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Pharmacology | Questions and
Answers | 100% Correct | Grade A -
WCU
Question:
What is MONA?
Answer:
Morphine
Oxygen
Nitroglycerin
Aspirin
,Question:
Daily nitrates to prevent angina
Answer:
Won't stop acute - used for prevention
Isosorbide Mononitrate, Isosorbide Dinitrate Pills for prevention
Nitro-Dur - transdermal patch
Nitro Bid - ointment paste for prevention (prescribed in INCHES, for anal
fissures)
Question:
RN for NTG patch
Answer:
-Never cut a patch
-On during day, remove old patch at night to prevent tachyphylaxis. Need to
be med-free 8-12 hours.
-Remove before MRI (metal in patch)
,Question:
Suspected MI - Acute crushing chest pain
Steps?
Answer:
- ECG within 10 minutes.
EKG tells us if they're having a heart attack.
- STEMI = door to needle (tPA) within 30 minutes. Drug given to dissolve clot.
-STEMI = door to ballon (cath lab) within 90 minutes. Balloon angioplasty to
- MONA Therapy
Question:
MONA
-Most important step?
-Amount of drug?
-CI
Answer:
Aspirin! To prevent clots from forming. Otherwise, more clots will form.
325 mg PO 4 Baby aspirin to chew.
CI - child with viral infection
, Question:
Antiplatelets
MOA
TX
Answer:
Aspirin used with Clopidogrel. Doesn't dissolve clots. Aspirin prevents new
clots from forming.
MOA - prevents platelet clumping in arterial clotting
TX - Prevents reinfarction in clients with AMI (aspirin + clopidogrel)
Question:
Antiplatelets
AE
RN
Answer:
AE - Gastric Bleeds, Tinnitus, Reye's Syndrome
RN - discontinue aspirin 5 days before surgery, monitor kidney and GI
function b/c aspirin (NSAIDs) harm GI/Kidney. Take with food.