Pharmacology

The flashcards below were created by user n1297f on FreezingBlue Flashcards.

  1. A pt with a fluid overload problem has been given a dose of fursemide (lasix) IV. Following rapid diuresis in the patient, an arrhythmia is noticed that did not exist befoe the

    A) defibrillate the pt
    B) check the pt's potassium level
    C) give more furosemide
    D) give the pt epinephrine
    B) check the pt's potassium level
    (this multiple choice question has been scrambled)
  2. A 2-mo old infant has episodes of apnea that result in bradycardia and cyanosis. What med should be recommended to treat the apnea episodes?

    A) caffeine citrate (cafcit)
    B) lidocaine (xylocaine)
    C) albuterol (proventil)
    D) neostigmine (prostigmin)
    A) caffeine citrate (cafcit)
    (this multiple choice question has been scrambled)
  3. An RT is working in the ED when an MVA victim arrives. The pt is conscious, screaming and hysterical from the extreme pain of a broken leg. What should be recommended for sedation?

    A) ipratropium bromide (atrovent)
    B) morphine sulfate (duramorph)
    C) ibprofin (advil)
    D) succinylcholine chloride (anectine)
    B) morphine sulfate (duramorph)
    (this multiple choice question has been scrambled)
  4. An asthma patient is d/cing systemic corticosteroid. The pt will continue taking aerosolized bd's. The physician wants to know what should be recommended for an inhaled corticosteroid (ICS).

    A) methylprednisolone (solu medrol)
    B) naloxone (narcan)
    C) beclomethasone dipropionate (QVAR)
    D) neostigmine (prostigmin)
    C) beclomethasone dipropionate (QVAR)
    (this multiple choice question has been scrambled)
  5. The results of a pts PFT show that the peak expiratory flow rate increased the most when an aerosolized sympathomimetic drug and an aerosolized anticholinergic drug were inhaled. The physician wants to know what should be recommended for this patient.

    A) ipratropium and albuterol (combivent respimat)
    B) beclomethasone dipropionate (vanceril) and montelukast (singulair)
    C) ipratropium bromide (atrovent) and cromolyn sodium (intal)
    D) salmetrol (serevent) and fluticasone (advair diskus)
    A) ipratropium and albuterol (combivent respimat)
    (this multiple choice question has been scrambled)
  6. A pt was extubated 30 minutes ago. The pt is hoarse and complains of "tightness in my throat." Inspiratory stridor can be heard. The drug of choice for treating this problem is:

    A) levalbuterol (xopenex)
    B) racemic epinephrine (micronefrin)
    C) isoetharine (isoetharine hcl)
    D) acetylcysteine (mucomyst)
    B) racemic epinephrine (micronefrin)
    (this multiple choice question has been scrambled)
  7. A pt has COPD with a bronchospasm component. Which of the following classes of meds would be helpful?

    A) saba &ics & laac & laba
    B) ics & laac &laba
    C) ics & laba
    D) saba & laac
    A) saba &ics & laac & laba
    (this multiple choice question has been scrambled)
  8. An order is received to administer 5 ml of albuterol (proventil) by hand held nebulizer. what should be done?

    A) give 0.5ml of meds because the physician probably intended that dosage
    B) have the shift supervisor give the rx
    C) call the physician to check on the med dose
    D) confirm the order was written & give the rx
    C) call the physician to check on the med dose
    (this multiple choice question has been scrambled)
  9. A 10 yo CF pt has a pulmonary infection and thick secretions. What should be recommended to help the pt cough out the secretions?

    A) nebulized dornse alfa (pulmozyme)
    B) nebulized 0.9% (normal) saline solution
    C) nebulized acetylcysteine (mucomyst)
    D) instillation of acetylcysteine (mucomyst) into the pts lungs
    A) nebulized dornse alfa (pulmozyme)
    (this multiple choice question has been scrambled)
  10. How much active ingredient would be found in 0.6 ml of 2.25% racemic epinephrine (micronefrin)?

    A) 0.0267 mg
    B) 13.5 mg
    C) 13.5 g
    D) 26700 mg
    B) 13.5 mg
    (this multiple choice question has been scrambled)
  11. An RT is about to administer an aerosolized BD to an adult pt. The pts pretreatment pulse rate before starting is 85. The rx should be stopped if the pt's pulse reaches:

    A) 120
    B) 90
    C) 110
    D) 100
    C) 110
    (this multiple choice question has been scrambled)
  12. A pt is being given an aerosolized beta-agonist (sympathomimetic) drug for the fisrt time. Monitoring should be done for what possible adverse effects?

    A) bradycardia & tremor
    B) tremor & headache & nervousness & tachycardia
    C) tremor & nervousness
    D) headache & nervousness & tachycardia
    B) tremor & headache & nervousness & tachycardia
    (this multiple choice question has been scrambled)
  13. A pt is being d/c'd and will receive an aerosolized controller-type BD rx at home. The best med for this chronically sick but stable pt is:

    A) arformoterol (brovana)
    B) levalbuterol (xopenex)
    C) metaproterenol (alupent)
    D) albuterol (ventolin)
    A) arformoterol (brovana)
    (this multiple choice question has been scrambled)
  14. A pt has an order for an induced sputum sample to be analyzed for TB. the best med for this is:

    A) isonicotinic acid hydrazide INH
    B) 10% saline solution
    C) dornase alfa (pulmozyme)
    D) acetylcysteine (mucomyst)
    B) 10% saline solution
    (this multiple choice question has been scrambled)
  15. After finishing an aerosolized dose of acetylcysteine (mucomyst), a pt had breath sounds that reveal wheezing. These were not present at the start of rx. What med should be fiven before the next mucomyst rx?

    A) 0.9% saline solution
    B) sterile water
    C) salmeterol (serevent)
    D) levalbuterol (xopenex)
    D) levalbuterol (xopenex)
    (this multiple choice question has been scrambled)
  16. An Rt is working on the night shift when a 17 YO pt with status asthmaticus is admitted through the ED. The pt has already been given combivent respimat and an ics medication.

    A) theophylline (aminophylline)
    B) terbutaline (brethaire)
    C) albuterol (proventil)
    D) formoterol (foradil)
    A) theophylline (aminophylline)
    (this multiple choice question has been scrambled)
  17. A 16 YO female pt has severe and chronic asthma. Her physician wishes to change her meds to prevent her from having asthma attacks. All of the following meds would be helpful EXCEPT:

    A) epinephrine (adrenaline)
    B) zafirlukast (accolate)
    C) zileuton (zyflo)
    D) cromolyn sodium (intal)
    A) epinephrine (adrenaline)
    (this multiple choice question has been scrambled)
  18. A pt with COPD is being given a new inhaled adrenergic BD med by SVN. Within 3 minutes, the pt c/o palpitations. The pts pulse was 85 before the rx and is now 125. What should be done?

    A) stop the rx.
    B) add more saline to dilute the med
    C) d/c the order
    D) change to a different med
    A) stop the rx.
    (this multiple choice question has been scrambled)
  19. An RT has finished giving an 8 YO female pt with asthma an IPPB rx with 0.5ml of albuterik (proventil). It is noticed that the pt's HR has increased 15% from before the rx. Her breath sounds are now clear. what should be recommended to the physician for the pt's next rx?

    A) d/c the rx altogether
    B) add more normal saline to the proventil
    C) give her 0.5 ml of metaproterenol (alupent)
    D) decrease the proventil to 0.3 ml
    D) decrease the proventil to 0.3 ml
    (this multiple choice question has been scrambled)
  20. The RT is called to the PAR to assist in the care of a pt who returned 2 hrs ago from having a bowel resection. The pt is apenic and on a ventilator. Which meds could be used to wean the pt from the machine?

    A) naloxone (narcan) & dopamine (intropin)
    B) diazepam (valium)
    C) flumazenil (romazicon) & naloxone (narcan)
    D) flumazenil (romazicon) & succinylcholine chloride (anectine)
    C) flumazenil (romazicon) & naloxone (narcan)
    (this multiple choice question has been scrambled)
  21. How much med solution is needed to give the pt 20mg of the active ingredient? The solution contains 5% active ingredient.

    A) 40 ml
    B) 1 ml
    C) 0.1 ml
    D) 0.4 ml
    C) 0.1 ml
    (this multiple choice question has been scrambled)
  22. An anxious 10 YO asthma pt is being given a breathing rx with levalbuterol (xopenex). The pt's initial HR of 110 has now increased to 120. What should be done?

    A) stop the rx & inform the physician
    B) cut the med dose in half and continue
    C) continue the rx as ordered
    D) change to albuterol and continue the rx
    C) continue the rx as ordered
    (this multiple choice question has been scrambled)
  23. The lab results of a pt's sputum sample indicate that the pt has a gram-positive pulmonary infection. Which of the following meds should be recommended?

    A) TOBI
    B) gentamycin (garamycin)
    C) penicillin (ampicillin)
    D) ribavirin (virazole)
    C) penicillin (ampicillin)
    (this multiple choice question has been scrambled)
  24. An 18 MO infant is dx with bronchiolitis from RSV. Which med should be recommended?

    A) gentamycin (garamycin)
    B) pentamidine isethionate (nebupent)
    C) ribavirin (virazole)
    D) trimethoprim & sulfamethoxazole (bactrim)
    C) ribavirin (virazole)
    (this multiple choice question has been scrambled)
  25. The therapist is called to help assess a premature neonate. The pt is having difficult breathing and RDS is suspected. All of the following could be recommended EXCEPT:

    A) calfactant (infasurf)
    B) poractant alfa (curosurf)
    C) beractant (survanta)
    D) flumazenil (romazicon)
    D) flumazenil (romazicon)
    (this multiple choice question has been scrambled)
  26. A 30 YO asthmatic pt has received a standard dose of levalbuterol (xopenex). Breath sounds reveal loud, bilateral wheezes. Over the course of the rx, the pt's HR changed from 98 to 105. What would you recommend?

    A) add theophylline (aminophylline) to the IV line
    B) repeat the rx and monitor the pt
    C) switch the med to albuterol (ventoline)
    D) stop the rx & inform the physician
    B) repeat the rx and monitor the pt
    (this multiple choice question has been scrambled)
  27. 10 YO female patient with status asthmaticus has been admitted to the hospital. The physician plans to start her on continuous nebulization of a fast onset rescue inhaled BD med. Which of the following should be recommended as part of her care plan?

    A) salmeterol (serevent) & ECG and pulse ox
    B) admit to ICU & salmetrol & levalbuterol & ECG and pulse ox & iv corticosteroid
    C) 0.1 ml
    D) admit to ICU & give levalbuterol (xopenex) & ECG & pulseox should be monitored & she should be given an IV corticosteroid
    D) admit to ICU & give levalbuterol (xopenex) & ECG & pulseox should be monitored & she should be given an IV corticosteroid
    (this multiple choice question has been scrambled)
  28. A ventilated pt who has been paralyzed with a neuromuscular blocking agent should be given a sedative for what reason?
  29. A pt had a bronch and biopsy taken of a suspected tumor. after the biopsy, uncontrolled bleeding starts. What should be given to control the bleeding?

    A) instill epinephrine through the scope at the site of the bleeding
    B) administer lidocaine IV
    C) administer heparin IV
    D) administer nebulized albuterol by SVN
    A) instill epinephrine through the scope at the site of the bleeding
    (this multiple choice question has been scrambled)
  30. A 15 TO pt with CF has large amount of thick secretions. There is no sign of infection. What should be administered to help manage the secretion problem?

    A) 0.9% saline solution
    B) 5% saline
    C) salmeterol (serevent)
    D) acetylcysteine (mucomyst)
    B) 5% saline
    (this multiple choice question has been scrambled)
  31. A home care pt with asthma has finished a standard dose of 0.25ml of albuterol (ventolin). After waiting 15 minutes, the pt performs a peak flow measurment,which shows 65% of personal best. What should be done to improve the pt's condition?

    A) increase the dose of albuterol
    B) decrease the dose of albuterol
    C) add an IV corticosteroid
    D) maintain the present rx
    A) increase the dose of albuterol
    (this multiple choice question has been scrambled)
  32. A premature neonate is being ventilated in the NICU. The neonatologist believes the pt has pulmonary hypertension. What should be recommended?

    A) give aerosolized umeclidinium & vilanterol (anoro)
    B) administer INOmax
    C) give aerosolized aclidinium (tudorza)
    D) instill lucinactant (surfaxin) into the lungs
    B) administer INOmax
    (this multiple choice question has been scrambled)
  33. An adult pt is panicking & fighting against the ventilator. All of the following may be sued to control the pt on the ventilator EXCEPT

    A) syccinylcholine (anectine)
    B) morphine sulfate (duramorph)
    C) pancuronium bromide (pavulon)
    D) flumazenil (romazicon)
    D) flumazenil (romazicon)
    (this multiple choice question has been scrambled)
  34. A pt is in shock from an allergic rxn to a bee sting. In addition, the pt has inspiratory stridor from laryngeal edema. What is the best med to use to help raise the pt's BP and help her breathing?

    A) IV epinephrine (adrenalin)
    B) Iv naloxone (narcan)
    C) oral ibuprofen (advil)
    D) nebulized racemic epinephrine (nephron)
    A) IV epinephrine (adrenalin)
    (this multiple choice question has been scrambled)
  35. A 10 YO boy with CF has been having recurrent episodes of P. aeruginosa pneumonia. What should be recommended to prevent further episodes?

    A) isonicotinic acid hydrazide (INH) should be taken twice a week for 6 months
    B) instill pentamidine (pentam) into the trachea with a catheter
    C) TOBI should be taken by SVN every other month
    D) administer pentamide (pentam) once a month by SVN
    C) TOBI should be taken by SVN every other month
    (this multiple choice question has been scrambled)
  36. A 4 MO pt has chronic lung disease secondary to recovering from RDS. The pt now has pneumonia caused by RSV and is on a ventilator. What can be given to improve the pt's condition?

    A) intratracheal beractant
    B) IV racemic epinephrine
    C) ribivirin (virazole) by SPAG nebulizer
    D) cromolyn sodium (intal)
    C) ribivirin (virazole) by SPAG nebulizer
    (this multiple choice question has been scrambled)
  37. A 35 YO pt has AIDS and was previously treated for P. carinii pneumonia. What can be used to prevent the infection from reoccurring?

    A) trimethoprim & sulfamethoxazole (bactrim)
    B) Pentamidine (nebupent) by SVN
    C) Zanamivir (relenza)
    D) TOBI by SVN
    B) Pentamidine (nebupent) by SVN
    (this multiple choice question has been scrambled)
  38. A 58 Yo female pt with CHF is being rx'd with 40% O2 and diuretics. Within 3 hours she has lost 1500 ml of urine and her pulse ox reading has improved for 84% to 93% saturation. Her ECG shows a HR of 110 with new observation of PVC's. Her recent serum electrolyte test shows a K+ level of 3.1mEq/L. What recommendations could be made in her care?

    A) restrict her intake of potassium
    B) continue her diuretics
    C) IV potassium
    D) decrease O2 to 35%
    C) IV potassium
    (this multiple choice question has been scrambled)
  39. A pt has been dx with severe COPD. The physician has asked for your recommendations on meds to optimize breathing. THe pt says, "I don't want to take the medicine all day long." What should be recommended to maximize BD and convenience?

    A) umeclidinium and vilanterol (Anoro)
    B) ipratropium bromide (atrovent) and cromolyn sodium (intal)
    C) fluticasone and vilanterol (breo) & tiotropium (spiriva)
    D) ipratropium and albuterol & umeclidinium
    C) fluticasone and vilanterol (breo) & tiotropium (spiriva)
    (this multiple choice question has been scrambled)
Author:
n1297f
ID:
316189
Card Set:
Pharmacology
Updated:
2016-02-20 22:02:16
Tags:
pharm
Folders:

Description:
pharmacology
Show Answers: