NUR 114 PHARM FINAL STUDY GUIDE-with 100% verified
solutions-2024/2025 Latest Updated Version || Guide A+
ACE Inhibitors; how do you identify them?
Correct answer:
-PRIL
PR
ACE Inhibitors; Side effects?
Correct answer:
-cough, hyperkalemia, orthostatic hypotension (first dose)
O
ACE Inhibitors; Adverse effects?
FD
Correct answer:
-Angioedema, anaphylaxis reaction (s/s: hypotension, wheezing, swollen tongue, hives/itching...
and know to administer Epi)
O
Aminoglycosides; What is it, what medications?
C
Correct answer:
-Antibiotic; Gentamicin
What is peak/troughs? How/when are they monitored?
Correct answer:
-Peak; Highest level of drug in the body. Draw for labs at peak of drug.
-Troughs; Lowest level of drug in the body. Draw for labs 30 minutes before next dosage.
,@PROFDOCDIGITALLIBRARIES
What types of toxicity can be caused by Aminoglycosides?
Correct answer:
1. Nephrotoxic; Labs: BUN/creatine, Monitor: Decreased urine output. *Encourage fluids!*
2. Ototoxic; Monitor: ringing in ears, hearing loss.
PR
Antidepressants; Name the medications Correct answer-
1. Fluoxetine (Sertraline)
O
2. Venlafaxine
3. Bupropion
FD
4. Amitriptyline
Antidepressants; What are the side effects?
O
Correct answer:
-dry mouth; Encourage to drink plenty of fluids and have gum/candy.
C
APAP; what is it? What do you need to remember about it.
Correct answer:
-Acetaminophen
-Can cause liver toxicity; do not go above prescribed dosage (4g a day), know drug/drug-alcohol
interactions, macrolides (erythromycin interaction)
ASA; what is it? What is the MOA?
Correct answer: -Aspirin
,@PROFDOCDIGITALLIBRARIES
MOA: anti-inflammatory, pain relief, MI/stroke prevention (antiplatelet component)
Beta II Agonist; What medications and what is the MOA?
Correct answer:
-Albuterol/salmeterol
MOA: relaxes bronchial smooth muscles causing brochodilation.
*We know this is working if there is no signs of wheezing, lowered RR, no cough, and improved
O2 saturation*
Beta Blockers; What do you identify them?
PR
Correct answer:
-Olol
Beta Blockers; what do you need to be precautious of?
O
Correct answer:
-Patients with Asthma and diabetic patients (masks the signs of hypoglycemia)
FD
Beta blockers; What is the side effects? When would you hold the medication?
Correct answer:
O
1. Hypotension, bradycardia, dizziness, nausea, weakness/fatigue.
2. Hold medication if HR < 60, SBP <100
C
Amoxicillin clavulanate 30mg/kg/day divided BID for a child who weights 10mg. Available
125mg/31.25mg per 5ml.
Which of the following dosing regimens is appropriate for the following order?
1. 12ml PO daily
2. 6ml PO daily
3. 6ml PO BID
4. 12 ml PO BID
Correct answer- 6ml PO BID.
, @PROFDOCDIGITALLIBRARIES
Cephalosporins; What is it?
Correct answer:
- Antibiotic-Similar to cillin family! Be aware of cross sensitivity.
Cephalosporins; What side effects?
Correct answer:
-Gi upset and oral discharge.
PR
Cephalosporins; what superinfections can they cause? How do you identify them?
Correct answer:
yeast infection, vaginal infection, oral thrush, etc.
O
Digoxin; What is it, what does it do?
Correct answer:
FD
-Cardiac glycoside (Arthymia drug) Helps the heart pump more effectively by INHIBITING normal
function of Na+ and K+ pump.
O
Digoxin; Signs/Symptos of toxicity?
Correct answer:
C
-N/V/D, vision changes, seeing yellow halos.
Digoxin; Side effects?
Correct answer:
-Hypokalemia
Digoxin; When to hold?
Correct answer:
- HR <60, toxic signs, low potassium.