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final review session
pharmacology
| Question | Answer |
|---|---|
| pharmacokinetics | how the body changes the drug; drug metabolism |
| pharmacodynamics | ways in which drugs work to change body function |
| main organ of elimination | kidney |
| main organ of metabolism | liver |
| most important priority | drugs first, medical hx second - per prof. swope |
| ginging | increase dig |
| St. John's | decreases dig |
| gentamycin | kidney toxicity; decreased output - contact provider immediately |
| antivirals interact with | seizure meds |
| non-selective antihistamines | make you sleepy |
| spironolactone | potassium sparing |
| thiazide and loop diuretics | potassium wasting |
| hyperkalemia | T wave is peaked |
| hypokalemia | T wave is inverted |
| as risk for orthostatic hypotension | with diuretics |
| loop diuretics | give over 2 minutes IV |
| primary hypertension | unknown cause |
| secondary hypertension | related to some other condition |
| lol | beta-blocker |
| pril | ACE inhibitor |
| pine | calcium blocker |
| sin | alpha blocker |
| sartan | angiotensin II receptor antagonists (ARB?) avoid potassium |
| don't give beta blocker and calcium channel blocker at the same time | severe hypotension |
| calcium channel blocker | severe hypotension |
| nursing process questions | assess pt before arriving at differential dx everytime; ADPIE |
| dig and apical pulse rate of 59 | hold the dose and notify provider |
| major symptom of lidocaine toxicity | hallucinations |
| beta blockers and type II diabetes drugs | mask hypoglycemia |
| amioderone and cordarone | scrotal pain |
| statins | liver disease, block kidney output- kidney failure; |
| CVA less than 1 hour ago | thrombolytics |
| heparin | initial bolus is rx'd by weight; infusion is rx'd mL per hour |
| coumadin | reversal agent is vit K |
| heparin | reversal agent is protamine sulfate |
| heparin and coumadin | can take at the same time |
| zoles | antifungals |
| hydralazine | for pregnancy |
| torsades de pointes | electrolyte imbalance, hypomagnesemia |
| GERD | under the breastbone |
| PUD | gnawing |
| OTC laxatives | do not use more than a week |
| thyroxine | assess HR and rhythm |
| coumadin plus beta adrenergic blocker | hypocalcemia (?) |
| anti-seizure meds | don't drink ETOH |
| zarontin/ethosuximide | wear sunglasses! |
| diazapam | short acting; teratogen in 1st trimester |
| sinemet | neutropenia |
| parlodel/bromocriptine | shock, MI |