FNP 635 Midterm Review
Pharmacokinetics - answer Movement of the drug around the body
Pharmacodynamics - answer How the drug effects the body
Meds that cause Hemolytic Anemia - answer Order Coombs test before med admin,
recheck Coombs at 6 months.
Absolute contraindications to ACE inhibitors - answer bilateral renal artery stenosis,
angioedema, and pregnancy
Rapid Acting Insulins - answerHumalog (Lispro), Novalog (Aspart), Apidra (Glulisine)
Onset 5-30 min
Peak 0.5-3 hrs
Duration 3-4 hrs
Short Acting Insulins - answerRegular (Humulin R, Novalin R)
Onset 30-60min
Peak 2-4 hrs
Duration 3-7hrs
Intermediate Acting Insulins - answerIsophane (NPH, Humulin N)
Onset 1-2 hrs
Peak 4-10 hrs
Duration 10-16 hrs
Long Acting Insulins - answerLantus (Glargine), Levimir (Detemir)
Onset 1-2 hrs
Peak NONE
Duration 20-24 hrs
Fixed Combination Insulins - answer70/30 (NPH/regular ratio)
50/50 (NPH/regular ratio)
75/25 (NPH/lispro)
70/30 (NPH/aspart)
Absolutely NO ALCOHOL with: - answerFlagyl
Where is TSH made? - answerAnterior Pituitary
Initial dose of NPH - answer0.3-0.5 units/kg/day in divided doses
, Diabetics with HTN - answerStart with ACE inhibitor
Slow compensation that works to control BP over time - answerRAAS
Fast compensation that does not effectively control BP long term - answerBaroreceptor
Reflex
Releases catecholamine that stimulate beta 1 - answerPheochromocytoma
Cannot be given orally - answerCatecholamines
Do NOT give epi if pt taking: - answerMAOI
Tachyphylaxis Meds - answerNitro & Isosorbide
Must have 'off' period for them to be effective and prevent tolerance. Prescribe 'off' time
during periods of relaxation (NOC).
Elderly and Infants - answerKidneys don't excrete as well, and liver doesn't metabolize
as well.
Which does the NP take into account concerning pharmacokinetics? -
answerBioavailability
Which statement by the patient tells the nurse that they understand the education
regarding heparin? - answerI need to have my platelets drawn every 2-3 days
Which educational statement by the patient tells the nurse that the patient understands
the use of warfarin? - answerI need to avoid foods high in vitamin K.
Which education should the NP include when educating patients on erythropoiesis-
stimulating agents (ESAs)? - answerYou may develop tumors with this medication.
The nurse believes the patient understands the education regarding iron supplements
when the patient states: - answerI can take this medication on an empty stomach, with
orange juice.
The NP knows that gliptINs help diabetics because they: - answerAct on the INcretin
systems to INdirectly INcrease INsulin production.
The NP understands that diabetics can benefit from GLP-1 agonists because they can: -
answerDirectly bind to a receptor in the pancreatic beta cell
A patient with chronic renal failure becomes anemic, the NP prepares the patient for: -
answerTreatment with epoetin alfa
Pharmacokinetics - answer Movement of the drug around the body
Pharmacodynamics - answer How the drug effects the body
Meds that cause Hemolytic Anemia - answer Order Coombs test before med admin,
recheck Coombs at 6 months.
Absolute contraindications to ACE inhibitors - answer bilateral renal artery stenosis,
angioedema, and pregnancy
Rapid Acting Insulins - answerHumalog (Lispro), Novalog (Aspart), Apidra (Glulisine)
Onset 5-30 min
Peak 0.5-3 hrs
Duration 3-4 hrs
Short Acting Insulins - answerRegular (Humulin R, Novalin R)
Onset 30-60min
Peak 2-4 hrs
Duration 3-7hrs
Intermediate Acting Insulins - answerIsophane (NPH, Humulin N)
Onset 1-2 hrs
Peak 4-10 hrs
Duration 10-16 hrs
Long Acting Insulins - answerLantus (Glargine), Levimir (Detemir)
Onset 1-2 hrs
Peak NONE
Duration 20-24 hrs
Fixed Combination Insulins - answer70/30 (NPH/regular ratio)
50/50 (NPH/regular ratio)
75/25 (NPH/lispro)
70/30 (NPH/aspart)
Absolutely NO ALCOHOL with: - answerFlagyl
Where is TSH made? - answerAnterior Pituitary
Initial dose of NPH - answer0.3-0.5 units/kg/day in divided doses
, Diabetics with HTN - answerStart with ACE inhibitor
Slow compensation that works to control BP over time - answerRAAS
Fast compensation that does not effectively control BP long term - answerBaroreceptor
Reflex
Releases catecholamine that stimulate beta 1 - answerPheochromocytoma
Cannot be given orally - answerCatecholamines
Do NOT give epi if pt taking: - answerMAOI
Tachyphylaxis Meds - answerNitro & Isosorbide
Must have 'off' period for them to be effective and prevent tolerance. Prescribe 'off' time
during periods of relaxation (NOC).
Elderly and Infants - answerKidneys don't excrete as well, and liver doesn't metabolize
as well.
Which does the NP take into account concerning pharmacokinetics? -
answerBioavailability
Which statement by the patient tells the nurse that they understand the education
regarding heparin? - answerI need to have my platelets drawn every 2-3 days
Which educational statement by the patient tells the nurse that the patient understands
the use of warfarin? - answerI need to avoid foods high in vitamin K.
Which education should the NP include when educating patients on erythropoiesis-
stimulating agents (ESAs)? - answerYou may develop tumors with this medication.
The nurse believes the patient understands the education regarding iron supplements
when the patient states: - answerI can take this medication on an empty stomach, with
orange juice.
The NP knows that gliptINs help diabetics because they: - answerAct on the INcretin
systems to INdirectly INcrease INsulin production.
The NP understands that diabetics can benefit from GLP-1 agonists because they can: -
answerDirectly bind to a receptor in the pancreatic beta cell
A patient with chronic renal failure becomes anemic, the NP prepares the patient for: -
answerTreatment with epoetin alfa
