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5 Written questions

5 Matching questions

  1. Vincristine (Oncovin)
  2. What are the advantages of parenteral routes?
  3. What is c. diff? What causes it? What treats it?
  4. Amphotercin B (Amphotec)
  5. Potassium Sparing Diuretics (spironalactone/aldactone)
  1. a cause: clindamycin, amoxicillin, ampicillin, cephalexin
    bacterial infection - contact, hand sanitizer doesn't kill it!
    treatments: metronidiazole (Flagyl) or vanco
  2. b indications: bone marrow sparing (chemo), hodgkin's and nonhodgkin's lymphoma, acute lymphocytic leukemia, wilm's tumor, rhabdomyosarcoma, kaposi's syndrome, breast ca, bladder ca
    AE: peripheral neuropathy
    route: IV
  3. c indications: mainly HTN, edema, <3 failure, and commonly in combo with a thiazide or loop diuretic.
    -spironalactone counteracts the K-wasting effects of the more powerful diuretics
    AE: hyperkalemia, benign and malignant tumors, endocrine effects (gynecomastia, menstrual irregularities, impotence, hirutism (excessive hair growth in women) and deepening of the voice)
  4. d indications: antifungal agent, mycoses
    AE: nephrotoxicity (monitor urine output), infusion reactions (fever, chills, nausea, HA), hypokalemia, bone marrow suppression
  5. e 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

5 Multiple choice questions

  1. 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
  2. ask what OTC, prescribed, and herbal therapies the patient is taking
  3. administration of antiemetics
  4. 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. subQ - (abd for most consistency)
    subQ infusion (delivers basal infusion and bolus at mealtime
    IV (regular)

5 True/False questions

  1. Propylthiouracil (PTU)indications: latent and active TB
    AE: peripheral neuropathy (tingling, numbness, pain in hands & feet, burning) <- give B6 for this


  2. Heparinindications: 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


  3. What nursing actions should be taken before administration of antiinfectives?administration of antiemetics


  4. Antiemeticsindications: decrease drowsiness, fatigue, peripheral vasodilation, CNS vasoconstriction, relaxation of bronchi, neonatal apnea
    AE: convulsions, tinnitus, flashing lights, palpitations, dizziness, diuresis, tachycardia, respiratory stimulation


  5. Central Acting Anticholinergicsindications: parkinsonism (reduce tremor/rigidity)
    AE: dry mouth, blurred vision, photophobia, urinary retention, constipation, tachycardia
    - s/s of pakinsonism can intensify w/ abrupt d/c