NURS 3314: Pharmacology :Pharm Final: Need to Knows
Questions With Complete Solutions
Acyclovir adverse effect: IV? Correct Answers Nephrotoxicity
- assess BUN, *creatinine*, etc.
Acyclovir IV patient teaching? Correct Answers - give NS
before, during, & after treatment
- infuse over 1 hour
- monitor kidney function
Acyclovir reason for prescribing PO & Topical? Correct
Answers - Patients with genital herpes can be prescribed oral
tablets or topical ointments (usually cream is for cold sores)
- Purpose of topical application is for relief of itching & pain for
genital herpes type 2 herpes simplex (cold sores are type 1)
Allopurinol [Zyloprim] MOA? Correct Answers Inhibits
xanthine oxidase (XO), an enzyme required for uric acid
formation
Anti inflammatory drugs
-SINGULAIR adverse effects Correct Answers
Neuropsychiatric effects
-depression
-SI
-suicidal behavior
Anticholinergic drug
-Ipratropium(ATROVENT) important AE? Correct Answers -
dry mouth (most common - due to muscarinic effects)
, - irritation to pharynx
- cardiovascular effects(CVA or MI)
Antihistamines CI in what patients Correct Answers -THIRD
TRIMESTER OF PREGNANCY
-Nursing mothers
-Newborn infants
used in caution in pediatric & geriatric patients
Antitussives(cough meds) prototype? Correct Answers -
robitussin(DEXTROMETHORPAN): has codeine, causes
drowsiness
Benefit of 2nd gen H1 antagonists-cetirizine(ZYRTEC) Correct
Answers -less sedating than 1st gen H1 antagonists;
diphenhydramine(BENADRYL)
Bronchodilators: Beta2 adrenergic agonists side effect? Correct
Answers -causes tachycardia
--tell pt. it is a common side effect
--monitor HR
Bronchodilators: Methylxantines
-Theophylline C/I Correct Answers - fluroquinolones(CIPRO)
Bronchodilators: Methylxantines
-Theophylline warning? Correct Answers -a very dangerous
drug
-has a narrow therapeutic effect, so a high risk for toxicity (CV
collapse, dysrhythmias, convulsions)
Questions With Complete Solutions
Acyclovir adverse effect: IV? Correct Answers Nephrotoxicity
- assess BUN, *creatinine*, etc.
Acyclovir IV patient teaching? Correct Answers - give NS
before, during, & after treatment
- infuse over 1 hour
- monitor kidney function
Acyclovir reason for prescribing PO & Topical? Correct
Answers - Patients with genital herpes can be prescribed oral
tablets or topical ointments (usually cream is for cold sores)
- Purpose of topical application is for relief of itching & pain for
genital herpes type 2 herpes simplex (cold sores are type 1)
Allopurinol [Zyloprim] MOA? Correct Answers Inhibits
xanthine oxidase (XO), an enzyme required for uric acid
formation
Anti inflammatory drugs
-SINGULAIR adverse effects Correct Answers
Neuropsychiatric effects
-depression
-SI
-suicidal behavior
Anticholinergic drug
-Ipratropium(ATROVENT) important AE? Correct Answers -
dry mouth (most common - due to muscarinic effects)
, - irritation to pharynx
- cardiovascular effects(CVA or MI)
Antihistamines CI in what patients Correct Answers -THIRD
TRIMESTER OF PREGNANCY
-Nursing mothers
-Newborn infants
used in caution in pediatric & geriatric patients
Antitussives(cough meds) prototype? Correct Answers -
robitussin(DEXTROMETHORPAN): has codeine, causes
drowsiness
Benefit of 2nd gen H1 antagonists-cetirizine(ZYRTEC) Correct
Answers -less sedating than 1st gen H1 antagonists;
diphenhydramine(BENADRYL)
Bronchodilators: Beta2 adrenergic agonists side effect? Correct
Answers -causes tachycardia
--tell pt. it is a common side effect
--monitor HR
Bronchodilators: Methylxantines
-Theophylline C/I Correct Answers - fluroquinolones(CIPRO)
Bronchodilators: Methylxantines
-Theophylline warning? Correct Answers -a very dangerous
drug
-has a narrow therapeutic effect, so a high risk for toxicity (CV
collapse, dysrhythmias, convulsions)
