PHARM MCCN Final Exam With Accurate
Solutions 100% Verified
Clinical manifestations of malignant hyperthermia - ANSWER Occurs during or after
volatile inhaled general anesthesia or use of the neuromuscular blocking drug
succinylcholine
- Sudden rise in body temperature (greater than 104)
- Tachypnea, tachycardia, muscle rigidity
- Life threatening emergency
- Treated with cardiorespiratory supportive care and dantrolene (skeletal muscle
relaxant)
Patient teaching regarding Kava tea - ANSWER Kava tea may depress you; do not drink
with any CNS depressant, do not operate machinery or drive
Drug-drug interactions for aminoglycosides - ANSWER think a "mino" swimming loops in
your ear
Concurrent use of aminoglycosides with loop diuretics increases the risk for ototoxicity
Patient education r/t rifampin (Rifadin) - ANSWER "think; starts with R- red urine"
Antitubercular drug
Adverse effects: turns urine, feces, aliva. Skin, sputum, and tears a red/orange/brown
color
Must conduct liver function studies for patients; especially older patients and those who
use alcohol daily
Drug therapy timeline for tuberculosis - ANSWER Reduction of cough normally cough
normally occurs within 2 weeks of annihilation of therapy is strain is sensitive
,If several antibiotics are used, patients should be cured within 6-12 months
Adverse effects of amphotericin B - ANSWER Nephrotoxicity: can occur with or without
concurrent nephrotoxins
Reduced with adequate hydration, salt loading and avoidance of concurrent
nephrotoxic agents.
Renal tubular acidosis
Electrolyte abnormalities: hypokalemia, hypomagnesemia, and hypocalcemia.
Infusion-related reactions, including fever/chills
Patient education r/t antiprotozoal drugs - ANSWER Patients taking antiprotozoal
medications should receive education regarding the need for medication compliance
and prevention of reinfection. They should be advised that the medication may cause
dizziness and dry mouth. Additionally, the medication may cause darkening of the urine
Drug-drug interactions for somatropin (Humatrope) - ANSWER THINGS TO REMEMBER
SUMOtropin "big like a sumo wrestler"
Somatropin is used to increase growth in children
Stimulate skeletal growth in patients with deficient GH, such as pituitary dwarfism
-Excessive corticosteroid use decreases effectiveness of somatropin
Adverse effects of antithyroid drugs - ANSWER Liver and bone marrow toxicity is the
most damaging or serious adverse effect (leukopenia) and hypothyroidism
Administration considerations r/t rapid-acting insulins - ANSWER Rapid-acting
treatment for types 1 and 2 DM
Most rapid onset of action (5 to 15 minutes)
Peak: 1 to 2 hours
Duration: 3 to 5 hours
Patient must eat a meal after injection.
, Differences between fingerstick fasting blood glucose level and Hemoglobin A1C level -
ANSWER FBS tells us right away what the patients blood sugar is and can be
manipulated
HbA1C tells us the hemoglobin/glucose levels over 3 months
Adverse effects of corticosteroids - ANSWER Fluid retention, causing swelling in your
lower legs.
High blood pressure.
Problems with mood swings, memory, behavior, and other psychological effects, such
as confusion or delirium.
Upset stomach
Assessment of fluid volume status r/t diuretic therapy - ANSWER Assess weight
Assess for edema
Watch for decrease in electrolytes (potassium)
Watch for decreased BP
Monitor I/Os
Loop diuretics (Furosemide/Lasix) - ANSWER "think swollen and loopy"
Edema associated with HF or hepatic or renal disease
To control hypertension
To increase renal excretion of calcium in patients with hypercalcemia
In cases of HF resulting from diastolic dysfunction, more potent than thiazide
Osmotic diuretics (Mannitol) - ANSWER "big like a man; renal failure caused edema"
Treatment of patients in the early, oliguric phase of acute renal failure (ARF)
To promote excretion of toxic substances
To reduce intracranial pressure
Solutions 100% Verified
Clinical manifestations of malignant hyperthermia - ANSWER Occurs during or after
volatile inhaled general anesthesia or use of the neuromuscular blocking drug
succinylcholine
- Sudden rise in body temperature (greater than 104)
- Tachypnea, tachycardia, muscle rigidity
- Life threatening emergency
- Treated with cardiorespiratory supportive care and dantrolene (skeletal muscle
relaxant)
Patient teaching regarding Kava tea - ANSWER Kava tea may depress you; do not drink
with any CNS depressant, do not operate machinery or drive
Drug-drug interactions for aminoglycosides - ANSWER think a "mino" swimming loops in
your ear
Concurrent use of aminoglycosides with loop diuretics increases the risk for ototoxicity
Patient education r/t rifampin (Rifadin) - ANSWER "think; starts with R- red urine"
Antitubercular drug
Adverse effects: turns urine, feces, aliva. Skin, sputum, and tears a red/orange/brown
color
Must conduct liver function studies for patients; especially older patients and those who
use alcohol daily
Drug therapy timeline for tuberculosis - ANSWER Reduction of cough normally cough
normally occurs within 2 weeks of annihilation of therapy is strain is sensitive
,If several antibiotics are used, patients should be cured within 6-12 months
Adverse effects of amphotericin B - ANSWER Nephrotoxicity: can occur with or without
concurrent nephrotoxins
Reduced with adequate hydration, salt loading and avoidance of concurrent
nephrotoxic agents.
Renal tubular acidosis
Electrolyte abnormalities: hypokalemia, hypomagnesemia, and hypocalcemia.
Infusion-related reactions, including fever/chills
Patient education r/t antiprotozoal drugs - ANSWER Patients taking antiprotozoal
medications should receive education regarding the need for medication compliance
and prevention of reinfection. They should be advised that the medication may cause
dizziness and dry mouth. Additionally, the medication may cause darkening of the urine
Drug-drug interactions for somatropin (Humatrope) - ANSWER THINGS TO REMEMBER
SUMOtropin "big like a sumo wrestler"
Somatropin is used to increase growth in children
Stimulate skeletal growth in patients with deficient GH, such as pituitary dwarfism
-Excessive corticosteroid use decreases effectiveness of somatropin
Adverse effects of antithyroid drugs - ANSWER Liver and bone marrow toxicity is the
most damaging or serious adverse effect (leukopenia) and hypothyroidism
Administration considerations r/t rapid-acting insulins - ANSWER Rapid-acting
treatment for types 1 and 2 DM
Most rapid onset of action (5 to 15 minutes)
Peak: 1 to 2 hours
Duration: 3 to 5 hours
Patient must eat a meal after injection.
, Differences between fingerstick fasting blood glucose level and Hemoglobin A1C level -
ANSWER FBS tells us right away what the patients blood sugar is and can be
manipulated
HbA1C tells us the hemoglobin/glucose levels over 3 months
Adverse effects of corticosteroids - ANSWER Fluid retention, causing swelling in your
lower legs.
High blood pressure.
Problems with mood swings, memory, behavior, and other psychological effects, such
as confusion or delirium.
Upset stomach
Assessment of fluid volume status r/t diuretic therapy - ANSWER Assess weight
Assess for edema
Watch for decrease in electrolytes (potassium)
Watch for decreased BP
Monitor I/Os
Loop diuretics (Furosemide/Lasix) - ANSWER "think swollen and loopy"
Edema associated with HF or hepatic or renal disease
To control hypertension
To increase renal excretion of calcium in patients with hypercalcemia
In cases of HF resulting from diastolic dysfunction, more potent than thiazide
Osmotic diuretics (Mannitol) - ANSWER "big like a man; renal failure caused edema"
Treatment of patients in the early, oliguric phase of acute renal failure (ARF)
To promote excretion of toxic substances
To reduce intracranial pressure
