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5 Written questions

5 Matching questions

  1. 2nd Generation Antipsychotics (atypical)
  2. Beta Blockers (Propranolol/Inderol)
  3. What is HGA1C?
  4. What is tolerance?
  5. What are the advantages of parenteral routes?
  1. a 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
  2. b - a blood test done to check long-term blood sugar twice a tear over 3 months in diabetic pts.
    - fasting is not necessary
    - ideal value is <7% for diabetic, <6% for normal
  3. c 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
  4. d indications: HTN, angina pectoralis, dysrhythmias, panic disorders, anxiety, MI, migraine, stage fright
    AE: bradycardia, orthostatic hypotension, rebound tachy<3, bronchoconstriction, inhibition of glycogenalysis, masks tachycardia- therfore masks hypoglycemia, CNS depression
    *get baseline pulse before admin
    *avoid in pt w/ severe allergy and diabetes
  5. e a decreasing response to repetitive drug doses

5 Multiple choice questions

  1. 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. 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
  3. macrovascular damage
    heart disease
    hypertension
    stroke
    hyperglycemia
    altered lipid metabolism
    retinopathy
    nephropathy
    neuropathy
    gastroparesis
    amputations
    erectile dysfunction
  4. -erosion of gastric wall due to long-term aspirin use
    -increased secretion of gastric acid and pepsin
    -decreased production of cytoprotective mucus and bicarbonate
    -decreased submucosal blood flow
    -infection of H. pylori
    -drugs that cause gastric ulcers = NSAIDs aspirin
  5. indications: inflammation, mild to moderate pain, fever reduction, dysmenorrhea
    AE: mild GI reactions, ulceration, bleeding, increase for MI and stroke, renal impairment, hypersensitivity, reye's syndrome, conjunctivitis, nose bleed, steven's johnson syndrome

5 True/False questions

  1. Zidovudine (Retrovir)indications: 1st drug to treat HIV
    AE: severe anemia and neutropenia, bone marrow suppression, liver damage, gi effects

          

  2. How do you mix regular and NPH Insulins?1. inject air into NPH (cloudy)
    2. inject air into regular (clear)
    3. withdrawal regular
    4. withdrawal NPH
    Clear before cloudy!

          

  3. Neuromuscular Blockers (succinylchoine)indications: HTN, angina pectoralis, dysrhythmias, panic disorders, anxiety, MI, migraine, stage fright
    AE: bradycardia, orthostatic hypotension, rebound tachy<3, bronchoconstriction, inhibition of glycogenalysis, masks tachycardia- therfore masks hypoglycemia, CNS depression
    *get baseline pulse before admin
    *avoid in pt w/ severe allergy and diabetes

          

  4. Bulk forming Laxatives* 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

          

  5. Vasodilatorsindications: 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