Final Concept Review Flashcards

(29 cards)

1
Q

Why don’t liquid drugs need to be disintegrated?

A

they are already in a solution unlike pills and tablets

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2
Q

Why is insulin, growth hormones, and protein-based drugs given parenteral?

A

to avoid being crushed in the small intestine

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3
Q

Why do some meds need to be given with food?

A

food increases gastric acid, gastric acid breaks down the meds, so more food =more gastric acid

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4
Q

What do high creatinine or BUN levels indicate?

A

decreased kidney functions and drugs that need to eliminated through the kidneys should be given in a lower dose

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5
Q

After administering a suppository, what should be done?

A

have the patient lay on their side for 20 minutes

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6
Q

What can occur with too much albuterol use?

A

this is a bronchodilator that acts on beta 2 receptors, but using it too much can cause it to act on beta 1 and increase HR and BP

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7
Q

A patient given bethanechol to treat urinary retention is voiding a lot and has loose stool. What is your next action?

A

this is normal

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8
Q

What do antiparkinsons and anticholinergics treat?

A

muscle tremors and rigidity

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9
Q

When taking methylphenidate, what should be avoided?

A

caffeine

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10
Q

When should zolpidem be given?

A

this is a nonbenzodiazepine sleep aid and should be given 30 minutes before bedtime

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11
Q

Why do benzodiazepines need to be tapered off?

A

they can cause tremors and muscle twitching if stopped abruptly

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12
Q

A patient just had spinal anesthesia. What is the priority education that should be given?

A

lay flat for 6-8 hours to avoid losing spinal fluid and getting a headache

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13
Q

How long do anticonvulsants need to be taken?

A

for a lifetime

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14
Q

What can hydantoins cause?

A

gingival hyperplasia

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15
Q

What needs to be reported from a pt taking opioids?

A

urinary retention

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16
Q

What should be reported in a pt taking topical antipsychotics?

A

muscle spasms

17
Q

What is given to treat acute anxiety in a child?

A

an anxiolytic lorazepam

18
Q

When should SSRIs be given?

A

in the morning

19
Q

What foods need to be avoided when taking amoxicillin?

A

acidic fruits and juices

20
Q

What should be monitored when giving levofloxacin?

A

blood sugar bc it increases the effect of hypoglycemic meds

21
Q

Amphotericin B

A

not absorbed from the GI tract and can cause neprotoxicity and electrolyte imbalance

22
Q

What are some symptoms of cystitis?

A

frequency and painful urination

23
Q

What is detrol given for?

A

overactive bladders

24
Q

Diphenhydramine

A

can cause drowsiness and urinary retention bc of its anticholinergic effects

25
What drug can be given to hyperthyroid pts. to decrease HR?
beta blockers
26
What should be avoided with metronidazole?
alcohol
27
Why can't erythromycin and macrolides be given IM?
painful irritation
28
What can occur if vancomycin is infused too fast?
red man syndrome
29
What education should be given to pts taking nystatin suspensions?
it should be swished to coat the tongue and buccal mucosa