PHARM FINAL

Card Set Information

Author:
strawberrymacarons
ID:
81311
Filename:
PHARM FINAL
Updated:
2011-04-24 14:36:53
Tags:
PHARM MUSC FINAL
Folders:

Description:
RESP, GI, ABX, BC, MISC, FERROUS SULFATE
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  1. What resp should not be given if pt. is allergic to peanuts?

    Give some brand names
    Anticholinergic drugs

    Duo-Neb, Combivent, tiotropium (Spiriva), ipratropium
  2. What are the toxicity sx for methylxanthine? >/ 20mcg/mL
    • *N,V,D
    • *Restlessness
    • *Dysrhythmias
    • *Cardioresp collapse
    • *Convulsions
    • *Insomnia
  3. Caffeine is cousin of what kind of resp drug?
    Methylxanthine
  4. What are the long term effects of steroid use?
    • *increased glucose
    • *moon face
    • *osteoporosis
    • *mask infxn
    • *Cushing's syndrome
  5. How are steroids used in asthma?
    What special instructions should be given when giving oral steroids?
    • * Treat the inflammation part of asthma. Steroids are used as prophylaxis of chronic asthma
    • * Oral should be brief if possible. Taper it down
  6. T or F?

    Antihistamine drugs have anticholinergic side effects
    TRUE
  7. What is the drug of choice for MRSA?
    Vancomycin
  8. Dr. Ludicrous prescribe your patient with extended Penicillin & Gentamycin. What is one thing that is critical for you to emphasize to your pt regarding these 2 drugs?
    DON'T GIVE AT THE SAME TIME!!!
  9. Your patient is prescribed with Gentamycin? What are some things that you'd anticipate on your "to-do" list?
    • * Monitor serum levels
    • * Peak (P: high enough to kill bacteria) & trough (T: low enough to minimize toxicity)
    • * Monitor for s/s of ototoxicity & nephrotoxicity
  10. You saw in the computer that you're supposed to administer Erythromycin IV but the computer didn't give you further instruction. Such a smart nurse that you are, you remember that you can only reconstitute E-mycin with what?

    At what rate should you administer it?
    Reconstitute E-Mycin w/ sterile water only

    30-60 jin since it's very irritating to veins
  11. Uh Oh, you prepared the infusion solutions of E-mycin & the left it out there in room temp for 6 hrs. Should you discard it?
    No, it's OK, as long as you use it within 8 hrs it should be OK
  12. Pt. taking Linezolid for MRA & VRE are taught to avoid alcohol, caffeine & food containing tyramine. Why?
    To avoid htn crisis. That's why BP readings are obtained throughout therapy
  13. Dr. Ludicrous prescribed your patient with Cipro 1st generation. But your pt. has C.Diff =( ... Why is it that you have to go confront him?
    Cipro 1st generation is for UTI, not C.Diff
  14. After that Cipro & UTI incident, your pt. started to show sx of arthropathy & it's really painful. He's very upset & asks you why that is. What do you say to him?
    "Cipro's side effects are arthropathy, GI upset, restlessness (which explains why you're irritated right now, I understand), & headache. I'll monitor closely for Candidal organism, give you small but frequent meals to prevent GI effects"

    Monitor CNS b/c he might get confused
  15. What happen when you administer Proebenecid & penicillin G?
    Proebenecid will prolong penicillin G
  16. Besides MRSA, what other infxns do Vanco treat?
    • *bacterial septicemia
    • *endocarditis
    • *bone & joint infxn
  17. Which drug causes greying & discoloration of teeth in children? It also has the adverse effect of photosensitivity
    Tetracycline
  18. What drug & food interactions should you take precautions for when taken tetrycycline?
    • *DON'T TAKE WITH PENICILLIN
    • *DON'T TAKE WTIH MILK
  19. What's one a/e of sulfonamides & what can you do as a nurse to prevent it??
    crystalluria & encourage fluid intake
  20. What's one important thing to teach pt. taking Tessalon for cough? & if you don't teach this chances are they may cause choking
    DON'T CHEW!!!! or it'l numb your throat & may cause choking
  21. When do you not want to use Pitocin for uterine contraction, adj therapy in mgt of abortion, control of postpartum bleeding?
    • NOT USED:
    • *Placenta previa: baby can't get out of vagin
    • *Fetal distress
    • *Abnormal lie
    • *Active, primary HSV infxn
    • *Whenever C-section is needed
    • *Cord collapse

    Any contraindications to vag deliver
  22. What is a drug for postpartum that prevents postpartum bleeding?

    What drugs do they counteract?
    Methergine

    -azole
  23. You don't want to use Methergine in what kind of conditions?
    *increased BP

    You don't want to IV administer b/c it'll induce sudden hypertensive crisis
  24. What are the benefits of hormone therapy?

    What ar the risks?
    * reduces menopausal sx, hot flashes. Protects against osteoporisis & colon cancer

    *Risks: increased risk of breast cancer, stroke, thromboembolism, coronary heart dz
  25. a/e of neupogen
    • * don't give within 24 hrs pre or post chemo
    • * MEDULLARY BONE PAIN
    • *incr Alk Phos

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