Pharm Exam 2
Terms in this set (45)
If an MDI is too difficult to operate, we could try... and why?
- less is deposited in the mouth and throat
- better delivery
- doesn't require coordination
What is the best timing for an antihistamine?
Before one is exposed to the allergens
This happens when pluripotent cells are suddenly depressed -
Before administering immunizations or chemotherapy you check for -
When pluripotent cells are depressed the safest pain reliever is -
Tylenol (because it is not an NSAID)
When is nausea best treated?
Before it happens. (phenergan is the best treatment if it already has happened, give them a suppository)
When a patient on a new medication gets a sudden wide spread rash you think -
Steven Johnson Syndrome
Tamoxifen works by
blocking estrogen receptors on the cancerous tumor
Cyclosporine should not be taken with
grape fruit juice
Side effects of interferon therapy make the patient feel
like they have flu-like symptoms (treat it with tylenol - analgesic)
The major side effects/ADR of glucocorticoids
- fluid and salt retention -> edema and HTN
- mental status changes
Glucocorticoids end in
We give more than one injection of HBV vaccine to..
- your body builds immunity by making antibodies by doing it over time
- give multiple doses to build immunity over time
When do we give passive immunity drugs?
- people who don't have enough time to develop immunity (babies)
- when the person is at greatest risk of exposure (sexually active girls, HPV)
- given to people who have already been exposed to it (shingles)
The population most at risk for shingles is
- 60 and over
DTaP stands for
The timing of flu shots should be
Before the flu season (september or october)
Peanut and soybean allergies would prevent treatment with
- atrovent (causes anaphylactic shock)
One drug you can give to children older than 12 months
- Monteleukast (singulair)
A client being treated with beclomethosone (QVAR) should be taught
- check your vision
- rinse your mouth out
- wash the mouth piece
- watch for white patches (fungal infection) in your mouth
If prescribed a bronchodilator and glucocorticoid what teaching is needed?
Take the bronchodilator first and then wait five minutes and then take the glucocorticoid
If a COPD patient stops wheezing what should be done next?
Assess their respirations and oxygen saturation
A COPD patient should be treated with which classes of drugs if they are unable to walk without feeling breathless
Emergency treatment of asthma includes which class of drugs?
Beta - agonists
The sleepiest antihistamine is...
The least sleepy antihistamine is...
A client on pseudoephedrine should be taught...
There is an anticholinergic effect, which causes decreased urine output d/t urinary retention. Tell the patient to observe their urine, and make sure they are peeing appropriately (AKA like they did before they started taking the medication).
Dyspnea can be caused by...
ANXIETY causing drugs; assess mental status.
A major ADR of desmopressin is...
Water intoxication (S/S: drowsiness, listlessness, headache)
Fasting acting insulin is....
The only insulin that can be given IV is...
When a client is on an SU, what should they be taught?
To avoid alcohol because it can cause disulfiram effects; it can also cause hypOglycemia.
What is lipodystrophy?
Altered deposition of subcutaneous fat at sites of insulin injection; caused by lack of site rotation or administering cold insulin.
Patients with DKA...
-are hypovolemic because they pee their brains out
-are constantly thirsty
-first thing you want to do is PUMP them full of fluids
-give them IV insulin (MUST also administer potassium - otherwise they will go into V-tach and die...)
-Insulin needs glucose to put glucose in the cells and brings potassium with it. Once your BG level is below 180 - your body runs out of sugar in the blood, so then you would administer dextrose to maintain their glucose level.
Decongestant nasal sprays should be used...
To use it no more than 5 days because it can cause rebound congestion. Normal length of use is 3-5 days.
What are they first major treatments for a client with DKA?
-Check electrolytes (magnesium, phosphate, potassium): know normal values
This masks the early symptoms of hypoglycemia...
If a client with DM2 is allergic to sulfa drugs, he cannot take...
SU - sulfonyurea (glyburide, metformin)
High blood sugar in the morning can be caused by which phenomena...
- somogyi effect
- dawn phenomenon
To diagnose thyroid disease, the most common lab test is...
Prior to surgery a hyperthyroid client could be treated with...
What assessment finding would you find in someone with Addison's disease?
-treated with mineralcorticoids
What assessment finding would stop you from giving synthroid?
To differentiate between dawn phenomena and Somogyi effect, the nurse would...
Check BG level in the middle of the night (preferably 4 AM)
The chemical most important to the thyroid gland is...