NUR 635 Advanced Pharmacology Final
Exam And Correct Answers.
Pt on heparin in hospital setting. Why start coumadin 2 days before dc? - Answer Because coumadin
needs a couple days before it starts working.
Angina: bc pts dev tolerance to long-acting nitroglycerine w/i 1 day. How to prevent? - Answer Pts must
have 8hrs with no nitroglycerine every days. Hint: At night, remove nitro patch bc no risk of exertional
angina
Underlying cause of angina - Answer coronary disease, athlerosclerosis
Why do we give aspirin in pts w/atherosclerosis? - Answer Aspirin is an antiplatelet.. Prevents the
existing plaques from getting bigger. Prevents plaque rupture. Cardio protective, prevents stroke, MI,
CVA
What is prescribed for angina pts w/DM? - Answer ACE inhibitors to protect the kidneys and nerves
SE of high doses of aspirin? - Answer Tinnitus: ringing ears
Pt education regarding Plavix(clopidogrel bisulfate)? - Answer Anti-platelet med. S/sx bleeding: blood in
stool or vomit, excessive bruising, abd pain uterine bld, back pain, petichae. Interactions with
EVERYTHING: OTC, herbals, supplements
Pts on coumadin? What are we watching for? - Answer INR to check therapeutic levels. Half life is long.
Check 12hrs after taking.
What can be caused if pt started on heparin? - Answer day4, ordering blood work to check platelet
count to observe for THROMBOCYTOPENIA
coumadin and childbearing aged females - Answer Interactions with oral contraceptives- must have a
back up method during time you're taking coumadin
, Pregnancy considerations and coumadin - Answer Need to monitor anti-Xa levels
biggest food group interaction with coumadin - Answer Grapefruit, green leafy veggies. Why? high in
vitamin K which counteracts warfarin
Short duration: rapid acting insulin indication, MOA, usage - Answer Given w/meals
Provide bs control between meals at night
Can use in conjunction w/intermediate or long-acting agent
lispro, aspart, gluulocene
Short duration: short acting insulin indication, MOA, usage - Answer Before meals to control
postprandial hyperglycemia
Infused SQ via pump
humulin/regular
intermediate(humalin/novalin) duration insulin indication, MOA, usage - Answer BS control between
meals and during the night
Only one suitable for mixing w/short actings
basal coverage
Long duration: Insulin glargine U100 - Answer up to 24hrs, once daily subq dosing, basal coverage for
DM1 or Dm2
Neostigmine is a medication uesd to tx what disease/disorder? - Answer Myastenia Gravis: AI disorder,
antibodies destroy communication btw nerves and muscles. S/S weak skeletal muscles, voluntary
muscles, dysphagia, ptosis
Myasthenia gravis is an AI disorder that may cause what s/s? - Answer difficulty swallowing
Medication must cross _____________ to affect CNS - Answer BBB
Exam And Correct Answers.
Pt on heparin in hospital setting. Why start coumadin 2 days before dc? - Answer Because coumadin
needs a couple days before it starts working.
Angina: bc pts dev tolerance to long-acting nitroglycerine w/i 1 day. How to prevent? - Answer Pts must
have 8hrs with no nitroglycerine every days. Hint: At night, remove nitro patch bc no risk of exertional
angina
Underlying cause of angina - Answer coronary disease, athlerosclerosis
Why do we give aspirin in pts w/atherosclerosis? - Answer Aspirin is an antiplatelet.. Prevents the
existing plaques from getting bigger. Prevents plaque rupture. Cardio protective, prevents stroke, MI,
CVA
What is prescribed for angina pts w/DM? - Answer ACE inhibitors to protect the kidneys and nerves
SE of high doses of aspirin? - Answer Tinnitus: ringing ears
Pt education regarding Plavix(clopidogrel bisulfate)? - Answer Anti-platelet med. S/sx bleeding: blood in
stool or vomit, excessive bruising, abd pain uterine bld, back pain, petichae. Interactions with
EVERYTHING: OTC, herbals, supplements
Pts on coumadin? What are we watching for? - Answer INR to check therapeutic levels. Half life is long.
Check 12hrs after taking.
What can be caused if pt started on heparin? - Answer day4, ordering blood work to check platelet
count to observe for THROMBOCYTOPENIA
coumadin and childbearing aged females - Answer Interactions with oral contraceptives- must have a
back up method during time you're taking coumadin
, Pregnancy considerations and coumadin - Answer Need to monitor anti-Xa levels
biggest food group interaction with coumadin - Answer Grapefruit, green leafy veggies. Why? high in
vitamin K which counteracts warfarin
Short duration: rapid acting insulin indication, MOA, usage - Answer Given w/meals
Provide bs control between meals at night
Can use in conjunction w/intermediate or long-acting agent
lispro, aspart, gluulocene
Short duration: short acting insulin indication, MOA, usage - Answer Before meals to control
postprandial hyperglycemia
Infused SQ via pump
humulin/regular
intermediate(humalin/novalin) duration insulin indication, MOA, usage - Answer BS control between
meals and during the night
Only one suitable for mixing w/short actings
basal coverage
Long duration: Insulin glargine U100 - Answer up to 24hrs, once daily subq dosing, basal coverage for
DM1 or Dm2
Neostigmine is a medication uesd to tx what disease/disorder? - Answer Myastenia Gravis: AI disorder,
antibodies destroy communication btw nerves and muscles. S/S weak skeletal muscles, voluntary
muscles, dysphagia, ptosis
Myasthenia gravis is an AI disorder that may cause what s/s? - Answer difficulty swallowing
Medication must cross _____________ to affect CNS - Answer BBB
