click below
click below
Normal Size Small Size show me how
Pharm Final
| Question | Answer |
|---|---|
| What is acetylcysteine? What else can it be used for? | Inhaled mucolytic that can be used for acetaminophen overdoses |
| What is the class of montelukast? What is it mainly used for? | Montelukast is a leukotriene receptor antagonist. Used for exercise induced asthma prophylaxis |
| What is nirmatrelvir (paxlovid) used for? | Used for Covid 19 |
| What is osteltamivir used for? What cant you do after receiving this? | Used as a prophylactic to the flu, cannot have live vaccines within 48 hours, and cannot have probenecid |
| What is the pharmacologic class of albuterol? What are some side effects? | SABA, can cause tachy, palpitations, headaches, shakes, and hypokalemia |
| What is the pharmacologic class of salmeterol? What is it used for? | Salmeterol is a LABA, used for maintenance |
| What is the pharmacologic class of ipatropium? What is it used for? | SAMA, used as an adjunct for acute exacerbation |
| Lispro Onset, Peak, Duration | O: 15-30 P: 30-60 D: 3-5 hours |
| Aspart Onset, Peak, Duration | O: 10-20 P: 1-3 hours D: 3-5 Hours |
| Regular Onset, Peak, Duration | O: 30-60 P: 2-4 hours D: 5-8 hours |
| Isophane NPH Onset, Peak, Duration | O: 1-2 hours P: 4-12 hours D: 18-24 hours |
| Glargine Onset, peak duration | O: 1.5 lantus 6 toujeo P: Lantus no peak, toujeo 12 Duration: 24 hours |
| Dulaglutide MOA and Major SE | Dulaglutide works by stimulating insulin secretion. It has a risk of hypoglycemia, and nausea. Nausea subsides after 2 weeks |
| Metformin MOA and side effects. Off label use? When should you hold this med? | Decreases glucose production in the liver, can not cause hypoglycemia, decreases LDLs. Hold 48 hours before iv contrast because of lactic acidosis. Off label used for PCOS |
| Empaglifozin MOA and black box warning | Blocks resorption of glucose at the proximal convoluted tubule, decreases risk of CV death, and has a higher risk of lower limb amputations as a blackbox warning. |
| Glipizide MOA | Stimulates pancreatic beta cells to release insulin. Discontinue 1 month before delivery |
| Sitagliptin MOA, what can it cause rarely | Augments incretin, promoting release ofinsulin and decreasing secretion of glucagon. Can cause pancreatitis rarely |
| Phlebitis Nursing interventions | D/c IV, moist warm compress |
| Infiltration nursing interventions | D/c IV, elevate limb, moist warm compress |
| Extravastation nursing interventions | D/c IV, apply cool compress, administer antidote |
| When are colloids indicated? | Bleeding or protein deficits |
| Hypotonic solution indications? Adverse effects? | dehydration, burns, trauma, dka, hyperosmolar hyperglycemia, and can cause cell lysis and hypovolemia |
| Isotonic fluids | NS, LR, 5DW, 5DQNS |
| Hypertonic solutions are indicated for | cerebral edema and hyponatremia |
| When should micro drop tubing be used? | When flow rate is less than 60mL/hr |
| PPIs are what meds? When is it usually used? | Prazole, prilosec, and protonix. Used in gerd, ulcers, h pylori |
| PPI med interactions | CAn decrease effectiveness of clopidogrel and increase bleeding risk of warfarin. |
| Metoclopramide big side effect | Tardive dyskinesia |
| Famotidine class? When is it used? | H2 receptor antagonist, used in short term gerd and other stomach acid problems |
| Sucralfate function | Puts a protective coating over the ulcer, 2 hour separation between phenytoin, warfarin, cipro, and digoxin. |
| What is the antidote for bethanechol | Atropine |
| How does finasteride work? What is the off label use? | Blocks testosterone conversion reducing prostate size. Takes 3-4 months. Can cause sexual dysfunction and gynecomastia. Used off label for hirsutism |
| Tamsulosin is used for? | Used for BPH, improves urine flow and is used off label for kidney stones. Relaxes smooth muscle of bladder |
| Ciprofloxacin black box warning | Can cause tendon ruptures. take with full glass of water |