NUR 635 Final Reviews
First line tmt for a previously healthy person who develops CAP? – answer Azithromycin
If you see SSRI (selective serotonin reuptake inhibitor) and St. John's wort together? -
answer Serotonin syndrome
Hypersensitivity with Phenytoin? - answer3-8 weeks after treatment can occur (overly
sensitive to this medication and have adverse reactions)
This would look like a characteristic rash, fever, leukocytosis
Carbamazepine can auto-metabolize? - answerYES.
This can auto-metabolize so you will end up with lower levels
If a patient has been in range, and nothing has changed, it is due to this mediation auto-
metabolizing so the levels are lower despite them taking medication with compliance
INCREASE the dose
Carbamazepine black box? - answerSteven Johnsons Syndrome
Carbamazepine monitoring - answerMonitor a CBC, every 3-4 months to watch for
agranulocytosis
Gabapentin - answerThis affects GABA, and is used to treat neurontin pain
When you drink alcohol there are more GABA production
A patient is on gabapentin and having strange thoughts, what do you need to ask them?
- answerYou need to ask about suicidal ideation
Worried about a patient having a reaction to lamotrigine? - answerThis has a high risk
for hypersensitivity
How do Lamotrigine and oral contraceptives interact? - answerReduces the lamotrigine
levels thus you end up increasing the lamotrigine dose
TCA antidepressants, what comorbidities should you avoid when prescribing them? -
answerCardiac disease
, How long are we going to tell patients that they are going to see a response with an
SSRI? - answer2-6 weeks
If you have a schizophrenic patient and you give them haldol what do you assess for? -
answerExtrapyramidal symptoms (EPS)
Do not need peak and trough. Should have continuous EKG but EKG will not help
monitor for EPS.
Will the beta agonist overpower the digoxin? - answerA beta agonist anything with
dysrhythmia will speed up the HR
Digoxin is dysrhythmic and slows down the HR.
Do we give a beta 2 agonist (albuterol) with those with a pheochromocytoma (puts you
at risk for HTN)? - answerNO because it will cause a Hypertensive crisis on the adrenal
glands
You have moderate persistent asthma, which medication has a black box warning
against using it as a singular agent to treat this? - answerYou do not treat asthma
patients or should cautiously as there is an increased risk with asthma patients when
using LABA (salmeterol and formoterol)
Black box warning is that reports for severe asthma exacerbations occur thus causing
death
Spiriva - answerinhales anticholinergics used for the tmt of COPD
If you prescribe someone with beclomethasone how should they use it? -
answerInhaled corticosteroid
Rinse and spit after, spacers are good
USE EVERYDAY, this is not a PRN inhaler
Montelukast(singular) side effects? - answerAggression, anxiety, depression and
suicidal ideation are mental health issues when taking this medication
How are we going to get an elderly old man to not take benadryl? - answerCauses
urinary retention
Why do we use the second generation antihistamines more often for seasonal
allergies? - answerThey are more selective which makes them less sedative
When you take calcium carbonate antacids chronically what do they put themselves at
risk for? - answerKidney stones
First line tmt for a previously healthy person who develops CAP? – answer Azithromycin
If you see SSRI (selective serotonin reuptake inhibitor) and St. John's wort together? -
answer Serotonin syndrome
Hypersensitivity with Phenytoin? - answer3-8 weeks after treatment can occur (overly
sensitive to this medication and have adverse reactions)
This would look like a characteristic rash, fever, leukocytosis
Carbamazepine can auto-metabolize? - answerYES.
This can auto-metabolize so you will end up with lower levels
If a patient has been in range, and nothing has changed, it is due to this mediation auto-
metabolizing so the levels are lower despite them taking medication with compliance
INCREASE the dose
Carbamazepine black box? - answerSteven Johnsons Syndrome
Carbamazepine monitoring - answerMonitor a CBC, every 3-4 months to watch for
agranulocytosis
Gabapentin - answerThis affects GABA, and is used to treat neurontin pain
When you drink alcohol there are more GABA production
A patient is on gabapentin and having strange thoughts, what do you need to ask them?
- answerYou need to ask about suicidal ideation
Worried about a patient having a reaction to lamotrigine? - answerThis has a high risk
for hypersensitivity
How do Lamotrigine and oral contraceptives interact? - answerReduces the lamotrigine
levels thus you end up increasing the lamotrigine dose
TCA antidepressants, what comorbidities should you avoid when prescribing them? -
answerCardiac disease
, How long are we going to tell patients that they are going to see a response with an
SSRI? - answer2-6 weeks
If you have a schizophrenic patient and you give them haldol what do you assess for? -
answerExtrapyramidal symptoms (EPS)
Do not need peak and trough. Should have continuous EKG but EKG will not help
monitor for EPS.
Will the beta agonist overpower the digoxin? - answerA beta agonist anything with
dysrhythmia will speed up the HR
Digoxin is dysrhythmic and slows down the HR.
Do we give a beta 2 agonist (albuterol) with those with a pheochromocytoma (puts you
at risk for HTN)? - answerNO because it will cause a Hypertensive crisis on the adrenal
glands
You have moderate persistent asthma, which medication has a black box warning
against using it as a singular agent to treat this? - answerYou do not treat asthma
patients or should cautiously as there is an increased risk with asthma patients when
using LABA (salmeterol and formoterol)
Black box warning is that reports for severe asthma exacerbations occur thus causing
death
Spiriva - answerinhales anticholinergics used for the tmt of COPD
If you prescribe someone with beclomethasone how should they use it? -
answerInhaled corticosteroid
Rinse and spit after, spacers are good
USE EVERYDAY, this is not a PRN inhaler
Montelukast(singular) side effects? - answerAggression, anxiety, depression and
suicidal ideation are mental health issues when taking this medication
How are we going to get an elderly old man to not take benadryl? - answerCauses
urinary retention
Why do we use the second generation antihistamines more often for seasonal
allergies? - answerThey are more selective which makes them less sedative
When you take calcium carbonate antacids chronically what do they put themselves at
risk for? - answerKidney stones
