Maryville University Pharmacology
Exam 3 (2025 Update) | Verified
Questions & Correct Answers |
Nursing Test Bank and Study Guide
Procainamide is used to treat what? - CORRECT ANSWER>>>>It is an anti-
arrhythmic and treats 1a arrhythmias. Used for SVT and ventricular arrhythmias.
What is the dosing schedule for procainamide? - CORRECT ANSWER>>>>It has
a short half life and needs to be dosed every 3-4 hours.
What happens after 6 months of treatment with procainamide? - CORRECT
ANSWER>>>>Procainamide anti-nuclear antibodies are formed. Also, there is a
high risk of toxicity.
Side effects of procainamide include? - CORRECT ANSWER>>>>Systemic lupus
and symptoms related to lupus
What is the first line therapy for a patient with heart failure? - CORRECT
ANSWER>>>>Angiotensin II converting enzyme inhibitor (ACE inhibitor), or an
ARB. Beta blockers
What population of people should not receive ACE or ARB? - CORRECT
ANSWER>>>>African American
What would be a good alternative to ACE for African American populations? -
CORRECT ANSWER>>>>Hydralazine and Isosorbide nitrate
What is the recommended treatment for patients who had a markedly reduced EF?
- CORRECT ANSWER>>>>You should add an aldosterone antagonist (diuretic)
to the ACE and Beta Blockers.
2nd line drug therapy for HF? - CORRECT ANSWER>>>>Digitalis but it has a
narrow therapeutic window and high degree of toxicity and does not show a
mortality benefit.
What are the contraindications for Coumadin? - CORRECT ANSWER>>>>It is
contraindicated for pregnancy and with vitamin K.
, What is the action of Coumadin? - CORRECT ANSWER>>>>It decreases the
coagulation by inhibiting recycled oxidized vitamin K. It does not antagonize
Vitamin K, it just antagonizes the process of vitamin K recycling which
depletes active vitamin K.
What is the duration of a single dose of coumadin? - CORRECT ANSWER>>>>2-
5 days
What foods should people avoid eating while on Coumadin? - CORRECT
ANSWER>>>>Green leafy vegetables like kale and spinach
What is nitroglycerin used for? - CORRECT ANSWER>>>>Angina, AMI, Severe
hypertension, coronary artery spasms
Nitrates can cause what symptoms? - CORRECT ANSWER>>>>Severe headache,
severe hypotension, certain cases can cause bradycardia. This can affect
compliance.
What is nitrate tolerance? - CORRECT ANSWER>>>>Loss of one or several of
the effects of organic nitrates after long-term use of nitrates.
What is the dosing schedule of nitrates? - CORRECT ANSWER>>>>Frequent
dosing such as 3-4 times a day
How do you avoid tolerance to long-term nitrate? - CORRECT
ANSWER>>>>Provide a 10-12 hour nitratd-free interval when possible, so say the
patient will take it at 0800, 1400, and then not the rest of the day
If patients have breakthrough angina during that 12 hour free of long-acting
nitrates what can you suggest? - CORRECT ANSWER>>>>Using a short term
nitrate like sublingual nitroglycerin during that time
Why should a thyroid panel be run on a patient while taking amiodorone? -
CORRECT ANSWER>>>>Amiodorone can cause the thyroid to not function
properly. They thyroid can become either hypo or hyper. TSH should be checked
every 6 months.
Exam 3 (2025 Update) | Verified
Questions & Correct Answers |
Nursing Test Bank and Study Guide
Procainamide is used to treat what? - CORRECT ANSWER>>>>It is an anti-
arrhythmic and treats 1a arrhythmias. Used for SVT and ventricular arrhythmias.
What is the dosing schedule for procainamide? - CORRECT ANSWER>>>>It has
a short half life and needs to be dosed every 3-4 hours.
What happens after 6 months of treatment with procainamide? - CORRECT
ANSWER>>>>Procainamide anti-nuclear antibodies are formed. Also, there is a
high risk of toxicity.
Side effects of procainamide include? - CORRECT ANSWER>>>>Systemic lupus
and symptoms related to lupus
What is the first line therapy for a patient with heart failure? - CORRECT
ANSWER>>>>Angiotensin II converting enzyme inhibitor (ACE inhibitor), or an
ARB. Beta blockers
What population of people should not receive ACE or ARB? - CORRECT
ANSWER>>>>African American
What would be a good alternative to ACE for African American populations? -
CORRECT ANSWER>>>>Hydralazine and Isosorbide nitrate
What is the recommended treatment for patients who had a markedly reduced EF?
- CORRECT ANSWER>>>>You should add an aldosterone antagonist (diuretic)
to the ACE and Beta Blockers.
2nd line drug therapy for HF? - CORRECT ANSWER>>>>Digitalis but it has a
narrow therapeutic window and high degree of toxicity and does not show a
mortality benefit.
What are the contraindications for Coumadin? - CORRECT ANSWER>>>>It is
contraindicated for pregnancy and with vitamin K.
, What is the action of Coumadin? - CORRECT ANSWER>>>>It decreases the
coagulation by inhibiting recycled oxidized vitamin K. It does not antagonize
Vitamin K, it just antagonizes the process of vitamin K recycling which
depletes active vitamin K.
What is the duration of a single dose of coumadin? - CORRECT ANSWER>>>>2-
5 days
What foods should people avoid eating while on Coumadin? - CORRECT
ANSWER>>>>Green leafy vegetables like kale and spinach
What is nitroglycerin used for? - CORRECT ANSWER>>>>Angina, AMI, Severe
hypertension, coronary artery spasms
Nitrates can cause what symptoms? - CORRECT ANSWER>>>>Severe headache,
severe hypotension, certain cases can cause bradycardia. This can affect
compliance.
What is nitrate tolerance? - CORRECT ANSWER>>>>Loss of one or several of
the effects of organic nitrates after long-term use of nitrates.
What is the dosing schedule of nitrates? - CORRECT ANSWER>>>>Frequent
dosing such as 3-4 times a day
How do you avoid tolerance to long-term nitrate? - CORRECT
ANSWER>>>>Provide a 10-12 hour nitratd-free interval when possible, so say the
patient will take it at 0800, 1400, and then not the rest of the day
If patients have breakthrough angina during that 12 hour free of long-acting
nitrates what can you suggest? - CORRECT ANSWER>>>>Using a short term
nitrate like sublingual nitroglycerin during that time
Why should a thyroid panel be run on a patient while taking amiodorone? -
CORRECT ANSWER>>>>Amiodorone can cause the thyroid to not function
properly. They thyroid can become either hypo or hyper. TSH should be checked
every 6 months.
