Meds & Shit - Part Quatre

Question 1

what are some DMARD’s - disease modifying antirheumatic drugs?

Answer 1

Methotrexate, auranofin, sulfasalazine, etanercept,penicillamine, prednisone

Question 2

Methotrexate - increased risk of infection, bone marrow suppression, ulcerative issues, fetal death, hepatic fibrosis..T/f?

Answer 2

TRUE

Question 3

Can auranofin cause toxicity (severe pruitius, rashes, stomatitis), renal toxicity, blood issues, hepatitis, and GI discomfort?

Answer 3

yes

Question 4

Sulfasalazine - GI discomfort, hepatic dysfunction, bone marrow suppression, renal damage - T/F?

Answer 4

TRUE

Question 5

etanercept - injection site irritation, IV infusion reaction, risk of infection, skin reactions, heart failure, and blood issues?

Answer 5

YES

Question 6

Penicillamine - can it cause bone marrow suppression and toxicity issues like rashes and itching?

Answer 6

YES

Question 7

Cyclosporin - can it can infection, hepatotoxicity, nephrotoxicity and hirsutism?

Answer 7

YES

Question 8

Prenidsone - can it increase the risk of infection, osteoporosis, adrenal suppression, fluid retention, GI discomfort, hyperglycemia, hypokalemia?

Answer 8

YES

Question 9

Give nasal drops in a __, head__ position.

Answer 9

Lateral/head low

Question 10

What is phenazopyridine used for?

Answer 10

Local anesthetic of the urinary tract - helps with burning while peeing and such.

Question 11

Atorovastatin - what does it do?

Answer 11

Decreases LDL and raises HDL

Question 12

Atorovastatin - what are some side effects?

Answer 12

Hepatotoxicity.liver dysfunction

Question 13

Atorovastatin - avoid alcohol?

Answer 13

YES

Question 14

Atorovastating - report muscle ___.

Answer 14

Aches, pains, tenderness, etc.

Question 15

Atorovastatin - avoid_____ juice and take at ___, and take with ___.

Answer 15

Avoid grapefruit juice, take at night, take with meal.

Question 16

Aotrovastatin - get HDL, ldl, triglyceride levels tested, as well as kidney function tests. T/F?

Answer 16

TRUE

Question 17

Atorovastatin - peripheral neuopathy (weakness, numbness, tingling, pain in hands/feet) - that’s normal. T/F/

Answer 17

FALSE - report these

Question 18

Lithium level 1.5 - what are some s/s?

Answer 18

Diarrhea, nausea, vomiting, thirsts, polyuria, muscle weakness, fine hand tremor, slurred speech

Question 19

Lithium level 1.5-2 - what are some side effects?

Answer 19

GI distress (n/v, diarrhea, confusion, poor coordination, coarse tremors)

Question 20

Lithium level 2-2.5 - wht are the symptoms?

Answer 20

Extreme polyuria, tinnitus, blurred vision, ataxia, seizure, severe hypotension, coma, death

Question 21

Lithium level greater than 2.5 - what are they symptoms?

Answer 21

RAPID PROGRESSION OF SYMPTOMS AND YOUR ONE WAY TICKET TO BAILEY LOVE

Question 22

Phenelzine - MAOI - avoid caffeinated beverages, chocolate, fava beans. T/F?

Answer 22

TRUE

Question 23

Warfarin - avoid aspirin, heparin, acteaminophen, glucocorticoids, sulfonamides, parenteral cephalasporins due to..

Answer 23

increased risk of bleeding

Question 24

What are some foods high in vitamin K?

Answer 24

lettuce, cooked spinach, cabbage, broccoli, brussel srpouts, canola, soybean oil, mayo

Question 25

Warfarin - take __ to __ days to be fully effective.

Answer 25

3-5

Question 26

The first administration of transdermal fentanyl patch will be super great and you'll have relief in 2 seconds. T/F?

Answer 26

FALSE - can take several hours.

Question 27

Avoid morphine if history of biliary colic. T/F?

Answer 27

TRUE

Question 28

Aminoglycosides (gentamicin, tobramycin - the MYCIN) - can cause what to the ears?

Answer 28

Ototoxcity- along with headache, nausea, dizziness, vertigo, etc.

Question 29

mycin's - can cause neprotoxicity and hypersensitivty - T/F?

Answer 29

TRUE

Question 30

Sulamethoxazole/tripethoprin - Bactrim - do not give if patient has ___ deficiency.

Answer 30

FOLATE

Question 31

Bactrim - use caution with renal dysfunction and creat clearance of less than ___

Answer 31

40

Question 32

Bactrim - do not administer if patient is allergic to what? Or is currently ___.

Answer 32

Sulfonamides, thiazide diruetics, sulfonylurea-type oral hypoglycemics, loop dirueitcs.... or if they are currently knocked up.

Question 33

Salicylism - aspirin issues - what are some side effects?

Answer 33

Tinnitus, sweating, headache, dizziness, respiratory alkalosis

Question 34

Neostigmine - excessive muscarine stimulation, meaning what?

Answer 34

INcreased GI motiliy and secretions/bradycardia, urinary urgency

Question 35

Amitryptiline - can it cause orthostatic hypotension?

Answer 35

YES

Question 36

Amitriptyline - can it have anitcholinergic effects?

Answer 36

YES - dry mouth, blurred vision, photophobia, urinary hesitancy, retention, constipation, tachycardia

Question 37

TCA's - sedation possible?

Answer 37

YES

Question 38

TCA's - toxicity comes in as...

Answer 38

dysrhythmia's, mental confusion, agitation, seizures, coma, death, decreased seizure threshold, excessive sweating

Question 39

Heparin - antidote = | want apTT __ to __ times the baseline.

Answer 39

Protamine sulfate. 1.5-2times the baseline.

Question 40

What is the normal creat value?

Answer 40

0.8-1.3

Question 41

What's the normal BUN?

Answer 41

8-21

Question 42

What's the normal mag?

Answer 42

1.5-2

Question 43

What's the normal POTASSSSSEUM level?

Answer 43

3.5-5

Question 44

What's the normal sodium level?

Answer 44

135-145

Question 45

Hemoglobin normal level?

Answer 45

12-17

Question 46

What's the normal hematocrit level?

Answer 46

36-52%

Question 47

What's the normal RBC level?

Answer 47

11-14

Question 48

What's the normal platelet level?

Answer 48

150,000-400,000

Question 49

what's the normal PT?

Answer 49

11-12 seconds

Question 50

What's the normal apTT?

Answer 50

30-40 seconds

Question 51

What's the normal INR?

Answer 51

2-3 seconds