WGUD441 |OA|OBJECTIVE ASSESSMENT| DRUGS| EXAM QUESTIONS AND ANSWERS

WGUD441 |OA|OBJECTIVE ASSESSMENT|
DRUGS| EXAM QUESTIONS AND ANSWERS



What is misoprostol? - Correct Answers -prostaglandins
antiulcer agent

misprostol indications - Correct Answers -prevention of gastric ulcers in patients taking
NSAIDs. Also induces labor by ripening the cervix

misoprostol MOA - Correct Answers -decrease stomach acid secretion, increase
production of protective mucus and bicarbonate. causes uterine contractions

misoprostol side effects - Correct Answers -dysmenorrhea, gi upset

misoprostol black box warnings - Correct Answers -miscarriage, premature birth, birth
defects

misoprostol NC - Correct Answers -assess women of childbearing age for pregnancy
before administering for ulcer prevention

what is epoetin alfa? - Correct Answers -erythropoiesis stimulating agent

epoetin alfa indications - Correct Answers -anemia related to chronic kidney disease,
HIV, chemotherapy

epoetin alfa MOA - Correct Answers -stimulates bone marrow to PRODUCE RBCS

epoetin alfa contraindications - Correct Answers -Hgb level > 11 g/dL, uncontrolled
hypertension

epoetin alfa side effects - Correct Answers -HYPERTENSION, bone pain, increased risk
of seizures

epoetin alfa black box warnings - Correct Answers -thromboembolic events (MI, stroke),
tumor progression/reoccurrence

epoetin alfa NC - Correct Answers -do not agitate vial, monitor BP, Hgb, Hct

epoetin alfa PT - Correct Answers -ensure adequate dietary iron intake

,what is salmeterol? - Correct Answers -bronchodilator -terol
Beta2 adrenergic agonist

salmeterol indications - Correct Answers -asthma, copd

salmeterol MOA - Correct Answers -binds to beta2 receptors in the lungs causing
bronchodilation

salmeterol side effects - Correct Answers -chest pain, TACHYCARDIA, palpitations,
tremors, anxiety

salmeterol PT - Correct Answers -if using with inhaled glucocorticoid, use bronchodilator
first, wait 5 minutes, then use glucocorticoid.

salmeterol long or short acting - Correct Answers -long acting- taken DAILY for
CONTROL of asthma

what is spironolactone? - Correct Answers -diuretic
potassium sparing diuretics

spironolactone indications - Correct Answers -heart failure, hypertension

spironolactone MOA - Correct Answers -blocks aldosterone, promoting excretion of
sodium and water, but RETENTION OF POTASSIUM

spironolactone contraindications - Correct Answers -severe kidney failure

spironolactone side effects - Correct Answers -HYPERKALEMIA, amenorrhea,
gynecomastia, impotence

spironolactone black box warning - Correct Answers -increase size of TUMORS

spironolactone NC - Correct Answers -monitor potassium levels and EKG

spironolactone PT - Correct Answers -AVOID SALT SUBSTITUTES containing
potassium

what is metformin? - Correct Answers -antidiabetics
biguanides

metformin indications - Correct Answers -type 2 diabetes

metformin MOA - Correct Answers -decrease glucose production in liver, decrease
intestinal absorption of glucose, increase insulin sensitivity

metformin side effects - Correct Answers -GI upset, metallic taste, LACTIC ACIDOSIS

, metfomin NC - Correct Answers -hold metformin prior to procedures requiring
CONTRAST DYE and for 48 hours after the procedure. monitor for signs of lactic
acidosis (diarrea, dizziness, hypotension, bradycardia, muscle pain, weakness)

metformin PT - Correct Answers -take with a meal, do not consume alcohol

what is captopril and lisinopril? - Correct Answers -antihypertensives
ACE Inhibitors

captopril, lisinopril indications - Correct Answers -hypertension, heart failure, MI,
diabetic nephropathy

captopril, lisinopril MOA - Correct Answers -blocks conversion of angiotensin 1 to
angiotensin 2, causing vasodilation

captopril, lisinopril contraindications - Correct Answers -PREGNANCY

captopril, lisinopril side effects - Correct Answers -ACE: angioedema, cough, elevated
potassium, HYPOTENSION, dizziness

captopril, lisinopril black box warning - Correct Answers -fetal toxicity

captopril, lisinopril NC - Correct Answers -monitor BP and potassium levels

captopril, lisinopril PT - Correct Answers -change positions slowly

what is insulin? - Correct Answers -antidiabetic

insulin indications - Correct Answers -diabetes 1 and 2

rapid acting insulin - Correct Answers -insulin lispro, insulin aspart

insulin lispro, insulin aspart onset - Correct Answers -5-15 mins

short acting insulin - Correct Answers -regular

intermediate acting insulin - Correct Answers -NPH

long acting insulin - Correct Answers -insulin glargine, insulin detemir

insulin glargine, insulin detemir duration - Correct Answers -12-24 hours

insulin NC - Correct Answers -monitor for HYPOGLYCEMIA (S/S tachycardia,
diaphoresis, shakiness, weakness)