ICHS PHARMACOLOGY EVALUATION TEST
QUESTIONS AND ANSWERS SET A+
✔✔Crazy Pam Drives a Benz means what? -✔✔Benzodiazepams are used to treat
psychosis and anxiety.
✔✔What nursing activities are important to remember when adminstering Benzo's? -
✔✔1) Taper off gradually
2) Evaluate level of anxiety
3) AVOID ETOH AND OTHER CNS DEPRESSANTS
4) Patient safety must be ensured.
✔✔What nursing activities are important to remember when administering MAO
Inhibitors? -✔✔1) Avoid foods with tyramine
2) Monitor mood/suicidal thoughts
3) Inform about "lag time"
4) Avoid antihistamines
5)Avoid St. John's Wort
✔✔What is the therapeutic level of antiseizure meds? -✔✔10-20 mcg/mL
✔✔Dilantin mixed with dextrose will create a ___________. -✔✔Precipitate. Mix with
NS only
✔✔With oral antiseizure meds and Lithium, _________can occur so teach to maintain
______________. -✔✔Gingival Hyperplasia
Oral Hygiene
✔✔With head injury patients, would opioids be advisable to use? -✔✔NO! Avoid head
injury or patients with increased intercranial pressure
✔✔What should be monitored when administering Opioid painkillers? -✔✔Respiratory
Rate (can slow)
, Intensity of pain (should go down)
Blood Pressure (can lower)
Nausea (administer with food or antiemetic if needed)
Bowel Pattern (motility can slow or stop)
Signs of dependence
✔✔What should the patient be educated on when giving opioid painkillers? -
✔✔Disposing for patches properly (Fold and Flush)
Avoid activities requiring mental awareness
Increase fiber and water in diet
✔✔What does the nurse need to be aware of when administering opioid painkillers? -
✔✔The antidote for overdose is NARCAN. (Have on hand if respiratory depression
occurs.)
There are multiple routes for adminstration.
Use the equianalgesic chart when using different routes/drugs/doses to find the right
dose.
Know immediate release versus extended release forms.
✔✔Why is methadone good for detox? -✔✔It has a long half life that lasts longer than
the action
✔✔How to administer bronchodilators: -✔✔Give bronchodilator before inhaled steroid.
Wait 2-5 minutes between medications. Wait 1-2 minutes between puffs.
✔✔After using an inhaled steroid, what should the patient do? -✔✔Rinse their mouth
with water to prevent fungal infection.
✔✔What is the route of administration of thrombolytic drugs? -✔✔IV-it is always given
as an IV to quickly break up clots that cause stroke but has risky side effects because
ALL clots in the body break up and the patient could bleed out.
✔✔With Heparin the _________ should be monitored and kept in the
_________________ range. -✔✔aPTT
Norm=25-35 seconds
Therapeutic range =45-70 seconds
✔✔With Heparin injections, what are the nursing activities?
What is the overdose antidote? -✔✔Do not rub
Rotate Sites
Do not aspirate
SubQ injections
IV infusion with a pump
Protamine Sulfate
QUESTIONS AND ANSWERS SET A+
✔✔Crazy Pam Drives a Benz means what? -✔✔Benzodiazepams are used to treat
psychosis and anxiety.
✔✔What nursing activities are important to remember when adminstering Benzo's? -
✔✔1) Taper off gradually
2) Evaluate level of anxiety
3) AVOID ETOH AND OTHER CNS DEPRESSANTS
4) Patient safety must be ensured.
✔✔What nursing activities are important to remember when administering MAO
Inhibitors? -✔✔1) Avoid foods with tyramine
2) Monitor mood/suicidal thoughts
3) Inform about "lag time"
4) Avoid antihistamines
5)Avoid St. John's Wort
✔✔What is the therapeutic level of antiseizure meds? -✔✔10-20 mcg/mL
✔✔Dilantin mixed with dextrose will create a ___________. -✔✔Precipitate. Mix with
NS only
✔✔With oral antiseizure meds and Lithium, _________can occur so teach to maintain
______________. -✔✔Gingival Hyperplasia
Oral Hygiene
✔✔With head injury patients, would opioids be advisable to use? -✔✔NO! Avoid head
injury or patients with increased intercranial pressure
✔✔What should be monitored when administering Opioid painkillers? -✔✔Respiratory
Rate (can slow)
, Intensity of pain (should go down)
Blood Pressure (can lower)
Nausea (administer with food or antiemetic if needed)
Bowel Pattern (motility can slow or stop)
Signs of dependence
✔✔What should the patient be educated on when giving opioid painkillers? -
✔✔Disposing for patches properly (Fold and Flush)
Avoid activities requiring mental awareness
Increase fiber and water in diet
✔✔What does the nurse need to be aware of when administering opioid painkillers? -
✔✔The antidote for overdose is NARCAN. (Have on hand if respiratory depression
occurs.)
There are multiple routes for adminstration.
Use the equianalgesic chart when using different routes/drugs/doses to find the right
dose.
Know immediate release versus extended release forms.
✔✔Why is methadone good for detox? -✔✔It has a long half life that lasts longer than
the action
✔✔How to administer bronchodilators: -✔✔Give bronchodilator before inhaled steroid.
Wait 2-5 minutes between medications. Wait 1-2 minutes between puffs.
✔✔After using an inhaled steroid, what should the patient do? -✔✔Rinse their mouth
with water to prevent fungal infection.
✔✔What is the route of administration of thrombolytic drugs? -✔✔IV-it is always given
as an IV to quickly break up clots that cause stroke but has risky side effects because
ALL clots in the body break up and the patient could bleed out.
✔✔With Heparin the _________ should be monitored and kept in the
_________________ range. -✔✔aPTT
Norm=25-35 seconds
Therapeutic range =45-70 seconds
✔✔With Heparin injections, what are the nursing activities?
What is the overdose antidote? -✔✔Do not rub
Rotate Sites
Do not aspirate
SubQ injections
IV infusion with a pump
Protamine Sulfate
