Pharm Exam 2

Front 1

Artificial Active immunization?
Examples

Back 1

Clinically exposed to a harmless form of an antigen that does not cause infection but allows imprint into the memory the immune system for the body to develop antibodies to fight against a future antigen. Ex. Vaccine or Toxoids

Front 2

Natural Active immunixation?

Back 2

You actually have disease and get antibodies from it

Front 3

NAtural Passive Immunization?

Back 3

Mother to baby

Front 4

Artificial Passive?

Back 4

Immunoglobulins, Antivenims, or antitoxins to provide temporary protection against disease. RHOGAM

Front 5

what do you do if pt expirences discomfort at site of vaccine?

Back 5

If discomfort occurs at the injection site, apply warm compresses and give acetaminophen

Front 6

Cosyntropin

Back 6

used to diagnose adreno cortical insufficiency- i.e addisons

Front 7

somatropin and somatrem

Back 7

Lipid metabolism from stored body fat
Retention of Na, K+ , and phosphorus

Stimulate linear growth in clients with deficient GH

Front 8

Octreotide

Back 8

Antagonizes the effects of GH by inhibiting its release

Front 9

Vasopressin

Back 9

Used in the treatment of diabetes insipidus
Vasopressin: A powerful vasoconstrictor used for hypotensive emergencies, GI bleeding, and pulseless cardiac arrest

Front 10

Desmopressin

Back 10

Used for the treatment of blood disorders

Front 11

Adrenals- AMEN

Back 11

Assess for contraindications to adrenal agents, especially the presence of peptic ulcer disease

Oral forms should be given with food or milk to minimize GI upset


After using an inhaled corticosteroid, instruct clients to rinse their mouths to prevent possible oral fungal infections


Clients should be taught to take all adrenal medications at the same time every day, usually in the morning, with meals or food

Front 12

Deficiencys in thyroid- primary secondary and tertiary

Back 12

Primary: abnormality in the thyroid gland itself
Secondary: results when the pituitary gland is dysfunctional and does not secrete TSH
Tertiary: results when the hypothalamus gland does not secrete TRH, which stimulates the release of TSH

Front 13

how do you treat hypothyroidism

Back 13

Levothyroxine is the preferred agent because its hormonal content is standardized; therefore, its effect is predictable

Also used for thyroid replacement in clients whose thyroid glands have been surgically removed or destroyed by radioactive iodine in the treatment of thyroid cancer or hyperthyroidism

Front 14

Treat Hyperthyroidism?

Back 14

Radioactive iodine (131I) works by destroying the thyroid gland
Surgery to remove all or part of the thyroid gland
Antithyroid drugs: thioamide derivatives

propylthiouracil (PTU)

Front 15

Use of PTU?

Back 15

Used to palliate hyperthyroidism and to prevent the surge in thyroid hormones that occurs after the surgical treatment or during radioactive iodine treatment for hyperthyroidism

Front 16

What are the nursing implications for clients taking thyroid meds>?

Back 16

Teach client to take thyroid agents once daily in the morning to decrease the likelihood of insomnia if taken later in the day
Teach client to take the medications at the same time every day and not to switch brands without physician approval

avoid eating foods high in iodine

Front 17

Anti hypercalcemic- treat pagets?

Back 17

calcitonin

drugs do not directly affect the parathyroid gland or PTH but rather inhibit bone resorption of calcium.

Front 18

Calcitonin adverse

Back 18

Calcitonin can cause the serum calcium level to drop, resulting in tetany and cardiac arrhythmias.