Final Countdown!

Question 1

Neostigmine 2 Interactions

Answer 1

Atropine (Atropair) ↓ FX

↓ FX neuromuscular blocking agents

Question 2

Dopaminergic Medications 4 EX/2 TX

Answer 2

Levodopa, supported by Carbidopa
also MAO-B - COMS
Anti-parkinsons and Dyskinesias

Question 3

2 KEY Dyksinesia S/S

Answer 3

Tremors and Muscle Rigidity

Question 4

4 ADFX Dopaminergic Medications

Answer 4

N/V
Dyskinesias
CV effects (r/in Orthostatic Hypotension)
Psychosis (hallucinations)

Question 5

2 KEY Antihistamine S/S

Answer 5

sedation and drowsiness

Question 6

Lithium 3 SFX

Answer 6

GI distress
Hypotension
Fine hand tremors

Question 7

Severe Lithium 2 SFX (Toxicity)

Answer 7

Polyuria

Brain ▲s

Question 8

3 KEY S/S Brain ▲’s

Answer 8

Blurred vision, tinnitis, seizures

Question 9

Lithium interactions (2)

Answer 9

Sodium and NSAIDS ↑ toxicity

Anticholinergics r/in GI distress

Question 10

Theophylline (Methyxanthine) FX/

2 mild ADFX, 2 severe ADFX

Answer 10

Bronchodilation
PO for long-term asthma/COPD control

GI distress and restlessness
Dysrhythmias and seizures

Question 11

Theophylline 3 interactions

Answer 11

Bad things ↑ adverse FX
PHE meds ↓ FX
Antibiotics (Cimetidine/Ciprofloxacin) ↑ levels

Question 12

-Thiazide suffix means…?

Answer 12

Thiazide diuretics

Question 13

Thiazide diuretics 2

Answer 13

normal diuretic ADFX + Hyperglycemia

Question 14

Tricyclic Antidepressants (Amitriptyline) 2 suffixes and 3 ADFX

Answer 14

-tyline and -pramine

Dysrhythmias, Anticholinergic FX, Orthostatic HypoTN

Question 15

Digoxin (Glycoside) FX/4 ADFX

counter with…?

Answer 15

HF/Dysrhythmias
Bradycardias r/t Hypokalemia, GI distress/anorexia, Brain ▲’s

Digibind

Question 16

Estrogen meds prefix and 2 ADFX

Answer 16

Estra-

↑ r/o cancer and MI

Question 17

ADFX Propranolol

Answer 17

Coughing at night

Question 18

Infants and monitors (3)

Answer 18

Remove leads when not on monitor
Ensure alarm can be heard throughout house
Avoid co-sleeping w/ newborn

Question 19

Foods w/ tryramine

Answer 19

Proteins
Chocolate
Fermented things

Question 20

Implanted Venous Device Actions

Answer 20

Palpate to locate septum
Wipe w/ alcohol
Use noncoring needle
Flush 10mL NSS then 5 mL heparin

Question 21

PEDS = Low glucose 4 step procedure

Answer 21

4 oz juice, 15 min, recheck BS, give cheese/crackers

Question 22

Oxygen precautions

Answer 22

Check equipment daily
Wear cotton
Water-based lubricant
Full tanks rightside up

Question 23

Misoprostol SFX and note w/ women

Answer 23

Diarrhea

Take a serum pregnancy test before beginning medication b/c it induces contractions

Question 24

4 S/S Severe pre-eclampsia

Answer 24

Oliguria
Blurred vision
Facial Edema
Proteinuria

Question 25

Total Hip Arthroplasties and toilets

Answer 25

Get a raised seat to prevent flexion

Question 26

Verapamil and grapfruit r/in

Answer 26

Hypotension

Question 27

Sickle cell anemia + vaso-occlusive crisis, what to do first?

Answer 27

IV fluids

Question 28

Mastectomies

Answer 28

Expect drains | Immobilization arm 24 hrs

Question 29

Amputee flexion contraction prevention

Answer 29

Assist into prone position q4hr

Question 30

Autism type of environment

Answer 30

quiet to minimize outbursts

Question 31

Medication type for status epilepticus

Answer 31

Benzo's, like Diazepam

Question 32

Fluoxetine 3 ADFX

Answer 32

Headache Polyuria Hypotension

Question 33

-idine

Answer 33

Dry mouth

Question 34

``` How to breathe Latent phase labor Transition phase labor Hyperventilation COPD ```

Answer 34

Slow-deep Pattern-paced Cup hands in front of mouth Pursed-lip

Question 35

1 cup = oz? = mL

Answer 35

8 oz = 240 mL

Question 36

Hypo vs Hypernatremia

Answer 36

Tachycardia Rapid pulse Headache, confusion, lethargy Tachycardia Muscle twitching, ↑ motility Restless and irritable

Question 37

Hypo vs. Hyperkalemia

Answer 37

Weakness + cramping ↓ waves/motility Polyuria Weakness + irritability ↑ waves/motility Oliguria

Question 38

Hypomagnesemia and calcemia

Answer 38

Paresthesias, tetany, +C/T signs, hyperactive DTR Mg - ↓ bowel sounds Ca - ↑ bowel sounds

Question 39

4 S/S Respiratory Acidosis

Answer 39

▲ LoC Tachycardia Dysrhythmias Rapid, shallow breathing

Question 40

4 S/S Respiratory Alkalosis

Answer 40

Anxiety, numbness Tachypnea Dysrhythmias Rapid, DEEP breathing

Question 41

4 S/S Metabolic Acidosis

Answer 41

Hyporeflexia Tachypnea Dysrhythmias KUSSMAUL Respirations

Question 42

4 S/S Metabolic Alkalosis

Answer 42

Hyperreflexia, tingling Tachycardia Dysrhythmias Depressed skeletal muscles