pharm 180 midterm Questions and
Correct Answers/ Latest Update / Already
Graded
Glucocorticoid drugs have the ability to suppress inflammation, it can
mask symptoms of infection and should not be given to patients with
actual infection. Remember that Cushing syndrome symptoms will
only happen with Long Term Therapy with Glucocorticoids
Ans: pts w/ infections shouldn't take Glucocorticoid drugs
because it can hide infection symptoms
Cushing syndrome will happen with long term use of
glucocorticoid / increase intake of corticoid steroids
Levothyroxine is a synthetic thyroid hormone that is chemically
identical to thyroxine (T4). It is used in the treatment of
hypothyroidism. The nurse should prepare to instruct a client with
hypothyroidism on the use of this medication
Ans: levothyroxine is very similar to thyroxine T4
Levothyroxine is used to treat hypothyroidism
nurse should educated pt on the use of levothyroxine
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Reglan is a gastrointestinal stimulant used to relieve nausea, vomiting,
heartburn, stomach pain, bloating, and a persistent feeling of fullness
after meals. Reglan works by promoting gastric emptying. It is a
prokinetic drug.
Ans: G.I. stimulant = Replan used ti relieve nausea vomitting
heartburn stomach pain bloating and a persistent feeling of
fullness after meals
works by gastric emptying
prokinetic drug
Loop diuretics inhibit sodium and chloride reabsorption in the loop of
Henle and increase urine output. It also excretes potassium. Thiazide
diuretics block sodium and chloride in the distal tubule and nephron.
Potassium-sparing diuretics block aldosterone. It also does not allow
for excretion of potassium; thus, patient should stay away from high
potassium containing foods. / Review all different types of diuretics
and their mechanism of action.
Ans: Loop Diuretics- med : FUROSEMIDE (Lasix) or torsemide
for hypotension, stops sodium and chloride reabsorption in the
loop of Henle and increases urine output and releases
potassium
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Thiazide Diuretics- med: Hydrochlorotiazide (Microzide) blocks
sodium and chloride in the distal tubule and nephron
Potassium sparing diuretic- med: SPIRONOLACTONE/
Aldactone block aldosterone and doesn't let potassium leave.
Pts should not consume high potassium foods while on
potassium sparing diuretics
foods high in potassium
Ans: dried fruit potatoes cantaloupe bananas oranges broccoli
tomatoes avocados dried peas and meats
Fosamax (alendronate) needs to be taken on an empty stomach/ 30
minutes before breakfast, with a full glass of water and the patient
needs to sit upright for at least 30 minutes after taking the medication.
These are important education points to explain to the patient.
Ans: educate pt on fosamax (alendronate) - pt must take med
on: empty stomach 30 mins before fast must sit upright 30 mins
after and must take med with a full glass of water
When prioritizing care...you should always first look at safety than the
ABC (Airway, Breathing and Circulation) and next comes pain.
Ans: 1st priority: ABC Airway Breathing Circulation
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