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Marian Pharm
Marian Pharm Exam 2
| Question | Answer |
|---|---|
| Prototype for Analgesic | ASA |
| What is a sign for Toxcity for ASA | tennitis |
| How long should you avoid ASA prior to surgery | 2 weeks |
| How long does ASA stay with a platelet | 7-10 days |
| How long does a platelet live? | 7-10 days |
| What adverse effect can ASA have? | bleeding and stomach issues |
| Why don't you give ASA to children? | Reyes Syndrome |
| What catagory does ASA fit in? | Analgesic |
| What is ASA used for? | anti-pyretic, anti inflammatory, anti platelet |
| Is Tylenol anti-platelet? | No |
| Is Tylenol an anti-imflammatory? | No |
| What drug due you give if someone overdoses on Tylenol | mucomyst |
| Why do we use Tylenol | reduce fever and pain |
| What catagory does Tylenol fit in? | Analgesic |
| What catagory Ibuprofen (Motrin) fit in? | Non-steriod |
| What catagory Ketoprofen (oruvail) | Non-steriod |
| What catagory Flurboprofen (ansaid) | Non-steriod |
| What catagory Naproxen (Aleve) | Non-steriod |
| What catagory Oxprozin (Daypro) | Non-steriod |
| What catagory Sulindac (Clinoril) | Non-steriod |
| What catagory Etodolac | Non-Steriod |
| What catagory Ketorolac (Toradol) | Non-steriod |
| What catagory Diclofenac (Voltaren) | Non-steriod |
| What catagory Nabumetone (Relafen) | Non-steriod |
| What catagory Meloxicam (Mobic) | Non-steriod |
| What catagory Peroxicam (Feldene) | Non-steriod |
| What what is a quick way of knowing if a medication is Non-steriod | cam, ac, profen |
| What is the strongest anti-inflammatory | Indocin |
| Black box warning | Issued by the FDA because of the major side effects |
| What NSAID would you use primarily use in the hospital for no more then 5 days? | Toradol |
| Is giving NSAIDS safe for children? | yes |
| Is NSAIDS used for Anti-pyretic? | yes |
| Is NSAIDS used for anti-inflammatory | yes |
| Is NSAIDS used for anti-platelet | yes |
| What is the only drug in cyclooxygenase-2? | Celebrex |
| What does cyclooxygenase-2 do | Blocks the prostaglandin that is associated with pain. |
| what kind of diet to you need to be on if you have gout | Low purine |
| What else can gout cause | kidney stones |
| what are some of the symptoms could you have with gout? | swollen red joints (toe, knee, or elbow) |
| How many days can you use Colchicine? | 7 days because it will cause bone marrow toxicity |
| how is the only way you can use Colchicine | PO, due to severe local irritation |
| What drug is used to treat gout? | Allopurinol |
| What drug is used with PCN to help increase and prolong antibiotic effects for gout | Benemid |
| Do you give Benemid with ASA? | no |
| What drug is used for maintance for gout? | Benemid |
| How much fluid should you increase to when a pt has gout? | 3,000 ml/day |
| What diseases do you not give Ergot Alkaloids to? | HTN, Vascular disease and Pregency |
| What type of drug is Surmatriptain (Imitrex) | Triptans/serotonin agonists Anti-migraine |
| What type of drug is Rizatriptan (Maxalt) | Triptans/serotonin agonists Anti-migraine |
| What type of drug is Zolmitriptan (Zomig) | Triptans/serotonin agonists Anti-migraine |
| What type of drug is Metyserglide (Sansert) | Triptans/serotonin agonists Anti-migraine |
| What are symptoms of Serotonin syndrome? | Restless, hallucinations, tachy, HTN, hyperactive reflexes |
| Glutamate? | Excitatory Neurotransmitter |
| Norepinephrine | Excitatory Neurotransmitter |
| GABA | Inhibitory Neurotransmitter |
| Dopamine | Inhibitory Neurotransmitter |
| Serotonin | Inhibitory Neurotransmitter |
| If a person is addicted to an opioid what is the best way to help get them off the medication | WEAN |
| What is the prototype for opioids? | Morphine |
| What is the best way to give Morphine? | IM-IV-SC-Rectally |
| What is the best medication to give for a cough | Codeine |
| What other medication is usually given with Codeine? | Tylenol |
| What is one adverse effect you MUST watch for when givinig an opioid? | Decrease in respiration |
| What is semisynthetic | Natural and part manufacture |
| What two drugs are semisynthetic (opioids) | Oxycodone and Dilaudid |
| What drug is more effective than Morphine? | Dilaudid |
| What is Synthetic | Completely man made |
| What two drugs are synthetic? | Demerol and Fentanyl |
| Which of the two Demerol or Fentanyl has a shorter duration? | Demerol |
| Which of the two Demerol or Fentanyl if given to long could cause noreaparadine? | Demerol |
| Can you give Demerol PO? | no |
| What is Fentanyl used for primarily? | Anesthesia |
| What other forms can you give Fentanyl? | Transdermal, lollipop form |
| What should a nurse wear when putting on a Fentanyl patch? | Gloves |
| List side effects for all Narcotic medication | Decrease Respiration, Decrease BP, excessive sedation, N/V and constipation |
| When should you hold Narcotics? | When respiration is < 10 |
| What is one question you should ask your patient if they are on Narcotic? | Do they have a history of seizures. |
| What med do you give when pt overdose on narcotics? | Narcan |
| why do you have to re dose narcan every 30-60 min | because it has 1/2 short life |
| what drug do you give for pt that is addicted to something | Methadone |
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