NRSG 2350 Pharm Exam 2 questions with accurate
answers
ACE inhibitors Ans✓✓✓ -pril
Enalapril (Vasotec), Lisinopril, Verapmil
Heart Failure
LV dysfunction
Blocks conversion of Angiotensin I > II
Decrease vasoconstriction
DRY HACKING
Monitor for tachy, angina, heart failure, NSAIDS + allopurinol
EMPTY STOMACH
Acetaminophen (Tylenol) Ans✓✓✓ Mild to moderate pain relief
Fever reduction
LACKS anti-inflammatory effect
DOES NOT CAUSE BLEEDING OR GI PROBLEMS
CAN CAUSE HEPATOTOXICITY
,Antidote: Acetylcysteine (Acetadote)
Adrenergic Agonists Ans✓✓✓ drug that stimulates adrenergic
receptors of the SNS, either directly (reacts with receptor site) or
indirectly (increases NE levels) also known as sympathomimetic bc
mimics effects of SNS
Anti-epileptics in general Ans✓✓✓ Interventions:
Stop drugs for toxic effects
Administer with food to reduce GI upset
Monitor Labs
Wean Off to prevent seizure events
Pregnancy counseling
Medic-Alert bracelet
Cautions:
Barbs:
CNS DEP, Addiction + withdrawal
Benzos:
Pardoxical effects, watch for CNS effects when taken with alcohol or
other depressors
, Carbamazepine:
CNS depression, bone marrow suppression, interactions with oral
contraceptives (makes not effective)
Interact with Warfarin: may have less anticoagulation effects
antiarrhythmic drugs Ans✓✓✓ Class I: sodium channel blockers
(Lidocaine) for ventricular
Class II: Beta Blockers (HTN + MI)
Class III: Potassium channel blockers (Amidorone) ventricular
irritability, Vtach, Vfib
Class IV: Calcium channel blockers (Diltiazem/Cardizem)
supraventricular tachy, afib, atrial flutter
Antiplatelet drugs Ans✓✓✓ PROTOTYPE: ASPIRIN
Plavix, aspirin, anagrelide
FOR: CAD, maintenance of arterial/venous grafts, prevents
cerebrovascular occlusion, during/post MI for thrombolytic effect
Inhibit platelet aggregation and adhesion
ASPIRIN: inhibits synthesis of thromboxane A + decreases platelet
aggregation
answers
ACE inhibitors Ans✓✓✓ -pril
Enalapril (Vasotec), Lisinopril, Verapmil
Heart Failure
LV dysfunction
Blocks conversion of Angiotensin I > II
Decrease vasoconstriction
DRY HACKING
Monitor for tachy, angina, heart failure, NSAIDS + allopurinol
EMPTY STOMACH
Acetaminophen (Tylenol) Ans✓✓✓ Mild to moderate pain relief
Fever reduction
LACKS anti-inflammatory effect
DOES NOT CAUSE BLEEDING OR GI PROBLEMS
CAN CAUSE HEPATOTOXICITY
,Antidote: Acetylcysteine (Acetadote)
Adrenergic Agonists Ans✓✓✓ drug that stimulates adrenergic
receptors of the SNS, either directly (reacts with receptor site) or
indirectly (increases NE levels) also known as sympathomimetic bc
mimics effects of SNS
Anti-epileptics in general Ans✓✓✓ Interventions:
Stop drugs for toxic effects
Administer with food to reduce GI upset
Monitor Labs
Wean Off to prevent seizure events
Pregnancy counseling
Medic-Alert bracelet
Cautions:
Barbs:
CNS DEP, Addiction + withdrawal
Benzos:
Pardoxical effects, watch for CNS effects when taken with alcohol or
other depressors
, Carbamazepine:
CNS depression, bone marrow suppression, interactions with oral
contraceptives (makes not effective)
Interact with Warfarin: may have less anticoagulation effects
antiarrhythmic drugs Ans✓✓✓ Class I: sodium channel blockers
(Lidocaine) for ventricular
Class II: Beta Blockers (HTN + MI)
Class III: Potassium channel blockers (Amidorone) ventricular
irritability, Vtach, Vfib
Class IV: Calcium channel blockers (Diltiazem/Cardizem)
supraventricular tachy, afib, atrial flutter
Antiplatelet drugs Ans✓✓✓ PROTOTYPE: ASPIRIN
Plavix, aspirin, anagrelide
FOR: CAD, maintenance of arterial/venous grafts, prevents
cerebrovascular occlusion, during/post MI for thrombolytic effect
Inhibit platelet aggregation and adhesion
ASPIRIN: inhibits synthesis of thromboxane A + decreases platelet
aggregation
