ATI Pharmacology Retake 2 questions
and answers 2023/2024
Therapeutic outcome raloxifene (Evista)(correct answers)decreases bone reabsorption;
slows down bone loss and preserves mineral density in postmenopausal osteoporosis
Also used to protect again breast cancer
Penicillin adverse effects:(correct answers)Allergies/anaphylaxis , renal impairment
Macrolide Prototype Drug(correct answers)erythromycin (e-mycin)
Airflow Disorders: Teaching About Theophylline(correct answers)If dysrhythmias or
seizure occur, stop medication.
Periodic blood levels are needed.
Report nausea, diarrhea, or restlessness.
Avoid consuming caffeinated beverages.
digoxin toxicity symptoms(correct answers)fatigue, weakness, vision changes, GI
effects
digoxin level(correct answers)0.5 to 2.0 ng/mL
How to give digoxin(correct answers)infuse over at least 5 min, and monitor client for
dysrhythmias.
Management of digoxin toxicity(correct answers)Digoxin and potassium-sparing
medication should be stopped immediately.
Monitor K+ levels. For levels less than 3.5 mEq/L, administer potassium IV or by mouth.
Do not
give any further K+ if the level is greater than 5.0 mEq/L.
Treat dysrhythmias with phenytoin (Dilantin) or lidocaine.
Treat bradycardia with atropine.
For excessive overdose, activated charcoal, cholestyramine, or Digibind can be used to
bind digoxin and prevent absorption
How to Treat dysrhythmias for digoxin toxicity patients(correct answers)Phenytoin
Lidocaine
, Cyclophosphamide Alkylating agent (nitrogen mustard)
Adverse effects:(correct answers)Bone marrow suppression
Gi discomfort (N/V)
Acute hemorrhagic cystitis > monitor for hematuria, mesna can be given
Alopecia
Cyclophosphamide interactions(correct answers)Succinylcholine > increased
neuromuscular blockade
Tricyclic Antidepressants Adverse Reactions(correct answers)-Orthostatic hypotension
-Anticholinergic effects
-Sedation
-Toxicity
-Decrease seizure threshold
-Excessive sweating
controlled substances(correct answers)Each level has a decreasing risk of abuse &
dependence. For example, morphine (Duramorph) is a schedule II medication that has
greater risk of abuse & dependence than phenobarbital (Luminal), which is a Schedule
IV medication
-Us Food & Drug Administration Pregnancy Risk Category (A, B, C, D, X) classifies
medication in terms of their potential harm during pregnancy, with Category A being
safest & Category X the most dangerous. Teratogenesis is most likely to occur during
1st trimester. Before giving any medication to a woman who is pregnant or could be
pregnant, determine whether or not it is safe for administration during pregnancy
Tricyclic Antidepressants (TCAs)(correct answers)Imipramine (Tofranil)
Doxepin (Sinequan)
Nortriptyline (Aventyl)
Amoxapine (Asendin)
Trimipramine (Surmontil)
Anticholinergic effects Sx(correct answers)Dry mouth, blurred vision, photophobia,
urinary hesitancy or retention, constipation, tachycardia
Anticholinergic effects Interventions:(correct answers)-Chew sugarless gum, sip water,
wear sunglasses, eat high fiber foods, regular exercise, drink 2-3 L a day, void just
before taking medication
What medications should be avoided while taking TCAs?(correct answers)MAOIs, St.
John's wort
and answers 2023/2024
Therapeutic outcome raloxifene (Evista)(correct answers)decreases bone reabsorption;
slows down bone loss and preserves mineral density in postmenopausal osteoporosis
Also used to protect again breast cancer
Penicillin adverse effects:(correct answers)Allergies/anaphylaxis , renal impairment
Macrolide Prototype Drug(correct answers)erythromycin (e-mycin)
Airflow Disorders: Teaching About Theophylline(correct answers)If dysrhythmias or
seizure occur, stop medication.
Periodic blood levels are needed.
Report nausea, diarrhea, or restlessness.
Avoid consuming caffeinated beverages.
digoxin toxicity symptoms(correct answers)fatigue, weakness, vision changes, GI
effects
digoxin level(correct answers)0.5 to 2.0 ng/mL
How to give digoxin(correct answers)infuse over at least 5 min, and monitor client for
dysrhythmias.
Management of digoxin toxicity(correct answers)Digoxin and potassium-sparing
medication should be stopped immediately.
Monitor K+ levels. For levels less than 3.5 mEq/L, administer potassium IV or by mouth.
Do not
give any further K+ if the level is greater than 5.0 mEq/L.
Treat dysrhythmias with phenytoin (Dilantin) or lidocaine.
Treat bradycardia with atropine.
For excessive overdose, activated charcoal, cholestyramine, or Digibind can be used to
bind digoxin and prevent absorption
How to Treat dysrhythmias for digoxin toxicity patients(correct answers)Phenytoin
Lidocaine
, Cyclophosphamide Alkylating agent (nitrogen mustard)
Adverse effects:(correct answers)Bone marrow suppression
Gi discomfort (N/V)
Acute hemorrhagic cystitis > monitor for hematuria, mesna can be given
Alopecia
Cyclophosphamide interactions(correct answers)Succinylcholine > increased
neuromuscular blockade
Tricyclic Antidepressants Adverse Reactions(correct answers)-Orthostatic hypotension
-Anticholinergic effects
-Sedation
-Toxicity
-Decrease seizure threshold
-Excessive sweating
controlled substances(correct answers)Each level has a decreasing risk of abuse &
dependence. For example, morphine (Duramorph) is a schedule II medication that has
greater risk of abuse & dependence than phenobarbital (Luminal), which is a Schedule
IV medication
-Us Food & Drug Administration Pregnancy Risk Category (A, B, C, D, X) classifies
medication in terms of their potential harm during pregnancy, with Category A being
safest & Category X the most dangerous. Teratogenesis is most likely to occur during
1st trimester. Before giving any medication to a woman who is pregnant or could be
pregnant, determine whether or not it is safe for administration during pregnancy
Tricyclic Antidepressants (TCAs)(correct answers)Imipramine (Tofranil)
Doxepin (Sinequan)
Nortriptyline (Aventyl)
Amoxapine (Asendin)
Trimipramine (Surmontil)
Anticholinergic effects Sx(correct answers)Dry mouth, blurred vision, photophobia,
urinary hesitancy or retention, constipation, tachycardia
Anticholinergic effects Interventions:(correct answers)-Chew sugarless gum, sip water,
wear sunglasses, eat high fiber foods, regular exercise, drink 2-3 L a day, void just
before taking medication
What medications should be avoided while taking TCAs?(correct answers)MAOIs, St.
John's wort
