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ATI PHARMACOLOGY CMS REVIEW EXAM
RECENT AND COMPLETE VERSION QUESTIONS
AND CORRECT ANSWERS
What are the tests for liver function? - ANSWER: AST, ALT, and Bilirubin total
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What are the tests for kidney function? - ANSWER: Creatinine and GFR levels
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How do medications travel through the body? - ANSWER: "MADE"
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- Metabolism
- Absorption
- Distribution
- Excretion
What are the 8 routes of medication administration? - ANSWER: 1. Nasal
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2. Otic
3. Oral
4. Inhalation
5. Ocular
6. Inhalation
7. Topical/transdermal
8. Rectal/vaginal
Pharmacokinetics of Absorption - ANSWER: IV route
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- No barrier for absorption
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Pharmacokinetics of Metabolism - ANSWER: Liver, kidneys, lungs, intestines, || | || || || || || ||
blood
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- Can be affected by age, increase in some medication metabolism enzymes,
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FIRST-PASS EFFECT, and nutritional status
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Pharmacokinetics of Elimination - ANSWER: Kidneys, liver, lungs, intestines, and || | | || || || || || ||
exocrine glands (ex. breast milk)
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Pharmacodynamics - ANSWER: Interaction between medication and target cells, || || || | || | || ||
body systems, and organs to produce effects
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- Agonist
- Antagonist
- Partial Agonist |
Things to remember for the oral/enteral route - ANSWER: - Avoid administration
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with interacting foods and beverages (ex. Grapefruit)
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- Ensure to swallow enteric-coated or time-release capsules whole
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- For sublingual, DO NOT eat or drink till fully dissolved
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Things to remember for NGT and gastrostomy tube routes - ANSWER: - DO
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NOT administer sublingual medications through NG tube
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- Administrate medications separately | |
- Completely dissolve crushed tablets and capsules | || | || |
- DO NOT crush extended/time-release, fluid-filled, or enteric-coated
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Rapid-Acting Insulins - ANSWER: Lispro (Humalog), Aspart (Novolog), Glulisine
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(Apidra)
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- Onset - 15-30 min
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- Peak - 0.5-2.5 hr
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- Duration - 3-6 hr || || ||
Short-Acting Insulins - ANSWER: - Regular (Humulin R, Novolin R)
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- Onset 30 min-1 hr
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- Peak 2-5 hr
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- Duration 5-8 hr || ||
*ONLY ONE GIVEN IV* || || ||
Intermediate-Acting Insulins - ANSWER: NPH (Humulin N, Novolin N) || || || || | || || |
- Onset - 1-2 hr|| || ||
- Peak - 4-12 hr
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- Duration - 6-10 hr || || ||
*CLOUDY*
Long-Acting Insulins - ANSWER: Glargine (Lantus), Detemir (Levemir)
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- Onset - 70 min|| || ||
- Peak - NO PEAK
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- Duration - 18-24 hr || || ||
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Give once daily at bedtime
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acts as basal insulin
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*DO NOT MIX* || ||
Rights of Safe Medication Administration - ANSWER: 1. Right client
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2. Right medication ||
3. Right dose |
4. Right time |
5. Right route |
6. Right documentation |
Rightclient education | |
Right to refuse
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Rightassessment |
Right evaluation
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1 mg =
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1L= || || || mL - ANSWER: 1000 mL
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1 kg =
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1g= || || || mg - ANSWER: 1000 mg
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1 tsp =
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