Units 6, 7 and 8

Question 1

Serotonin-selective drug

Answer 1

sumatriptan (Imitrex)

Question 2

Side effects of Imitrex

Answer 2

vasospasm resulting is ischemic events in the heart and Cerebrovascular systems

Question 3

Uses for Imitrex

Answer 3

Migraine

Question 4

Pt teaching for Tylenol (children)

Answer 4

Drug of choice for kids with fever and flu-like symptoms.

Question 5

Tylenol overdose treatment

Answer 5

acetylcysteine

Question 6

Tylenol toxic

Answer 6

Renal and hepatic

Question 7

Uses for Colchicine

Answer 7

Treat and prevent Gout (acute)

Question 8

Pt teaching to avoid gout

Answer 8

Avoid alcohol

Question 9

Complications for morphine

Answer 9

Resp depression

Question 10

Contraindication for morphine

Answer 10

Significant respiratory depression
Increased ICP
CNS depression

Question 11

Contraindication for methotrexate

Answer 11

Immunosuppression
Blood dyscrasias
Pregnancy

Question 12

Administration of Etanercept (Enbrel)

Answer 12

weekly sq injection

Question 13

Effect of codeine

Answer 13

Cough suppressant
 Drowsiness, sedation, dry mouth, N/V, constipation
Analgesic
Similar to morphine (milder)
Resp depression

Question 14

Side effect of erythromycin

Answer 14

GI distress. Nausea, vomiting, abdominal pain and diarrhea.

Question 15

Administration of erythromycin

Answer 15

Only with food if GI distress

IV irritates vein infuse over 30-60 mins

Question 16

Serious side effects of Gentamicin

Answer 16

• nephrotoxicity, Ototoxicity (these occur more in the very young and elderly), and neuromuscular blockade (may result in respiratory depression)
• CNS: confusion, depression, disorientation, numbness, and tingling. (myesthenia gravis)
• depressed bone marrow

Question 17

Peaks and troughs are for

Answer 17

Gentamicin and vancomycin

Peak (1 hour) trough (30 mins before next)

Question 18

Aminoglycoside prototype?

Answer 18

Gentamicin

Question 19

Oxazolidinones prototype?

Answer 19

Linezolid (Vancomycin resistant Enteroccoccus)

Question 20

Pt teaching for Linezolid

Answer 20

• Don’t take OTC
• Admin evenly throughout the day
• Avoid tyramine, caffeine or alcohol
• Teach client s/s for Thrombocytopenia and psudomembranous colitis (c.diff)

Question 21

Chloramphenicol use

Answer 21

Broad spectrum antibiotic

Question 22

Chloramphenicol contraindications

Answer 22

• Not for breastfeeding moms/pregnant/ kids
• cautiously in bone marrow suppressed pt
• renal/hepatic disease

Question 23

uses for quinupristin/dalfopristin

Answer 23

Superbugs

Question 24

Admin Quinupristin/dalfopristin

Answer 24

IV only

Question 25

Clindamycin s/s

Answer 25

GI distress, rash - Psuedomembranous Colitis - thombocytopenia, neutropenia

Question 26

Tetracycline contraindications

Answer 26

pregnancy/breastfeeding

Question 27

Action of Mucomyst

Answer 27

Liquify thick secretions

Question 28

Admin Mucomyst for cystic fibrosis

Answer 28

?

Question 29

Action of Albuterol

Answer 29

Bronchodilator (relaxes bronchial smooth muscle)

Question 30

Complications of overuse of Albuterol

Answer 30

Relaxes bronchioles smooth muscle.

Question 31

Action of Atrovent

Answer 31

Stops bronchoconstriction that is caused by stimulation of PNS

Question 32

dosage of Atrovent

Answer 32

not rescue Rebound. First spray of bottle spray 2-3 times in air. 2 puffs 4x day Max= 12 puffs a day

Question 33

Action of Theophylline (Theo-dur)

Answer 33

Bronchodilator (smooth muscles) | Contracts diaphragm

Question 34

Drug interactions for cromolyn sodium (Intal)

Answer 34

None

Question 35

Action of accolade

Answer 35

Inflammatory mediators (powerful bronchoconstriction vasodilator)

Question 36

related to Xanthenes

Answer 36

Caffeine

Question 37

most effective inhaler during exacerbations

Answer 37

Corticoid | Fluinsolide/AeroBid

Question 38

S/S for Flunisolide

Answer 38

Infection, oral candidiasis

Question 39

Inhaled glucocorticoid steriod prototype

Answer 39

Flunisolide (AeroBid)

Question 40

S/s of accolade

Answer 40

HA, gastritis, rhinitis, Hepatic failure (jaundice), churg-strauss syndrome

Question 41

inhaler for 30 mins before exercise

Answer 41

cromolyn sodium (intal)