Pharm NUR-635 Midterm Exam 2024 100% Verified Q&A

NUR-635 Midterm Exam Patient prescribed viagra. What instruction to give patient? - ANSWER Avoid taking nitroglycerin with this drug A patient is taking proscar for BPH. Explain that this med has which effect? - ANSWER Decreases the size of the prostate Patient taking viagra. Should avoid what food? - ANSWER Grapefruit juice Rapid acting insulin - ANSWER Lispro (Humalog) Aspart (Novolog) Glulisine (Apidra) Short onset and duration insulin - ANSWER NPH Drug of choice for type 2 diabetes - why - ANSWER Metformin - decreases glycogenolysis in liver Why would we recommend pts take an ASA a day? - ANSWER Prevents thrombolytic events Side effect of high dose aspirin - ANSWER Tinnitus Anemic pt getting epoetin - what to monitor? - ANSWER Hypertension - monitor BP Safety warning for erythropoiesis stimulating medications? - ANSWER Can cause tumors Dx with angina, we know they have underlying what? - ANSWER Athrosclerosis Medications for athrosclerosis - ANSWER Statin, ASA, nitro Someone wants to self donate blood for surgery. Give what? - ANSWER Epogen with iron Prescribing iron for iron deficiency anemia, what do I check 1 week out? - ANSWER Reticulocyte count Prescribing iron replacement, what education? - ANSWER Empty stomach with orange juice. What does pernicious anemia mean? - ANSWER Lacking B12 Giving B12, what do we monitor for? - ANSWER Hypokalemia How long for NPH to take effect? - ANSWER 60-90 min What's the biggest side effect for treating DM? - ANSWER Hypoglycemia What s/sx should DM pts look for? - ANSWER Cold and clammy, need some candy Interaction between insulin and beta blockers? - ANSWER Beta blockers will mask signs of hypoglycemia Switching pt from NPH to glargine, then what do we do to glargine dosage? - ANSWER Decrease it by 20% Things to consider when prescribing metformin? - ANSWER Cannot do contrast, overhydrate them, A1C, baseline kidney function Assess prior to metformin? - ANSWER Kidney function How are gliptins different from other DM meds? - ANSWER Indirectly increase insulin production How do GLP-1 agonists work? - ANSWER Bind to receptors in pancreas to stimulate insulin release, work on incretin system What things to check with iron treatment? - ANSWER Ferratin, H/H, TIBC - normalize after 4 weeks NYHA, which one is angina without symptoms? - ANSWER Variant angina, stage I NYHA stage 2 - ANSWER Angina with exertion NYHA Stage 3 - ANSWER Severe symptoms with minimal activity NYHA stage 4 - ANSWER Symptoms at rest What do most patients with angina need to do? - ANSWER Diet and exercise What are the 2 reasons patients go into heart failure? - ANSWER Infarct Myocardial ischemia What is contraindicated with flagyl? - ANSWER Alcohol - nasty reaction Baseline labs for hepatotoxicity? - ANSWER Hepatic function panel Why can NP and PAs prescribe? - ANSWER Access to healthcare When is it most dangerous for a pregnant person to consume a teratogen? - ANSWER 1st trimester - neural tube defects Education for breastfeeding mom taking potentially harmful med? - ANSWER Pump and dump Take meds right after pumping Neostigmine treats... - ANSWER myasthenia gravis