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Pharmacology Comp.
Pharmacology Comprehensive Exam
| Question | Answer |
|---|---|
| Inhibits sodium and water reabsorption | Furosemide (Lasix) |
| Potassium, magnesium, and calcium are excreted | Furosemide (Lasix) |
| What electrolye is important to assess when on Furosemide (Lasix) | Potassium |
| What is imporant to look for when a patient is on Lasix | Hypokalemia |
| Adverse reaction to triamterene (Dyrenium) | Hyperkalemia |
| Another word for triamterene (Dyrenium) | aldosterone antagonist |
| Important side effect of triamterene (Dyrenium) | photosensitivity |
| Side effect of metropolol (Lopressor) | orthostatic hypotension |
| (Lopressor) metropolol can do what to heart rate and blood pressure | Lower hr and bp |
| (Lopressor) metropolol can cause what | Possible hypoglycemia |
| Inhibits thrombin which prevents conversion of fibrinogen to fibrin | Heparin |
| Depresses hepatic synthesis of vitamin K clotting factors | Coumadin |
| Monitor PT/INR | Coumadin |
| Monitor aPTT | Heparin |
| Heparin antedote | Protamine sulfate |
| Coumadin antedone | Vitamin K |
| S&S of what medication... epitaxis, hematuria, petechiae, ecchymosis, melena | Anticoagulants |
| Antedote to tylenol | Mucomyst |
| Triggers pain and Inflammation | COX-2 |
| Primary adverse reaction to Ibuprofen, Motrin, Advil, and Aspirin | GI bleeding |
| Anti-platlet medication | Aspirin |
| Antedote to morphine sulfate | narcan |
| Therapeutic serum level of digoxin (Lanoxin) | 0.5-2.0 |
| Antedote for digoxin (Lanoxin) | digibind |
| Has a teratogenic effect on fetus | phenytoin (Dilantin) |
| What medication can only be diluted in NS | phenytoin (Dilantin) |
| Side effect of phenytoin (Dilantin) | urine can be pink/brown/red |
| Adverse effect of phenytoin (Dilantin) | gingival hyperplasia |
| Therapeutic range of phenytoin (Dilantin) | 10-20 |
| Long term effect of phenytoin (Dilantin) | hyperglycemia |
| Used to treat bipolar disorder | Lithium |
| Therapeutic range of Lithium | 0.5-1.5 |
| Higher risk for toxicity when Lithium is given with____ | diuretics |
| What should you monitor when a person is on Lithium? | sodium |
| Most common side effect of Prolixin(Haladol) and antipsychotic | EPS |
| serious adverse reaction of Prolixin(Haladol) and antipsychotic | tardive dyskinesia |
| Means can't sit still | akathisia |
| Lomotil is an ______ deriviate | opium |
| Contraindications of Lomotil | glaucoma |
| Used to treat encephalopathy (ammonia toxicity) | lactulose (Cephulac) |
| What do you need to assess when a client is on lactulose (Cephulac) | Mental status |
| Used for labor induction | oxytocin (Pitocin) |
| Can cause hypertension and vasconstriction | oxytocin (Pitocin) |
| Stops pre term labor | Magnesium Sulfate |
| Antedote for Magnesium Sulfate | Calcium gluconate |
| DOC for acute asthma attacks | albuterol (Proventil) |
| albuterol (Proventil) is a SNS_________ | stimulant |
| What should you monitor for when a p/t is on albuterol (Proventil) | rapid v-fib |
| Primary effect of Prednisone a glucocorticoid steroid | immune suppressant and anti inflammatory |
| How should you stop prednisone? | Taper off, never abruptly stop |
| What can long terms use of prednisone cause | osteoporosis |
| Used to treat Addisons disease | prednisone |
| Symptoms of addisons disease | hypoglycemia, hyponatremia, hypovolumia, hypotension, **hyperkalemia |
| Universal vasodialator | nitroglycerin |
| Can cause severe orthostatic hypotension and reflex tachycardia | Nitroglycerin |
| Amphoticerin B (Fungizone) is only given | IV |
| Used to treat systemic infections | Amphoticerin B (Fungizone) |
| Most common side effect of anti tubercular Isoniazid (INH) | peripheral neuritis, hepatic enzyme elevation, hepatitis |
| Do not drink alcohol when on | Isoniazid (INH) |
| Used as a prophylaxis for peripheral neuritis when on Isoniazid (INH) | Pryidoxine |
| What should you monitor when a p/t is on Isoniazid (INH) | AST and ALT levels |
| Common side effect of Nuepogen | Bone pain abdominal pain |
| Common side effect of Neumega | Exertional dypsnea and Peripheral edema |
| Onset and peak of Humalog/Lispro (rapid acting) | Onset 5-15 min Peak 30 min |
| Onset and peak of Human R (Regular) Intermediate acting insulin | Onset 30 min peak 2-4 hours |
| Onset and peak of Humulin NPH (Isophane) insulin | Onset 1-2 hours peak 6-12 hours |
| What should happen to urine output when someone is on an ADH | decrease |
| What should you monitor for when a person os on Vasopressin/desmopressin | hypotension, tachycardia, and hypovolemia |
| Sodium bicarbondate (Alka-Seltzer) can cause | hypernatremia |