis

Answer 31

-Elevated BP > 130 or > 80 on 2 separate occasions (> 140 / > 90)
-Seated for 5 min, back supported, feet flat, arm on desk, BP cuff at heart level
-1st visit: measure in both arms, use higher arm for subsequent readings
-Avg of 2, stage BP
-Elderly: BP when pt is standing for 1-3 min to evaluate OH

Question 32

BP Staging

Answer 32

E: 120-129
1: 130-139, 80-89
2: 140+, 90+
C: 180+, 120+

Question 33

WHO BP Thresholds

Answer 33

> 140/90: PHARM

> 130/80: PHARM IF HAVE CARDIO DISEASE
(also moderate rec if high risk, DIA, CKD)

> 160/100, start with 2 first line agents of different classes