med comp.

Question 1

what is the therapeutic and pharmacologic class for albumin?

Answer 1

T: volume expander
P: blood product, colloid

Question 2

what are some common side effects of albumin?

Answer 2

fluid overload, hyper/hypotension, increased salivation, flushing

Question 3

what is the adverse effect of albumin?

Answer 3

pulmonary edema

Question 4

what should be assessed before administration of albumin?

Answer 4

HGB/HCT, vascular overload, sodium, venous pressure

Question 5

what patients should we use albumin cautiously with?

Answer 5

hepatic or renal disease

Question 6

allopurinol therapeutic and pharmacologic class

Answer 6

T: anti-gout, antihyperuricemic
P: xanthine oxidase inhibitor

Question 7

what SE can allopurinol cause if used IV

Answer 7

heart failure

Question 8

what labs need to be monitored for allopurinol?

Answer 8

glucose, Hgb/Hct, BUN, creatinine, live function, uric acid

Question 9

what should be avoided while taking allopurinol

Answer 9

alcohol

Question 10

what type of patients is allopurinol used for

Answer 10

gout, nephropathy, chemo

Question 11

what are the therapeutic and pharmacologic class for alteplase?

Answer 11

T: thrombolytic
P: plasminogen activator

Question 12

when should we assess for bleeding with alteplase

Answer 12

q 15 min for the first hour then q hour

Question 13

therapeutic class for amiodarone

Answer 13

antiarrhythmic (class 3)

Question 14

what are some SE of amiodarone?

Answer 14

ARD, CHF, worsening arrhythmias

Question 15

what needs to be assessed with amiodarone?

Answer 15

I/O, electrolytes, liver, ECG, angina

Question 16

what is something uncommon amiodarone causes

Answer 16

blue skin discoloration

Question 17

increase warfarin and digoxin levels

Answer 17

amiodarone

Question 18

therapeutic and pharmacologic class for apixaban

Answer 18

T: anticoagulant agent
P: factor Xa inhibitor

Question 19

what is apixaban used for

Answer 19

reduce risk of stroke and blood clots associated with AFib

Question 20

atorvastatin therapeutic and pharmacologic class

Answer 20

T: lipid-lowering agent
P: HMG-CoA reductase inhibitor

Question 21

what levels may increase with atropine

Answer 21

alkaline phosphatase and bilirubin

Question 22

atropine therapeutic and pharmacologic class

Answer 22

T: antiarrhythmic
P: anticholinergic, antimuscarinics

Question 23

side effects of atropine

Answer 23

ANTICHOLINERGIC +dilated pupils

Question 24

therapeutic and pharmacologic for carvedilol

Answer 24

T: antihypertensive
P: beta blocker

Question 25

SE of carvedilol

Answer 25

fatigue, bronchospasm, wheezing, HYPERglycemia

Question 26

adverse reaction of carvedilol

Answer 26

bradycardia, HF, pulmonary edema, anaphylaxis

Question 27

therapeutic and pharmacologic class of dobutamine

Answer 27

T: inotropic P: adrenergic

Question 28

SE of dobutamine

Answer 28

premature ventricular contractions, angina, hypersensitivity

Question 29

where must dobutamine be administered

Answer 29

large vein or central line

Question 30

what is dobutamine used for

Answer 30

to increase cardiac output without increasing heart rate

Question 31

what are the therapeutic and pharmacologic class of epinephrine

Answer 31

T: antiasthmatic, bronchodilator, vasopressor P: adrenergic

Question 32

SE of epinephrine

Answer 32

nervousness, restlessness, arrhythmias, hypertension, hyperglycemia, tachycardia, wheezing

Question 33

what needs assessed with epinephrine

Answer 33

volume, glucose, serum lactic acid, potassium, rebound bronchospasm, chest pain

Question 34

therapeutic and pharmacologic class for epoetin

Answer 34

T: antianemic P: hormone

Question 35

SE of epoetin

Answer 35

MI, CHF, hypertension

Question 36

what needs assessed with epoetin

Answer 36

renal: urinalysis, protein, BUN, creatinine, ferritin, transferrin (monthly)

Question 37

therapeutic and pharmacologic for fluticasone + salmeterol

Answer 37

flu- T: antiasthmatic, anti-inflammatory P: corticosteroid Sal- T: bronchodilator P: adrenergic

Question 38

se of fluticasone + salmeterol

Answer 38

hoarseness, trembling, hypokalemia, hyperglycemia

Question 39

what needs monitored with fluticasone + salmeterol

Answer 39

children growth rate

Question 40

therapeutic and pharmacologic for ipratropium bromide + albuterol

Answer 40

T: allergy, cold/cough, bronchodilator P: anticholinergic

Question 41

what allergy needs assessed for ipratropium

Answer 41

belladonna and atropine

Question 42

therapeutic and pharmacologic for levofloxacin

Answer 42

T: anti-infective P: fluoroquinolones

Question 43

se of levofloxacin

Answer 43

pseudomembranous colitis, arrhythmias, tendonitis, tendon rupture

Question 44

True or False, levofloxacin can be given to children under 18

Answer 44

FALSE

Question 45

what does epoetin produce

Answer 45

RBC

Question 46

fluticasone + salmeterol patients are at a risk of what

Answer 46

thrush

Question 47

mannitol therapeutic and pharm

Answer 47

T: diuretic P: osmotic diuretic

Question 48

se of mannitol

Answer 48

transient volume expansion

Question 49

meropenem classes

Answer 49

T: anti-infective P: carbopenem

Question 50

se of meropenem

Answer 50

seizures, watery diarrhea, unusual bleeding

Question 51

what allergies need assessed before meropenem can be given

Answer 51

penicillin/cephalosporin

Question 52

biggest concern with meropenem

Answer 52

diarrhea

Question 53

T/P for methotrexate

Answer 53

T: antineoplastics, antirheumatic (DMARD), immunosuppressant P: antimetabolites pregnancy category X

Question 54

se of methotrexate

Answer 54

diarrhea, stomatitis, leukopenia, thrombocytopenia, neuropathy

Question 55

adverse reaction of methotrexate

Answer 55

pulmonary fibrosis, hepatotoxicity, steven-johnson, aplastic anemia

Question 56

what should nurses advise patients about when taking methotrexate

Answer 56

causes teratogenic effect

Question 57

montelukast T/P

Answer 57

T: allergy, cold, cough, bronchodilator P: leukotriene

Question 58

SE of montelukast

Answer 58

anxiety, depression, suicidal thoughts

Question 59

T of norepinephrine

Answer 59

T: vasopressor

Question 60

what is norepinephrine used for

Answer 60

improve bp and cardiac output in cases of severe hypotension and shock

Question 61

what can be given to prevent norepinephrine necrosis/tissue sloughing

Answer 61

phentolamine

Question 62

tetracycline T/P

Answer 62

T: anti-infective P: tertracycline

Question 63

SE/AR of tetracycline

Answer 63

SE: vestibular reaction/photosensitivity AR: hepatotoxicity, pseudomembranous colitis, steven-johnson

Question 64

what should be avoided when taking tetracycline

Answer 64

dairy

Question 65

Who should not take tetracycline

Answer 65

children under 8 and pregnant

Question 66

tiotropium T/P

Answer 66

T: bronchodilator P: anticholinergic

Question 67

SE of tiortopium

Answer 67

dry mouth, paradoxical bronchospasm, angioedema

Question 68

where does tiotropium need stored

Answer 68

blister pack and do not expose to air

Question 69

what is tiotropium used for

Answer 69

longterm management of bronchospasm due to COPD