WGUlD441lFinallExamlGuidel(NewlUpdate)
lMedicallDosagelCalculationslandl
Pharmacology |Qsl&lAs|l100%lCorrect|l
GradelAl(VerifiedlAnswers)
QUESTION
anxiolytic
Answer:
lName:lBuspirone
Use:lAnxiety
Responsibility:lGAD7
-lCBC,lRenal/lHepaticlfunction
SE:lHA,ldizziness,lcrazyldreams,lnausea,ltardivelDyskinesia,lSerotininlsyndrome
CI:lMAOIlinlthellastl14ldays
-lhepatic/renallimpairment
-lgrapefruit:ltoxicity
-alcohol:lDizziness
Edu
-lwithlorlwithoutlfood
-lavoidlgrapefruit
-lcontactlpcpliflnolimprovementlwithinl3-4lwks
QUESTION
Adrenergiclagonistsl:lCathecholamines
Answer:
lname:lEpinephrinelnorepinephrine,ldopamine,lisproterenol,ldobutamine
-ldoeslnotlcrosslbrainlbarrier,lonlylgivenlPO
Use:lanaphylaxis,lcardiaclarrest
Responsibility:lVS,lLunglsounds:lronchi,lwheezing,lralesllabs:lABGs,lliver/kidneylfunctions
Monitorlglucose:lcanlbelincreasedlwithlepi
-inputloutput:lretention
-ACLSlprotocol
,SE:lanxietyltremors,lrestlessness,ldizzy,lpalpitations,lchestlpx,lPULMONARYlEDE-
lMA,lVENTRICULARlFIBRILATION.lHIGHlALERT!
l
CI:lcardialarrhythmias,lnarrowlanglelglaucoma,lHTNlincreasedleffectslw:ldecongestants,lTCAs,
lMAOIslantagonizeleffects:lmethyldopal&lbertalblockers
-digoxin:ldysrrhythmia
QUESTION
Adrenergiclagonists:lnoncatecholamines
Answer:
lName:lAlbuterollphenylephrine,lephedrine
Use:lTxlandlpreventionloflbronchospasm
Responsibility:lmonitorlGlucose:lalbuterollcanlincrease
-lasseslVS,llunglsounds
-labs:lABG,lliver/kidneylfunction,lECG:lpotassiumllevels
-lcolorlsputum,lHR
SE:lanxiety,ltremors,lRestlesness,ldizziness,lpalpitations,lhypokalemia,lCardiac
Arrythmias,lBronchospams
CI:ldrylpowderlformulalcontraindicatedlw.lmilklproteinlhypersensitivity
-MAOI,lTCA=lincreaseleffect
-betalblocker:lantagonizeleffect
-lstlJohns:ldecreaseleffects
-lEphedralandlyohimbe:lCNSlstimulation.
Edu:lsafelselfladmin
-lwhenltolseeklmedicallattention.
-lrinselmouthlafter
-lavoidlexcesslcaffeinelderrivatives.
QUESTION
Directlactinglcholinergics-lAgonistsl(Parasympathomimetics)
Answer:
lName:lBethanechol
metoclopramide,lphysostigmine
Use:lPostloplurinelretention,lurinarylretentionlassociatedlwithlneurogeniclbladder
Responsibility:VS,lHR,lBP
,-bowellsoundslbeforeladministrating:lobstructionlislCI
-inputlandloutput,lbreathlsoundsl(wheezing=bronchospasm)
-lATROPINE:lINlCASElOFlOD
SE:lhypotension,lbradycardia,lbronchoconstriction,lincreasedlexocrinelactivityl(
sweating,lsalivation)
l
-lGIlupset
-lblurredlvision
CI:Respiratoryldisease,lhypotensionlandlbradycardia
-lNarrowlAnglelGlaucoma,lMyasthenialGravis,lobstruction
-lDecreasedleffectslwith:lsypathomimetics,lopiods,lanticholinergics
Edu:lslowlpositionlchanges,lkeeplalbathroomlnearlby
-ltakel1lhrlbeforelmealslORl2lhrslafter
QUESTION
Cholinergiclantagonistl(parasympatholytics,lanticholinergics,lcholinergiclblockinglagents)
Answer:
lName:lAtropine
tolterodineltartrate,lscopalomine
Use:loveractivelbladder,lpupilldilation,lpre-oplexcesslrespiratorylsecretions
Responsibility;lcomfortlmeasureslforldrylmucous
-lECGl(bradycardia)
-lpalpatelabdomenlforldistention
SE:Tachycardia,lpalpitations,ldecreaselsalivation,ldrylmouth,lthickeningloflbronchiallsecretions,
lGIlupset,lSJS,lComa,lmydriasis,lincreaseliOlpressure,lagitation,lhallu-lcination
CI:lNAG,lmyasthenialgravis,lurinary/intestinalldisorders,lHR,lptslatlrisklforlhypother-lmia
Edu:lsafeladministration,lhowltoltake,lstaylhydrated,lincreaselfiber,lteachlcommonlsideleffectsla
ndlwhenltolcontactlPCP
QUESTION
ACElinhibitors
Answer:
lName:lLisinopril
*l"-pril"*
Use:lHTN,lMIlResponsibility:VS,lBP,
, Labs:lCBC,lsodium,lpotassium,lBUN,lcreatinine,lUA,lHCG,lWBCl(neutropenialrisk),llithiumlle
vel
SE:lfirstlfewldoses:ltachycardia,lhtn.
-lhyperkalemia,lPERSISTANTlDRYlCOUGH,lAngioedema
Blacklbox:lfatallinjury/death
CI:lpotassiumlsparingldiuretics:lSpironolactone,lhyperkalemia,lrenallstenosis
l
decreasesleffectlNSAID
increasesllithiumllevels
Edu:ltakelasldirected,lwarnlaboutlreboundlhtn,lavoidlnsaidslandlpotassiumlsupple-lments
Report:langioedemallifestylelconsiderations
QUESTION
ARBsl(angiotensinlreceptorlblocker)
Answer:
lName:lValsartan
*"-sartan"*
Use:lHTN
Responsibility:lVS,lHTN,
labs:lcbc,lsodium,lpotassium,lbun,lcreatinine,lua,lhcg
-lwatchlforlcyanosislandlswelling
-lDiabetics:lproteinuria,lGFR
SE:hyperkalemia,lHA,ldizzylfatigue,ltachycardia,lhypotensionlblacklbox:lfetallinjury/death
CI:potassiumlsparingldiureticsl(lspironolactone),lhyperkalemia,lrenallstenosis
Edu:lavoidlpotassiumlsupplementslandlsaltlsubstitutes
-lnonlpotassiumlsupplementslandlnsaids
-lteachlaboutlreboundlhtn,ld/cldiureticsl2-3ldayslbeforelstarting.
-lcautionlwhenlrisinglandlchanginglpositions.
QUESTION
BetalBlockers
Answer:
lName:lMetoprolol
"-olol"
selective:lB1l(lheartlkidneys)
lMedicallDosagelCalculationslandl
Pharmacology |Qsl&lAs|l100%lCorrect|l
GradelAl(VerifiedlAnswers)
QUESTION
anxiolytic
Answer:
lName:lBuspirone
Use:lAnxiety
Responsibility:lGAD7
-lCBC,lRenal/lHepaticlfunction
SE:lHA,ldizziness,lcrazyldreams,lnausea,ltardivelDyskinesia,lSerotininlsyndrome
CI:lMAOIlinlthellastl14ldays
-lhepatic/renallimpairment
-lgrapefruit:ltoxicity
-alcohol:lDizziness
Edu
-lwithlorlwithoutlfood
-lavoidlgrapefruit
-lcontactlpcpliflnolimprovementlwithinl3-4lwks
QUESTION
Adrenergiclagonistsl:lCathecholamines
Answer:
lname:lEpinephrinelnorepinephrine,ldopamine,lisproterenol,ldobutamine
-ldoeslnotlcrosslbrainlbarrier,lonlylgivenlPO
Use:lanaphylaxis,lcardiaclarrest
Responsibility:lVS,lLunglsounds:lronchi,lwheezing,lralesllabs:lABGs,lliver/kidneylfunctions
Monitorlglucose:lcanlbelincreasedlwithlepi
-inputloutput:lretention
-ACLSlprotocol
,SE:lanxietyltremors,lrestlessness,ldizzy,lpalpitations,lchestlpx,lPULMONARYlEDE-
lMA,lVENTRICULARlFIBRILATION.lHIGHlALERT!
l
CI:lcardialarrhythmias,lnarrowlanglelglaucoma,lHTNlincreasedleffectslw:ldecongestants,lTCAs,
lMAOIslantagonizeleffects:lmethyldopal&lbertalblockers
-digoxin:ldysrrhythmia
QUESTION
Adrenergiclagonists:lnoncatecholamines
Answer:
lName:lAlbuterollphenylephrine,lephedrine
Use:lTxlandlpreventionloflbronchospasm
Responsibility:lmonitorlGlucose:lalbuterollcanlincrease
-lasseslVS,llunglsounds
-labs:lABG,lliver/kidneylfunction,lECG:lpotassiumllevels
-lcolorlsputum,lHR
SE:lanxiety,ltremors,lRestlesness,ldizziness,lpalpitations,lhypokalemia,lCardiac
Arrythmias,lBronchospams
CI:ldrylpowderlformulalcontraindicatedlw.lmilklproteinlhypersensitivity
-MAOI,lTCA=lincreaseleffect
-betalblocker:lantagonizeleffect
-lstlJohns:ldecreaseleffects
-lEphedralandlyohimbe:lCNSlstimulation.
Edu:lsafelselfladmin
-lwhenltolseeklmedicallattention.
-lrinselmouthlafter
-lavoidlexcesslcaffeinelderrivatives.
QUESTION
Directlactinglcholinergics-lAgonistsl(Parasympathomimetics)
Answer:
lName:lBethanechol
metoclopramide,lphysostigmine
Use:lPostloplurinelretention,lurinarylretentionlassociatedlwithlneurogeniclbladder
Responsibility:VS,lHR,lBP
,-bowellsoundslbeforeladministrating:lobstructionlislCI
-inputlandloutput,lbreathlsoundsl(wheezing=bronchospasm)
-lATROPINE:lINlCASElOFlOD
SE:lhypotension,lbradycardia,lbronchoconstriction,lincreasedlexocrinelactivityl(
sweating,lsalivation)
l
-lGIlupset
-lblurredlvision
CI:Respiratoryldisease,lhypotensionlandlbradycardia
-lNarrowlAnglelGlaucoma,lMyasthenialGravis,lobstruction
-lDecreasedleffectslwith:lsypathomimetics,lopiods,lanticholinergics
Edu:lslowlpositionlchanges,lkeeplalbathroomlnearlby
-ltakel1lhrlbeforelmealslORl2lhrslafter
QUESTION
Cholinergiclantagonistl(parasympatholytics,lanticholinergics,lcholinergiclblockinglagents)
Answer:
lName:lAtropine
tolterodineltartrate,lscopalomine
Use:loveractivelbladder,lpupilldilation,lpre-oplexcesslrespiratorylsecretions
Responsibility;lcomfortlmeasureslforldrylmucous
-lECGl(bradycardia)
-lpalpatelabdomenlforldistention
SE:Tachycardia,lpalpitations,ldecreaselsalivation,ldrylmouth,lthickeningloflbronchiallsecretions,
lGIlupset,lSJS,lComa,lmydriasis,lincreaseliOlpressure,lagitation,lhallu-lcination
CI:lNAG,lmyasthenialgravis,lurinary/intestinalldisorders,lHR,lptslatlrisklforlhypother-lmia
Edu:lsafeladministration,lhowltoltake,lstaylhydrated,lincreaselfiber,lteachlcommonlsideleffectsla
ndlwhenltolcontactlPCP
QUESTION
ACElinhibitors
Answer:
lName:lLisinopril
*l"-pril"*
Use:lHTN,lMIlResponsibility:VS,lBP,
, Labs:lCBC,lsodium,lpotassium,lBUN,lcreatinine,lUA,lHCG,lWBCl(neutropenialrisk),llithiumlle
vel
SE:lfirstlfewldoses:ltachycardia,lhtn.
-lhyperkalemia,lPERSISTANTlDRYlCOUGH,lAngioedema
Blacklbox:lfatallinjury/death
CI:lpotassiumlsparingldiuretics:lSpironolactone,lhyperkalemia,lrenallstenosis
l
decreasesleffectlNSAID
increasesllithiumllevels
Edu:ltakelasldirected,lwarnlaboutlreboundlhtn,lavoidlnsaidslandlpotassiumlsupple-lments
Report:langioedemallifestylelconsiderations
QUESTION
ARBsl(angiotensinlreceptorlblocker)
Answer:
lName:lValsartan
*"-sartan"*
Use:lHTN
Responsibility:lVS,lHTN,
labs:lcbc,lsodium,lpotassium,lbun,lcreatinine,lua,lhcg
-lwatchlforlcyanosislandlswelling
-lDiabetics:lproteinuria,lGFR
SE:hyperkalemia,lHA,ldizzylfatigue,ltachycardia,lhypotensionlblacklbox:lfetallinjury/death
CI:potassiumlsparingldiureticsl(lspironolactone),lhyperkalemia,lrenallstenosis
Edu:lavoidlpotassiumlsupplementslandlsaltlsubstitutes
-lnonlpotassiumlsupplementslandlnsaids
-lteachlaboutlreboundlhtn,ld/cldiureticsl2-3ldayslbeforelstarting.
-lcautionlwhenlrisinglandlchanginglpositions.
QUESTION
BetalBlockers
Answer:
lName:lMetoprolol
"-olol"
selective:lB1l(lheartlkidneys)
