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5 Written questions

5 Matching questions

  1. What is schizophrenia?
  2. Sodium Containing Laxatives
  3. Theophylline (Theodur)
  4. Define and describe allergic reaction / hypersensitivity
  5. Mucinex (guafenesin)
  1. a - has to be prior exposure to allergen
    - reactions manifest as hives, itching, chest pain, dizziness, chills, rash, flushing, and hypotension.
    - severe reactions include anaphylaxis (treated by epinephrine)
    - most serious drug reactions are caused by the penicillin drug family
  2. b Sodium Phosphate (Fleet)
    - osmotic laxative that draws water into the feces. In high doses it can produce a watery stool in 6-12 hours and in low doses a semi-fluid stool in 6-12 hours
    *used b4 surgery
    AE: loss of h2o, sodium absorption can cause fluid retention which can exacerbate HF, HTN, and edema, can also cause renal failure in pts w/ kidney disease and those taking drugs that alter renal function (diuretics, ACE inhibitors, ARBs)
    Docusate Sodium (Colace)
    -surfactant laxative, softens stool by penetration of water.
    -take with full glass of h2o
    - produces a soft stool in 1-3 days
    - same AE as above
  3. c indications: relief of non-productive cough from bronchitis, sinusitis, laryngitis
    AE: n/v, gastric irritation, additive or synergistic hypothyroid effect when used concurrently with lithium or any anti-thyroid meds
  4. d indications: oral- maintenance of chronic stable asthma. mostly used for nocturnal asthma attacks
    AE: n/v, diarrhea, insomnia, restlessness, severe dysrhythmias and convulsions occur at high levels >30
    treatment = activated charcoal
    * obtain plasma drug levels to watch for toxicity
  5. e a chronic psychotic illness characterized by disordered thinking and reduced ability to comprehend reality
    + symptoms: exaggeration or distortion of normal functioning, hallucinations, delusions, agitation, tension, and paranoia. respond to 1st and 2nd gen
    - symptoms: loss or diminution of normal function, lack of motivation, poverty of speech, blunted effect, poor self care, social withdrawal. 1nd gen are better treatment for - symptoms

5 Multiple choice questions

  1. indications: mainly - anaphalactic shock, also - delay absorption of local anesthetics, overcome AV heart block, cardiac arrest, asthma
    - catacholamine ( not by mouth, given parentarally)
    - can't cross BBB
    AE: tachycardia, HTN crisis, angina, hyperglycemia, necrosis following extravasations (only IV)
  2. refrigerated until expiration date
    if not refrigerated good for a month
    do not freeze
    keep out of sunlight and extreme heat
  3. - widespread lesions of skin and mucous membranes
    - fever, malaise, toxemia, can be fatal
    - mostly happens with sulfonamides
  4. indications: mild pain, fever
    AE: rare, w/ acute toxicity liver damage and death
    liver damage can be minimized w/ mucomyst/acedote
    - don't drink alcohol
    - not an anti-inflammatory
  5. Oanzapine (zyprexa)- schizophrenia and bipolar disorder
    AE: weigth gain, dislipidemia, and diabetes
    Ziprasidone (geodon) - schizophrenia and bipolar disorder
    AE: somnolence, orthostatic hypotension, rash, prolonged QT interval

5 True/False questions

  1. Define nephrotoxicity. What labs is involved?a- toxicity in the liver
    b-check the AST (asparte aminotransferase) and ALT (alanine aminotransferase) labs (normally low)
    c- s/s jaundice, dark urine, light colored stools, n/v, malaise, abd discomfort, and decreased appetite

          

  2. Sildenafil (Viagra)indications: latent and active TB
    AE: peripheral neuropathy (tingling, numbness, pain in hands & feet, burning) <- give B6 for this
    hepatotoxicity

          

  3. Why are children more sensitive to drugs than adults?fast acting due to skipping the absorption period
    control of drug levels in blood
    use of large fluid volumes
    use of irritant drugs
    - can't reverse w/o antidote, expensive

          

  4. Causes of Gastric Ulcersindications: pulmonary edema (CHF), edema, HTN, renal impairment
    AE: hyponatremia, hypochloremia, dehydration, hypotension, hypokalemia, ototoxicity

          

  5. Fluticasone Propionate (Flonase)indications: mild pain, fever
    AE: rare, w/ acute toxicity liver damage and death
    liver damage can be minimized w/ mucomyst/acedote
    - don't drink alcohol
    - not an anti-inflammatory

          

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