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Final

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
How is hypocalcemia treated?   Calcium and vit D supplements  
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What can be used to prevent/treat osteoperosis?   Calcium and vitamin supplements, biophosphonates, calcitonin, estrogens, and antiestrogens.  
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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  
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What is the drug for biophosponates?   alendronate  
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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.  
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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.  
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Which diuretic can be given to treat hypercalemia?   loop diuretic, lasix  
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What are the uses of estrogen?   replacement therapy, birth control, relief of menopause symptoms  
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What precaution is used for women to reduce the risk of uterine cancer?   Progestin can be added with estrogen  
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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  
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Can pregnancy occur if the pt misses just one does of an oral contraceptive?   yes  
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Androgens and anabolic steroids are schedule ___ drugs.   3  
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Why are anabolic steroids particularly dangerous for adolescents?   anabolic steroids can cause damage to the heart, kidneys, liver and stop bone growth  
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What is the primary use for anabolic steroids?   Replacement therapy  
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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.  
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What are some types of drugs that can be used to treat cancer?   cytotoxic agents and hormone inhibitors  
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Who should be administering cytotoxic drugs?   only nurses that are certified to do so  
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What are the adverse effects of cytotoxic drugs?   hematologic, GI, dematologic and renal effects, also suppresses the immune system  
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What is the goal of cytotoxic antineoplastic drugs?   cure, relieve symptoms or maintain remission  
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How do biologic targeted drgus fight cancer?   by stimulating the immune system or inhibiting processes that allow cancer cells to proliferate.  
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What are some adverse effects of hormone inhibitors?   hot flashes, heart failure, neuropathy  
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Biologic response modifiers   hematologic and immunostimulant agents which are used to stimulate the immune system.  
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What are two biologic response modifiers?   interferons and interleukins  
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What is an autoimmune disease and give two examples?   The pt's own immune system attacks the pt's tissues. Rheumatoid arthritis and psoriasis  
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What is used to treat autoimmune disorders?   Immunosuppressants  
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What is used to prevent/treat rejection of transplanted tissue?   Immunosuppressants  
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What is the effect of corticosteroids on the immune system?   Corticosteroids suppresses the immune system  
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When you have a pt on immunodilators, BRMs and corticosteroids what do you need to monitor for?   Signs of infection  
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What do thyroid hormones do?   Increase metabolism, Increase heart rate and decrease secretion of TSH  
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Why may propranolol be given to a person with hyperthyroidism?   To reduce tachycardia  
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before giving levothyroxine, what should you assess?   Pulse. If pulse is over 100, talk to the doctor before giving.  
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