Pharmacology Exam 2 Rasmussen

This medications onset time is 5-15 minutes so this medication should be taken in close proximity to a meal
Humalog

On a thin patient, this angle is best when giving a subcutaneous injection
45 degrees

This is what diabetics should do prior to exercise
Eat a snack or a meal

This class of medications can increase sugar levels causing a need for more insulin
Glucocorticoids

This is the drug of choice for a hyperglycemic patient who is unresponsive and has no IV site
Glucagon

If a patient presents with UTI-like symptoms, this must be done prior to administering any antibiotics
Obtain a urinalysis and/or urine culture

These are the routes of administration for glucagon
Subcutaneous, IM, and IV

Stopping the administration of this drug class abruptly can cause Addison’s disease
Glucocorticoids

Smoking, age (35 and older), uterine cancer, pregnancy, and a history of DVT are all contrainindications for this class of medication
Hormonal contraceptives

Administration of this hormone medication should be first thing in the morning and on an empty stomach
Levothyroxine

For children under 8 years of age, teeth discoloration is a common side effect of this drug
Tetracycline

Steroids, diphenhydramine, and epinephrine can be given to reduce the symptoms of this
Allergic reaction

This class of antibiotics when mixed with alcohol can cause a disulfiram reaction
Cephalosporins

Azithromycin falls into this class of antibiotics
Macrolides

A compromised immune system and antibiotic use can put patients at risk for developing this
Super infection

Antitubercular medications can cause these lab values to be elevated
Liver function tests (LFTs)

Red-pink urine, elevate temperature, and elevated kidney function tests can be caused by this
Urinary tract infection

Elevated serum uric acid and WBCs are expected in this disease process
Gout

This class of antibiotics is associated with hepatotoxicity, so liver function must be closely monitored
Macrolides

This disease process is present when a patient has an elevated TSH and decreased T3 and T4
Hypothyroidism

Patient education for Nystatin/mycostatin includes this
Do not eat or drink anything directly following a dose

A patient on oral contraceptives who is prescribed tetracycline should be told to do what
Use 2 forms of birth control

Patient education for this class of medication should include, avoid minerals such as iron or zinc, avoid direct sunlight, and report calf tenderness
Fluoroquinolones

Tachycardia, hypertension, palpitations, and seizures are all adverse reactions of this thyroid condition
Thyroid Storm

This can be caused when antibiotics are taken for viral infections, stopped prior to therapy condition, or the same medication is used over and over
Resistance

Patient education for this hormone replacement drug is to take the lowest dose possible to achieve the intended effect and to not take for more than 5 years
Premarin

Patient education for this drug includes it can turn urine orange and painful bladder spasms should be reduced
Pyridium

This is the next step for anyone who may have been exposed to tuberculosis
Have a PPD performed

Patients taking this antibiotic should be educated on using a barrier-method form of birth control
Tetracycline

If a patient who is taking an antibiotic notices raised, itchy, red bumps on their body, you should educate the patient to do this
Stop the medication and notify their provider

A term that means, to slow bacteria
Bacteriostatic

A term that means, to kill the bacteria
Bactericidal

A term that refers to a type of infection difficult to treat and often resistant to multiple drugs
Superinfection

A potentially life threatening allergic reaction that causes mucous membrane swelling and airway constriction
Anaphylaxis

The name of a serious side effect of antibiotic use that causes blistering skin and mucous membrane rash
Steven Johnson syndrome

An antibiotic often prescribed when a patient is allergic to penicillin
Erythromycin

An antibiotic used to treat acne and chlamydia
Tetracycline

A fluoroquinolone antibiotic used to treat Anthrax and UTI
Ciprofloxacin (cipro)

Which medication is often prescribed to treat fungal infections of the mouth associated with oral steroid use
Nystatin

The class of antibiotics that is effective against Legionella, Pertussis and H. Pylori
Macrolides

All antibiotics should be taken with adequate amounts of what, in order to protect the kidneys?
Water

If ordered, the antibiotic ceftriaxone (Rocephin) can be mixed with what, to reduce the pain of an IM injection
Lidocaine

If you’re administering an IV antibiotic and the patient develops a rash, what should you do
Stop the infusion and alert the physician

Which medication requires peak and trough levels to be drawn to ensure maximum effective as and limit renal injury
Vancomycin

A patient with tuberculosis will likely be on more than one antibiotic due to the likelihood of the bacteria developing what
Resistance

Antibiotic use in women can lead to what type of vaginal infections
Fungal (yeast, candidiasis)

Red man syndrome is associated with what antibiotic
Vancomycin

An antibiotic that can stain the teeth of young children, causes photosensitivity and should not be taken with milk
Tetracycline

These classes of antibiotics can lead to hearing loss
Aminoglycosides, glycopeptides (vancomycin)

A patient taking metronidazole (Flagyl) should avoid
Alcohol

A patient on oral contraceptives who is prescribed antibiotics should be told to do what
Use two forms of birth control

If a patient is started on a new antibiotic and develops wheezing, they should do what
Seek emergency medical treatment

Patients who are taking warfarin (Coumadin) and prescribed antibiotics should be sure that have what checked regularly
The INR

Viruses and fungi are not susceptible to what type of anti-infective medication
Antibiotics

Azithromycin has an extended what, that makes the course needed, shorter than most other antibiotics
Half life

A patient on the antiviral acyclovir should have the function of which organs, closely monitored
Kidneys

Isoniazid, used to treat TB can cause serious problems with which organs
Liver

A patient on antiretroviral medications for HIV, should be told do what, often, in order to prevent opportunistic infections from occurring
Wash their hands

Cylophosphamide (cytoxan) can cause hemorrhagic inflammation of which organ
Bladder

Cyclophosphamide (cytoxan) should be taken at what time of the day and accompanied by what
Early in the day, water

What % of the world’s population is infected with tuberculosis
25

Bodily secretions may be stained orange by which medication
Rifampin

How many people die of malaria each year?
One million

A disulfiram reaction most commonly occurs in what two types of antibiotics
Cephalosporin & metronidazole

How many people are estimated to have died in the influenza pandemic of 1918-1919
30-50 million

A normal CD4 T-helper cell count is
>500 cells/mm (cubed)

Anesthetic eye drops should only be administered under what conditions
Strict medical supervision

Potential side effects of Lantanoprost (xalatan) eye drops include
Permanent darkening of the iris of the eye, increase in length, number, thickness and darkness of eyelashes, respiratory problems

silver sulfadiazine (SSD) cream for burns should not be used on what body parts due to risk or permanent dyeing of the skin?
Face & hands

Isotretinoin (amnesteem, Accutane) used to treat severe cystic acne is pregnancy category
X

Fluroquinolones antibiotics like ciprofloxacin can result in what connective tissue complication, especially when combined with steroids
Tendon rupture

Patients with a sulfa allergy are at an increased risk for allergies to which medications
Glucotrol, celecoxib, furosemide

If a patient has a mild allergic reaction, they may be treated with an antihistamine such as
Diphenhydramine

A macrolide antibiotic, excreted in the bile of the liver that is a good choice for patients with renal impairment is
Erythromycin

Peak and trough levels are ordered with vancomycin in order to ensure safety, efficacy and what two other things
Metabolism & excretion

Ciprofloxacin (Cipro) should not he taken with products containing which of the following
Antacids, aluminum, iron, zinc

Signs & symptoms of thyroid storm include
Tachycardia, anxiety, hypertension

A patient on desmopressin needs to have what serum lab value monitored closely
Sodium

A patient with hypothyroidism who takes levothyroxine may be expected to experience what effects
Weight loss, increased energy levels, improved cold tolerance

What medication, if abruptly discontinued can cause adrenal gland insufficiency
Prednisone

Levothyroxine does what
Increases improvement in thyroid

What should be administered only if the patient is unresponsive
Glucagon

What medication interaction will you assess for prior to giving a prescription for sildenafil (Viagra)
Nitrates

Hormone replacement should be taken less than how many years
5

Combined hormonal contraceptives are contraindicated for women with what
History of blood clots, currently pregnant, suspected breast cancer, over 35 and smokes >15 cigarettes a day

The main route of drug elimination is through the_ kidneys (urine). Other routes include bile, feces, lungs, saliva, sweat, and breast milk. The kidneys filter free unbound drugs, water-soluble drugs, and drugs that are unchanged Acidic urine promotes elimination of …

diphenhydramine (Benadryl) **Antihistimine** -H1 blocker- prevents histimine response -Decrease nasopharyngeal secretions -ANTICHOLINERGIC side effects (cant see, spit, pee, poop) -Drowziness ^^ CNS depression dextromethorphan hydrobromide (Robitussin, Sucrets) **Antitusive** – Supresses cough -Reduces secretions HIGH DOSES CAN CAUSE HALLUCINATIONS >> SHOULD …

Drugs that PRODUCE a response agonist Drug that PREVENT or block a response antagonist WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample Therapeutic WINDOW is what? level of the …

What is a medication error? Any preventable adverse drug events involving inappropriate medication use by a patient or health care professional; they may or may not cause the patient harm. What is an adverse drug event? Any undesirable occurrence related …

A patient is taking two prescription medications that both cause bradycardia. The nurse should monitor the patient for which type of effect? A. An increased therapeutic effect B. An increased adverse effect C. A reduced therapeutic effect D. A reduced …

A patient is allergic to penicillin but has bacterial meningitis what antibiotic can that patient be prescribed? Vancomyacin Because a patient is allergic to penicillin they have been given another antibiotic what should be available in case the patient is …

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