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pharm final cram
Final
| Question | Answer |
|---|---|
| How is hypocalcemia treated? | Calcium and vit D supplements |
| What can be used to prevent/treat osteoperosis? | Calcium and vitamin supplements, biophosphonates, calcitonin, estrogens, and antiestrogens. |
| What is pt teaching for biophosphonates? | take with water on an empty stomach,take 30 min before you ingest anything else, remain upright for 30 min to prevent GI upset |
| What is the drug for biophosponates? | alendronate |
| Which calcium supplement has the highest percent of calcium? Which supplement is better absorbed? | Calcium carbonate has the highest percentage, Calcium citrate is best absorbed. |
| How much calcium does a postmenopausal woman need? | 2. Postmenopausal women who do NOT take estrogen need at least 1500 mg of supplemental calcium; those who DO take estrogen need at least 1000 mg. |
| Which diuretic can be given to treat hypercalemia? | loop diuretic, lasix |
| What are the uses of estrogen? | replacement therapy, birth control, relief of menopause symptoms |
| What precaution is used for women to reduce the risk of uterine cancer? | Progestin can be added with estrogen |
| What are the contraindications for the use of estrogen, progestins, and hormonal contraceptives? | pregnancy, thromboembolic disorders, certain cancers, vaginal/uterine bleeding, fibroid tumors, impaired liver function, Hx of cerebrovascular disease CAD or hypertension, family hx of breast or reproductive cancer |
| Can pregnancy occur if the pt misses just one does of an oral contraceptive? | yes |
| Androgens and anabolic steroids are schedule ___ drugs. | 3 |
| Why are anabolic steroids particularly dangerous for adolescents? | anabolic steroids can cause damage to the heart, kidneys, liver and stop bone growth |
| What is the primary use for anabolic steroids? | Replacement therapy |
| What can you buy over the counter for building muscles? | Androstenedione and DHEA. However, they may have more of a feminizing effect on the muscles. |
| What are some types of drugs that can be used to treat cancer? | cytotoxic agents and hormone inhibitors |
| Who should be administering cytotoxic drugs? | only nurses that are certified to do so |
| What are the adverse effects of cytotoxic drugs? | hematologic, GI, dematologic and renal effects, also suppresses the immune system |
| What is the goal of cytotoxic antineoplastic drugs? | cure, relieve symptoms or maintain remission |
| How do biologic targeted drgus fight cancer? | by stimulating the immune system or inhibiting processes that allow cancer cells to proliferate. |
| What are some adverse effects of hormone inhibitors? | hot flashes, heart failure, neuropathy |
| Biologic response modifiers | hematologic and immunostimulant agents which are used to stimulate the immune system. |
| What are two biologic response modifiers? | interferons and interleukins |
| What is an autoimmune disease and give two examples? | The pt's own immune system attacks the pt's tissues. Rheumatoid arthritis and psoriasis |
| What is used to treat autoimmune disorders? | Immunosuppressants |
| What is used to prevent/treat rejection of transplanted tissue? | Immunosuppressants |
| What is the effect of corticosteroids on the immune system? | Corticosteroids suppresses the immune system |
| When you have a pt on immunodilators, BRMs and corticosteroids what do you need to monitor for? | Signs of infection |
| What do thyroid hormones do? | Increase metabolism, Increase heart rate and decrease secretion of TSH |
| Why may propranolol be given to a person with hyperthyroidism? | To reduce tachycardia |
| before giving levothyroxine, what should you assess? | Pulse. If pulse is over 100, talk to the doctor before giving. |