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Pharmacology past papers with answers.

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Clinical_Pharmacy_Midterm_Examination_M1M2M3 Course nursing (2115) 624 Documents University Harvard University

Institution
Pharmacology
Course
Pharmacology

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 Prednisone
o Steroid
o Glucocorticoid
o Side effect = bone loss and weight loss, PUD, muscle weakness (myalgia),
hyperglycemia, and hypokalemia

 Fluoxetine
o Depression
o Takes a couple weeks to work
o Don’t with St. John’s Wart

 Cushing’s Triad
o Cushing’s Disease: A metabolic disorder characterized by abnormally increased
secretion of the corticosteroids
o Hypertension (high BP)
o Bradycardia (Low HR)
o Bradypnea (Decreased respirations)

 Suppository
o Clean gloves
o Lubricate finger
o Insert just past external sphincter (1-2 inches)

 Insulin
o Lispro – regular/clear/rapid acting/administered first before NPH
o NPH = intermediate acting

 Calcium Carbonate
o Tums
o Treats hypophosphatemia
o Prevents calcium deficiency

 Spironolactone
o Potassium Sparring
o At risk for hyperkalemia

 Insulin
o Don’t aspirate

 Lidocaine
o Prevents dysrhythmias after MI
o Lidocaine can also use BP medication beta blockers
o Lidocaine for a fib and a flutter

 Corticosteroids


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, o Perform mouth care
o Metallic taste

 Saba before laba
o Saba = albuterol
o Labe = Cromolyn

 Dilantin
o Causes gingival hyperplasia

 Ritalin
o Don’t administer at night
o Give before or after meals
o CNS Stimulant
o Don’t drink caffeine

 No hypertensive drugs with Viagra
o Will cause hypotension

 Two hypertensive drugs together
o Cause hypotension

 Digoxin
o Take apical pulse first
o Don’t give less than 60 or more than 100
o S&S nausea, vomiting, anorexia
o See halos
o Green and yellow colors
o Antidote: Digibind
o At risk: dehydration – low potassium – low magnesium – kidney problems –
thyroid problems

 Nitro
o Headache is normal and will go away
o Increases coronary blood flow by dilating coronary arteries and improving
collateral flow to ischemic regions.
o Produces vasodilation (venous greater than arterial). Decreases left ventricular
end-diastolic pressure and left ventricular end-diastolic volume (preload).
o Reduces myocardial oxygen consumption.
o Therapeutic Effects: Relief or prevention of anginal attacks. Increased cardiac
output. Reduction of BP.
o Take every five minutes up to three doses, call 911 after first dose

 Massage the tragus to absorb otic drugs



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Institution
Pharmacology
Course
Pharmacology

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