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Pharmacology | Questions &
Answers | Grade A | 100% Correct -
WCU
Question:
Why would you not give -mab? Safety precautions? -DMARDs
Answer:
"-mab"
*Adalimumab
*Infliximab
- TB test 1st, no Hx of Hep B
*Rituximab (iv infusion)
-Heart monitor, pulse ox, crash cart, stay w pt 15 mins.
,Question:
Strongest DMARDs? Pt teaching?
Answer:
Immunosuppressants - very toxic
*Cyclosporine A
*Cyclophosphamide
-Nephrotoxic & Hepatoxic
-Common for transplant patients,
-Lifelong to prevent organ rejection
-No grapefruit juice
Question:
Can you miss a dose of DMARD III drugs? (immunosuppressants?)
Answer:
No, if you miss a dose you MUST go to the surgeon to help deal with it ASAP.
DO NOT MISS A DOSE
,Question:
What do we use for acute attacks of gout/gouty arthritis?
Answer:
Colchicine
-Dont eat purine foods (red meat, alcohol, fish)
- no grapefruit juice
-increase fluids
AE: Rhabdomyolysis: acute damage to kidneys
Question:
What do you use for chronic gout attacks?
Answer:
Allopurinol "allo gout"
Same AE/CI
- 3000 ml fluid daily
, Question:
What 4 drugs can be used to treat peripheral neuropathy?
Answer:
*Duloxetine : common at home
*Pregabalin,
*Gabapentin :common at hospital
*Pyridoxin VIT B6
AE: Drowsiness
Question:
What should we do for patients at risk for osteoporosis?
Answer:
-Take calcium, vit D, weight bearing exercise 3x30
-Calcium can help with kidney patients, dialysis, esrd, ckd