MITERM- NR566
1 Know what meds you would give for asthma and COPD (LABA and intermittent use)
LABA- indacaterol (Arcapta). Indacaterol is a once-daily long-acting bronchodilator
that has an onset of 5 minutes and a duration of 24 hours
FORMOTEROL/ SALMETEROL/ INDACATEROL
3 What to do when a patient calls you with hypoglycemia
4 How many gms of carb is needed during hypoglycemic episode- 15 what to tell patient to do for
low blood sugar
5 how many mcg of dietary intake of iodine
Dietary iodine of about 100 to 150 mcg/d is required for normal thyroid hormone
production.
6 alendronate (Fosamax) patient education- osteoporosis
PO meds should be taken first thing in the morning, at least 30 mins prior to
medications.
Take it with 8oz plain water
Mineral water, coffee, OJ, and other beverages greatly reduce absorption.
Remain upright for least 30 mins after taking meds, which allows for passage out of
the stomach and minimizes the risk for esophageal irritation.
GI distress and dyspepsia are the most common s/e's. if needed take aluminum and
magnesium containing anatacids may be taken more than 2 hours fosomax.
Patients should eat a diet that has calcium and vitamin D
7 what medication decreases the T4 and the answer was Carbamazepime/ drug increases t4
(carbamazepine)
8 First choice for hypertension – which diuretic
thiazide-type diuretic has been typically chosen because in the landmark
Chlorothiazide (Diuril)
Chlorthalidone.
Hydrochlorothiazide (Microzide)
Indapamide.
Metolazone.
9 Besides hypertension, BB are indicated for (I selected MI)
Angina/ HTN/ MI prophylaxis/ glaucoma / migraine prophylaxis
10 Mechanism of action of Theophylline
Treats asthma (bronchodilator)
Work directly by an unknown mechanism believed to be mediated by selective
inhibition of specific phosphodiesterases. This, in turn, produces an increase in
cAMP, which then leads to bronchial smooth muscle and pulmonary vessel
relaxation.
Theophylline and caffeine have an impact on most of the major body systems. They
are powerful CNS stimulants, often causing insomnia and excitability. Although both
drugs have cardiovascular effects, theophylline has a greater effect on the
cardiovascular system. Theophylline directly stimulates the myocardium and
increases myocardial contractility and heart rate. By relaxing vascular smooth
muscle, theophylline dilates the coronary, pulmonary, and systemic blood vessels.
11 What should you test a patient c/o muscle pain, on atorvastatin
For all reductase inhibitors, muscle tenderness or pain may indicate a serious
problem that may require discontinuance of the drug.
patient C/O muscle pain on atorvastin: check cK level.
1 Know what meds you would give for asthma and COPD (LABA and intermittent use)
LABA- indacaterol (Arcapta). Indacaterol is a once-daily long-acting bronchodilator
that has an onset of 5 minutes and a duration of 24 hours
FORMOTEROL/ SALMETEROL/ INDACATEROL
3 What to do when a patient calls you with hypoglycemia
4 How many gms of carb is needed during hypoglycemic episode- 15 what to tell patient to do for
low blood sugar
5 how many mcg of dietary intake of iodine
Dietary iodine of about 100 to 150 mcg/d is required for normal thyroid hormone
production.
6 alendronate (Fosamax) patient education- osteoporosis
PO meds should be taken first thing in the morning, at least 30 mins prior to
medications.
Take it with 8oz plain water
Mineral water, coffee, OJ, and other beverages greatly reduce absorption.
Remain upright for least 30 mins after taking meds, which allows for passage out of
the stomach and minimizes the risk for esophageal irritation.
GI distress and dyspepsia are the most common s/e's. if needed take aluminum and
magnesium containing anatacids may be taken more than 2 hours fosomax.
Patients should eat a diet that has calcium and vitamin D
7 what medication decreases the T4 and the answer was Carbamazepime/ drug increases t4
(carbamazepine)
8 First choice for hypertension – which diuretic
thiazide-type diuretic has been typically chosen because in the landmark
Chlorothiazide (Diuril)
Chlorthalidone.
Hydrochlorothiazide (Microzide)
Indapamide.
Metolazone.
9 Besides hypertension, BB are indicated for (I selected MI)
Angina/ HTN/ MI prophylaxis/ glaucoma / migraine prophylaxis
10 Mechanism of action of Theophylline
Treats asthma (bronchodilator)
Work directly by an unknown mechanism believed to be mediated by selective
inhibition of specific phosphodiesterases. This, in turn, produces an increase in
cAMP, which then leads to bronchial smooth muscle and pulmonary vessel
relaxation.
Theophylline and caffeine have an impact on most of the major body systems. They
are powerful CNS stimulants, often causing insomnia and excitability. Although both
drugs have cardiovascular effects, theophylline has a greater effect on the
cardiovascular system. Theophylline directly stimulates the myocardium and
increases myocardial contractility and heart rate. By relaxing vascular smooth
muscle, theophylline dilates the coronary, pulmonary, and systemic blood vessels.
11 What should you test a patient c/o muscle pain, on atorvastatin
For all reductase inhibitors, muscle tenderness or pain may indicate a serious
problem that may require discontinuance of the drug.
patient C/O muscle pain on atorvastin: check cK level.
