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Capstone Round 2 > Pharm Comp > Flashcards

Pharm Comp Flashcards

(108 cards)

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1
Q

Which herb to be mindful of when using Oral Contraceptives

A

St. John’s Wort

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2
Q

Rifampin EXPECTED

A

Orange peecretions

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3
Q

Phenytoin REPORT

A

Skin rash

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4
Q

Coumadin Ø

A 
no prego
no multivitamins (b/c Vit K)
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5
Q

Allopurinol EDUCATE

A

3 quarts of water/day

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6
Q

Prednisone INTERACTION

A

decreases FX oral hypoglycemics

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7
Q

Circulatory overload S/S

A

Dyspnea

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8
Q

Bethanchol is for…

A

inability to void

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9
Q

Montelukast (Singulair) WHEN TO TAKE

A

QD in the evening

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10
Q

Erythromycin (E-Mycin) 2 EXPECTED

A

Yellow emesis

Diarrhea

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11
Q

Therapeutic FX Thyroid Hormones

A

improved mood

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12
Q

Insulins TEMPERATURE

When to give?

A

Room for 28 days ONLY, otherwise refrigerate

30 min prior to food after checking glucose

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13
Q

Cyclophosphamide (Cytoxan) REPORT

A

Flu S/S

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14
Q

Bendryl SFX

A

sedation

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15
Q

Chlorpromazine, jerkyness despide discontinuation means…?

A

Tardive Dyskinesia

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16
Q

-olol, HOLD WHEN

A

HR is ↓ 60

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17
Q

-pril, HOLD WHEN
Relation w/ Salt Substitutes?
FX on weight
Take with food?

A

↓ BP
Don’t use em’
↑
Empty stomach, OK!

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18
Q

Cloudy insulin?

A

GET RID OF IT

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19
Q

Lantus, SLIDING SCALE

A

NO

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20
Q

Calcium flank pain means…?

A

Renal stones

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21
Q

Rectal POSITION?

A

Sim’s

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22
Q

Patient doesn’t recognize pill?

Patient doesn’t wanna take med?

A

Ask what normal one looks like

So be it, document.

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23
Q

Ceftriaxone (Rocephin) route/location to inject

A

IM

Vastus Lateralus

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24
Q

Digoxin
What to measure before giving
Signs Toxicity… LNB!!!

A

Pulse

Loss of appetite
N/V
Blurred/yellow-vision

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25
Aldronate (Fosamax) 4 ADFX
Jaw pain Headache Blurred vision Dysphagia
26
PO meds with infants, POSITION
Semi-upright b/c r/o aspiration
27
Prednisone and RA, Therapeutic FX
↑ RoM
28
This anti-coagulant DOESN'T need to be frequently clot monitored!
Enoxaparin (Lovenox)
29
Medication used to TX sudden anaphylaxis?
Epinephrine (Adrenalin)
30
Medication to TX Cushing's Triad
Mannitol 25 percent
31
4 S/S of IV Phlebitis... WETS
Warmth Erythema Throbbing Streak formation
32
RBC transfusion starting rate
5mL/15minutes
33
Patient brings in herbal supplement?
Check it w/ doctor
34
Omeprazole TX
Acid indigestion
35
Bad K levels? What to do?
Call the provider and inform of level
36
Beclomethasone (glucocorticoid) REPORT
White coating/candidiasis
37
Regular + Intermediate Insulin Procedure (6 step)
``` Assess for contaminants Roll NPH insulin Inject AIR NPH Inject AIR Regular Draw regular Draw NPH ```
38
Eye administration, where on EYE?
Conjunctival sac
39
Topical ointment, skin prep
Wash area w/ soap and water
40
Asthma med Zileuton (Zylfo) REPORT
Abdominal Pain
41
Age when you CAN'T receive live influenza?
62
42
``` Cimetidine (Tagamet) Interferes with 3 medications... CPP Length of TX Take with food? With antacids? ``` Special power w/ Famotidine
Coumadin, Phenytoin, Propranolol Short term ulcer TX Yes, to minimize gastric irritation 1 hr before Unaffected though it's a antacid
43
``` Aluminum Hydroxide (Amphojel) TX SFX ```
Heart Burn | Constipation
44
Safe sources for medication information (3)
Published journals Pharmacists Physician's
45
Pancreatic Enzymes FX on Stools | TX of what 2 conditions?
↓ fat in the stool | Cystic Fibrosis and Pancreatitis
46
Bumetanide (Bumex) Loop diuretic REPORT When to take
▲ in hearing | 0800 and 0200 to prevent night sweats
47
Patient reports been taking a medication? What to ask?
HX (how long have they been taking it)
48
Purpose of NSS with blood transfusions
↓ r/o hemolysis
49
Miss a oral contraceptive? | Miss 2?
Take it with the next dose. | Double dose for 2 days.
50
Dimenhydrinate (Dramamine) TX
Nausea
51
Nitroglycerin SFX
Headache
52
Class to treat status asthmaticus
Short-acting B2-Agonist
53
Anti-coagulant used for IMMEDIATE prophylactic therapy
Heparin
54
2 Key S/S allergic reaction
Pruritis and urticaria | Generalized itching and hives
55
Pain FX on HR
↑
56
``` Methotrexate (Rheumatrex) Water consumption? R/T NSAIDS? Take with food? SFX (2) ADFX to Report ```
``` 2 - 3 L to promote excretion ↑ toxicity (contraindicated) empty stomach drowsiness, immunosupression Unexplained bruising ```
57
Suppository 5 RULES
Normal gloves OK Water-soluble lubricant Insert w/ dominant index finger (not applicator) Patient L sim's position or modified lithotomy Insert beyond internal sphincter
58
Ibuprofen medication class Contraindicated in... Tx... 2
NSAID Hx bronchospasms RA and Osteoarthritis
59
Sickle Cell Crisis Pain medication
Morphine sulfate
60
Stroke contraindicated medication
blood thinners (aspirin, anticoagulants)
61
Herbal supplements contraindicated for the following... Bleeding disorders (2) Kidney Stones Thyroid Treatment
Saw palmetto, Garlic (blood thinners) Cranberry Soy Isoflavones
62
Methylphenidate (Ritalin) TX
ADHD (increases focus)
63
Ampule Procedure (3)
Tap top Wrap top w/ gauze/alcohol swab Break away from hands
64
A and B blood transufsing to AB
Compatible, administer as ordered
65
Sustained-Release Capsules
MUST be swallowed whole, no chewy crushy!
66
Disulfiram (Antabuse) what to determine before starting
When was the last drink of alcohol
67
Heparin injection | Location, Gauge, Length needle, Time pressured
Abdomen, above the iliac crest 25 - 26 gauge 1/2 - 5/8th inch 1 - 2 minutes
68
WIERD syringe question asking to "give X regular insulin with Y long-acting at breakfest hour"
Even though you don't mix long acting w/ short, add them together in 1 syringe ONLY FOR THIS QUESTION
69
Expectorants TX Cough by...?
Stimulating secretions, r/in cough productivity
70
Ferrous Iron is best taking with...? | Vitamin, Environment, Food type.
Vitamin C, acidic environments, fruit juice
71
What not to take with Chlorpropamide (Diabinese)
Alcohol
72
When to ▲ Nitro patches and how long to leave them on
Every morning | 12 hours
73
Feverfew TX | Contraindicated with...?
Migraine headaches | Pregos
74
Sucralfate (Carafate) FX | When to take (2)
Covers ulcers | 1 hr before meals and at bedtime
75
Lithium Carbonate (Eskalith) Monitor WHAT? Time it takes to start working Therapeutic dose Expected SFX
Weight daily (r/o hyponatremia and fluid loss) 1 week or so 300 mg TID Muscle Weakness
76
Verapamil (Calan) R/T aspirin With food? Sprinkle OK?
Contraindicated Yes Yes
77
Dantrolene (Dantrium) Time for effect, what declines? R/T Pain meds? ADFX
1 week or so, muscle strength Ok to take with Photosensitivity (care for the sun!)
78
Cyclobenzaprine (Flexeril) FX
Relieve muscle spasms
79
Ear drop instillation in... Kids Adults
Down back | Up back
80
Docusate Sodium (Colace) Expected FX How much Water to drink with? (oz) R/T Mineral oil?
1 - 2 soft stools/day 8 oz Contraindicated, don't take the oil.
81
Tamoxifen (Nolvadex) TX 3 SFX What to report
Breast Cancer Vision ▲, Weight GAIN, drowsiness Unusual Menstrual Bleeding
82
Butorphanol (Stadol) Class of medication | Counter medication
Opioid Analgesic | Naloxone (Narcan)
83
Albuterol (Proventil) Class 3 FX
Bronchodilator | ↓ wheezing, open airways, ↓ coughing episodes
84
Clozapine (Clozaril) Class FX
Anti-psychotic | ↓ hallucinations
85
Aspirin relation to Warfarin/Heparin | Max mg/day
Warfarin = increases effects Heparin = nothing 4000 mg/day
86
Vicodin Class
Analgesic
87
Nalbuphine (Nubain) 1 ADFX
blurred vision
88
How to prevent DAYTIME sedation from anti-histamines
Take doses at bedtime
89
Hydroxychloroquine (Plaquenil) toxic reaction
↓ visual acuity
90
Fluoxetine and grapefruit juice When to take. With food?
NOT AFFECTED?! Morning, causes insomnia at night. Doesn't matter
91
Anticholinergic FX (4) - PDTC
Photophobia Dry Mouth Tachycardia Constipation
92
Theophylline ADFX
Tachycardia
93
Nitroglycerin 3 KEY notes to administration Ointment vs. Patch
Hairless rotated sites New patch each morning Remove patch q12hrs Ointment is covered w/ plastic wrap, patch isn't
94
Famotidine and Calcium Carbonate Med Classifications | R/t Water
Antacids | Take both w/ water
95
Famotidine special properties
Ø affect medication metabolization or Cimetidine (Tagament)
96
Furosemide (Lasix) When to take. | R/t NSAIDS
Early, b/c insomnia affects | Contraindicated because they ↑ FX lasix, substitute Tylenol
97
``` Insulins - Onset, Peak, Duration Regular Short R INtermediate Glargline Lantus ```
↓ 15min ----- 30min - 1hr ----- 3 - 4 hr 30min - 1 hr ----- 2 - 3 hrs ---- 5 - 7 hrs 1 - 2 hr ----- 4 - 12 hr ----- 18 - 24 hr 1 hr ----- X ----- 10 - 24 hr
98
Sumatropin FX/2ADFX/what to REPORT/when to STOP
Growth hormone Hyperglycemia, Hypothroidism Report join pain, stop meds before Epiphyseal plate closes
99
Corticosteroids suffix, 3 ADFX
-isone Cortisone, prednisone, hydrocortisone Bleeding, Hyperglycemia, Osteoprosis
100
Admin time for... Whole blood/Packed RBCs Platelets
2 - 4 hours | 15 - 30 minutes
101
Hematopoietic Growth Factors FX/ADFX Epoetin Alfa Peg/Filgastrim Oprelvekin
↑ RBC, HTN ↑ WBC, bone pain ↑ platelets, cardiac dysrhythmias
102
``` Antiemetics ADFX Promethazine Metrocloppramide Scopolamide Onsansetron + SFX Herbal supplement ```
Anticholinergic + EPS Anticholinergic + EPS + NMS Anticholinergic + Sedation (CI - angle closure glaucoma) EPS + Headache, Herbal - Ginger r/in minor ♥ burn
103
``` Pooper Meds Education Simethicone - When to take Loperamide - FX/2ADFX Bisacodyl - Length of Tx Docusate - SFX MOM - Monitor...? ```
``` meal times + bedtime Antidiarrheal, anticholingeric + ↓ GI Short term mild cramps electrolytes ```
104
H2 Antagonists suffix + FX Cimetidine 2 ADFX
-itidine Suppresses secretion gastric acid by blocking receptor ↓ sexual drive and CNS
105
``` Cimetidine interactions w/... Warfarin Phenytoin Theophylline Lidocain ```
↑ function
106
Proton Pump Inhibitors suffix and FX 2 ADFX (1 long term use)
-prazole Suppresses secretion of gastric acid by inhibiting enzyme Similar to Digoxin + Osteoporosis long term
107
``` FX Herbal supplements Black Cosh Valerian St. Johns Wort + interaction Gingo biloba Ginger Garlic ```
``` Women stuff sleep depression (↓ oral contraceptive fx) Memory Ant-emetic (↑ bleeding) ↑ bleeding, ↓ blood sugar ```
108
CAPHE VAL ETH. GA? Toxicity S/S | P.H.E.N.Y.T.O.I.N
``` P – pharmacological interactions H - hirsutism E – enlarged gums N - nystagmus Y – yellow-browning skin T - teratogenicity O - osteomalacia I – B and K metabolism N - neuropathies ```

Capstone Round 2 (9 decks)

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