ATI Pharm 2013B

Question 1

Allopurinol

Answer 1

antigout agent

Question 2

How does allopurinol interact with warfarin?

Answer 2

increases the effects of warfarin by decreasing metabolism. Serious or life-threatening. Risk for bleeding!

Question 3

Timolol

Answer 3

beta blocker to treat glaucoma, contraindicated if patient has bradycardia.

Question 4

Isosobide mononitrate (monoket)

Answer 4

nitrate, treat angina

Question 5

tranylcypromine (parnate)

Answer 5

antidepressant, can cause orthostatic hypotension

Question 6

what does dopamine do for a patient in shock state?

Answer 6

increase blood pressure, it is a catecholamine

Question 7

What drug reverses heparin toxicity?

Answer 7

protamine sulfate

Question 8

What drug reverses cholinergic toxicity?

Answer 8

atropine sulfate

Question 9

What drug reverses benzodiazapine toxicity?

Answer 9

flumazenil (romazicon)

Question 10

What drug reverses opioid toxicity?

Answer 10

Narcan (naloxone)

Question 11

Methotrexate s/e

Answer 11

stomatitis, sores in the mouth

Question 12

what does lactobacillus acidophilus (Lactinex) do?

Answer 12

replace normal flora in the intestines

Question 13

contraindication to Ciprofloxacin (cipro)

Answer 13

Tnedonitis, can exacerbate. have risk of tendon rupture.

Question 14

Brand name for albuterol

Answer 14

Proventil

Question 15

how does prednisone, a glucocorticoid, affect vaccines?

Answer 15

should not get vaccine while taking it b/c it reduces antibody responses and increases risk of infection from live virus vaccines

Question 16

what does Pilocarpine treat and how long is treatment?

Answer 16

tx glaucoma, have to take rest of life.

Question 17

spironolactone

Answer 17

K-sparing diuretic, watch for s/s of hyperkalemia (lethargy)

Question 18

What class is enalapril (vasotec) ?

Answer 18

ACE inhibitor that retains potassium, monitor K w/ spironolactone

Question 19

How do you administer EpiPen?

Answer 19

IM, massage 10 sec afterwards to promote absorption

Question 20

what drug class is amoxicillin (Augmentin)?

Answer 20

penicillin

Question 21

what class is cyclosporine?

Answer 21

immunosuppressant that can cause nephrotoxicity

Question 22

Acetaminophen overdose

Answer 22

more than 4000 mg / day

Question 23

what may zidovudine (Retrovir) cause?

Answer 23

severe anemia, monitor hgb

Question 24

Pt who is allergic to penicillin should also not take what drugs?

Answer 24

cephalosporins. pt can have cross-reactivity; rare but life-threatening

Question 25

why do cancer patients take pegfilgrastim (Neulasta)?

Answer 25

increase WBC count

Question 26

what is an adverse effect of methylphenidate (Ritalin)?

Answer 26

weight loss due to appetite suppression

Question 27

A pt with RA taking Prednisone long term should be assessed for what?

Answer 27

edema. causes sodium and fluid retention.

Question 28

what is adv effect of gentamicin antibiotic?

Answer 28

permanent hearing loss

Question 29

If a pt is taking ACE inhibitor (lisinoPRIL) what must nurse monitor for, and pt must stop the drug?

Answer 29

dry cough. it is from buildup of bradykinin

Question 30

when a person administers a nitroglycerin patch to self, when should BP be assessed?

Answer 30

1 hour after application.

Question 31

Mannitol

Answer 31

diuretic for cerebral edema, can decrease intraocular pressure

Question 32

epoetin alfa (Procrit)

Answer 32

stimulates bone marrow production of RBC, so monitor if Hgb increases

Question 33

what can bilateral crackles in the lungs indicate?

Answer 33

reduced CO and heart failure

Question 34

when should oxytocin be discontinued?

Answer 34

when uterine contractions persist for 60 sec or longer, and if closer than every 2-3 min

Question 35

therapeutic INR range for warfarin?

Answer 35

2-3 INR. 3-4.5 is for pt with recurrent systemic embolism

Question 36

what should a pt do after taking risedronate (Actonel)?

Answer 36

sit up for 30-60 min to reduce adverse GI effects of esophagitis and dyspepsia

Question 37

What should a pt on lithium avoid?

Answer 37

NSAIDs, they increase lithium levels

Question 38

what food allergy puts pt at risk for allergic rxn to contrast medium?

Answer 38

shrimp, shellfish

Question 39

what anticholinergic effect does amitriptyline have?

Answer 39

urinary retention