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ATI - PHARM/MED SURG EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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ATI - PHARM/MED SURG EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (49) Montelukast -Use: asthma -Action: long-acting maintenance therapy to prevent asthma attacks -Not a rescue medication -Comes in a tablet form -Either chewed or swallowed (NOT inhaled) Digoxin -Use: atrial fibrillation, heart failure -Action: cardiac glycoside that works by increasing the strength of the heart's contractions and slowing down the heart rate -Toxicity: GI distress, anorexia, weakness, bradycardia, vision changes, and arrhythmias -Do not give if HR 60 Levothyroxine -Use: hypothyroidism -Action: increase thyroid hormone levels -Take on empty stomach in morning Dairy interferes with these types of drugs: antibiotics Effect of grapefruit on drugs Increases drug levels and side effects Which drugs should not be taken with grapefruit? 1. Anti-seizure 2. Antidepressants 3. Tranquilizers 4. Anti-hypertensives 5. Anti-arrhythmics 6. HIV medications 7. Cholesterol lowering 8. Immunosuppressants 9. Analgesics 10. Erectile dysfunction medications Omeprazole: action and use reduces stomach acid, used in GERD Gentamicin: monitor which lab tests for adverse rx Creatinine, BUN, and urine output St. John's Wort interacts with: (decreases effectiveness of) BC pills, warfarin, cyclosporine, digoxin, CCB, steroids, HIV protease inhibitors, some chemo agents benzonatate Antitussive; causes sedation/dizziness Which lab level is concerning for a patient taking lithium? sodium (remember lithium is treated the same as sodium in the body) Signs of lithium toxicity vomiting, slurred speech, muscle weakness adverse effect of statin hepatotoxicity (elevated ALT, aminotransferase, lactic dehydrogenase) Anticholinergic effects dry mouth, constipation, urinary retention, blurred vision, tachycardia What to administer for heparin toxicity protamine sulfate Rapid acting insulin lispro, aspart, glulisine o Onset: 15 min after injection o Peak: 30-90 min after administration o Duration: 3-5 hours o Used in insulin pumps or given before meals o Often used with an intermediate or long-lasting insulin o Should you give if the client is not eating?

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3/19/25, 6:13 ATI - Pharm/Med Surg Flashcards |
AM




ATI - PHARM/MED SURG EXAM QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS VERIFIED




Terms in this set (49)




-Use: asthma

-Action: long-acting maintenance therapy to prevent asthma attacks

Montelukast -Not a rescue medication

-Comes in a tablet form

-Either chewed or swallowed (NOT inhaled)

-Use: atrial fibrillation, heart failure

-Action: cardiac glycoside that works by increasing the strength of the heart's

contractions and slowing down the heart rate

Digoxin -Toxicity: GI distress, anorexia, weakness, bradycardia, vision changes, and

arrhythmias

-Do not give if HR <60

-Use: hypothyroidism

Levothyroxine -Action: increase thyroid hormone levels

-Take on empty stomach in morning

Dairy interferes with these types of drugs: antibiotics

Effect of grapefruit on drugs Increases drug levels and side effects

1. Anti-seizure

2.Antidepressants

3.Tranquilizers

4.Anti-hypertensives

5.Anti-arrhythmics
Which drugs should not be taken with
6.HIV medications
grapefruit?



1/
7

, 3/19/25, 6:13 ATI - Pharm/Med Surg Flashcards |
AM
7.Cholesterol lowering

8.Immunosuppressants

9. Analgesics

10. Erectile dysfunction medications

Omeprazole: action and use reduces stomach acid, used in GERD

Gentamicin: monitor which lab tests for Creatinine, BUN, and urine output

adverse rx

St. John's Wort interacts with: (decreases BC pills, warfarin, cyclosporine, digoxin, CCB, steroids, HIV protease inhibitors, some

effectiveness of) chemo agents

benzonatate Antitussive; causes sedation/dizziness

Which lab level is concerning for a patient sodium (remember lithium is treated the same as sodium in the body)

taking lithium?

Signs of lithium toxicity vomiting, slurred speech, muscle weakness

adverse effect of statin hepatotoxicity (elevated ALT, aminotransferase, lactic dehydrogenase)

Anticholinergic effects dry mouth, constipation, urinary retention, blurred vision, tachycardia

What to administer for heparin toxicity protamine sulfate

lispro, aspart, glulisine

o Onset: 15 min after injection

o Peak: 30-90 min after administration

o Duration: 3-5 hours
Rapid acting insulin
o Used in insulin pumps or given before meals

o Often used with an intermediate or long-lasting insulin

o Should you give if the client is not eating?

Humulin R, Novolin R

o Onset: 30-60 min after injection

o Peak: 2-3 hours after injection

o Duration: approx. 3-6 hours
regular insulin
o Can be mixed with NPH insulin

o Sliding scale, can be given IV drip

Usually admitted

subcutaneously

NPH insulin (Humulin N, Novolin N)

o Onset: 1-2 hours

o Peak: 4-12 hours



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