MedConnoisseurg
PROPHECY RN PHARMACOLOGY A 2022
g g g g g
g
Whichgofgthegfollowinggmedicationsgisgknowngtogcausegorange-coloredgurine?g
g
phenazopyridineg(Pyridium)
Yougaregorderedgtoggivegdigoxin.gYourgpatient'sgvitalgsignsgaregasgfollows:gBloodgPressureg130/75
,gTempg97.9goral,gHRg52,gO2gSatg100%groomgair.gWhatgshouldgyougdognext?g
g
Holdgdigoxingandgcallgthegprovider
NormalgSalineg(NS)gisgthegsolutiongofgchoicegovergD5Wgwhengpreparinggtogadministergagbloodgtr
ansfusiongbecause:g
NormalgSalinegisgangisotonicgsolutiongandgpreventsgcellghemolysis g
Patientgisgtogreceiveg5mg/kggofgmedication.gPatientgweighsg80kg.gHowgmuchgwouldgyo
ugadminister?g400mgg
Yourgpatientgtakinggdigoxing(Lanoxin)ghasgangAMgPotassiumglevelgofg3.0.gThisglevelgmay:g
g
Increasegriskgofgdigoxingtoxicity
Thegpatientgisgdiagnosedgwithgmultiplegmyeloma.gThegphysicianghasgorderedgcyclophosphamideg(
Cytoxan).gWhichginstructiongshouldgbeggivengtogthegpatient?g
g
Increasegdailygwatergintake
WhichgofgthegfollowinggmedicationsgwillgcrystalizegwhengmixedgwithgD5NS?g
g
phenytoing(Dilantin)
Whichgofgthegfollowinggmedicationsgshouldgbegquestionedgbygthegnurse,gifgorderedgbygthegprovid
ergtogtreatgagpatient'sgcomplaintgofgnauseagandgvomiting?g
famotidineg(Pepcid)g
Yourgpatientghasgangepiduralginfusingghydromorphonegwithgbupivacainegatg6ml/hrgcontinuously.g
Thegpatient'sgbloodgpressuregatgthegbeginninggofgyourgshiftgwasg92/58gwithgagheartgrategofg68.gYo
ugnoticedgthegpatient'sgbloodgpressuresghavegbeengaroundg130/70.gWhatgshouldgyougdogFIRST?g
g
Checkginfusiongrategtogconfirmg6ml/hr,gthengnotifyganesthesiagprovider
Thegdosagegofgwhichgdruggmustgbegtaperedgoffgslowlygtogpreventgacutegadrenalginsufficiency?g
g
prednisoneg(Deltasone)
WhengteachinggagnewgnursegonghowgtogadministergIVgpushgfurosemideg(Lasix),gyougemphasizegth
atgitgshouldgbeggivengovergtwogminutesgtogavoid:g
tinnitus g
PROPHECY RN PHARMACOLOGY A 2022
g g g g g
g
Whichgofgthegfollowinggmedicationsgisgknowngtogcausegorange-coloredgurine?g
g
phenazopyridineg(Pyridium)
Yougaregorderedgtoggivegdigoxin.gYourgpatient'sgvitalgsignsgaregasgfollows:gBloodgPressureg130/75
,gTempg97.9goral,gHRg52,gO2gSatg100%groomgair.gWhatgshouldgyougdognext?g
g
Holdgdigoxingandgcallgthegprovider
NormalgSalineg(NS)gisgthegsolutiongofgchoicegovergD5Wgwhengpreparinggtogadministergagbloodgtr
ansfusiongbecause:g
NormalgSalinegisgangisotonicgsolutiongandgpreventsgcellghemolysis g
Patientgisgtogreceiveg5mg/kggofgmedication.gPatientgweighsg80kg.gHowgmuchgwouldgyo
ugadminister?g400mgg
Yourgpatientgtakinggdigoxing(Lanoxin)ghasgangAMgPotassiumglevelgofg3.0.gThisglevelgmay:g
g
Increasegriskgofgdigoxingtoxicity
Thegpatientgisgdiagnosedgwithgmultiplegmyeloma.gThegphysicianghasgorderedgcyclophosphamideg(
Cytoxan).gWhichginstructiongshouldgbeggivengtogthegpatient?g
g
Increasegdailygwatergintake
WhichgofgthegfollowinggmedicationsgwillgcrystalizegwhengmixedgwithgD5NS?g
g
phenytoing(Dilantin)
Whichgofgthegfollowinggmedicationsgshouldgbegquestionedgbygthegnurse,gifgorderedgbygthegprovid
ergtogtreatgagpatient'sgcomplaintgofgnauseagandgvomiting?g
famotidineg(Pepcid)g
Yourgpatientghasgangepiduralginfusingghydromorphonegwithgbupivacainegatg6ml/hrgcontinuously.g
Thegpatient'sgbloodgpressuregatgthegbeginninggofgyourgshiftgwasg92/58gwithgagheartgrategofg68.gYo
ugnoticedgthegpatient'sgbloodgpressuresghavegbeengaroundg130/70.gWhatgshouldgyougdogFIRST?g
g
Checkginfusiongrategtogconfirmg6ml/hr,gthengnotifyganesthesiagprovider
Thegdosagegofgwhichgdruggmustgbegtaperedgoffgslowlygtogpreventgacutegadrenalginsufficiency?g
g
prednisoneg(Deltasone)
WhengteachinggagnewgnursegonghowgtogadministergIVgpushgfurosemideg(Lasix),gyougemphasizegth
atgitgshouldgbeggivengovergtwogminutesgtogavoid:g
tinnitus g
