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Exam (elaborations)

HESI Milestone Exam 1 Questions and 100% correct Answers

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HESI Milestone Exam 1 Questions and 100% correct Answers Histamine1 blockers action(mine, zine, dine) - Answer-bind selectively to H1-histaminic receptors, blocking the actions of histamine at these sites .H1 antagonists are useful in treating - Answer--mild allergies(seasonal rhinitis) -severe allergies(anaphylaxis) -motion sickness -insomnia -common cold .Histamine (H2)-Receptor Antagonists action(tidine) - Answer-block the H2 receptors responsible for stimulating the secretion of gastric acid .Exenatide (Byetta) hypoglycemia - Answer--can occur right after meals -for severe hypoglycemia give IV dextrose .Exenatide (Byetta) hypoglycemia teaching - Answer--teach about s/s of hypoglycemia(cold and clammy give them candy) -have glucagon emergency kit available -regular monitoring of A1c levels are required .Exenatide (Byetta) hypoglycemia causes - Answer--insulin overdose -reduced food intake -vomiting and diarrhea -excessive alcohol intake -unaccustomed exercise -termination of pregnancy .signs and symptoms of hypoglycemia - Answer--tachycardia -palpitations -sweating -nervousness -headache -confusion -drowsiness -fatigue .antitussives therapeutic action is to - Answer-Act on the cough control center in the medulla to suppress the cough reflex; used for a cough that is nonproductive and irritating .Anaphylaxis‐PCN - Answer--laryngeal edema, bronchoconstriction, severe hypotension= immediate hypersensitivity reaction .Anaphylaxis treatment - Answer-epinephrine (subQ, IM, or IV) plus respiratory support .What drugs are effective and safe alternatives for patients with penicillin allergies? - Answer-vancomycin, erythromycin, and clindamycin .To ensure prompt treatment if anaphylaxis should develop patients should be? - Answer-observed for at least 30 minutes after drug injection (i.e., until the risk of an anaphylactic reaction has passed).

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