PHARM

Question 1

warfarin antidote

Answer 1

vitamin k

Question 2

what do you think of when you think of ahminoglycosides —

Answer 2

a mean old mucin

Question 3

-pine

Answer 3

calcium channel blockers suffix

Question 4

-parin
-aban
-xaban

Answer 4

anticoagulant suffix

Question 5

radioactive iodine

Answer 5

use for hyperthyroidism

• needs to be alone for 24 hours
• be CAREFUL with urine ( flush 3 times)

Question 6

Propylthiouracil (PTU)

Answer 6

For hyperthyroidism
Puts Thyroid Under

Also a CANCER drug so causes immunosuppression, watch WBCs

Question 7

Thyroidectomy

Answer 7

Total or partial
- can cause HYPOcalcemia
- need lifelong hormones

Question 8

thyroid storm/crisis symptoms

Answer 8

medical emergency - can cause brain damage bc of hypoxia

sxs: high temp (>105), very high HTN (210/180), severe tachycardia (180-200) & psychotic delirium

Question 9

thyroid storm treatment

Answer 9

1. GET TEMP DOWN AND OXYGEN UP!!!
   - ice packs, cooling blankets

• do not use Tylenol, do not medicate
• patient has to get out themselves

Question 10

hyper/hypothyroidism… replace thyroid with…

Answer 10

METABOLISM

Question 11

thyroidectomy postop risks

Answer 11

(1st 12 hours): airway (its in trachea so obvi) & hemorrhage (watch for swallowing)

(12-48 hours):
- Total = tetany d/t low calcium, can cut off airway)
- Subtotal: thyroid storm

(>48 hours): INFECTION BUT IT HAS TO BE AFTERRRRRR 72 HOURS SO DO NOT CHOOSE THAT

Question 12

pick infection before or after 72 hours?

Answer 12

AFTER!!!!!!!!!!! IN ANYTHING

SURGERY, CHILDBIRTH, WHATEVER

Question 13

hypothyroidism symptoms

Answer 13

hypoMETABOLISM

• obese/weight gain, cold intolerance, heat tolerance, low pulse, low BP, flat dull personality

Question 14

hypothyroidism treatment

Answer 14

HORMONES (levothyroxine)

DO NOT SEDATE HYPOTHYROID PATIENTS

Question 15

adrenocortex disease start with..

Answer 15

A or C

Cushings, Conns, Addisons

Question 16

Addisons disease

Answer 16

Adrenal insufficiency (Under secretion) of stress hormone = ADDISONS

s/s: hyperpigmented (TAN), do not adapt to stress (LOW glucose and BP = LEADS TO SHOCK)

Question 17

Addisons disease treatment

Answer 17

STEROIDS, glucocorticoids - prednisone, dexamethasone, hydrocortisone

ADDISONS “ADD a SONE”

Question 18

Cushings syndrome

Answer 18

OVER secretion of adrenocortex (cushy = more)

s/s: puffy moon face, hirsutism (facial hair), buffalo hump, skinny arms and legs

• retabins sodium and water
• loses potassium

Question 19

benefits of buspirone

Answer 19

it is an anti anxiety medication BUT LACKS THE DEPRESSIVE SIDE EFFECTS so NO WITHDRAWAL
low abuse potential

Question 20

Methotrexate

Answer 20

Used to treat a lot including RA and psoriases

causes BONE MARROW SUPPRESSION and immunosuppression

hepatotoxic!!!!!!!!

Question 21

hypercalcemia sxs

Answer 21

muscle weakness, fatigue, constipation, bone pain

Question 22

parathyroid responsible for what

Answer 22

serum calcium levels

Question 23

Hirschsprung disease

Answer 23

lack of nerve cells in large intestine so anal sphincter unable to relax

= no peristalsis and bowel evacuation / no meconium passage

Question 24

frothy soliva in newborns may and be a sign of

Answer 24

esophageal atresia where the esophagus doesn’t connect to the stomach

Question 25

chlorthalidone is what kind of medication

Answer 25

a thiazide diuretic watch out for hypokalemia (muscles)

Question 26

misoprostol

Answer 26

can be used to induce labor and also to prevent gastric ulcers in Long term NSAID treatment *dont use with antacids... to much GI effects

Question 27

refeeding syndrome

Answer 27

rapid declines in phosphate, potassium, and/or magnesium (PPM)

Question 28

mannitol

Answer 28

diuretic good for brain swelling

Question 29

phinelzine

Answer 29

a MAOI used to treat depression but when combined with an SSRI (sertraline), can cause serotonin syndrome