WGU D441 OA DRUGS EXAM WITH
COMPLETE SOLUTIONS
What is misoprostol? - ANS-prostaglandins
antiulcer agent
misprostol indications - ANS-prevention of gastric ulcers in patients taking NSAIDs. Also
induces labor by ripening the cervix
misoprostol MOA - ANS-decrease stomach acid secretion, increase production of
protective mucus and bicarbonate. causes uterine contractions
misoprostol side effects - ANS-dysmenorrhea, gi upset
misoprostol black box warnings - ANS-miscarriage, premature birth, birth defects
misoprostol NC - ANS-assess women of childbearing age for pregnancy before
administering for ulcer prevention
what is epoetin alfa? - ANS-erythropoiesis stimulating agent
epoetin alfa indications - ANS-anemia related to chronic kidney disease, HIV,
chemotherapy
epoetin alfa MOA - ANS-stimulates bone marrow to PRODUCE RBCS
epoetin alfa contraindications - ANS-Hgb level > 11 g/dL, uncontrolled hypertension
epoetin alfa side effects - ANS-HYPERTENSION, bone pain, increased risk of seizures
epoetin alfa black box warnings - ANS-thromboembolic events (MI, stroke), tumor
progression/reoccurrence
epoetin alfa NC - ANS-do not agitate vial, monitor BP, Hgb, Hct
epoetin alfa PT - ANS-ensure adequate dietary iron intake
what is salmeterol? - ANS-bronchodilator -terol
Beta2 adrenergic agonist
salmeterol indications - ANS-asthma, copd
, salmeterol MOA - ANS-binds to beta2 receptors in the lungs causing bronchodilation
salmeterol side effects - ANS-chest pain, TACHYCARDIA, palpitations, tremors, anxiety
salmeterol PT - ANS-if using with inhaled glucocorticoid, use bronchodilator first, wait 5
minutes, then use glucocorticoid.
salmeterol long or short acting - ANS-long acting- taken DAILY for CONTROL of
asthma
what is spironolactone? - ANS-diuretic
potassium sparing diuretics
spironolactone indications - ANS-heart failure, hypertension
spironolactone MOA - ANS-blocks aldosterone, promoting excretion of sodium and
water, but RETENTION OF POTASSIUM
spironolactone contraindications - ANS-severe kidney failure
spironolactone side effects - ANS-HYPERKALEMIA, amenorrhea, gynecomastia,
impotence
spironolactone black box warning - ANS-increase size of TUMORS
spironolactone NC - ANS-monitor potassium levels and EKG
spironolactone PT - ANS-AVOID SALT SUBSTITUTES containing potassium
what is metformin? - ANS-antidiabetics
biguanides
metformin indications - ANS-type 2 diabetes
allopurinol MOA - ANS-inhibits uric acid production
allopurinol side effects - ANS-GI upset, rash (Stevens-Johnson syndrome)
hepatotoxicity, nephrotoxicity
allopurinol NC - ANS-monitor renal and liver function during therapy
allopurinol PT - ANS-takes 2 or more weeks for symptom improvement
what is tamsulosin? - ANS-BPH medications
COMPLETE SOLUTIONS
What is misoprostol? - ANS-prostaglandins
antiulcer agent
misprostol indications - ANS-prevention of gastric ulcers in patients taking NSAIDs. Also
induces labor by ripening the cervix
misoprostol MOA - ANS-decrease stomach acid secretion, increase production of
protective mucus and bicarbonate. causes uterine contractions
misoprostol side effects - ANS-dysmenorrhea, gi upset
misoprostol black box warnings - ANS-miscarriage, premature birth, birth defects
misoprostol NC - ANS-assess women of childbearing age for pregnancy before
administering for ulcer prevention
what is epoetin alfa? - ANS-erythropoiesis stimulating agent
epoetin alfa indications - ANS-anemia related to chronic kidney disease, HIV,
chemotherapy
epoetin alfa MOA - ANS-stimulates bone marrow to PRODUCE RBCS
epoetin alfa contraindications - ANS-Hgb level > 11 g/dL, uncontrolled hypertension
epoetin alfa side effects - ANS-HYPERTENSION, bone pain, increased risk of seizures
epoetin alfa black box warnings - ANS-thromboembolic events (MI, stroke), tumor
progression/reoccurrence
epoetin alfa NC - ANS-do not agitate vial, monitor BP, Hgb, Hct
epoetin alfa PT - ANS-ensure adequate dietary iron intake
what is salmeterol? - ANS-bronchodilator -terol
Beta2 adrenergic agonist
salmeterol indications - ANS-asthma, copd
, salmeterol MOA - ANS-binds to beta2 receptors in the lungs causing bronchodilation
salmeterol side effects - ANS-chest pain, TACHYCARDIA, palpitations, tremors, anxiety
salmeterol PT - ANS-if using with inhaled glucocorticoid, use bronchodilator first, wait 5
minutes, then use glucocorticoid.
salmeterol long or short acting - ANS-long acting- taken DAILY for CONTROL of
asthma
what is spironolactone? - ANS-diuretic
potassium sparing diuretics
spironolactone indications - ANS-heart failure, hypertension
spironolactone MOA - ANS-blocks aldosterone, promoting excretion of sodium and
water, but RETENTION OF POTASSIUM
spironolactone contraindications - ANS-severe kidney failure
spironolactone side effects - ANS-HYPERKALEMIA, amenorrhea, gynecomastia,
impotence
spironolactone black box warning - ANS-increase size of TUMORS
spironolactone NC - ANS-monitor potassium levels and EKG
spironolactone PT - ANS-AVOID SALT SUBSTITUTES containing potassium
what is metformin? - ANS-antidiabetics
biguanides
metformin indications - ANS-type 2 diabetes
allopurinol MOA - ANS-inhibits uric acid production
allopurinol side effects - ANS-GI upset, rash (Stevens-Johnson syndrome)
hepatotoxicity, nephrotoxicity
allopurinol NC - ANS-monitor renal and liver function during therapy
allopurinol PT - ANS-takes 2 or more weeks for symptom improvement
what is tamsulosin? - ANS-BPH medications
