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pharm final
| Question | Answer |
|---|---|
| What us the fastest route to give a medication? | IV |
| Sublingual | under the tongue |
| Patient cannot swallow medication | route problem |
| Right druge, route, patient, dose, time | 5 rights |
| Multiple drugs at the same time | polypharmacy |
| placebo | sugar pill |
| Not approved by the FDA | investigational drug |
| partial agonists | work with/bind to receptor site |
| palliative care | when patient is dying and you do whatever it takes to make them happy |
| Another name for a prescription drug | Legend drug |
| Informed consent | They know everything the need to know about it, patient teaching, risks involved |
| Not appropriate for neonates | nephrotoxic drugs |
| Side effects of sedatives | lower respiratory rate, forgetful, dizzy, risk for falls, confusion |
| Only used approved abbreviations. | |
| Cannot read orders | call the physician |
| When giving medications always listen to or honor any concerns or doubts expressed by the patient | |
| Most serious adverse effect of an opioid is respiratory depression | |
| Problem solving abilities and may involve recall and knowledge facts | cognitive domain |
| Teaching a patient about a new drug | learning ability, age, culture, larger print, reading |
| Nurse should always ask what medications they are on, prescriptions, OTC drugs, vitamins, or natural supplements | |
| Measurable goal for a patient | specific, measurable, attainable, reasonable, timed |
| Anticonvulsants are often used as adjuvants for treatment of neuropathic pain to enhance analgesic efficacy | |
| Opioid tolerance is a common physiologic result of long term opioid use. Patients with opioid tolerance require larger doses of the opioid agent to maintain the same level of analgesia | |
| It could take up to 6 weeks to see any improvements when taking Aricept(Alzheimer's) | |
| If a patient suffers a decrease in gastrointestinal perstalsis postoperativley, taking a cholinergic drug could increase bowl sound and movements | |
| pill containers help patients remember to take their medications on time and the right dose | |
| Increase in force of contraction of myocardia | positive inotropic effect |
| When a patient is taking anticholinergics they should be reminded of | increased heart rate, dysrythmia, falling |
| anticholinergics are given preoperativley because | Causes urinary retention |
| Detrol is used for | leaky pipes, excessive urination |
| PAtient who is taking prazosin should take it lying down on first dose beacuse | can cause dizziness |
| side effect f hypertension medication in men | impetence, sexual dysfunction |
| Hypokalemia increases the chance of digoxin toxicity | |
| Normal levels of digoxin | 0.5 to 2.0 |
| Sodium nitroprusside (Nipride) has limited dosages because can cause cyanide toxicity and should only be infused no longer that | 10 minutes |
| Best time to take diuretic med | in the morning |
| First line diuretic drug class for hypertension | Thiazides |
| Mannitol is used to reduce intracranial pressure and cerebral edema resulting from head trauma | |
| When a patient is taking a diuretics for the first time the nurse should caution them about | orthostatic hypotension, dizzyness, falling |
| What drug cannot be given with warfarin | asprin |
| Antidote for warfarin toxicity | vitamin k |
| When a patient is taking long term asprin therapy they should be monitored for | liver, renal, and clotting functions |
| Lab test that monitors heparin therapy | PTT |
| Prevention of asthma but not for acute attacks | Salmeterol |
| Afrin | Addicting |
| If neurons contain large amounts of noroepinephrine it is considered | Adrenergic drug |
| Should not be taken with anticoagulants | gingko biloba |
| Fab is used for what | digoxin toxicity |
| Negative chronotropic effect results in | decreased heart rate |
| if a patient is taking a beta blocker at home and has a pulse of 60 what should the patient be instructed to do? | call physician before taking, check pulse but should never just stop taking the drug |
| never stop taking blood meds abruptly | |
| Antibiotics can interfere with | contraceptives/ birthcontrol |
| Sometimes heparin and coumadin are prescribed for a patient as anticoagulant therapy because | heparin can be given IV and coumadin takes a while |
| examining the fundus of the eye tells the doctor what | hypertension |
| taking penicillin with nsaids can have an adverse effect | |
| When taking tetracycline the patient should avoid | direct sunlight |
| if a patient is allergic to penicillin they should not take | cephalosprorins |
| Carbapenems are used for | deep tissue infection |
| linzeloid drugs are for | VRE |
| daptomycin(cubicin) drugs are for | soft tissue |
| beta-lactamase inhibitors are used with | penicillins |
| prophylactic therapy is for | antibiotics used before surgery to prevent infections |
| Labs that should be completed before starting antibiotic therapy | liver fucntion(AST & ALT levels), kidney function(BUN), culture & sensitivity tests |
| Hives after taking an antibiotic = | allergic reaction |
| Aminoglycosides are often used with other drugs because | one boosts the other |
| ototoxicity is related to | aminoglycosides |
| hypersensitivity to antibiotics includes | wheezing, shortness of breathe, swelling of face tongue, or hands, itching or rash |
| When antibiotics are working | WBC is down |
| When taking a tetracycline what helps prevent nausea | water |
| tooth discoloration | tetracycline |
| antimicrobial activty | spereates generations |