MARYVILLE NURS 615 PHARM EXAMS SCRIPT
QUESTIONS AND ANSWERS SURE A+
✔✔Name 3 things ta Rifampin is prescribed for? - ✔✔TB, leprosy, legionella
✔✔What are the adverse effects for Isoniazid? - ✔✔Hepatotoxicity and peripheral
neuropathy
✔✔What are the main side effects of Doxycycline? - ✔✔Mainly GI upset. Take with
food. Can cause photosensitivity, Stephens Johnson syndrome, and toxic epidermal
necrosis
✔✔What is the difference between oral and I.V. Vanco? - ✔✔Oral is given for C-Diff as
it goes right to the site of infection. I.V. vanco is given for MRSA infections and needs to
be administered through a picc line or central line because it is toxic to veins.
✔✔What is the mechanism of action for Azithromycin? - ✔✔It inhibits bacterial protein
biosynthesis and prevents peptidyl transferase from adding to the growing peptide
attached to the transfer RNA to the amino acid. It also inhibits ribosome ranslation.
✔✔Which class of antibiotics block bacterial protein production? - ✔✔Bacteriostatic
antibiotics: Tetracyclie, Sulfonamides, Macrolides, Clindamycin, Ethambutol,
Nitrofuantoin, Novobiocin, tigecycline, oxazolidinone
✔✔What labs need to be monitored for long term antifungal therapy with ketoconazole?
- ✔✔AST, ALT, Phosphatase, bilirubin
✔✔What teaching should be done with Flagyl? - ✔✔Do not consume alcohol in any
form with this medication
✔✔Which antihelmintic is used to treat parasitic worms? - ✔✔Mebendazole, and
agromectin
, and ivermectin to treat true parasites
✔✔What antifungal can be used topically? - ✔✔Clotrimazole
✔✔What medication treats scabies and lice? - ✔✔Ivermectin and permethrin cream
✔✔Rifampin is used to treat what? - ✔✔TB
✔✔Side effects of rifampin? - ✔✔Joint pain because it can precipitate gout and it is
hepatotoxic.
✔✔IF patients are hypersensitive to Sulfa, what other medications will they be sensitive
to? - ✔✔Loop Diuretics, thiazide diuretics, and sulfonylureas
✔✔Sulfa antibiotics can cause what? - ✔✔Stephen Johnsons Syndrome and toxic
epidermal necrolysis
✔✔ Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what?
- ✔✔Carbamazepine auto-induces metabolism, leading to lower levels despite good
compliance
✔✔What are the black box warnings for Carbamazepine? - ✔✔Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
✔✔What lab test should be ordered for patients on Carbamazepine? - ✔✔CBC every 3-
4 months because it can cause decreased WBC, decreased platelets, and trouble with
RBC
✔✔What kind of teaching needs to be done with families of patients who have seizure
disorders? - ✔✔Prevention is important, patient safety is important, Do NOT abruptly
stop taking medication.
✔✔Ethosuximide (Zarontin), an anti-seizure medication can cause what? - ✔✔Blood
dyscrasias
✔✔Patients taking Topiramate need to be monitored for what electrolyte imbalance? -
✔✔Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
✔✔Topiramate treats seizures and what is one common side effect? - ✔✔Normal side
effect is weight loss, especially in higher dose patients
✔✔A child on Topiramate that wants to play sports should monitor what? - ✔✔Don't get
overheated. Topiramate may affect his ability to sweat in the heat.
QUESTIONS AND ANSWERS SURE A+
✔✔Name 3 things ta Rifampin is prescribed for? - ✔✔TB, leprosy, legionella
✔✔What are the adverse effects for Isoniazid? - ✔✔Hepatotoxicity and peripheral
neuropathy
✔✔What are the main side effects of Doxycycline? - ✔✔Mainly GI upset. Take with
food. Can cause photosensitivity, Stephens Johnson syndrome, and toxic epidermal
necrosis
✔✔What is the difference between oral and I.V. Vanco? - ✔✔Oral is given for C-Diff as
it goes right to the site of infection. I.V. vanco is given for MRSA infections and needs to
be administered through a picc line or central line because it is toxic to veins.
✔✔What is the mechanism of action for Azithromycin? - ✔✔It inhibits bacterial protein
biosynthesis and prevents peptidyl transferase from adding to the growing peptide
attached to the transfer RNA to the amino acid. It also inhibits ribosome ranslation.
✔✔Which class of antibiotics block bacterial protein production? - ✔✔Bacteriostatic
antibiotics: Tetracyclie, Sulfonamides, Macrolides, Clindamycin, Ethambutol,
Nitrofuantoin, Novobiocin, tigecycline, oxazolidinone
✔✔What labs need to be monitored for long term antifungal therapy with ketoconazole?
- ✔✔AST, ALT, Phosphatase, bilirubin
✔✔What teaching should be done with Flagyl? - ✔✔Do not consume alcohol in any
form with this medication
✔✔Which antihelmintic is used to treat parasitic worms? - ✔✔Mebendazole, and
agromectin
, and ivermectin to treat true parasites
✔✔What antifungal can be used topically? - ✔✔Clotrimazole
✔✔What medication treats scabies and lice? - ✔✔Ivermectin and permethrin cream
✔✔Rifampin is used to treat what? - ✔✔TB
✔✔Side effects of rifampin? - ✔✔Joint pain because it can precipitate gout and it is
hepatotoxic.
✔✔IF patients are hypersensitive to Sulfa, what other medications will they be sensitive
to? - ✔✔Loop Diuretics, thiazide diuretics, and sulfonylureas
✔✔Sulfa antibiotics can cause what? - ✔✔Stephen Johnsons Syndrome and toxic
epidermal necrolysis
✔✔ Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what?
- ✔✔Carbamazepine auto-induces metabolism, leading to lower levels despite good
compliance
✔✔What are the black box warnings for Carbamazepine? - ✔✔Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
✔✔What lab test should be ordered for patients on Carbamazepine? - ✔✔CBC every 3-
4 months because it can cause decreased WBC, decreased platelets, and trouble with
RBC
✔✔What kind of teaching needs to be done with families of patients who have seizure
disorders? - ✔✔Prevention is important, patient safety is important, Do NOT abruptly
stop taking medication.
✔✔Ethosuximide (Zarontin), an anti-seizure medication can cause what? - ✔✔Blood
dyscrasias
✔✔Patients taking Topiramate need to be monitored for what electrolyte imbalance? -
✔✔Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
✔✔Topiramate treats seizures and what is one common side effect? - ✔✔Normal side
effect is weight loss, especially in higher dose patients
✔✔A child on Topiramate that wants to play sports should monitor what? - ✔✔Don't get
overheated. Topiramate may affect his ability to sweat in the heat.
