ATI PHARMACOLOGY PROCTORED EXAMS SECRETS: A
ROADMAP TO A+
what is atropine
anticholinergic drug
Diaphoretic
Characterized by profuse sweating.
Bromocriptine
dopamine agonist
Dantrolene
-Mechanism: prevents release of Ca2+ from the sarcoplasmic reticulum of skeletal
muscle.
-Use: malignant hyperthermia and neuroleptic malignant syndrome (a toxicity of
antipsychotic drugs).
NMS treatment
Dantrolene: MUSCLE RELAXTION
D2 agonists (e.g., bromocriptine).
For NMS, think FEVER:
Fever
Encephalopathy
Vitals unstable
Elevated enzymes
Rigidity of muscles
when ototoxic drugs like furosemide are used and trough levels are consistently
elevated, what would be an immediate concern?
nephrotoxicity
levothyroxine
used to treat hyperthyroidism
urine output levels to alert provider
<30mL/hr
, NPO
nothing by mouth
if a nurse notices that the client on TPN is developing hypoglycemia and
experiencing a complication with the central venous line CVL what should the
nurse address
hypoglycemia and then TPN line
Hypoglycemia can occur if the TPN is stopped abruptly. A CVAD can become occluded
or infected. Findings of a CVL complication can include difficulty flushing, pain while
flushing, fever, or chills
Fluoxetine adverse effects
Nausea, diarrhea, headache, insomnia, dizziness, sexual dysfunction
petechiae
small, pinpoint hemorrhages
Enoxaparin
Anticoagulant
what findings should a nurse indicate as a potential adverse reaction to a new
medication
headache, nausea, petechiae,peripheral edema, insomnia, hematuria, pruritis, alopecia
Digoxin toxicity s/s in the heart
Digoxin slows the conduction rate through the SA and AV nodes, thereby decreasing
the heart rate. The nurse should withhold the medication and notify the provider for a
heart rate of 55/min because this is an early indication of digoxin toxicity.
normal heart rate
60-100 bpm
ethinyl estradiol/norgestimate patch client education
The client should apply the patch within 7 days of menses to prevent ovulation and the
need for another contraceptive method.
Propylthiouracil MOH
- This medication is used to tx of Graves Disease (hyperthyroidism), but should not be
of first choice with this disease. (In patients with Graves' disease with hyperthyroidism
ROADMAP TO A+
what is atropine
anticholinergic drug
Diaphoretic
Characterized by profuse sweating.
Bromocriptine
dopamine agonist
Dantrolene
-Mechanism: prevents release of Ca2+ from the sarcoplasmic reticulum of skeletal
muscle.
-Use: malignant hyperthermia and neuroleptic malignant syndrome (a toxicity of
antipsychotic drugs).
NMS treatment
Dantrolene: MUSCLE RELAXTION
D2 agonists (e.g., bromocriptine).
For NMS, think FEVER:
Fever
Encephalopathy
Vitals unstable
Elevated enzymes
Rigidity of muscles
when ototoxic drugs like furosemide are used and trough levels are consistently
elevated, what would be an immediate concern?
nephrotoxicity
levothyroxine
used to treat hyperthyroidism
urine output levels to alert provider
<30mL/hr
, NPO
nothing by mouth
if a nurse notices that the client on TPN is developing hypoglycemia and
experiencing a complication with the central venous line CVL what should the
nurse address
hypoglycemia and then TPN line
Hypoglycemia can occur if the TPN is stopped abruptly. A CVAD can become occluded
or infected. Findings of a CVL complication can include difficulty flushing, pain while
flushing, fever, or chills
Fluoxetine adverse effects
Nausea, diarrhea, headache, insomnia, dizziness, sexual dysfunction
petechiae
small, pinpoint hemorrhages
Enoxaparin
Anticoagulant
what findings should a nurse indicate as a potential adverse reaction to a new
medication
headache, nausea, petechiae,peripheral edema, insomnia, hematuria, pruritis, alopecia
Digoxin toxicity s/s in the heart
Digoxin slows the conduction rate through the SA and AV nodes, thereby decreasing
the heart rate. The nurse should withhold the medication and notify the provider for a
heart rate of 55/min because this is an early indication of digoxin toxicity.
normal heart rate
60-100 bpm
ethinyl estradiol/norgestimate patch client education
The client should apply the patch within 7 days of menses to prevent ovulation and the
need for another contraceptive method.
Propylthiouracil MOH
- This medication is used to tx of Graves Disease (hyperthyroidism), but should not be
of first choice with this disease. (In patients with Graves' disease with hyperthyroidism
