Pharm Exam 3 study guide

Question 1

Disulfiram use:

Answer 1

alcohol use disorder

Question 2

Disulfiram GI effects if someone drinks:

Answer 2

-if someone drinks on this it causes acetaldehyde, leading to nausea, vomiting and headache

Question 3

Tasmulosin adverse effects:

Answer 3

headache, hypotension, dizzy, ejaculatory dysfunction

Question 4

IV magnesium sulfate use:

Answer 4

-prevents seizures in patients with pre-eclampsia
-stimulate labor
-VS increase BP leading to seizure

Question 5

IV magnesium sulfate adverse effects:

Answer 5

respiratory depression, hypotension, muscle weakness, decreased deep tendon reflexes

Question 6

Prioroity to monitor for adverse effects of IV magnesium sulfate:

Answer 6

respiratory rate, deep tendon reflexes, urine output and LOC

Question 7

Oral contraceptive medication interactions

Answer 7

rifiampin, antocovulsants (clonazepam, clobazam, carbamazepine), St.johns worts

Question 8

Who is contraindicated to use Oral Contraceptives :

Answer 8

history of thromboembolic disorders, estrogen-sensitive cancers and liver disease

Question 9

Patient education for OC:

Answer 9

take daily at the same time, use backup contraception if needed, report any symptoms of blood clots

Question 10

Sumatriptan adverse effects

Answer 10

chest pain, dizziness and serotonin syndrome, numbess/tingling

Question 11

Sumatriptan patient education:

Answer 11

report chest pain and avoid combining SSRIs for depression and SNRIs

Question 12

Misoprostol (ABORTION) adverse effects:

Answer 12

cramping, bleeding, nausea, diarrhea, and potential risk of uterine cancer. INCOMPLETE TISSUE

Question 13

Betamethasone use in pre-term labor:

Answer 13

fetal lung maturity

Question 14

Finasteride adverse effects

Answer 14

decreased libido, reduced ejaculate volume and gynecomastia
*teratogenic- should not be handled by pregnant people

Question 15

Methadone use:

Answer 15

opioid use disorder

Question 16

Glyburide use :

Answer 16

manages blood glucose levels in type 2 diabetes

Question 17

how does glyburide work?

Answer 17

stimulates insulin secretion from functioning pancreatic cells

Question 18

sildenafil use

Answer 18

Treat erectile dysfunction

Question 19

hows does sildenafil works?

Answer 19

vasodilation

Question 20

sildenafil interacts with what kind of meds

Answer 20

nitrates and beta blockers because the risk for hypertension and MI

Question 21

vasopressin adverse effects:

Answer 21

water intoxication, hypertension, cardiac complications

Question 22

vasopressin therapeutic effectiveness

Answer 22

increase bp and decrease urine ouput in diabetes insipidus
-decrease urine output, increase urine osmolity

Question 23

Assessments to monitor adverse effects of vasopressin:

Answer 23

vital signs, urine output, and electrolyte levels

Question 24

allopurinol patient education:

Answer 24

take with food and plenty of fluids, report any rash, fever or signs of liver/kidney issues. avoid alcohol and monitor uric acid

Question 25

cushings disease dietary reccomendations

Answer 25

increase calcium and vitamin d, decrease sodium

Question 26

adrenal insuffienceny treatment

Answer 26

administer insulin and dextrose to move into the cells

Question 27

what is opiods given for

Answer 27

relieves moderate to severe pain

Question 28

how does opiods work?

Answer 28

binds to mu-opiod receptors in the brain to produce analgesia and sedation

Question 29

who shouldnt get opiods?

Answer 29

pregnancy, respiratory conditions or head injuries

Question 30

use with caution with opioids?

Answer 30

older adults, patients with hepatic and renal impairment

Question 31

opioid drug interactions

Answer 31

CNS depressants increase the risk of sedation and respiratory depression

Question 32

opioid adverse effects

Answer 32

respiratory depression, constipation, sedation and urinary retention

Question 33

opioid reversal agent

Answer 33

naloxone

Question 34

naloxone considerations

Answer 34

may require repeat dosing. monitor for withdrawl symptoms and recurrence of sedation

Question 35

administration considerations the nurse should know for opioid use:

Answer 35

monitor vital signs , withhold if respiratory rate is below 12

Question 36

nursing interventions for a patient taking opiods

Answer 36

assess sedation level, monitor bowel and bladder function, assist with ambulation

Question 37

Corticosteroids given for?

Answer 37

to prevent organ rejection during organ transplant

Question 38

Glyburide

Answer 38

-sulfa allergy -stimulates insulin release from pancreas

Question 39

metformin

Answer 39

decrease glucose in liver