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5 Written questions

5 Matching questions

  1. Insulin storage
  2. Antiemetics
  3. Epinephrine (adrenaline, epi-pen)
  4. Caffeine
  5. Amphotercin B (Amphotec)
  1. a indications: decrease drowsiness, fatigue, peripheral vasodilation, CNS vasoconstriction, relaxation of bronchi, neonatal apnea
    AE: convulsions, tinnitus, flashing lights, palpitations, dizziness, diuresis, tachycardia, respiratory stimulation
  2. b *promethazine and phenergan
    indications: n/v management from opioids or CINV
    AE: extrapyramidal effects, fatigue, hypotension, sedation, anticholinergic effects
  3. c refrigerated until expiration date
    if not refrigerated good for a month
    do not freeze
    keep out of sunlight and extreme heat
  4. d 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)
  5. e indications: antifungal agent, mycoses
    AE: nephrotoxicity (monitor urine output), infusion reactions (fever, chills, nausea, HA), hypokalemia, bone marrow suppression

5 Multiple choice questions

  1. * metamucil, methylcellulose, citrucel
    indications: constipation, pts w/ diverticulosis and IBS, relief of diarrhea, reduce discomfort in pts w/ ileostomy/colostomy
    AE: esophageal obstruction if swallowed w/o enough fluids, intestinal obstruction or impaction
  2. *codeine
    indications: decrease frequency, intensity of cough. Suppresses the cough reflex directly at the cough center in the medulla
    AE: suppress respirations, cause drowsiness, dizziness, HA, blurred vision, upset stomach, nausea, constipation, dry mouth/nose/throat
  3. indications: parkinsonism (reduce tremor/rigidity)
    AE: dry mouth, blurred vision, photophobia, urinary retention, constipation, tachycardia
    - s/s of pakinsonism can intensify w/ abrupt d/c
  4. 1- delayed gastric emptying and lack of acid to kill bacteria
    2-organ immaturity (liver like adults @ 1yr)
    3-long and intense responses
    4-IM are absorbed rapidly bc of the skin
    5-lungs lack mucus barrier
  5. indications: atypical depression, bulimia, OCD, and can reduce panic attacks
    - cause direct CNS stimulation
    AE: anxiety, insomnia, aggitation, hypomania, and mania
    Foods that are low in tyramine are safe: most veggies (not avocados), most fruits (no figs or bananas), fresh meat, milk, yogurt, cottage cheese, cream cheese and baked good that contain yeast are safe to eat
    *last resort drug

5 True/False questions

  1. Aminoglycosides (gentamycin, garamycin)indications: aerobic gram -, serious infections, E. Coli, Klebsiella, Serratia and proteus mirabilis
    AE: ototoxicity, nephrotoxicity, neuromuscular blockade, & hypersensitivity reactions

          

  2. TCAs (amitriptyline/Elavil)indications: antidepressant for depression and bipolar disorder
    AE: orthostatic hypotension, anticholinergric effects (dry mouth, constipation, dry eyes), diaphoresis, sedation, cardiac toxicity, seizure, hypomania, suicide risk
    drug interactions: MAOIs, sympathomymetics, anticholinergics, CNS depressants
    *effects begin in 1-2 months

          

  3. What information should a nurse obtain to prevent drug-to-drug interactions?ask about any allergies to penicillin, drug history, take culture of infection, ask about any liver or kidney diseases

          

  4. Benzodiazapinesindications: HTN crisis, <3 failure, MI, pheochromocytoma, PVD, pulmonary arterial HTN, control hypotension during surgery, dilates veins and arteries, HTN, angina
    AE: orthostatic hypotension (venous), reflex tachycardia (arterioles), fluid retention

          

  5. Hydrochlorothiazide (HCTZ)indications: HTN, edema, diabetes insipidus
    AE: hyponatremia, hypochloremia, hypokalemia, dehydration, hyperglycemia, hyperuricemia, increase LDL, increase excretion of mg
    - monitor i/o, weigh pt
    -do not take while pregnant or breast-feeding
    - interacts with digoxin, antihypertensive drugs, lithium, and NSAIDs

          

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