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Pharm Final
Ch. 12, 24-26, 31, 33, 34
55
Pharmacology
Undergraduate 1
11/16/2011

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Cards

Term
What should clients on Retin A avoid?
Definition
Avoid sunlight and don't get pregnant.
Term
What is the treatment for psoriasis?
Definition
Immoliants, immunosuppressants and topical glucocorticoids.
Term
What tests should be done on a client taking Retin A?
Definition
They should have their blood drawn for liver function, serum glucose and serum triglycerides.
Term
What are the three layers of skin?
Definition
hypodermis, epidermis, dermis
Term
What are ways to prevent sunburn?
Definition
sunglasses, sunscreen and sufficient clothing
Term
What anatomical area is common for scabies?
Definition
waist and armpit
Term
How do you prevent lice reinfection?
Definition
comb hair after dry, wash everything, inspect hair daily for 1 week.
Term
What is the key to diagnosis for scabies?
Definition
honey crust
Term
THe highest potency of of steroids can not be put where?
Definition
On the face.
Term
What med is not a good anti-inflammatory?
Definition
aceteminophine
Term
When a client is on high dose aspirin therapy which body system has the most adverse effects?
Definition
GI
Term
Which class of drugs has the potential to suppress the normal function of the adrenal gland if given for long periods of time?
Definition
glucocorticoids
Term
Which organ is responsible for the first pass effect?
Definition
liver
Term
What drug do you need to teach the client about photo sensitivity?
Definition
tetracycine
Term
Why do you do a culture and sensitivity?
Definition
to see which antibiotics are going to be effective.
Term
What might effect antibiotic absorption in the stomach?
Definition
antacids
Term
What electrolyte imbalance might occur with large doses of IV penicillin G potassium?
Definition
Hyperkalemia
Term
A client has cancer in both kidneys. What is going to be important to determine correct dosage of cephalosporin?
Definition
creatinin levels
Term
When a patient is on cephalosporin for a UTI what do you tell him not to take while on this?
Definition
mylanta
Term
Clients who are on aminoglycoside therapy would be assessed for factors that could predispose what?
Definition
nephrotoxic or ototoxic
Term
What would you give a client for oral candidas?
Definition
Nistatin
Term
What are the most common side effects of erythromycin?
Definition
gi upset, nausea, vomiting, diarrhea
Term
What patient teaching should he include for AZT?
Definition
Have to take it every 4 hours.
Term
What are sulfa drugs classified as?
Definition
anti bacterial
Term
What class of drug would you use to treat pseudomonas?
Definition
extended spectrum penicillin
Term
How many mL equal 1 oz?
Definition
30 mL
Term
When calculating dosages what do you divide?
Definition
Divide need by have.
Term
OS
Definition
left eye
Term
OD
Definition
right eye
Term
What is the cross-sensitivity between penicillin and cephalosporin?
Definition
3-16%
Term
What is the cornerstone treatment for TB?
Definition
INH
Term
What is a side effect for a client on anti-microbial therapy?
Definition
candidas
Term
A client is hospitalized for a large wound and UTI. What should you watch for?
Definition
bacteria and WBC increased.
Term
What drug is used to treat hyperthyroidism?
Definition
PTU
Term
A 56 year old patient with onset of type 2 diabetes comes into the clinic. He has the 3 ps of diabetes, increased blood sugar while on oral hypoglycemic agents. What would the dr. do?
Definition
Switch to insulin because oral pills have become ineffective.
Term
What two major glucocorticoids are produced by adrenal glands?
Definition
hydrocortisone and cortisone
Term
Maxademia is the most severe form of hypothyroidism. What is a sign of this?
Definition
skin becomes doughy.
Term
A shaky nervous patient with type 2 diabetes w/ alcohol use comes in. What would you check the patient for?
Definition
hypoglycemia
Term
A patient comes in at 2 pm who has been NPO since midnight for surgery. His glucose level is 52. What would you do?
Definition
Notify healthcare provider. Patient is hypoglycemic.
Term
What is the key to diabetes?
Definition
self-management
Term
What is the treatment for hypothyroidism?
Definition
evothyroxin (Synthroid)
Term
Congenital hypothyroidism can lead to this of left untreated?
Definition
cretinsim
Term
Mechanism of action for PTU and methalmelzol are?
Definition
They block the synthesis of hormone in the thyroid gland.
Term
Educating client on thyroid meds. How do they know if they are effective?
Definition
Pulse rate
Term
What values will the nurse review when an ABG is available?
Definition
bicarb, pH, carbon dioxide
Term
When evaluating the effectiveness of an antimicrobial what would you moniter?
Definition
pain, temperature, presence of edema, CDC and sedement rate
Term
What ways do microbes enter the body?
Definition
break in skin, ingested, contact with mucus membranes
Term
What individuals are receptive to TB?
Definition
a person in crowded environments and clients with HIV
Term
When a client is on sulfonamides why do you increase fluids?
Definition
To remove microorganisms from urinary tract, prevent formation of crystals and prevent formation of stones.
Term
What statements about type 2 diabetes are true?
Definition
overweight and over 45, genetic predisposition, often diagnosed after complications, often in women.
Term
What drug is given for diabetes insipidus?
Definition
DDAVP
Term
How do you know that DDAVP is working?
Definition
decreased urine output
Term
What are the 3 Ps of diabetes?
Definition
polydipsia, polyphagia, polyuria
Term
What tests the percentage of glucose in the blood for the last 3 months on a diabetic? What do you want to percentage to be?
Definition
HbA1C-hemoglobin A1C. Percentage should be less that 7%.
Term
What are glucocorticoids used to treat?
Definition
inflammatory and immune responses
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