NUR 2474 Pharmacology Rasmussen
Quiz Module 6
Cholestyramine is a... - Answer bile acid sequestrant
How does cholestyramine work? - Answer Binds with the bile in the gut and prevent
resorption. The bile and drug are then excreted in the feces.
What are the uses for cholestyramine? - Answer To reduce LDL, increase VLDL and
reduce hyperlipidemia.
Adverse Effect for Cholestyramine - Answer Constipation
What should the nurse do for the patient taking cholestyramine who reports
constipation? - Answer increase their fluids
What should the nurse do for the patient taking cholestyramine who reports persistent
diarrhea? - Answer give antidiarrheal medications
How should the nurse administer cholestyramine? - Answer the nurse must open the
medication pouch and dilute it with water or juice and have patient drink the mixture
Should the patient take any other medications before taking the Bile Acid Sequestrant
medication at least 4 hrs earlier? - Answer Yes!
When is the best time to take cholestyramine and why? - Answer In the evening before
bedtime to mimic the body's natural production of cholesterol.
Triglyceride therapeutic range is... - Answer less than 150 mg/dL
High Triglyceride range is... - Answer above 150 mg/dL
HDL levels therapeutic range is... - Answer less than 40 mg/dL
LDL levels therapeutic range is... - Answer less than 100 mg/dL
3 types of angina - Answer chronic stable, variant, unstable
Explain chronic stable angina causes - Answer emotional excitement, large meals, cold,
stressors
Explain variant angina characteristics - Answer not CAD, but due to lack of blood, the
coronary arteries can spasm. No cure. Need CABG.
, Explain unstable angina characteristics - Answer Come before an MI. Severe CAD with
vasospasm. Symptoms of angina at rest, new onset of exertional angina, intensification.
Pain at rest and can occur anytime without any indication.
Nitroglycerin is an... - Answer Nitrate
What is nitroglycerin used to treat? - Answer Stable and variant angina. Can be used
short and long term.
How does nitroglycerin work? - Answer It Vasodilates, acts directly on vascular smooth
muscle to promote vasodilation. Lowers oxygen demand
What are the adverse effects of nitroglycerin use? - Answer HA, orthostatic
hypotension, reflex tachycardia, tolerance can develop fast.
What are important administration considerations for nitroglycerin? - Answer There is a
large 1st pass effect in oral forms. Tolerance will develop fast. Place under tongue if PO
and let dissolve. Burning means the drug is working.
What are administration considerations for nitroglycerin used in a patch? - Answer The
patient can remove for 8 hrs. a day. Remove old patch before placing a new one, rotate
sites on upper body.
What administration considerations for nitroglycerin used in a cream? - Answer Never
use bare hands for application, wear gloves while applying, remove all excess formula.
What should we do first in a hospital setting before giving a patient with angina
nitroglycerin? - Answer Check vital signs before each dose if possible, give 5 minutes
apart, hold drug if HR less than 60 or greater than 100 or BP less than 100/60
What should we do when giving nitroglycerin outside of the hospital (for example a
patient moving lawn feels chest pain coming)? - Answer stop activity and sit down, take
sublingual tablet, wait 5 minutes. If no relief, take a 2nd tablet and call 911, still no relief,
take 3rd tablet and wait for EMS.
What should a patient actively in chest pain taking nitroglycerin never do? - Answer
have family drive them to hospital or have them drive self to hospital. they must wait for
EMS
How should we store nitroglycerin? - Answer Store in airtight, dark glass bottle in a cool,
dark place. Potency of the drug can be loosed in 6 months after opening.
What types of drugs interact with nitroglycerin - Answer PDE5 inhibitors, such as Viagra
because these drugs not only are used for erectile dysfunction in males, but have
cardiac drug effects when used with nitroglycerin.
Quiz Module 6
Cholestyramine is a... - Answer bile acid sequestrant
How does cholestyramine work? - Answer Binds with the bile in the gut and prevent
resorption. The bile and drug are then excreted in the feces.
What are the uses for cholestyramine? - Answer To reduce LDL, increase VLDL and
reduce hyperlipidemia.
Adverse Effect for Cholestyramine - Answer Constipation
What should the nurse do for the patient taking cholestyramine who reports
constipation? - Answer increase their fluids
What should the nurse do for the patient taking cholestyramine who reports persistent
diarrhea? - Answer give antidiarrheal medications
How should the nurse administer cholestyramine? - Answer the nurse must open the
medication pouch and dilute it with water or juice and have patient drink the mixture
Should the patient take any other medications before taking the Bile Acid Sequestrant
medication at least 4 hrs earlier? - Answer Yes!
When is the best time to take cholestyramine and why? - Answer In the evening before
bedtime to mimic the body's natural production of cholesterol.
Triglyceride therapeutic range is... - Answer less than 150 mg/dL
High Triglyceride range is... - Answer above 150 mg/dL
HDL levels therapeutic range is... - Answer less than 40 mg/dL
LDL levels therapeutic range is... - Answer less than 100 mg/dL
3 types of angina - Answer chronic stable, variant, unstable
Explain chronic stable angina causes - Answer emotional excitement, large meals, cold,
stressors
Explain variant angina characteristics - Answer not CAD, but due to lack of blood, the
coronary arteries can spasm. No cure. Need CABG.
, Explain unstable angina characteristics - Answer Come before an MI. Severe CAD with
vasospasm. Symptoms of angina at rest, new onset of exertional angina, intensification.
Pain at rest and can occur anytime without any indication.
Nitroglycerin is an... - Answer Nitrate
What is nitroglycerin used to treat? - Answer Stable and variant angina. Can be used
short and long term.
How does nitroglycerin work? - Answer It Vasodilates, acts directly on vascular smooth
muscle to promote vasodilation. Lowers oxygen demand
What are the adverse effects of nitroglycerin use? - Answer HA, orthostatic
hypotension, reflex tachycardia, tolerance can develop fast.
What are important administration considerations for nitroglycerin? - Answer There is a
large 1st pass effect in oral forms. Tolerance will develop fast. Place under tongue if PO
and let dissolve. Burning means the drug is working.
What are administration considerations for nitroglycerin used in a patch? - Answer The
patient can remove for 8 hrs. a day. Remove old patch before placing a new one, rotate
sites on upper body.
What administration considerations for nitroglycerin used in a cream? - Answer Never
use bare hands for application, wear gloves while applying, remove all excess formula.
What should we do first in a hospital setting before giving a patient with angina
nitroglycerin? - Answer Check vital signs before each dose if possible, give 5 minutes
apart, hold drug if HR less than 60 or greater than 100 or BP less than 100/60
What should we do when giving nitroglycerin outside of the hospital (for example a
patient moving lawn feels chest pain coming)? - Answer stop activity and sit down, take
sublingual tablet, wait 5 minutes. If no relief, take a 2nd tablet and call 911, still no relief,
take 3rd tablet and wait for EMS.
What should a patient actively in chest pain taking nitroglycerin never do? - Answer
have family drive them to hospital or have them drive self to hospital. they must wait for
EMS
How should we store nitroglycerin? - Answer Store in airtight, dark glass bottle in a cool,
dark place. Potency of the drug can be loosed in 6 months after opening.
What types of drugs interact with nitroglycerin - Answer PDE5 inhibitors, such as Viagra
because these drugs not only are used for erectile dysfunction in males, but have
cardiac drug effects when used with nitroglycerin.
