Pharm Final review latest complete
update A+ graded
10 Rights of Medication - right drug, right dose, right patient, right route, right time, right
reason, right documentation, right patient education, right evaluation, right to refuse
Absorption - process that occurs from the time a drug enters the body to the time it
enters the blood stream to be circulated
distribution - the transport of drug molecules within the body
metabolism - the method by which the drugs are inactivated or biotransformed by the
body
excretion - elimination of a medication from the body
half life required for the serum concentration of a drug to decrease by 50% determined
by the drugs rate of metabolism and excretion - half life
Na+ levels - 136-145
K+ levels - 3.5-5.0
Cl+ levels - 98-106
Ca+ - 9.0-10.5
Albumin level - 35-50 liver
Crea level; Kidney - 0.7-1.3
Bun level; kidney - 7-20
, WBC level - 5,000-10,000
Use of Disulfiram - maintenance of alcohol in sobriety
action of Disulfiram - allows acetaldehyde to accumulate in the blood, this produces an
unpleasant reaction when it is consumed with alcohol
what symptoms occur when alcohol is combined with disulfiram - headaches,
confusion, seizures, chest pain, flushing, sweating, palpitations, hypotension, n/v,
blurred vision, and a garlic like taste
BBW of disulfiram - don't give to a patient who has consumed alcohol in the past 12
hours
when disulfiram is combined with warfarin, paraldehyde, and phenytoin, it can result in
what? - result in increased serum blood levels of the drugs so the dosage may have to
be decreased-make sure to monitor the levels
patient teaching for disulfiram - take med daily and at bedtime if dizzy or drowsy
occurs, never consume alcohol in any form (mouthwash and cough syrup), have period
liver function tests
Use of Bethanechol - increases muscle tone, allowing for bladder emptying
bethanechol can be given during the acute postoperative and postpartum periods for
treatment of what - treatment of urinary retention
AE's of bethanechol - heart block, bradycardia, orthostatic hypotension, ab discomfort,
n/v, flushing, sweating, malaise, and dyspnea
what to assess for when administering bethanechol - assess for cholinergic crisis with
sweating and flushing
what are the therapeutic effects of bethanechol - assess for ability to void 1 hour after
admin
what is the use of neostigmine - long term treatment of myasthenia gravis
action of neostigmine - acts on nicotinic receptors in skeletal muscle to improve skeletal
muscle tone and strength
what are the specific effects of neostigmine with MG - decreased heart rate, increasing
tone of GI muscle, stimulating salivary glands, relaxes sphincter of urinary bladder and
relaxes bronchial smooth musclee
What is really important to teach patients that take neostigmine - strict adherence to
timely med administration promotes optimal blood levels of drug and symptom control
update A+ graded
10 Rights of Medication - right drug, right dose, right patient, right route, right time, right
reason, right documentation, right patient education, right evaluation, right to refuse
Absorption - process that occurs from the time a drug enters the body to the time it
enters the blood stream to be circulated
distribution - the transport of drug molecules within the body
metabolism - the method by which the drugs are inactivated or biotransformed by the
body
excretion - elimination of a medication from the body
half life required for the serum concentration of a drug to decrease by 50% determined
by the drugs rate of metabolism and excretion - half life
Na+ levels - 136-145
K+ levels - 3.5-5.0
Cl+ levels - 98-106
Ca+ - 9.0-10.5
Albumin level - 35-50 liver
Crea level; Kidney - 0.7-1.3
Bun level; kidney - 7-20
, WBC level - 5,000-10,000
Use of Disulfiram - maintenance of alcohol in sobriety
action of Disulfiram - allows acetaldehyde to accumulate in the blood, this produces an
unpleasant reaction when it is consumed with alcohol
what symptoms occur when alcohol is combined with disulfiram - headaches,
confusion, seizures, chest pain, flushing, sweating, palpitations, hypotension, n/v,
blurred vision, and a garlic like taste
BBW of disulfiram - don't give to a patient who has consumed alcohol in the past 12
hours
when disulfiram is combined with warfarin, paraldehyde, and phenytoin, it can result in
what? - result in increased serum blood levels of the drugs so the dosage may have to
be decreased-make sure to monitor the levels
patient teaching for disulfiram - take med daily and at bedtime if dizzy or drowsy
occurs, never consume alcohol in any form (mouthwash and cough syrup), have period
liver function tests
Use of Bethanechol - increases muscle tone, allowing for bladder emptying
bethanechol can be given during the acute postoperative and postpartum periods for
treatment of what - treatment of urinary retention
AE's of bethanechol - heart block, bradycardia, orthostatic hypotension, ab discomfort,
n/v, flushing, sweating, malaise, and dyspnea
what to assess for when administering bethanechol - assess for cholinergic crisis with
sweating and flushing
what are the therapeutic effects of bethanechol - assess for ability to void 1 hour after
admin
what is the use of neostigmine - long term treatment of myasthenia gravis
action of neostigmine - acts on nicotinic receptors in skeletal muscle to improve skeletal
muscle tone and strength
what are the specific effects of neostigmine with MG - decreased heart rate, increasing
tone of GI muscle, stimulating salivary glands, relaxes sphincter of urinary bladder and
relaxes bronchial smooth musclee
What is really important to teach patients that take neostigmine - strict adherence to
timely med administration promotes optimal blood levels of drug and symptom control
