Maryville College

Oseltamivir (Tamiflu) Answer Neuramidase Inhibitor. Oral Antiviral for influenza A&B. Works by breaking the bond that attaches the viral particles to host cell. SE include headache, n/v, and CNS. Zanamivir (Relenza) Answer Neuramidase Inhibitor. Inhaled Antiviral for influenza A&B. Works by breaking the bond that attaches the viral particles to host cell. Contraindicated for COPD. SE include headache, n/v, and CNS. Amantadine (Symmetrel) Answer Inhaled Antiviral for Influenza A. Works by b...

1. Henry has recently started on carbamazepine to treat seizures. He comes to see you and you note that while his carbamazepine levels had been in the therapeutic range they are now low. The possible cause for the low carbamazepine levels include: Answer Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance. 2. Carbamazepine has a Black Box Warning due to life-threatening: Answer Dermatologic reaction, including Steven's Johnson and toxic epidermal necrolysis...

What is Tiotropium (SPIRIVA) used to treat? Answer Used in the management/ maintenance treatment of chronic obstructive pulmonary disease (COPD) which includes chronic bronchitis and emphysema. What is the drug classification of Tiotropium? Answer >It is a long-acting, 24H anticholinergic-bronchodilator. >It is a muscurinic receptor antagonist, often referred to as an antimuscurinic or anticholinergic agent. What is the mechanism of action of Tiotropium (SPIRIVA) Answer It does not ...

What are the precautions and contraindications when prescribing phentermine? Answer It carries a high risk of tolerance and dependence, physically and psychologically. Caution using with patients with history of alcohol or drug dependence because of cross-tolerance. Actively drinking alcoholics can get depression, paranoia, or psychoses when taking phentermine. Use should be limited to max of 6 months. Contraindicated in patients who abuse substances such as cocaine, meth or PCP because of poten...

Low-dose colchine Answer 1.2 mg at first sign of flare, followed by 0.6 mg one hour later for a total dose of 1.8 mg. High-dose colchine Answer 1.2 mg followed by 0.6 mg every 4-6 hours totaling 4.8 mg. Gout Answer BUN, creatinine, and creatinine clearance should be monitored in the treatment of this disease Colchine Answer This medication can cause severe diarrhea, nausea, vomiting, abdominal pain Febuxostat (Uloric) Answer When prescribing this medication, patients should be taught...

How does carbamazepine work? Answer Works by decreasing nerve impulses that cause seizures and pain How often should carbamazepine lab values be monitored? What labs? Answer CBC q 3-4 months What anti-seizure med auto induces metabolism? Answer Carbamazepine What medication decreases the production of RBCs, WBCs, and platelets? Answer Carbamazepine What is carbamazepine half-life? Answer Single dose: 30 hours Multiple dose: 15 hours What is a great risk of seizure potential while...

Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? Answer Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance What are the black box warnings for Carbamazepine? Answer Dermatologic reactions 1. Steven's Johnson 2. Toxic epidermal necrolysis What lab test should be ordered for patients on Carbamazepine? Answer CBC every 3-4 months because it can cause decreased WBC, decreased platelets, and trouble with RBC What kind of tea...

What factors are associated with clinical judgment when prescribing medications? Answer Prescribing a drug is based on a thorough assessment of the patient and the patient's environment. The determination of potential medical and nursing diagnoses, a review of the potential alternative therapies, specific knowledge about the drug chosen, and the disease process it is going to treat, known as patient centered care. The best therapy is usually the least invasive, least expensive, and the least li...

How does hypoalbuminemia affect the process of prescribing? Answer Low albumin = more free drug (bc the drug can't bind to albumin aka protein) = increased adverse effects What is a Black Box Warning: Answer is considered a contraindication to administer that drug. What is the drugs half-life? Answer Half-life specifically means the amount of time it takes for an administered drug to be halfway cleared from the system. Peak of action: Answer the time between drug administration and max...

Which statement suggests that a patient has a risk for contracting viral hepatitis A? A. I am a health care worker. B. I had a blood transfusion recently. C. I have renal failure and have hemodialysis three times per week. D. I have recently been overseas. Answer D The examiner observes venous return on the abdomen of the patient that moves upward from the pubis to the chest. This finding should make the examiner consider Answer inferior vena cava obstruction Which of the following que...