FNP Final- Pharm

  1. ________ interacts with Coumadin and increases INR and risk of bleeding.
    • Sulfa drugs 
    • Macrolides
    • NSAIDs
  2. A pt taking Lithium should have what checked in addition to blood levels of the drug?
    TSH
  3. There is an increased risk of rhabdo with statins and _______.
    antifungals
  4. When would you Rx HCTZ?
    • uncomplicated HTN
    • HF
    • edema
    • HTN + osteoporosis! (decreases Ca excretion)
  5. AE of HCTZ.
    • hyperglycemia
    • hyperuricemia
    • increased TG & LDL
    • hypOkalemia
  6. What should you give a pt in place of HCTZ if they are allergic to sulfa?
    a K+ sparing diuretic - triamlerene or amiloride
  7. ________ drugs can cause or exacerbate CHF.
    TZDs
  8. When would you STOP Actos (a TZD)?
    dyspnea, wt gain, cough
  9. There is an increased risk of hyperkalemia with what type of pts and drugs with K+ sparing diuretics?
    • renal dz
    • DM
    • elderly
    • severly ill
    • ACEIs and ARBs
  10. AE of Lasix
    • hypovolemia
    • hypokalemia
    • hyponatremia
    • HTN
    • Ototox
    • Pancreatitis, Jaundice, rash
  11. SE of BB.
    • depression, fatigue (elderly)
    • ED
    • masks hypoglycemia (careful with DM)
    • Rebound HTN with abrupt withdrawal
  12. AE of ACEI.
    • hyperkalemia
    • angioedema
  13. When should CCBs be avoided?
    • bradycardia
    • CHF
  14. Avoid GF juice with?
    • statins
    • CCBs
  15. AE of CCB.
    • HA
    • peripheral edema
    • HF
    • increased QT
    • ***constipation***
  16. CCBs possibly interact with?
    • macrolides except azith
    • intraconazole
  17. If pt has mono + strep and is allergic to PCN, what do you give?
    macrolide
  18. SE of erythromycin.
    • N/V
    • abdominal pain
  19. What to give if allergic to macrolides?
    doxy or quin
  20. Doxy is used to treat?
    • chlamydial infections (cervicitis, PID, pna)
    • atypical bacterial infections
  21. Tetracycline used to treat?
    • mod to severe acne (after 2-3 mos topical)
    • rosacea
  22. Careful/avoid what drugs in pts with MG?
    • macrolides
    • *quinilones
  23. Keflex is used to tx?
    • cellulitis
    • impetigo
    • (ok in preg)
    • *NOT MRSA*!!
  24. AE of PCN
    • diarrhea
    • C.dif
    • vaginitis (candida)
  25. Avoid what with quinilones?
    • amiodarone
    • macrolides
    • TCAs
    • antipsychotics
    • < 18 yo
    • MG
    • preg & BF
    • *steroids
  26. SE of quin
    • dizziness
    • HA
    • insomnia
    • mood changes
  27. When do you avoid sulfonamides?
    • G6PD anemia
    • < 2 months old
    • preg late 3rd trimester (kernicterus)
    • Warfarin (increased INR)
  28. Severe AE of sulfonamides.
    SJS
  29. When is it important to avoid NSAIDs?
    • HF
    • GI bleed
    • severe renal dz
    • Warfarin
    • ASA
    • ETOH
Author
MeganM
ID
330333
Card Set
FNP Final- Pharm
Description
pharm
Updated