Pharmacology Final Exam Study Guide with a Total of 100 Questions (70 pharmacology + 30 Drug Dosage)

Describe what the nurse should advise the client who is having nausea and upset stomach from erythromycin. Take this medication with food Define the following words: Intrinsic effect Hormones, enzymes, growth factors, and other chemicals made by the body that change the activity of cells. Side effect Drug side effects are expected, are mild, and do not occur in all patients. Adverse effect A drug effect that is more severe than expected and has the potential to damage tissue or cause serious health problems. It may also be called a toxic effect or toxicity and usually requires intervention by the prescriber. Therapeutic effect Desired effect (main effect) of a drug on specific body cells or tissues; same as intended action. Describe foods need to be avoided while taking a MAOI (Monoamine Oxidase Inhibitor). Foods with tyramine (Aged cheese, wine, cured meats); Processed food; aged food; anything that is found on pizza Identify medications that apply a protective coating to the stomach. Enteric Coating The drugs which most commonly cause stomach ulcers like aspirin, diclofenac and naproxen are frequently available with enteric coatings. Reversal agent for Dilaudid (Hydromorphone) Pharmacology Final Exam Study GuideTotal is 100 Questions = 70 pharmacology + 30 Drug Dosage NALOXONE (NARCAN) Reversal agent for Xanax (Alprazolam) Romazicon (Flumazenil) Reversal agent for opioids Naloxone Reversal agent for benzodiazepines Flumazenil Reversal agent for warfarin Vitamin K Reversal agent for Heparin Protamine Sulfate Education about side effects of Ritalin (Ritalin is a CNS stimulant sometimes used to treat narcolepsy; it causes increased general CNS stimulation to promote wakefulness and reduce the sudden sleepiness of narcolepsy.) Why do they take Ritalin- ADHD; ADD When is the best time to take it- in the morning; might cause insomnia (do not take at bedtime); it is a stimulus Check for tachycardia Common side effects of CNS stimulant drugs used for narcolepsy include hyperactivity, insomnia, restlessness, tremor, hypertension, palpitation, tachycardia, and loss of appetite (anorexia). Other side effects include nervousness, headache, upset stomach, diarrhea, mood swings, and depression. Nursing Interventions prior to the administration of metoprolol - Monitor for hypotension and bradycardia frequently during dose adjustment and during therapy. Hold if pulse is less than 60 bpm. - Administer with meals or directly after eating. Client teaching for spironolactone