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Nursing pharmacology latest edition exam solutions

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Nursing pharmacology latest edition exam solutions

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Nursing Pharmacology (Drugs) ATI Q&A

Study

albuterol

(SABA) short acting beta 2 receptor agonist, used for bronchospasm, acute symptoms of
asthma

acetaminophen

centrally acting cox inhibitor; analgesic and antipyretic properties; no
antiinflammatory,antirheumatic properties

acyclovir

Antimetabolite for Treating Herpes Simplex Virus & Varicella-Zoster Virus Infections;
MOAs: Purine necleoside analog: DNA polymerase inhibitor, suppresses synthesis of viral
DNA, resistance.

amiodarone

Class 3 Potassium channel blocker
Only approved for life-threatening dysrhythmias.
Delays repolarization and extends action potential of heart muscle cells.
SE: Profound hypotension."

amoxicillin

Broad-spectrum penicillin active against H. influenzae, E. coli, and N. Gonorrhoeae. It is
inactivated by beta-lactamases, so not helpful for Staphylococcus.

atropine

muscinarinic receptor antagonist/anticholinergic drug; used for mydriases (eye exams), to
raise HR, lower GI motility, and as antidote to muscarinic poisoning (rx, shrooms)

amphotericin B

broad spectrum antifungal, which is the agent of choice for systemic mycoses, despite being
highly toxic. Its uses are limited to treating progressive and potentially fatal infections.
Adverse effects include infusion reactions, nephrotoxicity, and hypokalemia.

aspirin

A drug that decrease platelet aggregation and is used to prevent arterial thrombosis, stroke,
or MI. Major SEs include risk of major GI bleeding. This drug is an NSAID that works by
inhibiting platelet COX, COX-1, and COX-2.

beclomethasone

, inhaled corticosteroid used to treat airway inflammation in asthma

bethanechol

muscarinic agnonist, used primarily for urinary retention

buproprion

(DA and NE). Weight loss, seizure, insomnia, headache, serotonin syndrome (see laundry list
above), withdrawal, Neonatal Abstinence Syndrome

captopril

ACE inhibitor - shown to have efficacious effects in treating a patient with heart failure.
Blocks production of angiotensin II, dilates arterioles and veins, and decreases release of
aldosterone. It may show the adverse effects of hypotension, hyperkalemia, or persistant
cough, CARDIAC REMODELING

carbenicillin

"Extended spectrum (antipseudomonal penicillins), which has the same spectrum of activity
as broad-spectrum penicillins, plus treatment of Pseudomonas aeruginosa

cefotaxime

"Third generation cephalosporin with activity against meningitis and nosocomial infections
resistant to others (restricted use). It has greater activity against Gram negative bacteria,
increased resistance to beta-lactamases, and better ability to reach CSF.

cephalexin

"First generation cephalosporin poor activity against Gram negative bacteria, sensitive to to
most beta-lactamases, unable to reach CSF. Used for Staphylococcus if mild penicillin allergy.

celecoxib

2nd Generation Nonsteroidal Antiinflammatory Drug (COX-2 Selective NSAID); AE: risk of CV
events, warfarin may be more effective with celecoxib

cholestyramine

Inhibits bile reabsorption in intenstine, increases LDL receptors in liver, accelerates bile
excretion. Many of the adverse effects result from the drug not being absorbed from GI,
including constipation and a decreased absorption of fat-soluble vitamins (A, D, E, & K).

ciprofloxacin

fluoroquinolone
broad -cidal. PO tetracycline and cipro should NOT BE GIVEN WITH ANTACIDS.
ALSO KNOW IT CAN RUPTURE TENDONS AND CAUSE CANDIDA. "

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