NUR 334- PHARM EXAM QUESTIONS AND ANSWERS A
+ GRADED
black box warning for Estrogens (oral contraceptive)
smoking can increase risk for cardiovascular event( endometrial cancer, DVT, PE)
+ increase 80% chance of cancer
Nitrate and Viagra
No = they can cause hypotension and vasodilation
Plan B
When was the last time the patient had unprotected sex?
take a second dose 12 hours after the first
window is 72 hours
after 7 days it is ineffective
Depo- Provera
deep tissue injection
infection= RED= R=redness, E= Edema, D= Discharge
Steroids and Testosterone
Cold equal/lead to swelling, edema, and fluid retention
Antacids
take 2 hours before or 2 hours after other medications
Oral Contraceptives
Stop smoking
must have pregnancy test first
These are a category x drug= spontaneous abortion
Omeprazole/Prilosec
PPI
inhibits stomach acid production
Finasteride/Proscar
Treat for BPH and male pattern boldness
5-alpha reductase inhibitor
also called Proscar
enzyme inhibitor
prevents T conversion to DT= dihydrotestosterone
BHP (blood hydrostatic pressure)
Nocturnal is the most common symptoms
at 300ml the bladder will signal to urinate
Oxytocin/Pitocin
Starts labor(uterine contractions)
causes the uterus to return to normal and helps prevent bleeding
Alternagel /aluminum hydroxide
Anti-acid=can treat too much stomach acid
add magnesium to prevent constipation
Cytotec/misoprostol
Can lower acids but also increase mucus production
Ranitide/Zantac
, antihistamine/H2 inhibitor
lowers mucus production which lowers acid production
can cause constipation when used long term
mucus
protects the lining of the stomach and intestines and helps food move through the GI
tract.
Reglan/metoclopramide
anti-nausea medication
increase gastric emptying
decreases time in the stomach
pancreatitis
when a pancreas is no longer producing enzymes the patient needs supplements.
probiotic
improve natural bacterial flora = good bacterial
Metamucil/psyllium
fiber= bulking
patients need to increase fluid= ↓ constipation
Taking enzyme supplements expected S/E
watch for nausea, vomiting, diarrhea
Lomotil/diphenoxylate/atropine
LAD
anticholinergic-dries patient out
slows down diarrhea(no analgesic effect)
Azulfidine/sulfasalazine
Tx: Ulcerative Colitis and Crohn's Disease
DMARDs (disease-modifying anti-rheumatic drugs)
changes urine color
∅ sulfa allergy pts
Loperamide/Imodium
MOA: Inhibits ACh release and ↓ peristalsis
USE: Control IBD - diarrhea
P/E: take as soon as diarrhea happens
take it again in 30 minutes if still happens
Orlistat /Alli, Xenical
helps with weight loss
does not allow fat absorption
tx for obesity
Flatus with discharge, oily stool, Oily leakage
TPN (total parenteral nutrition)
Given via PICC line
Change bag every 24
needs to be room temp for 30 minutes
RN concern: monitor blood sugar (Q 4-6 hrs)
Androgen/testosterone
male sex hormones
increase libido
+ GRADED
black box warning for Estrogens (oral contraceptive)
smoking can increase risk for cardiovascular event( endometrial cancer, DVT, PE)
+ increase 80% chance of cancer
Nitrate and Viagra
No = they can cause hypotension and vasodilation
Plan B
When was the last time the patient had unprotected sex?
take a second dose 12 hours after the first
window is 72 hours
after 7 days it is ineffective
Depo- Provera
deep tissue injection
infection= RED= R=redness, E= Edema, D= Discharge
Steroids and Testosterone
Cold equal/lead to swelling, edema, and fluid retention
Antacids
take 2 hours before or 2 hours after other medications
Oral Contraceptives
Stop smoking
must have pregnancy test first
These are a category x drug= spontaneous abortion
Omeprazole/Prilosec
PPI
inhibits stomach acid production
Finasteride/Proscar
Treat for BPH and male pattern boldness
5-alpha reductase inhibitor
also called Proscar
enzyme inhibitor
prevents T conversion to DT= dihydrotestosterone
BHP (blood hydrostatic pressure)
Nocturnal is the most common symptoms
at 300ml the bladder will signal to urinate
Oxytocin/Pitocin
Starts labor(uterine contractions)
causes the uterus to return to normal and helps prevent bleeding
Alternagel /aluminum hydroxide
Anti-acid=can treat too much stomach acid
add magnesium to prevent constipation
Cytotec/misoprostol
Can lower acids but also increase mucus production
Ranitide/Zantac
, antihistamine/H2 inhibitor
lowers mucus production which lowers acid production
can cause constipation when used long term
mucus
protects the lining of the stomach and intestines and helps food move through the GI
tract.
Reglan/metoclopramide
anti-nausea medication
increase gastric emptying
decreases time in the stomach
pancreatitis
when a pancreas is no longer producing enzymes the patient needs supplements.
probiotic
improve natural bacterial flora = good bacterial
Metamucil/psyllium
fiber= bulking
patients need to increase fluid= ↓ constipation
Taking enzyme supplements expected S/E
watch for nausea, vomiting, diarrhea
Lomotil/diphenoxylate/atropine
LAD
anticholinergic-dries patient out
slows down diarrhea(no analgesic effect)
Azulfidine/sulfasalazine
Tx: Ulcerative Colitis and Crohn's Disease
DMARDs (disease-modifying anti-rheumatic drugs)
changes urine color
∅ sulfa allergy pts
Loperamide/Imodium
MOA: Inhibits ACh release and ↓ peristalsis
USE: Control IBD - diarrhea
P/E: take as soon as diarrhea happens
take it again in 30 minutes if still happens
Orlistat /Alli, Xenical
helps with weight loss
does not allow fat absorption
tx for obesity
Flatus with discharge, oily stool, Oily leakage
TPN (total parenteral nutrition)
Given via PICC line
Change bag every 24
needs to be room temp for 30 minutes
RN concern: monitor blood sugar (Q 4-6 hrs)
Androgen/testosterone
male sex hormones
increase libido
