NUR 176 MEDS FOR EXAM 1 2026/2027 | NURSING
MEDICATION STUDY GUIDE, EXAM REVIEW & PRACTICE
QUESTIONS
Glucagon - Correct answer ✔✔ A protein hormone secreted by pancreatic endocrine cells that
raises blood glucose levels; an antagonistic hormone to insulin.
Aspart (Novolog) - Correct answer ✔✔ rapid acting insulin
Humulin R, Novolin R - Correct answer ✔✔ regular insulin
NPH - Correct answer ✔✔ intermediate acting insulin
Glargine (Lantus) - Correct answer ✔✔ long acting
Metformin (Glucophage) - Correct answer ✔✔ Biguanide antidiabetic Diabetes Type 2
Metformin side effects - Correct answer ✔✔ GI upset, lactic acidosis, vitamin B12 deficiency.
Do not get contrast while on medication
Glipizide (Glucotrol) - Correct answer ✔✔ Sulfonylureas. Increases insulin secretion. Decreases
glucagon, increases celll sensitivity to insulin. SE: potentially severe hypoglycemia. Potential
sulfa allergy
Pioglitazone (Actos) - Correct answer ✔✔ Thiazolidinediones
, Heprin - Correct answer ✔✔ -Heprin is an anti-coagulant that prevents clots.
-side Effects = hemmorrhage, low platelet count(thrombocytopenia).
-Monitor APTT = 1.5-2x base.
-OD = admin protamine
-dont give if platelets under 100k.
Warfarin (Coumadin) - Correct answer ✔✔ Anticoagulant; vitamin K antagonist, interfering with
clotting factors II, VII, IX, and X that depend on vitamin K for synthesis; used in patients with
previous blood clots, mechanical heart valves, or afib; should be discontinued 96-115 hours (4
doses) prior to cataract surgery; side effect is bleeding and is NOT to be used in pregnancy or
skin necrosis; effects can be reversed by giving patient vitamin K
Alteplase (Activase) - Correct answer ✔✔ - Must confirm clot on brain imaging (head CT scan)
before use.
- Infuse 0.9 mg/kg (maximum dose 90mg) IV over 60 minutes with *10%* of the dose given as
bolus over 1 minute
- Once reconstituted use within 8 hours
CI
- Bleeding , BP > 185/110, etc.
SE
- Major bleeding , etc.
Notes
- Treatment must be initiated within 3 hours of symptom onset (guidelines state benefit in
select patients up to 4.5 hours but this is not FDA approved)
- If patient are receiving fibrinolytic therapy, the drug should be given <= 60 minutes of the
patient's arrival in the ED (door to needle time)
MEDICATION STUDY GUIDE, EXAM REVIEW & PRACTICE
QUESTIONS
Glucagon - Correct answer ✔✔ A protein hormone secreted by pancreatic endocrine cells that
raises blood glucose levels; an antagonistic hormone to insulin.
Aspart (Novolog) - Correct answer ✔✔ rapid acting insulin
Humulin R, Novolin R - Correct answer ✔✔ regular insulin
NPH - Correct answer ✔✔ intermediate acting insulin
Glargine (Lantus) - Correct answer ✔✔ long acting
Metformin (Glucophage) - Correct answer ✔✔ Biguanide antidiabetic Diabetes Type 2
Metformin side effects - Correct answer ✔✔ GI upset, lactic acidosis, vitamin B12 deficiency.
Do not get contrast while on medication
Glipizide (Glucotrol) - Correct answer ✔✔ Sulfonylureas. Increases insulin secretion. Decreases
glucagon, increases celll sensitivity to insulin. SE: potentially severe hypoglycemia. Potential
sulfa allergy
Pioglitazone (Actos) - Correct answer ✔✔ Thiazolidinediones
, Heprin - Correct answer ✔✔ -Heprin is an anti-coagulant that prevents clots.
-side Effects = hemmorrhage, low platelet count(thrombocytopenia).
-Monitor APTT = 1.5-2x base.
-OD = admin protamine
-dont give if platelets under 100k.
Warfarin (Coumadin) - Correct answer ✔✔ Anticoagulant; vitamin K antagonist, interfering with
clotting factors II, VII, IX, and X that depend on vitamin K for synthesis; used in patients with
previous blood clots, mechanical heart valves, or afib; should be discontinued 96-115 hours (4
doses) prior to cataract surgery; side effect is bleeding and is NOT to be used in pregnancy or
skin necrosis; effects can be reversed by giving patient vitamin K
Alteplase (Activase) - Correct answer ✔✔ - Must confirm clot on brain imaging (head CT scan)
before use.
- Infuse 0.9 mg/kg (maximum dose 90mg) IV over 60 minutes with *10%* of the dose given as
bolus over 1 minute
- Once reconstituted use within 8 hours
CI
- Bleeding , BP > 185/110, etc.
SE
- Major bleeding , etc.
Notes
- Treatment must be initiated within 3 hours of symptom onset (guidelines state benefit in
select patients up to 4.5 hours but this is not FDA approved)
- If patient are receiving fibrinolytic therapy, the drug should be given <= 60 minutes of the
patient's arrival in the ED (door to needle time)
