NUR 635 Advanced |! |! |!
Pharmacology Exam with |! |! |!
accurate detailed solutions |! |!
Pt on heparin in hospital setting. Why start coumadin 2 days
|! |! |! |! |! |! |! |! |! |! |!
before dc? - Correct 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? - Correct 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 - Correct answer ✔coronary disease, |! |! |! |! |! |! |! |! |!
athlerosclerosis
Why do we give aspirin in pts w/atherosclerosis? - Correct
|! |! |! |! |! |! |! |! |! |!
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? - Correct answer ✔ACE
|! |! |! |! |! |! |! |! |! |! |!
inhibitors to protect the kidneys and nerves |! |! |! |! |! |!
,SE of high doses of aspirin? - Correct answer ✔Tinnitus: ringing
|! |! |! |! |! |! |! |! |! |! |!
ears
Pt education regarding Plavix(clopidogrel bisulfate)? - Correct
|! |! |! |! |! |! |!
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? - Correct answer
|! |! |! |! |! |! |! |! |! |! |!
✔INR to check therapeutic levels. Half life is long. Check 12hrs
|! |! |! |! |! |! |! |! |! |! |!
after taking. |!
What can be caused if pt started on heparin? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |!
✔day4, ordering blood work to check platelet count to observe
|! |! |! |! |! |! |! |! |! |!
for THROMBOCYTOPENIA
|!
coumadin and childbearing aged females - Correct answer
|! |! |! |! |! |! |! |!
✔Interactions with oral contraceptives- must have a back up |! |! |! |! |! |! |! |! |!
method during time you're taking coumadin
|! |! |! |! |!
Pregnancy considerations and coumadin - Correct answer ✔Need
|! |! |! |! |! |! |!
to monitor anti-Xa levels
|! |! |! |!
biggest food group interaction with coumadin - Correct answer
|! |! |! |! |! |! |! |! |!
✔Grapefruit, green leafy veggies. Why? high in vitamin K which |! |! |! |! |! |! |! |! |! |!
counteracts warfarin |!
, Short duration: rapid acting insulin indication, MOA, usage -
|! |! |! |! |! |! |! |! |!
Correct 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 -
|! |! |! |! |! |! |! |! |!
Correct answer ✔Before meals to control postprandial
|! |! |! |! |! |! |!
hyperglycemia
Infused SQ via pump |! |! |!
humulin/regular
intermediate(humalin/novalin) duration insulin indication, MOA, |! |! |! |! |!
usage - Correct answer ✔BS control between meals and during
|! |! |! |! |! |! |! |! |! |!
the night
|!
Only one suitable for mixing w/short actings
|! |! |! |! |! |!
basal coverage |!
Long duration: Insulin glargine U100 - Correct answer ✔up to
|! |! |! |! |! |! |! |! |! |!
24hrs, once daily subq dosing, basal coverage for DM1 or Dm2
|! |! |! |! |! |! |! |! |! |!
Neostigmine is a medication uesd to tx what disease/disorder? -
|! |! |! |! |! |! |! |! |! |!
Correct answer ✔Myastenia Gravis: AI disorder, antibodies
|! |! |! |! |! |! |!
destroy communication btw nerves and muscles. S/S weak
|! |! |! |! |! |! |! |!
skeletal muscles, voluntary muscles, dysphagia, ptosis
|! |! |! |! |!
Pharmacology Exam with |! |! |!
accurate detailed solutions |! |!
Pt on heparin in hospital setting. Why start coumadin 2 days
|! |! |! |! |! |! |! |! |! |! |!
before dc? - Correct 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? - Correct 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 - Correct answer ✔coronary disease, |! |! |! |! |! |! |! |! |!
athlerosclerosis
Why do we give aspirin in pts w/atherosclerosis? - Correct
|! |! |! |! |! |! |! |! |! |!
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? - Correct answer ✔ACE
|! |! |! |! |! |! |! |! |! |! |!
inhibitors to protect the kidneys and nerves |! |! |! |! |! |!
,SE of high doses of aspirin? - Correct answer ✔Tinnitus: ringing
|! |! |! |! |! |! |! |! |! |! |!
ears
Pt education regarding Plavix(clopidogrel bisulfate)? - Correct
|! |! |! |! |! |! |!
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? - Correct answer
|! |! |! |! |! |! |! |! |! |! |!
✔INR to check therapeutic levels. Half life is long. Check 12hrs
|! |! |! |! |! |! |! |! |! |! |!
after taking. |!
What can be caused if pt started on heparin? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |!
✔day4, ordering blood work to check platelet count to observe
|! |! |! |! |! |! |! |! |! |!
for THROMBOCYTOPENIA
|!
coumadin and childbearing aged females - Correct answer
|! |! |! |! |! |! |! |!
✔Interactions with oral contraceptives- must have a back up |! |! |! |! |! |! |! |! |!
method during time you're taking coumadin
|! |! |! |! |!
Pregnancy considerations and coumadin - Correct answer ✔Need
|! |! |! |! |! |! |!
to monitor anti-Xa levels
|! |! |! |!
biggest food group interaction with coumadin - Correct answer
|! |! |! |! |! |! |! |! |!
✔Grapefruit, green leafy veggies. Why? high in vitamin K which |! |! |! |! |! |! |! |! |! |!
counteracts warfarin |!
, Short duration: rapid acting insulin indication, MOA, usage -
|! |! |! |! |! |! |! |! |!
Correct 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 -
|! |! |! |! |! |! |! |! |!
Correct answer ✔Before meals to control postprandial
|! |! |! |! |! |! |!
hyperglycemia
Infused SQ via pump |! |! |!
humulin/regular
intermediate(humalin/novalin) duration insulin indication, MOA, |! |! |! |! |!
usage - Correct answer ✔BS control between meals and during
|! |! |! |! |! |! |! |! |! |!
the night
|!
Only one suitable for mixing w/short actings
|! |! |! |! |! |!
basal coverage |!
Long duration: Insulin glargine U100 - Correct answer ✔up to
|! |! |! |! |! |! |! |! |! |!
24hrs, once daily subq dosing, basal coverage for DM1 or Dm2
|! |! |! |! |! |! |! |! |! |!
Neostigmine is a medication uesd to tx what disease/disorder? -
|! |! |! |! |! |! |! |! |! |!
Correct answer ✔Myastenia Gravis: AI disorder, antibodies
|! |! |! |! |! |! |!
destroy communication btw nerves and muscles. S/S weak
|! |! |! |! |! |! |! |!
skeletal muscles, voluntary muscles, dysphagia, ptosis
|! |! |! |! |!
