Pharm Quiz

Question 1

Where opiod receptors are located (3)

Answer 1

CNS, peripheral nerves, and GI cells

Question 2

Fx of Narcotics and Adfx (4 ea)

Answer 2

analgesia, sedation, euphoria, antitussives! Respiratory Depression, hypoTN, constipation, pinpricked pupils

Question 3

Pain Gabapentin is for…?

Answer 3

Postherpetic pain (from shingles/chickenpox)

Question 4

Types of pain (6)

Answer 4

Acute Chronic Referred Nocioceptive Neuropathic Psychogenic

Question 5

Pain morphine is for…?

Answer 5

Moderate to Severe Acute or Chronic Pre/post-op, and during labor

Question 6

Pain med Contraindications/Cautions (7)

Answer 6

Allergies Respiratory dfx MI/Coronary dz Renal/Hepatic dfx Pregnancy/Lactation Diarrhea r/t toxicity Hx surgery

Question 7

NARCOTICS: Pain med Assessments (7)

Answer 7

Baseline for evaluation (effectiveness/adfx) Orientation, affect, reflexes, pupil size, RR Adventitious lung sounds Vitals Palpate abdomen - GI Urine Output Labs (BUN/Creatinine)

Question 8

NARCOTICS: Initial dose narcotic adfx? Name and (6) S/S

Answer 8

Acute Narcotic Abstinence Syndrome Sweating, tachycardia, anxiety, tremulousness, CNS slowdown w/ pinpoint pupils

Question 9

NARCOTICS: Effective Teaching Plan (5)

Answer 9

Drug name Dose Adfx Anti-adfx measures Warning signs

Question 10

NARCOTICS: Desirable Outcomes (3)

Answer 10

Freedom/Reduction of pain w/ increased ability to cope w/ unmanagable pain Ability to request anagesia Perform ADLs w/out limitation r/t pain

Question 11

NARCOTICS: Other important outcomes (3)

Answer 11

Freedom/Reduction of fear, anxiety, or depression ↑ability to cope w/ pain/limitations ↑Knowledge of management of therapeutic regimen

Question 12

Priority assessments when using Opiods (6)

Answer 12

Hx allergies w/ narcotics Resp.Depression GI/Biliary Surgery Hepatic/Renal dfx Alcoholism Convulsive Dz

Question 13

Opiods Physical Assessment Focuses (6)

Answer 13

Cardio: BP, pulse, peripheral perfusion, ECG CNS: Orientation, affect reflexes, grip str. ↓LoC? Skin: Color, lesions, texture, temp. GI: Visual exam, bowel sounds Resp: respiration/adventitious sounds Labs: Renal/Liver fx

Question 14

Explaining PCA to a person (3)

Answer 14

Self-controlled relief Medicate before too severe Can’t overdose b/c safety lock

Question 15

Morphine age limit?

Answer 15

NO. LOL!!!

Question 16

What is Levothyroxine? Primary Fx Lowers 3 what…? 2 Routes? How does it prevent hyperthyroidism.

Answer 16

Synthetic salt (T4) to treat hypothyroidism. Lowers TSH, myxedema comas, thyrotoxicosis. Can be given PO or IV. Sensed by pituitary/hypothalamus and ↓TSH and TRH release

Question 17

Myxedema Coma

Answer 17

↑brain fx b/c chronic hypothyroidsim

Question 18

Thyrotoxicosis

Answer 18

Basically hyperthyroidism.

Question 19

Positive/Negative Feedback

Answer 19

Away from/Towards normal value

Question 20

PTU (propylthiouracil) is a…? And is used to treat? What fx to expect (5)

Answer 20

Thioamide for hyperthyroidism. ↓Heat intolerance, RR, HR, BP, and metabolism

Question 21

Predisone route, for (3), and education (4)

Answer 21

PO. For adrenal insufficiency, inflammatory dz, hypercalcemia. Adfx, warning signs, regular evaluation (labs), and prevent exposure to infx.

Question 22

Iodine route, 3 types, for, fx time, mechanical fx, adfx to monitor (3)

Answer 22

PO. Strong, potassium iodide, sodium iodine Hyperthyroidism. 24hrs, peaks 10 - 15 days Radioactive Iodine destroys thyroid cells Hypothyrodism Iodism >30 yrs old = radioactivity problems

Question 23

Iodism (5)

Answer 23

Metallic/Burning mouth Sore teeth/gums Diarrhea Cold S/S Upset Stomach

Question 24

Most Accurate method to determine glucose management/time

Answer 24

HbA1c

Question 25

3P's of New-Onset Diabetes and 5 extras!

Answer 25

Polyuria, dipsia, phagia Glycosuria, dry mouth, blurred vision DM1: Wieght loss DM2: Obesity

Question 26

Identifying Characteristics of DM2 (5)

Answer 26

\>40 yrs old w/ obesity (commonly central) Metabolic Abnormalities: Peripheral insulin resistance Derange secretion of insulin by pancreas ↑glucose production by liver

Question 27

Benefits and Risk of exercising with DM1

Answer 27

BENEFITS: Cardiovascular fitness Psychological well-being RISKS: R/o hypoglycemia (hours after done w/ exercise) Should increase insulin/carbs pre-emptively

Question 28

DM1 High blood glucoses levels r/in...? Fx of exercise w/ 2 pre-dispositions.

Answer 28

Ketoanemia. Exercise r/in ↑bloodG superimposed on insulin deficency and increase counter-regulatory hormone activity

Question 29

Metabolic Syndrome Health Definitions (5)

Answer 29

--Abdominal Obesity waist circ: \> 35/40in women/men --BloodG \> 150mg/dL --HDL \< 50/40mg/dL women/men --BP \> 130/85 --Fasting plasma glucose \>100mg/dL

Question 30

Graves Dz (what, r/in, 3 S/S)

Answer 30

Autoimmune dz caused abnormal stimulation of thyroid by TSH antibodies. R/in hyperthyroidism S/S exopthalmos, goiter, dermopathy

Question 31

Hashimotos Dz (what, r/in, 4 S/S)

Answer 31

Autotimmune dz caused by destruction of thyroid. R/in hypothyroidism. S/S weakness, fatigue, wieght gain, bradycardia.

Question 32

Addisons Dz. (what, r/in 5) and r/t?

Answer 32

Adrenal cortical insufficiency caused by autoimmune destruction. R/in hyperpigmentation, hypoglycemia, wieght loss, ↑K retention, ↓Na/H2O retention r/t Steroid use!

Question 33

Cushing Dz (what and 3 potential culprits, r/in 4) potential r/t?

Answer 33

Glucocorticoid excess r/in excess ACTH b/c tumor in pituitary, adrenal, or ACTH secreting nonpituitary tumor. R/in buffalo hump, moon face, thin skin/extremities, osteoporosis. potential r/t excess of chronic steroid use.

Question 34

Narcotic Super Secret Words! TopDowns BOARRPAVPUL STATCPS DDAAW ASEARHCP

Answer 34

Contras Assess Abstinence Education Fx/Adfx

Question 35

Opiods Super Secret Words ARGHAC 4CCS2GRL

Answer 35

Contras Assess

Question 36

Thyroid Super Secret Words MSDCU #####

Answer 36

Iodism Metabolic Syndrome Defs

Question 37

Diabetes Super Secret Words PPPGDBDD 4MPDG

Answer 37

Diabetes general S/S DM2 S/S