NU 150 - GALEN - PHARM TEST 3
QUESTIONS WITH CORRECT ANSWERS
Naloxone (Narcan) (Use) - Answer-Complete or partial reverse of opioid effects after
surgery or overdose
Naloxone (Narcan) (adverse reaction) - Answer-n/v, tachycardia, hypertension, return of
postoperative pain, fever and dizziness
Hydrocodone (use) - Answer-severe pain
Hydrocodone (adverse reaction) - Answer-Sedation, sweating, headache, vertigo,
lethargy, confusion, light headedness, nausea, vomiting
Meperidine (Demerol) opioid (use) - Answer-Acute moderate to severe pain,
preoperative sedation, anesthetic adjunct
Meperidine (Demerol) opioid (adverse reaction) - Answer-Light headedness,
constipation, dizziness, N/V, respiratory depression
Anticholinergic (glycopyrrolate) cholinergic blocking drug (uses) - Answer-
Parasympathetic drug (rest and digestion)
Oral: peptic ulcer
Parenteral: in conjunction with anesthesia to reduce bronchial and oral secretions, to
block cardiac vagal
DRY "Can't see, pee, sh*t, spit" Hot as a Hare Dry as a Bone Blind as a Bat Red as a
Beet Mad as a Hatter
CV: increase heart rate Resp: dry mucus membranes; bronchial dilation
GIT: decrease GI motility, secretions and salivation
GUT-decrease bladder contraction, urinary retention
Eye: pupil dilation, increase in intraocular pressure
Anticholinergic (glycopyrrolate) cholinergic blocking drug (indications) - Answer-
Indications:
↓ muscle rigidity and diminishes tremors (Parkinson's)
inhibit the vagal stimulus (increase HR in bradycardia)
Bronchospasm (dilate bronchioles in asthma)
irritable bowel syndrome (relief of diarrhea S/S)
Urinary incontinence (relief of urgency in urination)
↓gastric & pancreatic secretions (acute pancreatitis)
↓ reduce respiratory secretions (pre-op)
Anticholinergic (glycopyrrolate) cholinergic blocking drug (teaching) - Answer-Patient
and family teaching
, Inform provider of adverse reactions
Photophobia = sunglasses, soft light
Dry mouth = frequent sips of water during the day; chew gum or dissolve hard candy
Constipation = drink plenty of fluids, increase fiber in diet
Heat prostration = fans, sponge bath
Acetaminophen (Tylenol) (antidote) - Answer-Antidote : acetylcysteine
Acetaminophen (Tylenol) (uses) - Answer-Mild to Moderate Pain
Reduce body temperature
Used when allergic to ASA
Used when on anticoagulant therapy
Recent minor surgical procedures
Acetaminophen (Tylenol) (adverse reactions) - Answer-Adverse reactions
Few when taken as directed
Urticaria (hives)
Pancytopenia (deficiency of all blood cells)
JAUNDICE, hepatotoxicity, hepatic failure
Acetaminophen (Tylenol) (toxicity signs) - Answer-Toxicity signs and symptoms
N/V Jaundice, Liver Tenderness Hypotension Confusion Acute Hepatic and Renal
Failure
Antidote is acetylcysteine (mucomyst)
Maximum oral dose for adults is 4000 mg/day
ASA (aspirin) (uses) - Answer-Uses:
Mild to moderate pain
Reduce body temperature
Treatment of inflammatory conditions
Arthritis
Reduce risk of Myocardial Infarction
Reduce risk of Transient Ischemic Attacks due to fibrin platelet emboli
ASA (aspirin) (adverse reactions) - Answer-GI bleed with prolonged use or large doses
Be aware of allergic reactions → hives, bronchospasm and anaphylaxis
Salicylism: toxicity from repeated administration of large doses (reversible with dose
reduction)
Tinnitus, impaired Hearing
Mental confusion, lassitude
Sweating, tachycardia
Antacids such calcium, sodium containing (mechanism of action) - Answer-Mechanism
of action
neutralize or reduce acidity of stomach and duodenal contents (helps raise the pH of the
stomach).
QUESTIONS WITH CORRECT ANSWERS
Naloxone (Narcan) (Use) - Answer-Complete or partial reverse of opioid effects after
surgery or overdose
Naloxone (Narcan) (adverse reaction) - Answer-n/v, tachycardia, hypertension, return of
postoperative pain, fever and dizziness
Hydrocodone (use) - Answer-severe pain
Hydrocodone (adverse reaction) - Answer-Sedation, sweating, headache, vertigo,
lethargy, confusion, light headedness, nausea, vomiting
Meperidine (Demerol) opioid (use) - Answer-Acute moderate to severe pain,
preoperative sedation, anesthetic adjunct
Meperidine (Demerol) opioid (adverse reaction) - Answer-Light headedness,
constipation, dizziness, N/V, respiratory depression
Anticholinergic (glycopyrrolate) cholinergic blocking drug (uses) - Answer-
Parasympathetic drug (rest and digestion)
Oral: peptic ulcer
Parenteral: in conjunction with anesthesia to reduce bronchial and oral secretions, to
block cardiac vagal
DRY "Can't see, pee, sh*t, spit" Hot as a Hare Dry as a Bone Blind as a Bat Red as a
Beet Mad as a Hatter
CV: increase heart rate Resp: dry mucus membranes; bronchial dilation
GIT: decrease GI motility, secretions and salivation
GUT-decrease bladder contraction, urinary retention
Eye: pupil dilation, increase in intraocular pressure
Anticholinergic (glycopyrrolate) cholinergic blocking drug (indications) - Answer-
Indications:
↓ muscle rigidity and diminishes tremors (Parkinson's)
inhibit the vagal stimulus (increase HR in bradycardia)
Bronchospasm (dilate bronchioles in asthma)
irritable bowel syndrome (relief of diarrhea S/S)
Urinary incontinence (relief of urgency in urination)
↓gastric & pancreatic secretions (acute pancreatitis)
↓ reduce respiratory secretions (pre-op)
Anticholinergic (glycopyrrolate) cholinergic blocking drug (teaching) - Answer-Patient
and family teaching
, Inform provider of adverse reactions
Photophobia = sunglasses, soft light
Dry mouth = frequent sips of water during the day; chew gum or dissolve hard candy
Constipation = drink plenty of fluids, increase fiber in diet
Heat prostration = fans, sponge bath
Acetaminophen (Tylenol) (antidote) - Answer-Antidote : acetylcysteine
Acetaminophen (Tylenol) (uses) - Answer-Mild to Moderate Pain
Reduce body temperature
Used when allergic to ASA
Used when on anticoagulant therapy
Recent minor surgical procedures
Acetaminophen (Tylenol) (adverse reactions) - Answer-Adverse reactions
Few when taken as directed
Urticaria (hives)
Pancytopenia (deficiency of all blood cells)
JAUNDICE, hepatotoxicity, hepatic failure
Acetaminophen (Tylenol) (toxicity signs) - Answer-Toxicity signs and symptoms
N/V Jaundice, Liver Tenderness Hypotension Confusion Acute Hepatic and Renal
Failure
Antidote is acetylcysteine (mucomyst)
Maximum oral dose for adults is 4000 mg/day
ASA (aspirin) (uses) - Answer-Uses:
Mild to moderate pain
Reduce body temperature
Treatment of inflammatory conditions
Arthritis
Reduce risk of Myocardial Infarction
Reduce risk of Transient Ischemic Attacks due to fibrin platelet emboli
ASA (aspirin) (adverse reactions) - Answer-GI bleed with prolonged use or large doses
Be aware of allergic reactions → hives, bronchospasm and anaphylaxis
Salicylism: toxicity from repeated administration of large doses (reversible with dose
reduction)
Tinnitus, impaired Hearing
Mental confusion, lassitude
Sweating, tachycardia
Antacids such calcium, sodium containing (mechanism of action) - Answer-Mechanism
of action
neutralize or reduce acidity of stomach and duodenal contents (helps raise the pH of the
stomach).
