ATI PhPE – 2023 questions and answers well illustrated.

ATI PhPE – 2023 questions and answers well illustrated. Medications yfor yInfection: yAminoglycosides y- y y y ycorrect yanswer.Gentamcin y- yfights yinfection y- yC: ypregnancy, yrenal yissues y- yAE: yOtotoxicity, ynephrotoxicity, yhypersensitivity y- yNC: yPeaks yand ytroughs Medications yfor yInfection: yCarbapenems y- y y y ycorrect yanswer.Meropenem, yImipenem y- yfights yinfection y- yC: yPenicillin yallergy, yrenal yissues y- yAE: yGI yupset, ysuperinfection, yallergies y- yNC: yMonitor yfor yallergic yreactions Medications yfor yInfection: yPenicillins y- y y y ycorrect yanswer.Penicillin, yAmoxicillin, yAmpicillin y- yfights yinfection y- yC: yAllergic yto ypenicillin, yrenal yissues y- yAE: yAllergies, yrenal yissues, yhyperkalemia, yhypernatremia, ydysrhythmias y y- yNC: yTake ywith yfood, yuse yadditional ycontraceptive, ycomplete yentire ycourse yof ytherapy yeven yit ypt. yis yfeeling ybetter. Medications yfor yInfection: yCephalosporins y- y y y ycorrect yanswer.Cefazolin, yCeftriaxone y=- yfights yinfection y- yC: yPenicillin yor ycephalosporin yallergy, yrenal yissues y- yAE: yRenal yissues, ypain ywith yIM yinjections, ysuperinfection y- yNC: ytake ywith yfood, ystore yoral's yin yrefrigerator Medications yfor yInfection: yCell ywall yinhibitor y- y y y ycorrect yanswer.Vancomycin: yfights yinfection y- yC: yhearing yloss, yrenal yissues y- yAE: yRed ymans ysyndrome, yotoxicity, yrenal ytoxicity y- yNC: yGive yslowly yover y60 ymins yIV yto yhelp yprevent yred ymans ysyndrome, ycomplete yentire ycourse yof ytherapy yeven yit ypt. yis yfeeling ybetter. Medications yfor yInfection: yTetracyclines y- y y y ycorrect yanswer.Doxycycline: yfights yinfection, yacne, ylyme ydisease y- yC: ypregnancy, yliver/kidney ydisease y- yAE: yIf ygiven yto ychildren y8 y- ycauses ytooth ydiscoloration, yphotosensitivity, yGI yupset, ysuperinfection y- yNC: yuse yadditional ycontraceptive, ycomplete yentire ycourse yof ytherapy yeven yit ypt. yis yfeeling ybetter. Medications yfor yInfection: yMacrolides y- y y y ycorrect yanswer.Erythromycin, yAzithromycin y(z-pak) y- yfights yinfections, ypneumonia, ypertussis, ychlamydia y(is yan yalt. ymed. yfor ythose ywho yare yallergic yto ypenicillin) y- yC: yLiver ydisease, yprolonged yQT y- yAE: yGI yupset, yototoxicity, yprolonged yQT y- yNC: yUse yadditional ycontraceptive, yif ytreating yan ySTD y- ytreat ypartner yas ywell. Medications yfor yInfection: ySulfonamides y& yTrimethoprim y- y y y ycorrect yanswer.Trimethoprim-silfamethoxazole y- ytreats yUTI's y- yC: yPregnancy/lactation, yfolate ydeficiency, yrenal yissues y- yAE: yAgranulocytosis, yhyperkalemia, yhypersensitivity y- yNC: yTake yon yan yempty ystomach! yUse yadditional ycontraceptive, ycomplete yentire ycourse yof ytherapy yeven yit ypt. yis yfeeling ybetter. Medications yfor yInfection: yUrinary ytract yantiseptic y- y y y ycorrect yanswer.Nitrofurantoin: ytreats yUTI's y- yC: ypregnancy/lactation, yrenal yissues y- yAE: yGI yupset, yperipheral yneuropathy y- yNC: yturns yurine yrust-yellow yto ybrown, ycan ystain yteeth, ycomplete yentire ycourse yof ytherapy yeven yit ypt. yis yfeeling ybetter. Medications yfor yInfection: yFluoroquinolones y- y y y ycorrect yanswer.Ciprofloxacin y- yfights yinfection y- yC: yCan ycause yspontaneous ytendon yrupture yin ychildren y18, ypregnancy/lactation y- yAE: yGI yupset, ytendon yrupture, ysuperinfection, yphototoxicity y- yNC: yLow ydoses yin ypt's ywith yrenal yimpairment, ycomplete yentire ycourse yof ytherapy yeven yit ypt. yis yfeeling ybetter. Medications yfor yInfection: yUT yanalgesic y- y y y ycorrect yanswer.Phenazopyridine: ytreats yUTI's y(is ya ydye ythat yfunctions yas ya ylocal yanesthetic yon ythe ymucosa yof ythe yurinary ytract) Medications yfor yInfection: yAntiprotozoals y- y y y ycorrect yanswer.Metronidazole: ytreats yprotozoal yinfections y- yC: ypregnancy, ykidney/cardiac/fungal/candida yinfection, yseizure ydisorder y- yAE: yGI yupset, ydarkening yof yurine, yneurotoxicity, ysuperinfection y- yNC: yUse yadditional ybirth ycontrol Medications yfor yInfection: yAntimycobacterials y- y y y ycorrect yanswer.Isoniazid: ytreats ytuberculosis y y- yC: yolder yadults, ypeople ywith ydiabetes, yalcoholism y- yAE: yhepatotoxicity, yhyperglycemia, yperipheral yneuropathy y- yNC: yUse yadditional ybirth ycontrol Rifampin: ytreats yinfection y& yTB y- yC: yhepatic yimpairment y- yAE: yCan yturn yexcretory yfluids yorange, yGI yupset, ysuperinfection, yhepatotoxicity y- yNC: yFull yglass yof ywater, ynon-hormonal ycontraception Medications yfor yInfection: yAntifungals y- y y y ycorrect yanswer.Amphotericin yB, yKetoconazole: ytreats yfungal yinfections y- yC: yAnemia, ypregnancy/lactation, yrenal yissues y- yAE: yGynecomastia, ynephrotoxicity, yhepatotoxicity, yelectrolyte yimbalance, ybone ymarrow ysuppression y- yNC: yAmphotericin yB yis yVERY ytoxic, yused yonly yfor ylife-threatening ysituations, yuse yadditional ybirth ycontrol, ycomplete yentire ycourse yof ytherapy yeven yit ypt. yis yfeeling ybetter. Medications yfor yInfection: yAntivirals y- y y y ycorrect yanswer.Acyclovir, yOseltamivir: yHerpes ySimplex y& yHerpes yZoster y(Acyclovir), yInfluenza y(Oseltamivir) y- yC: yRenal yimpairment y- yAE: yAcyclovir ycan ycause yphlebitis yand ynephrotoxicity y- yNC: yUse yadditional ycontraception, ycomplete yentire ycourse yof ytherapy yeven yit ypt. yis yfeeling ybetter. Medications yfor yPain yand yInflammation: yNon-opioid yAnalgesics y- y y y ycorrect yanswer.Aspirin, yIbuprofen, yNaproxen, yCelecoxib: ytreats yfever, ypain, yinflammation, yAntiplatelet y(aspirin) y- yC: yChildren y(aspirin), ypregnancy/lactation, ypeptic yulcer ydisease y- yAE: yReye's ysyndrome, yGI yupset, yrenal yissues, yincreased yrisk yof ystroke yor yheart yattack y- yNC: yTake ywith yfood, yDO yNOT yCRUSH/CHEW yenteric ycoated yor yextended yrelease yaspirin ytablets Medications yfor yPain yand yInflammation: yAcetaminophen y- y y y ycorrect yanswer.Acetaminophen: ypain, yfever y- yC: yliver yissues, ychronic yalcohol yuse ydisorder y- yAE: yToxicity y- yNC: yRead ymedication ylabels, yif ypain/fever ylasts y3 ydays, ycontact yprovider Medications yfor yPain yand yInflammation: yOpioid yAgonists y- y y y ycorrect yanswer.Morphine: ypain, ysedation, ycough ysuppression y(codeine) y- yC: ypremature yinfants, yasthma, yrenal/hepatic ydisease, ykidney yfailure y- yAE: yRespiratory ydepression, ysedation, yortho. yhypo, yconstipation y- yNC: yAssess ypain ylevel, ycheck yvitals yespecially yRR, ydouble ycheck ydoses ywith yanother ynurse. Medications yfor yPain yand yInflammation: yAgonist-Antagonist yOpioids y- y y y ycorrect yanswer.Butorphanol: ypain, yless ypotential yfor yabuse y- yC: yMI, ykidney/liver ydisease, yrespiratory ydepression, yopioid ydependancy y- yAE: yAbstinence ysyndrome, ysedation, ydizziness, yheadache y- yNC: ybaseline yvitals, yhave ynaloxone yready Medications yfor yPain yand yInflammation: yOpioid yAntagonist y- y y y ycorrect yanswer.Naloxone: yTreats yopioid yoverose y- yC: yLiver yfailure, yopioid ydependency, ypragnancy y- yAE: yTachycardia, ytachypenia, yabstinence ysyndrome y- yNC: yRescue ymedication Medications yAffecting ythe yNervous ySystem: yBenzodiazepines y- y y y ycorrect yanswer.Alprazolam, ydiazepam, ylorazepam: yAnxiety ydisorder, ypanic ydisorder, ySeizure ydisorder, yalcohol ywithdrawal y- yC: yPregnancy/lactation, yliver ydisease, ysubstance yabuse y- yAE: yCNS ydepression, yamnesia, ytoxicity y- yNC: yTake yat ybedtime Medications yAffecting ythe yNervous ySystem: yAtypical yAnxiolytics y- y y y ycorrect yanswer.Buspirone: yGeneralized yanxiety ydisorder, ypanic ydisorder y- yC: yPregnancy, yliver y& ykidney yproblems y- yAE: yDizziness, yconstipation, ysuicidal yideation y- yNC: yShort yterm ytreatment, ytake ywith ymeals, ywon't ysee yeffects yuntil y2-4 yweeks yof ytaking ydrug. Medications yAffecting ythe yNervous ySystem: ySSRI's y- y y y ycorrect yanswer.Paroxetine, yFluoxetine, ySertraline: yOCD, yanxiety, ypanic ydisorder, ydepression y- yC: yPregnancy, yMAOIs yor yTCAs, yLiver/kidney yproblems y- yAE: ySexual ydysfunction, yweight ychanges, yBruxism y(grinding yof yteeth), ySerotonin ysyndrome, ySuicidal yideation y- yNC: yTake ywith yfood yand yin ythe ymorning, ytakes y2-4 yweeks yto ysee yeffects Medications yAffecting ythe yNervous ySystem: ySNRI's y- y y y ycorrect yanswer.Venlafaxine, yDuloxetine: yDepression, ypanic/anxiety ydisorder y- yC: ypregnancy, yMAOIs yor yTCAs y- yAE: ySexual ydysfunction, yweight yloss, yanxiety, ywithdrawal y(if ystopped yabruptly), ySuicide y(children y& yadolescents), ySerotonin ysyndrome y- yNC: yTake yin ythe ymorning, yavoid yuse ywith yother yantidepressants Medications yAffecting ythe yNervous ySystem: yAtypical yAntidepressants y- y y y ycorrect yanswer.Buproprion: yDepression, ysmoking ycessation y- yC: ySeizure ydisorder, yMAOIs, yeating ydisorder y- yAE: yHas yanticholinergic yeffects, yweight yloss, yseizures y- yNC: yDo ynot ygive ywithin y2 yweeks yof yMAOIs Medications yAffecting ythe yNervous ySystem: yTricyclic yAntidepressants y- y y y ycorrect yanswer.Amitriptyline: yDepression, yneuropathic ypain y- yC: yMI, ySeizure ydisorder, yCAS, ydiabetes, yliver/kidney/respiratory ydisorders y- yAE: yAnticholinergic yeffects, ysedation, ydecreased yseizure ythreshold Medications yAffecting ythe yNervous ySystem: yMAOIs y- y y y ycorrect yanswer.Phenelzine: yDepression y- yC: ypregnancy, ytyramine-rich yfoods y(hypertensive ycrisis) y- yAE: yCNS ystimulation, yorthostatic yhypotension, yhypertensive ycrisis y- yNC: yMay ytake ymore ythan y2 yweeks yto yfeel yeffects, yavoid yhard ycheeses, ychocolate, yred ywine, yprocessed ymeats, yetc. Medications yAffecting ythe yNervous ySystem: yMood yStabilizers y- y y y ycorrect yanswer.Lithium ycarbonate: yBipolar ydisorder y- yC: ypregnancy, ythyroid ydisease, yrenal yissues y- yAE: yGI yupset, yfine yhand ytremors, ypolyuria, yweight ygain, yrenal ytoxicity, ygioter y& yhypothyroidism, ylithium ytoxicity y- yNC: yMaintenance ylevel yrange ybetween y0.6-1.2, ystress yadequate yfluid yintake yto yavoid ydehydration Medications yAffecting ythe yNervous ySystem: yOther yMood yStabilizers y- y y y ycorrect yanswer.Carbamazepine, yValproic yacid, yLamotrigine: yBipolar ydisorder y- yC: yPregnancy, yliver yissues, ybone ymarrow ysuppression y(carbamazepine) y- yAE: yCarb y- yCAN yeffects, yleukopenia, yskin ydisorders, yhepatotoxicity yLamo y- ystevens-johnson ysyndrome, yskin yrash yVal. yAcid y- yGI yupset, yhepatotoxicity y- yNC: yMonitor yplasma ylevels yand ytherapeutic ylevels, yavoid yalcohol Medications yAffecting ythe yNervous ySystem: yAntipsychotics y(first ygen) y- y y y ycorrect yanswer.Chlorpromazine, yHaloperidol y- yacute y& ychronic ypsychotic ydisorders y- yC: yOlder ypatients ywith ydementia, yglaucoma, yheart ydisorders y- yAE: yDystonia, yparkinsonism, yakathisia y- yNC: yAIMS, y2-4 yweeks yfor ytherapeutic yeffects Medications yAffecting ythe yNervous ySystem: yAntipsychotics y(second ygen) y- y y y ycorrect yanswer.Risperidone, yClozapine: yschizophrenia y- yC: yDementia, ycardiovascular ydisease, yseizure ydisorder, ydiabetes y- yAE: yEPS, yprolactin-elevation, ygalactorrhea, ygynecomastia y- yNC: yAvoid yeating yand ydrinking y10 ymins yafter ydose Medications yAffecting ythe yNervous ySystem: yCNS ystimulants y- y y y ycorrect yanswer.Methylphenidate: yADHD, yConduct yDisorder, yNarcolepsy y- yC: ypregnancy, ysubstance yabuse, yhypertension, ypsychosis, yanxiety y- yAE: yDecreased yappetite, ywithdrawal, ytoxicity, ycardiovascular yeffects y- yNC: ySwallow ywhole, yhigh ypotential yfor yabuse Medications yAffecting ythe yNervous ySystem: yCholinesterase yinhibitors y- y y y ycorrect yanswer.Neostigmine, yDonepezil: yMyasthenia ygravis y(Neostigmine), yAlzheimers y(Donepezil) y- yC: yGI yand yrenal yobstruction, ybradycardia, yhypotension, ysuccinylcholine y- yAE: yCholinergic ycrisis, yexcessive ymuscarinic ystimulation y- yNC: ySlows ythe yprogression yand yimproves yADL's, yis ynot ya ycure! yMonitor yfor ytoxicity.