Relier Pairs Pharmacology FINAL EXAM reviewVersion en ligne Test your knowledge with this Pharmacology Final Review! par Kayla Meyers 1 Decreasing fluid intake and reporting headache & drowsiness to a doctor are teaching points to give to a pt taking this med for Diabetes Insipidus 2 Taking this 30mins ac, wearing a med alert bracelet, carrying fast-acting carb snack, & understanding effects of alcohol are teaching points for 3 CT contrast dye has this effect on the kidneys, which can lead to a build-up of metformin in the body 4 In order to reduce the risk of fungal infections/candidiasis, the pt should perform this action after they have used their inhaler 5 This long-acting insulin should NOT be mixed with other insulins for administration 6 A pt receiving antibiotics & Proton Pump Inhibitors (PPI's) for H. Pylori infection should expect that the med will do the following 7 In a pt with conditions that lead to prolonged drug half-life, the risk for this potentially severe adverse effect is increased 8 Insomnia is one possible indication of overdose of this med 9 This medication must be available for any pt who is receiving a Heparin infusion 10 Noting BM frequency, teaching a pt to avoid sedatives, encouraging increased fluid intake, and discouraging use in pts with glaucoma are for this med 11 Overuse/Extended use of nasal sprays has this potential adverse effect 12 This fast-acting insulin is given in cases of acute hyperglycemia 13 A pt with BPH that is unable to urinate, & presents with a cold may be experiencing adverse effects of this OTC medication class 14 Monitoring liver function test, and Avoiding alcohol & overexposure to the sun are important concepts of teaching for a pt taking this antifungal med 15 A pt taking Digoxin is experiencing problems with their eyesight, N/V, & increased digoxin level. These are signs of: Drug toxicity Rebound nasal congestion Rinse the mouth with water Ketoconazole Slows the action of the kidneys Digoxin toxicity Levothyroxine (Synthroid) Desmopressin Decongestants Kill the bacteria and stop acid production Glargine Regular insulin Lomotil (opioid med- treats diarrhea) Glipizide (antihyperglycemic) Protamine Sulfate 1 Compared to IV administration- ORAL administration has this rate of action 2 The form of the med, pH of the stomach, pts pain level, & presence of food in the stomach are all factors that influence this 3 Aminoglycosides combined with cephalosporins can cause this potentially serious adverse effect 4 Increasing fluid intake and having a high fiber diet are important considerations when taking this class of medication 5 Hypokalemia, Hyperglycemia, & Sulfa allergies are all concerns related to this class of diuretics 6 Posterior headache, heart palpitations, neck stiffness, N/V, diaphoresis, dilated pupils, tachycardia, & chest pain with HTN = possible toxicity with 7 Sumatriptan reduces the pain of migraine headaches through this mechanism of action 8 Beta blockers should NOT be taken with this type of OTC med 9 Abdominal pain and jaundice are possible adverse effects of this class of medication 10 The most likely time frame for which a pt taking NPH insulin will experience a hypoglycemic event 11 A pt has an order for an IV med that is not compatible with other IV meds running. What course of action must the nurse take to administer this med 12 This class of antidepressants works by inhibiting the reuptake of serotonin and norepinephrine 13 GI disturbances and increased risk for developing ulcers are potential side effects of this class of anti-inflammatory med 14 Flushing, respiratory depression, & muscle weakness are all possible adverse effects of this med when administered to a pt in pre-term labor Constricting cranial arteries Skeletal muscle relaxers Cold medicines Start another IV in the opposite arm Absorption Monoamine Oxidase Inhibitor (MAOI's) Nephrotoxicity Non-Steroidal Anti-Inflammatory Drug (NSAID's) 6-14 hours Opioid analgesics (constipation can occur) Thiazide diuretics Slower rate of action Tricyclic Antidepressants (TCA's) Magnesium sulfate 1 Antibiotics have a suppressive effect on this form of medication 2 This long-acting insulin has no peak action and a duration of 24hrs 3 Corticosteroids have the potential adverse effect of lowering potassium and causing this condition 4 A diabetic pt presents with stable blood sugar levels & no complications of diabetes. This is an example of this positive outcome: 5 This non-opioid analgesic is generally considered safe to take with most meds as well as during pregnancy 6 Dry mouth is a potential adverse effect of taking this med that is commonly used for motion sickness 7 The movement of this electrolyte contributes to muscle contraction & relaxation 8 Levothyroxine has this effect in pts taking Warfarin 9 Beta-blockers can cause this potential adverse effect 10 Good hygiene with a soft bristle toothbrush is important teaching for a pt taking this anti-seizure med 11 This is the priority assessment for a pt taking Oxybutynin 12 This potential adverse effect of amphetamine/dextroamphetamine administration should be reported to the doctor 13 NSAIDs taken with other meds carry this potential adverse effect 14 Continual PT/INR monitoring is required for a pt taking this anticoagulant 15 Chemotherapy meds typically have this adverse effect 16 A pt starting the med "Isoniazid" (INH) for Tuberculosis should have this lab test done prior to receiving the first dose Acetaminophen Oral contraceptives Effective drug therapy Warfarin (coumadin) Glargine Phenytoin Liver enzyme test Dimenhydrinate Calcium Heart palpitations Hypokalemia Vision changes Increases effectiveness of Warfarin Bronchospasm Bone marrow suppression Increased risk for GI bleed