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5 Written questions

5 Matching questions

  1. Lovenox (low molecular weight heparin)
  2. Define metabolism
  3. Short term complications of DM
  4. Why are children more sensitive to drugs than adults?
  5. What is involved in nursing care of vesicant (anti-ca) agents?
  1. a 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
  2. b aka biotransformation
    enzymatically mediated alteration of drug structure
  3. c hyperglycemia, hypoglycemia, and ketoacidosis
  4. d - to minimize the risk of injury, IV admin should be performed only into a vein w/ good flow.
    - Sites of previous irradiation should be avoided
    - If extravasation occurs, infusion d/c immediately
    - extreme caution should be employed
  5. e indications: used as an anticoagulant, prophylaxis of DVT
    AE: hemorrhage, immune mediated thrombocytopenia, and severe neurologic injury
    Labs: none needed

5 Multiple choice questions

  1. indications: prevention of venous thrombosis
    AE: hemorrhage, harmful during pregnancy and lactation
    lab values: INR 2-3, PT INR 1.5-2
    Antidote: Vitamin K
  2. 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
  3. indications: dysrhythmias, <3 failure,
    AE: dysrhythmias, hypokalemia, toxicity, n/v, halos,
    *pulse must be at least 60 bpm
    *therapeutic leve = 0.5-0.8
  4. the movement of drugs and their metabolites out of the body via urine, bile, sweat, saliva, breast milk, and expired air
  5. patient and nurse set a pain goal together because ca pain is hard to manage

5 True/False questions

  1. Estrogen Therapyrefrigerated until expiration date
    if not refrigerated good for a month
    do not freeze
    keep out of sunlight and extreme heat


  2. Corticosteroid inhalersindications: treats streptococcus pneumonia and pyrogenes
    AE: allergic reactions, pain at injection site, sensory/motor dysfunction, neurotoxicity if blood levels too high
    *alternative = erythromycin


  3. Rifampin (rifadin)indications: TB
    - always used w/ other TB meds
    AE: red orange discoloration of secretions, hepatotoxicity, hepatitis


  4. 2nd Generation Antipsychotics (atypical)indications: schizophrenia
    AE: extrapyramidal symptoms, acute dystonia (facial muscle spasms), parkinsonism (mask-like face, drooling, tremor, shuffling gait), akathisia (continuous movement), tardive dyskinesia (twisting, worm-like movements), neuroleptic malignant syndrome, anticholinergic effects, orthostatic hypotension, sedation, neuroendocrine effects, seizures, sexual dysfunction, dermatologic effects, agranulocytosis, severe dysrhythmias
    treatments for:
    acute dystonia - benadryl
    parkinsonism - symmetrel
    tardive dyskinesia - no good treatment
    dermatologic effects - wear gloves!
    neuroleptic malignant syndrome - muscle relaxers


  5. Define nephrotoxicity. What labs is involved?- toxicity in the kidneys
    - BUN (11-23 mg/dL) and creatinine (0.6-1.2 mg/dL)
    - creatinine clearance in the elderly is the best, collect urine for 24 hrs