NUR 635 ADVANCED PHARMACOLOGY MIDTERM
REVIEW QUIZZES AND COMPLETE CORRECT
ANSWERS
Because coumadin needs a couple days before it starts working. - answer ✔✔-Pt on heparin in hospital
setting. Why start coumadin 2 days before dc?
Pts must have 8hrs with no nitroglycerine every days. Hint: At night, remove nitro patch bc no risk of
exertional angina - answer ✔✔-Angina: bc pts dev tolerance to long-acting nitroglycerine w/i 1 day. How
to prevent?
coronary disease, athlerosclerosis - answer ✔✔-Underlying cause of angina
Aspirin is an antiplatelet.. Prevents the existing plaques from getting bigger. Prevents plaque rupture.
Cardio protective, prevents stroke, MI, CVA - answer ✔✔-Why do we give aspirin in pts
w/atherosclerosis?
ACE inhibitors to protect the kidneys and nerves - answer ✔✔-What is prescribed for angina pts w/DM?
Tinnitus: ringing ears - answer ✔✔-SE of high doses of aspirin?
Anti-platelet med. S/sx bleeding: blood in stool or vomit, excessive bruising, abd pain uterine bld, back
pain, petichae. Interactions with EVERYTHING: OTC, herbals, supplements - answer ✔✔-Pt education
regarding Plavix(clopidogrel bisulfate)?
INR to check therapeutic levels. Half life is long. Check 12hrs after taking. - answer ✔✔-Pts on
coumadin? What are we watching for?
day4, ordering blood work to check platelet count to observe for THROMBOCYTOPENIA - answer ✔✔-
What can be caused if pt started on heparin?
, Interactions with oral contraceptives- must have a back up method during time you're taking coumadin -
answer ✔✔-coumadin and childbearing aged females
Need to monitor anti-Xa levels - answer ✔✔-Pregnancy considerations and coumadin
Grapefruit, green leafy veggies. Why? high in vitamin K which counteracts warfarin - answer ✔✔-biggest
food group interaction with coumadin
Given w/meals
Provide bs control between meals at night
Can use in conjunction w/intermediate or long-acting agent
lispro, aspart, gluulocene - answer ✔✔-Short duration: rapid acting insulin indication, MOA, usage
Before meals to control postprandial hyperglycemia
Infused SQ via pump
humulin/regular - answer ✔✔-Short duration: short acting insulin indication, MOA, usage
BS control between meals and during the night
Only one suitable for mixing w/short actings
basal coverage - answer ✔✔-intermediate(humalin/novalin) duration insulin indication, MOA, usage
up to 24hrs, once daily subq dosing, basal coverage for DM1 or Dm2 - answer ✔✔-Long duration: Insulin
glargine U100
Myastenia Gravis: AI disorder, antibodies destroy communication btw nerves and muscles. S/S weak
skeletal muscles, voluntary muscles, dysphagia, ptosis - answer ✔✔-Neostigmine is a medication uesd to
tx what disease/disorder?
difficulty swallowing - answer ✔✔-Myasthenia gravis is an AI disorder that may cause what s/s?
REVIEW QUIZZES AND COMPLETE CORRECT
ANSWERS
Because coumadin needs a couple days before it starts working. - answer ✔✔-Pt on heparin in hospital
setting. Why start coumadin 2 days before dc?
Pts must have 8hrs with no nitroglycerine every days. Hint: At night, remove nitro patch bc no risk of
exertional angina - answer ✔✔-Angina: bc pts dev tolerance to long-acting nitroglycerine w/i 1 day. How
to prevent?
coronary disease, athlerosclerosis - answer ✔✔-Underlying cause of angina
Aspirin is an antiplatelet.. Prevents the existing plaques from getting bigger. Prevents plaque rupture.
Cardio protective, prevents stroke, MI, CVA - answer ✔✔-Why do we give aspirin in pts
w/atherosclerosis?
ACE inhibitors to protect the kidneys and nerves - answer ✔✔-What is prescribed for angina pts w/DM?
Tinnitus: ringing ears - answer ✔✔-SE of high doses of aspirin?
Anti-platelet med. S/sx bleeding: blood in stool or vomit, excessive bruising, abd pain uterine bld, back
pain, petichae. Interactions with EVERYTHING: OTC, herbals, supplements - answer ✔✔-Pt education
regarding Plavix(clopidogrel bisulfate)?
INR to check therapeutic levels. Half life is long. Check 12hrs after taking. - answer ✔✔-Pts on
coumadin? What are we watching for?
day4, ordering blood work to check platelet count to observe for THROMBOCYTOPENIA - answer ✔✔-
What can be caused if pt started on heparin?
, Interactions with oral contraceptives- must have a back up method during time you're taking coumadin -
answer ✔✔-coumadin and childbearing aged females
Need to monitor anti-Xa levels - answer ✔✔-Pregnancy considerations and coumadin
Grapefruit, green leafy veggies. Why? high in vitamin K which counteracts warfarin - answer ✔✔-biggest
food group interaction with coumadin
Given w/meals
Provide bs control between meals at night
Can use in conjunction w/intermediate or long-acting agent
lispro, aspart, gluulocene - answer ✔✔-Short duration: rapid acting insulin indication, MOA, usage
Before meals to control postprandial hyperglycemia
Infused SQ via pump
humulin/regular - answer ✔✔-Short duration: short acting insulin indication, MOA, usage
BS control between meals and during the night
Only one suitable for mixing w/short actings
basal coverage - answer ✔✔-intermediate(humalin/novalin) duration insulin indication, MOA, usage
up to 24hrs, once daily subq dosing, basal coverage for DM1 or Dm2 - answer ✔✔-Long duration: Insulin
glargine U100
Myastenia Gravis: AI disorder, antibodies destroy communication btw nerves and muscles. S/S weak
skeletal muscles, voluntary muscles, dysphagia, ptosis - answer ✔✔-Neostigmine is a medication uesd to
tx what disease/disorder?
difficulty swallowing - answer ✔✔-Myasthenia gravis is an AI disorder that may cause what s/s?
