pharm final
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| Adm OTC antiemetic patch how long before travel | 30 min
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| s/e of antihist/antichol | dry mouth and drowsy
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| compazine is used to treat vomiting and psychotic behavior,when used as an anti-emetic you will give in | smaller doses
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| when is ipecac (emetic) contraindicated | ingestion of chlorine bleach
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| how do opiates act as an anti diuretic agent | decreases intestinal motility
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| cause of peptic ulcers | hypersecretion of pepsin
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| tx for diarrhea give atopime(LOMOTIL),it's in what class | anticholinergic
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| how can you restore fluid and electroltes at home | gatorade and pedialyte
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| best way of preventing Gerd in a non-pharmaological way | promote weight loss in the obese
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| how does Zantac work | a h2 antagonist,inhibits @h2 receptor
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| PPI's act by doing what | inhibits gastric secretion
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| prostaglandin mysoprostal | NSAID treatment
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| carafate for PUD treats how | coats ulcer
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| non immunized for Hep B gets stuck needs | both hep b vaccine and immunoglobulin
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| cirrhosis c +4 edema, most important lab value to check | albumin
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| most rapid effect of dulcolax is when given | on an empty stomach
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| c viopase taken for pancreatitis client's stools will appear | normal
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| pt bleeding c esophageal varices is taking Zantac why | prevents irritation
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| what can we give pt c choliathiasis who is poor candidate for surgery | Actigall
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| pt c fluid restriction is constipated wants to know he can't take bulk forming laxative | requires increased fluid intake
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| immodium is given for txment of what | diarrhea
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| client c cirr,+4 edema, normal Na+, low K+, getting spirolactalone and lasix, what do u do | Give K+sparing Spiron and hold K+ waisting lasix
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| pt on Lactulose complains of diarrhea s/e, tell pt to continue use because it | improves neural funtion
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| cirrhosis taking Inderal, why? | dec risk of bleeding from varices
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| lady calls in and says that a chef at her fav resteraunt tested pos for Hep A, wants to know what to do | come in and get immunoglobulin
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| senokot decreases vomiting when given to whom | cancer patients
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| Gerd caused by | incompetent lower esophageal sphincter
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| gram neg bacillus c peptic ulcer | h pylori
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| difflucan is tx for | candidiasis(yeast infection)
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| Dulcolax is a | contact laxative
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| client with IBS taking Bentyl should be taken when | c 4 small meals and at bedtime
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| only give emetics when | ingested substance is known
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| c antidiarrheals avoid | use of tranquilizers, sedatives, and other narcotics
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| dx c acute diarrhea, allergic to aspirin(salicylic) cannot give what | pepto-bismol(contraind c salicylics)
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| when poisoned you do not immed take what | ipecac(must first find out what substance ingested was)
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| pt receiving complimentary ther of alpha-interferon c ribovirin you must monitor what | lymphocyte count
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| mother of 5 year old, doesn't feel he's tall enough asks if he could get GH therapy? | must be documented proof of gh deficiency
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| client newly diagnosed c hypothyroidism is prescribed levothyroxine sodium(synthroid) wants to know when energy level will increase | several weeks for optimal effect
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| c insulin the hypoglycemic effect to look for is | flushing face
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| pt wants to know which insulin injection has the longest lasting effect | Lantus
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| client D/C Prednisone advice them to | taper off
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| insulin with fewest allergy s/e | humilin
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| PTH causes | prod of calcitonin
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| phy orders NPH insulin to be given IV q day,nurse should | contact phy about contraindicated route
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| insulin inj @7 am is Humilin R & N, adm how | 1 inj--draw up R first(clear before cloudy)
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| usually when a 60 y old dev diabetes, it's which type | Type II
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| client c medic alert bracelet for DM passes out, what's the best way to tx if poss | give glycagon injection
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| client c grave's dx is taking PTU for six wks,c/o fever & sore throat, early indication for what | agranulocytosis
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| Paget's Dx Rx to do what | decreases mobilization of calcium from bone
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| to distinguish if hypothyroidism is from a def in pit or thyroid check | TSH level
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| ICU nurse is expectiong client c ketoacidosis, which insulin should nurse have ready | Regular
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| PTU taken for | sev wks or 6-18 months
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| 18 yo c severe acne pres Accutane,which statement lets u know that she understands nur directions for taking | I need to have a preg test prior to start and proven method of contraception during tx c accutane
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| instuctions nurse gives to client for use of anti-histamine for pruritis(itching)inc s/e | causes drowsiness
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| nurse using high potency corticosteroid(topical), how long does nurse anticipate to use | no longer than 2 weeks
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| silvadene being used to tx burns and sepsis in pt, must watch out for what | can cause crystalluria
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| in a burn inj there is a shift of fluid which IV fluid is commonly used for fluid replacement | Lactated Ringer's
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| high cost biological agents to tx psoriasis all have s/e of | inc risk of infection(cause they are all immunosuppressants)
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| using Bendryl c contact dermatitis risk of | allergy to systemic Benadryl
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| which is leading cause of death and organ function failure relating to burns | sepsis
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| supp vit and min good for wound healing are | vita c, sulfate, and zinc
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| stabilized client adm to burn unit which anxiolytic could u give to potentiate analgesic tx | versed
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| 20 yo burn pt refuses to go outside, nur diagnosis | disturbed self concept
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| folic acid def pre-conception can cause | neural tube defects
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| most imp assess int for pt on Mg sulfate | assess for clonus and Deep Tendon Reflexes
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| tocolytic meds do what | slow uterine contractions
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| pre-term labor pt receives serial sub Q breathine inj to inhibit | tachycardia
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| pitocin 10 units IM given for what | prevent uterine atony
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| what needs to be readily available c uterine hyperstimulation is desired | Breathine (Terbut sulfate)
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| meas to prevent bleeding in nb | vita k inj
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| client exp after birth pains, no relief from mech tech,give | Ibuprofin
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| iron and antacids should be taken | at least 2 hrs apart
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| oral contraceptives are contraind in | Thromboembolytic Dx
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| progestine--only will do what | alters cervical mucus(mucosa)
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| oral contraceptive teaching | ACHES
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| pt c endometriosis prescribed Danzanol start when | during menstrual cycle
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| health teach for depo inc | bone loss
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| freq reported c short term hypoglycemia | flushing of face
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| mini-pill missed a dose | take 1 now and use back-up contrac method,cont reg schedule
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| need teach if pt says about menopause | swimming will help bone loss
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| pt c endometiosis what is not a symptom | HTN NOT a symptom
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| pt c combo PO contraceptive missed dose | take 2 at norm time for next 2 days
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| Indication for androgen tx | hypogonadism
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| lab tests c androgen tx show | inc cholesterol
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| androgen tx contraind c | BPH
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| abused by athletes | anabolic steroids
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| older adult gets what percent of peak level of testosterone | 50%
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| viagara adm how long before sex | 30 min to 4 hrs prior
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| BPH pt ordered to get Proscar, expect what ther effect | dec dribbling
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| c androgen tx,sexual char will appear in | 3 to 4 years
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| viriling s/e of androgen tx is | facial hair
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| vaginal gonnorrhea infection Rx what | Citraxone(Rocephin)
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| phy orders diflucan for tx of | candidiasis
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| Client teach about Clomid,what s/e | inducing ovulation
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| stress c couple caused by infertility | timing of coitus
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| Clomid contraind in | unexplained vag bleeding
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| STD's c cures | Gonn,Chlamydia, and Sphillus
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| drug reg for hiv tx individualized why? | virus mutates continuously
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| HIV closely monitored during tx for | bone marrow suppression
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| pts taking DDAVP for DI need to monitor what | daily weights
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| DI c DDAVP | no sub Q (oral or nasal only)
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| c Addison's electrolyte panel will show | Excess Na+ and water, and dec K+
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| oral agent used to tx Acne Vulgaris | Isotretinin(Accutane)
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| most effective topical agent for Acne Vulgaris | Benzoyl Peroxide
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| dermatologic disorder char by hard, horny nodules freq treated c podophyllum or salicylic acid | warts
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| used to tx male alopecia(hair loss) | propecia
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| an acceptable emergent tx for a small thermal burn(<10%) | apply Bacitracin Ointment to keep down infection
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| substance that freq causes Avascular Tubular Necrosis in clients c deep tissue injury from burns | myoglobin
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