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68 Cards in this Set
- Front
- Back
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How should birth control be admin in relation to surgery?
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Birth control should be stopped 4 weeks before surgery.
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How does Yasmin function/ its purpose? (besides preventing babies dummy...)
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Yasmin blocks Aldosterone receptors causing less fluid retention.
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What is a major concern associated with the depo-shot?
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There is a concern for osteoperosis/bone loss when using depo-shot.
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How must RU 486 be admin?
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RU 486 must be used w/in 7 days of conception to terminate early pregnancy.
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Who are IUDs contraindicated for?
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IUD is not for pts at risk for STD infection: not for pts w/multiple sex partners
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Who is the contraceptive patch contraindicated for?
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The contraceptive patch should not be used by the obese/over wt.
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Pts taking oral contraceptives should be warned/taught/educated to stop ___?
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smoking
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Ampicillin is a drug that reduces the effects of what?
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oral contraceptives (birth control)
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Bromocriptine(Parlodel) is used to correct _____ associated with _____?
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amenorrhea, glactorrhea, & infertility associated w/ excessive prolactin secretions.
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What education do pts need in regard to surgery and endometriosis?
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Pts should be educated that surgery can reduce the symptoms of endometriosis and can enhance fertility.
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When using Danazol(Panocrine) for Tx of endometriosis, pts should be educated to ___ if ____ occurs?
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to go to the ER if they develop dark, swollen and painful legs as this is a thrombolitic event (DVT - deep vein thrombosis)
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An adverse effect associated w/ Clomiphene (Clomid) is ____?
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An adverse effect associated w/ Clomiphene (Clomid) is multiple births.
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An adverse effect associated w/ menotropins (pergonal) is what?
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ovarian hyperstimulation syndrome.
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How should clomid(clomiphene) be admin?
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When using clomid(clomiphene) for amenorrhea pt must take 1 pill for 5 consecutive days.
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What could be helpful when treating Polycystic ovary syndrome (PCOS)?
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Polycystic ovary syndrome (PCOS) may be helped by metformin (an insulin sensitizing drug)
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The preferred site of application of the transdermal patch is the _____?
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abdomen.
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Magnesium Sulfate (IV) requires frequent assessment of what?
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respirations.
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The tocolytic drugs have 1 major use?
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to suppress preterm labor.
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What is a major concern associated w/ oxytocin (pitocin)?
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the possibility of uterine rupture.
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Discontinue oxytocin (pitocin) in the presence of? that last longer than?
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of contractions lasting longer than 60 sec.
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What do Ergot Alkaloids do?
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Ergot Alkaloids decrease postpartum bleeding.
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Cimetidine (Tagamet) is an anti ulcer drug whose major adverse reactions include what?
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reduced libido & impotence.
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____ irreversibly inhibits the enzyme that produces stomach acid?
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Omeprazole (prilosec)
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How do spicy foods affect peptic ulcers?
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Spicy Foods do not add to or create peptic ulcers.
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What affect does food have on the absorption/elimination of zantac(ranitidine)?
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Food has no effect on the absorption or elimination( hepatic or renal) of zantac(ranitidine)
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Sucralfate (Carafate) forms a sticky gel that ____?
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adheres (up to 6 hrs) to ulcer and creates a protective barrier against pepsin & acid.
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Bulk forming laxatives can cause what?
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Bulk forming laxatives can cause esophgeal obstruction.
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What should pts be concerned with when taking magnesium hydroxide?
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If taking magnesium hydroxide laxative, pt needs to up fluid intake.
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Laxatives w/magnesium salts are contraindicated with who?
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in Renal(dysf)pts.
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Dronabinol (cannabinoid) is what? Should watch for what in pts?
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the principle psychoactive agent in marijuana (watch for the development of psych disorders/hallucinations)
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Two side effects associated w/ Seopolamine (muscarinic antagonist) are?
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blurred vision & drowsiness.
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Alosetron(lotronex) is most often used to treat what?
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IBS in women.
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How should Pancreatic Enzymes be admin in relation to food?
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Pancreatic Enzymes should be taken w/meals + snacks.
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How should nausea be tx?
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Because their are different pathways to nausea use combo (anti-emetic) therapy/meds to cover different pathways.v
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What affect do Histamines have on the body?
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Histamines cause brochi to constrict (bronchoconstriction)
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H2 Receptors affect secretion of gastric acid by what?
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acting on parietal cells of the stomach.
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H1 first generation antihistamines differ from H2 second generation antihistamines in that?
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first generation cause sedation wheras second generation do not.
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H1 receptor antagonists are most commonly prescribed for ____?
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for allergic rhinitis. (OSG-Bronchial constriction??)
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Can I split these enteric coated tabs and take the other half later?
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Enteric coated long acting extended release pills should not be split chewed or crushed they should be taken whole because split they are too strong.
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When taking antihistamines for hay fever, what should be done if GI upset occurs?
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take antihistamines with food to reduce symptoms.
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Signs of overdose, or excessive antihistamine, include what?
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Signs of overdose (excessive antihistamine) include dilated pupils (& tachycardia)
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How do you admin meds w/ metered-dose inhalers?
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Take 1 puff, wait 1 minute.
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In an emergency use ______ for bronchospasm.
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In an emergency use beta 2 adrenergic agonists in a nebulizer. Emergency for bronchospasm.
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Glucocorticoids are used as 1st line therapy for _____ for chronic asthma.
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prophylaxis, Not PRN
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Adverse effects for inhaled glucocorticoids include?
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oropharyngeal candidasis & dysphonia (hoarsness)
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If switching from oral glucocorticoids to inhaled, how should meds be admin?
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If switching from oral glucocorticoids to inhaled, taper oral meds off gradually.
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What should female pts taking glucocorticoids be concerned with?
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Women must use adequate Vit.D supplement & calcium w/ prolonged use of glucocorticoids (No weight bearing exercise with long term use)
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Theophylline is used for ______ asthma attacks.
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nocturnal
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Signs of toxicity w/theophylline are ____?
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tachycardia & dysrythmia.
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When can the maximum effects of montelelkast(singulair) can be seen?
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Maximum effects of montelelkast(singulair) can be seen within 24hrs of admin.
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How should albuterol and Beclomethasone be admin?
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If using albuterol and Beclomethasone admin albuterol first and wait 5 min before admin. Beclomethasone
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Oral antihistamines work best when?
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taken prophylactically for allergic Rhinitis.
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What is the most effective way to admin glucorticoids for seasonal & perennial Rhinitis?
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Intranasal glucorticoids is most effective for seasonal & perennial Rhinitis.
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How should pseudoephedrine be admin? (intranasal)
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Pseudoephedrine (Sudafed??) needs to be used in one nostril at a time or use for no more than 3-5 days. Not for chronic rhinitis.
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_______ act in the CNS to elevate cough threshold?
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Codeine & hydrocodone
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Guaifenesin(mucinex) stimulate ____?
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stimulate the flow of respiratory secretions (make cough more productive/ bring secretions up)
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Glucocorticoids are contraindicated in pts w/____?
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systemic fungal infections & those receiving live vaccines
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Caution should be taken when admin. Digoxin & corticosteroids (glucocorticoids) because of _____?
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Digoxin & corticosteroids (glucocorticoids) because of toxic dig levels.
(up corticosteroid???) -> wtf? |
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Would you question a script written to up corticosteriods(glucocorticoids)for a patient w/ uncontrolled DM?
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Yes. May require higher dosing of diabetic meds - not recommended for diabetic patients.
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When attempting to withdrawl glucocorticoids, pts should be instructed to ___?
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pts should taper them over 7-10 days.
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Before admin progestins pt must have _____?
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a pap smear, and must report any signs of abnormal vaginal bleeding (Uterine bleeding vs. pap smear???)
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When treating H-pylori w/flagyl pts should be educated to avoid ____?
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alcohol.
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Allegra seems to have an advantage because ___?
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it has fewer side effects and is the most efficient/safe of the 2nd genereation anti-histamines
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Sudafed(pseudoefedrine) is contraindicated in pts w/ _____ & should not be prescribed for allergic rhinitis.
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heart disease, (HTN / coronary artery disease)
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Progestrins part in drug therapy is _____?
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to prevent endometrial proliferation
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What affect does treating rhinnitus with antihistamines have on pregnancy?
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It has not been proven to be harmful to treat pregnant women who have rhinnitus with antihistamines.
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Steroid inhalers are used to treat ___?
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chronic asthma prophylactically
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Theophylline serum plasma level of 25mcg/ml means what?
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Toxicity!! (should be between 10 & 20 mcg/ml)
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