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pharm final
past tests
95
Biology
Undergraduate 1
12/14/2012

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Term
zinc should not be taken with
Definition
Antibiotics
Term
Mineral that helps for DMII
Definition
Chromium
Term
Antacids and iron should be taken
Definition
at least an hour apart
Term
If serum osmolality is 270, body fluid osmlality is
Definition
HYPO

Normal=275-295
Term
D5W goes from being ___ to being __
Definition
iso to hypotonic
Term
Dextran is a volume expander classified as a
Definition
colloid
Term
hyperkalemia symptoms
Definition
oliguria, tachycardia, later bradycardia
Term
highest priority for azithromycin (zithromax) is to
Definition
assess liver enzymes
Term
DMII pt has infection, is taking levoflaxin (Levaquin). Based on the interaction w/oral hypoglycemics must check
Definition
Glucose frequently bc of hypoglycemia risk
Term
Tetracycline _____ the effects of digoxin
Definition
increases
Term
Vibramycin decreases __
Definition
serum K
Term
IV tetracycline, when to draw peak level if given at 9
Definition
9:45 (peak is 30-60 min)
Term
nystatin should be given in 1-2 ....
Definition
1-2 tsp swished then swallowed
Term
antihelmenthics should be given __ bc of __
Definition
w food bc of GI upset
Term
highest priority for antihelmenthics
Definition
avoid driving/machinery bc of drowsiness
Term
chloroqine. BP drops!! What is happening
Definition
ADR
Term
Sezure pt exposed to TB. Taking DILANTIN and ISONAZID. The effect of the DILANTIN will be __
Definition
significantly decreased
Term
sulfonamide precaution
Definition
high SPF bc of photosensitivity
Term
rationale behind co-trimoxazole (Bactrim-Septra) is
Definition
Trimethoprim prevents bac resistance to sulfamethoxazole
Term
co-trimethoxazole has 8-12 hr half life; when to give
Definition
8 AM , 8 PM
Term
highest priority for sulfamethoxazole (Gantanol)
Definition
incrreae fluid to 2L aday
Term
drug for family members of TB pt
Definition
isonazind
Term
isonazid __ effect of dilaintin
Definition
decreases
Term
cholroquine decreases
Definition
hbg and hct
Term
how often to apply penciclovir (Denavir)
Definition
every 2hours during the day
Term
antiviral, red swollen gums, what to do
Definition
oral hygeine a lot
Term
ow to enhance absorption of nitrofurantoin (Macrodantin)
Definition
take WITH meals_
Term
problem with NNRTIs
Definition
resistance
Term
when to take Kaletra (lopinavir.ritonavir)
Definition
w/ FOOD
Term
flagyl causes urine to turn
Definition
reddish brown
Term
fluid requirement for adults
Definition
30 ml/kg day
Term
tetany from severe calcium deficit
Definition
twitching, numb fingers, carpopedal spasms, laryngeal spasms
Term
hangover
Definition
residual drowsiness and impaired reaction time after being on hypnotics a while
Term
presanesthesia
Definition
secobarbital (Seconal)= short acting barb
Term
temazepam (Restoril) is a
Definition
barbituate
Term
whats the point of balanced anesthesia
Definition
reduction in amt of drug to maintain desired state of anesthesia
Term
if taking barbituates such as pentobrbital, which herbal to avoid
Definition
kava kava
Term
highest priority of nurse after spinal anesthsia
Definition
remain flat for 6-8 hr to prevent loss of csf, prevent headaches
Term
why take ambien night before surgery
Definition
get rest client needs
Term
major S/E of dilantin
Definition
gingival hyperplasia, red urine
Term
vilproic acid (Depakene) is contraindicated in clients w
Definition
liver disorder
Term
valproic acid. serum level 60 mcg/mL is...
Definition
therapeutic
Term
The client with ____ would NOT be a candidate for Sinemet.
Definition
Narrow-angle glaucoma bc sinemet increases IO pressure
Term
Antiviral used to decrease parkinsonian symptoms
Definition
amantadine (Symmetrel)
Term
Bc of its most life threatening ADR, pts of Cognex must be evaluated frequently for
Definition
Liver enzymes. Cognex can be very hepatotoxic.
Term
Parkinsons pt taking levodopa will show ____ as a sign of effective treatment
Definition
decreased pill rolling motion
Term
When to administer Tacrine
Definition
2 PM (or any time that is btw meals, should be on empty stomach)
Term
ACHesterase inhibitor for Alzheimers client with liver disease
Definition
Exelon (not hepatotoxic)
Term
diagnostic drug for Myas gravis
Definition
Tensilon
Term
myasthenia crisis
Definition
muscle weakness, difficulty breathing and swallowing
Term
antidote for cholinesterase inhibitors
Definition
atropine
Term
MS synptoms
Definition
diplopia and extremety weakness
Term
what to give for acute MS attack
Definition
ACTH
Term
Flexeril (for muscle spasms) how to administer
Definition
with FOOD or MILK
Term
priority nursing diag for pt taking cyclophosphamide (Cytoxan)
Definition
risk infection d/t immunosupression
Term
when to administer baclofen (Lioresal)
Definition
bedtime
Term
pt with MG is having a cholinergic crisis (salivating, tearing, and sweating). What to give
Definition
atropine sulfate
Term
client taking Soma suddenly stops med. Risk for..
Definition
rebound muscle spasms
Term
robaxin turns the urine
Definition
black, brown, or green
Term
drugs to prevent nausea and vomiting
Definition
antihistamines, anticholinergics
Term
Lomotil is used to
Definition
decrease loose watery stools (anti-diarrheal)
Term
best drug class for GERD
Definition
PPI
Term
goal of combination therapy for ulcers
Definition
eliminate population of h pylori
Term
Zantac is excreted by the
Definition
kidneys (must check BUN and crea)
Term
how to give prevacid to someone on mechanical soft diet
Definition
sprinkle granules into applecause

DO NOT CHEW OR CRUSH
Term
prilosec is classified as a
Definition
PPI
Term
zantac-when to give and why
Definition
after dinner. food's buffering effect increaes therapeutic effect of zantac
Term
which PPI can be given in liquid form
Definition
prevacid
Term
beta blockers mask the signs of
Definition
hypoglycemia
Term
stimilation of cholinergic receptors does what to muscles
Definition
increases contractility
Term
cholinergic drugs are most often indicated for
Definition
lowering IO pressure in glaucoma pts
Term
most significant diff btw neostigmine and pyridostigmine
Definition
neostigmine is shorter acting
Term
MG pt has severe abd pain while on neostigmine. what to do
Definition
evaluate for bowel obstuction
Term
urecholine treats
Definition
urinary atony
Term
common side effects of urecholoine
Definition
ABD CRAMPING, also hypotension
Term
priority ND for pt taking anticholinergics
Definition
impaired gas exchange d/t resp secretions
Term
full effects of synthroid are seen afte
Definition
1-3 wks
Term
wht drug increases the metabolism of synthroid?
Definition
dilantin
Term
when administering cortisol, this results in
Definition
less secretion from the pituitary
Term
long term corticosteroid therpy pt should take what for minor pain
Definition
TYLENOL bc of risk for ulcers. Avoid NSAIDS
Term
long term corticosteroid pt should be evaluated if experiencing
Definition
frequent palpitations. bc this therapy messes up electrolytes
Term
hydrocortisone is used for anaphalatic shock bc it
Definition
inhibits the inflammatory process
Term
pt with what syndrome should NOT be given mineralcorticoid replacement
Definition
CONNS. bc already have too much aldosterone
Term
cushings pt is given ketoconazole. how to explain
Definition
drug blocks formation fo glucocorticoids, lowering their level in your blood
Term
major ADR of cholestyramine (Questran)
Definition
abd pain from obstruction
Term
do soybeans help with dysplipidemia
Definition
it is not proven
Term
when taking Questran, what happens with Warfarin therapy
Definition
may need to lower dose of warfarin bc the interaction increases bleeding risk
Term
client with ___ taking plavix should concern the nurse
Definition
peptic ulcer bc of risk of ulcer bleeding while taking plavix
Term
warfarin pt has sore mouth. call physician because
Definition
this is an ADR called stomatitis
Term
digoxin toxicity
Definition
yellow halos, vomiting, diarrhea
Term
can a DM pt take sudafed
Definition
NO
Term
if taking metoprolol (b-blocker) what precaution to take
Definition
rise slowly
Term
how to use nasonex
Definition
spray away fron nasal septum
Term
theophyline diet
Definition
high protein low carb
Term
st johns wort ___ the effect of digoxin
Definition
decreases
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