Nu102 - Pharma Quiz 4 (Updated)

Front 1

May see adverse effect if used too frequently (elevated HR, nausea anxiety, palpitations, and tremors)

Back 1

Bronchodilators

Front 2

Use with caution in young children and monitor for tremors, restlessness, hallucinations, dizziness, palpitations, tachycardia, gastrointestinal difficulties

Back 2

Bronchodilators

Front 3

Contraindicated in clients with tachyarrhythmias and severe CAD

Back 3

Bronchodilators

Front 4

Children under 12 should not use certain ones

Back 4

Bronchodilators

Front 5

Concurrent use of MAO inhibitors may lead to hypertensive crisis

Back 5

Bronchodilators

Front 6

Paradoxic bronchospasm and urinary retention

Back 6

Bronchodilators

Front 7

Monitor elderly clients carefully

Back 7

Bronchodilators

Front 8

Monitor VS, esp HR and BP when administering

Back 8

Bronchodilators

Front 9

Ensure proper use of MDI

Back 9

Bronchodilators

Front 10

Note amount, color, and character of sputum

Back 10

Bronchodilators

Front 11

Monitor blood glucose level closely in diabetic clients

Back 11

Bronchodilators

Front 12

Report chest pain, palpitations, seizures, headaches, hallucinations, or blurred vision to prescriber

Back 12

Bronchodilators

Front 13

Do not take more than the prescribed dose b/c of risk of hypertension, tachycardia, dysrhythmias, and angina

Back 13

Bronchodilators

Front 14

Avoid eye contact with inhaler spray

Back 14

Bronchodilators

Front 15

Take medication exactly as ordered; do not double dosage or increase frequency of doses

Back 15

Bronchodilators

Front 16

Treatment of choice for acute asthma attack

Back 16

Bronchodilators

Front 17

Used to treat status asthmaticus (severe asthma that cannot be controlled with typical medications)

Back 17

theophylline

Front 18

use this IV if client has not responded to the faster-acting beta agonists

Back 18

theophylline

Front 19

Administer cautiously to the elderly b/c of potential for increased sensitivity

Back 19

theophylline

Front 20

Use cautiously in clients with cardiovascular disorders

Back 20

theophylline

Front 21

potential for cardiovascular collapse

Back 21

theophylline

Front 22

food interactions: caffeine

Back 22

theophylline

Front 23

Assess for toxicity; note symptoms of restlessness, insomnia, irritability, tremors, n/v

Back 23

theophylline

Front 24

Restlessness is a symptom of toxic reaction; however, it could signal hypoxia, and the nurse should assess client for this

Back 24

theophylline

Front 25

Do not omit or double-up on doses; take exactly as prescribed

Back 25

theophylline

Front 26

Notify prescriber if palpitations, n/v, weakness, dizziness, chest pain or convulsions occur

Back 26

theophylline

Front 27

Proper technique is essential when administering meds by inhalation route

Back 27

inhaled corticosteroids

Front 28

If client is also taking a systemic corticosteroid, the dose may need to be decreased with the addition of these

Back 28

inhaled corticosteroids

Front 29

Contraindicated: children under 2 y/o

Back 29

inhaled corticosteroids

Front 30

may need to adjust dose of anti-diabetic agents secondary to potential for elevation of blood glucose levels when administered orally

Back 30

inhaled corticosteroids

Front 31

side effects: pharyngeal irritation and sore throat, coughing, dry mouth, oral fungal infections, sinusitis

Back 31

inhaled corticosteroids

Front 32

monitor for hyperglycemia

Back 32

inhaled corticosteroids

Front 33

rinse mouth after use of med b/c oropharyngeal candidiasis and/or hoarseness can occur (dude, I totally gave a guy this stuff and there was no rinsing afterward, don't i feel silly...)

Back 33

inhaled corticosteroids

Front 34

use med as prescribed: do not overuse

Back 34

inhaled corticosteroids

Front 35

inhale bronchodilator before this when both are ordered

Back 35

inhaled corticosteroids

Front 36

do not abruptly stop taking this med; taper dose slowly over a 2- week period under prescribers direction

Back 36

inhaled corticosteroids

Front 37

Be aware of symptoms of use, including moon face, acne, increased fat pads, increased edema; notify if arise

Back 37

inhaled corticosteroids

Front 38

report weight gain of more than 5 lb in a week

Back 38

inhaled corticosteroids

Front 39

enalapril (Vasotec)
drug category?

Back 39

ACE inhibitor

Front 40

Interactions: potassium-sparing diuretics or potassium supplements (hyperkalemia)

Back 40

enalapril (Vasotec)

Front 41

Side effects: n/v, abdominal pain, constipation, persistent dry nonproductive cough, and dyspnea

Back 41

enalapril (Vasotec)

Front 42

Adverse effects/toxicity: angioedema, leukopenia, agranulocytosis

Back 42

enalapril (Vasotec)

Front 43

Take BP before giving dose and monitor regularly

Back 43

enalapril (Vasotec)

Front 44

Report peripheral edema, signs of infection, facial swelling, loss of taste, or difficulty breathing

Back 44

enalapril (Vasotec)

Front 45

Do not skip dose or stop taking drug; may cause serious rebound BP

Back 45

enalapril (Vasotec)

Front 46

Notify provider if persistent, dry cough occurs

Back 46

enalapril (Vasotec)

Front 47

contraindications: cardiogenic shock

Back 47

amiodarone

Front 48

contraindications: Severe sinus bradycardia or severe degrees of heart block

Back 48

amiodarone

Front 49

contraindications: Hepatic disease

Back 49

amiodarone

Front 50

contraindications: Use cautiously in: Hasimoto's thyroiditis, goiter, hyperthyroidism or hypothyroidism, CHF, electrolyte imbalance, preexisting pulmonary disease, cardiac surgery, and sensitivity to iodine

Back 50

amiodarone

Front 51

Bradycardia effects are greater when used with verapamil, diltiazem, and beta-andrenergic blockers

Back 51

amiodarone

Front 52

Monitor client continually due to unusually long half-life of the medication (10 to 55 days)

Back 52

amiodarone

Front 53

Report adverse reactions promptly

Back 53

amiodarone

Front 54

Be alert to signs of pulmonary toxicity: dyspnea, fatigue, cough, pleuritic pain or fever

Back 54

amiodarone

Front 55

Auscultate breath sounds for adventitious sounds

Back 55

amiodarone

Front 56

Assess pulse daily and report a HR less than 60 bpm

Back 56

amiodarone

Front 57

Photophobia may be eased by wearing darkened glasses but some clients should avoid daylight entirely

Back 57

amiodarone

Front 58

Erythema and pruritus may develop when exposed to ultraviolet radiation; avoid sunlight, tanning beds, and sunlamps

Back 58

amiodarone

Front 59

Blue-gray skin pigmentation may slowly disappear after med is stopped; may take months to resolve

Back 59

amiodarone

Front 60

Wear protective clothing and a barrier-type sunblock to avoid sun exposure (zinc-oxide or titanium-oxide preparations)

Back 60

amiodarone

Front 61

What drug class is:
zileuton (Zyflo)

Back 61

leukotriene modifiers

Front 62

monitor hepatic aminotransferase enzymes when administering

Back 62

zileuton

Front 63

contraindicated in clients with liver disease and with elevations of transaminase

Back 63

zileuton

Front 64

be sure it's prescribed for chronic, not acute, treatment of asthma

Back 64

zileuton

Front 65

increase fluid intake if not contraindicated b/c of other disease process

Back 65

zileuton

Front 66

Stimulation of alpha-adrenergic receptors results in vasoconstriction and increases systemic BP

Back 66

dopamine

Front 67

Must be diluted before administration

Back 67

dopamine

Front 68

Client should be attended constantly during drug administration

Back 68

dopamine

Front 69

Reevaluate if 3-5 treatments in 6-12 hours provide minimal to no relief

Back 69

dopamine

Front 70

Carefully monitor VS, ECG, and I&O

Back 70

dopamine

Front 71

Monitor for rebound hypertension

Back 71

dopamine

Front 72

Constant infusion pump prevents sudden infusion of excessiv amounts of drugs

Back 72

dopamine

Front 73

Correct blood volume depletion first

Back 73

dopamine

Front 74

Antidote for extravasation for DOPAMINE?

Back 74

phyentolamine mesylate (Regitine) in NS

Front 75

Protect solution from sunlight

Back 75

dopamine

Front 76

incompatible with sodium bicarbonate

Back 76

dopamine

Front 77

Tablet form should be taken with full glass of water

Back 77

potassium chloride

Front 78

Powder form should be mixed with 4 ounces of water or other liquid

Back 78

potassium chloride

Front 79

Should be taken with meals to decrease GI irritation

Back 79

potassium chloride

Front 80

Parenterally should be given slowly, even with central line

Back 80

potassium chloride

Front 81

Contraindications: severe renal impairment with oliguria, anuria, or azotemia

Back 81

potassium chloride

Front 82

Use with potassium-sparing diuretics, ACE inhibitors or salt substitutes can cause sever hyperkalemia

Back 82

potassium chloride

Front 83

Food interactions: apple juice, grapefruit, banans, oranges, peaches, pears, raisins, broccoli, peas, tomatoes, eggplant, chicken, liver, turkey, salmon, beef, low-fat yogurt, milk, and chocolate milk

Back 83

potassium chloride

Front 84

Adverse effects/toxicity: dysrhythmias or cardiac arrest; respiratory paralysis

Back 84

potassium chloride

Front 85

Monitor side effects such as weakness, feeling of heaviness in legs, confusion, hypotension

Back 85

potassium chloride

Front 86

Should not be given immediately postoperatively until urine flow is established

Back 86

potassium chloride

Front 87

Report diarrhea or vomiting b/c of increased risk for hypokalemia

Back 87

potassium chloride

Front 88

Monitor stools for evidence of blood

Back 88

potassium chloride

Front 89

side effects: impotence, decreased volume of ejaculate, decreased libido, asthenia (no shit guys hesitate to take this stuff)

Back 89

Proscar

Front 90

monitor urine volume

Back 90

Proscar

Front 91

side effect: orthostatic hypotension

Back 91

Proscar

Front 92

avoid driving and hazardous activities due to drowsiness and somnolence

Back 92

Proscar

Front 93

Pregnant, should not handle crushed tables due to risk of adverse effect to male fetus

Back 93

Proscar

Front 94

Male client with pregnant partner, she must avoid semen

Back 94

Proscar