NUR-635 Pharm final
- ANS -
\1st line med for classic migraines - ANS -Triptans
\1st line medication for moderate generalized anxiety - ANS -Buspar (SNRI)
\1st step of asthma - ANS -albuterol
\2nd line treatment for classic migraines - ANS -Prophylactic - propranolol
\2nd step of asthma - ANS -give SABAs
\Abbreviations to not use - ANS -QD
\Adverse drug reaction of haldol? - ANS -Extrapyramidal symptoms.
\Adverse effects of singulair? - ANS -Aggression, anxiety, suicidal ideation
\Alendronate education? - ANS -30 min before meal, lots of water
\Allergy to PCN. What else can they not receive? Why? - ANS -Cephalosporins, both vulnerable to beta lactamase
producing organisms
\Antibiotic education? - ANS -Finish course of therapy. Drink lots of water.
\Antifungal therapy long term puts you at risk for? - ANS -liver toxicity
\Asthma patient, education on worsening symptoms? - ANS -Call provider, use rescue inhaler more
\Azithromycin - how to dose? - ANS -Titrating z pack
\Biggest side effect of hydrocodone - constipation, how to treat? - ANS -Senna, docusate, miralax
\Chantix - pt education? - ANS -Psych side effects, dreams, suicide ideation
\Child with acute otitis media, how to treat pain? - ANS -Lidocaine eardrops
\Community acquired with comorbidities - outpatient? - ANS -Rocephin + azithromycin
\Contraindications to antibiotic ear drops? - ANS -Ruptured tympanic membrane
\Decongestant to older patients, what route? - ANS -Nasal, no systemic side effects
\Depression with anxiety, what med? - ANS -Lexapro
\Drugs that alter synaptic transmission are much more selective than those that alter axonal conduction, why is this? -
ANS -a drug that affects the axonal conduction - non-selective effect.
, Drugs that alter synaptic transmission - very selective because of the differences in synapses and their specific
neurotransmitters
\Education on flagyl? - ANS -Avoid alcohol - severe reaction
\Education on flexeril (cyclobenzaprine)? - ANS -CNS depression, urinary retention, blurred vision
\Genital herpes outbreak, what med? - ANS -Acyclovir
\Giving pt eye drops, education? - ANS -don't wear contacts, wash hands in between handling
\Gonorrhea in a 20yo female with oral contraceptives. Education? - ANS -Need back up until next menses
\Guaifenesin - how does it work? - ANS -thins secretions, easier to cough up
\How do you know you need to bump up asthma tier plan? - ANS -Rescue inhaler more than 2x week or more than 1x
day.
\How does reglan help with GERD? - ANS -Increases esophageal tone
\How long til improvement on Celexa? - ANS -1-2 weeks
\How quickly should you see improvement in pneumonia with antibiotics? - ANS -48-72 hours
\How to antacids work? - ANS -increases our pH
\How to dose pancreatic enzymes? - ANS -Units of lipase
\How to taper medication? - ANS -Decrease by 50% every 3-4 days
\How to titrate pancreatic enzymes? - ANS -Based off poop color (steatorrhea)
\How to treat afrin overuse? - ANS -Nasal steroids while weaning
\How to treat elevated ammonia? - ANS -Lactulose
\How to treat eye gonorrhea? - ANS -Ceftriaxone, eye drops
\How to treat PUD peptic ulcer disease? - ANS -PPI + clarithromycin + amoxicillin
\ICS and beta agonist. Which first? - ANS -Beta first, then ICS
\If a patient has a toxic drug level, but normal albumin, what could be happening? - ANS -Other drugs competing for
albumin
\If patient on phenytoin wants birth control? - ANS -Not oral contraceptives! IUD better
\Increase pain with paget's disease, what treatment? - ANS -Calcitonin salmon
\Known G63D deficiency, what antibiotic can you not prescribe? - ANS -Sulfas
\Levaquin blackbox warning - ANS -tendon rupture
\Lithium education? - ANS -sodium can influence your lithium levels. So intake should be consistent.
- ANS -
\1st line med for classic migraines - ANS -Triptans
\1st line medication for moderate generalized anxiety - ANS -Buspar (SNRI)
\1st step of asthma - ANS -albuterol
\2nd line treatment for classic migraines - ANS -Prophylactic - propranolol
\2nd step of asthma - ANS -give SABAs
\Abbreviations to not use - ANS -QD
\Adverse drug reaction of haldol? - ANS -Extrapyramidal symptoms.
\Adverse effects of singulair? - ANS -Aggression, anxiety, suicidal ideation
\Alendronate education? - ANS -30 min before meal, lots of water
\Allergy to PCN. What else can they not receive? Why? - ANS -Cephalosporins, both vulnerable to beta lactamase
producing organisms
\Antibiotic education? - ANS -Finish course of therapy. Drink lots of water.
\Antifungal therapy long term puts you at risk for? - ANS -liver toxicity
\Asthma patient, education on worsening symptoms? - ANS -Call provider, use rescue inhaler more
\Azithromycin - how to dose? - ANS -Titrating z pack
\Biggest side effect of hydrocodone - constipation, how to treat? - ANS -Senna, docusate, miralax
\Chantix - pt education? - ANS -Psych side effects, dreams, suicide ideation
\Child with acute otitis media, how to treat pain? - ANS -Lidocaine eardrops
\Community acquired with comorbidities - outpatient? - ANS -Rocephin + azithromycin
\Contraindications to antibiotic ear drops? - ANS -Ruptured tympanic membrane
\Decongestant to older patients, what route? - ANS -Nasal, no systemic side effects
\Depression with anxiety, what med? - ANS -Lexapro
\Drugs that alter synaptic transmission are much more selective than those that alter axonal conduction, why is this? -
ANS -a drug that affects the axonal conduction - non-selective effect.
, Drugs that alter synaptic transmission - very selective because of the differences in synapses and their specific
neurotransmitters
\Education on flagyl? - ANS -Avoid alcohol - severe reaction
\Education on flexeril (cyclobenzaprine)? - ANS -CNS depression, urinary retention, blurred vision
\Genital herpes outbreak, what med? - ANS -Acyclovir
\Giving pt eye drops, education? - ANS -don't wear contacts, wash hands in between handling
\Gonorrhea in a 20yo female with oral contraceptives. Education? - ANS -Need back up until next menses
\Guaifenesin - how does it work? - ANS -thins secretions, easier to cough up
\How do you know you need to bump up asthma tier plan? - ANS -Rescue inhaler more than 2x week or more than 1x
day.
\How does reglan help with GERD? - ANS -Increases esophageal tone
\How long til improvement on Celexa? - ANS -1-2 weeks
\How quickly should you see improvement in pneumonia with antibiotics? - ANS -48-72 hours
\How to antacids work? - ANS -increases our pH
\How to dose pancreatic enzymes? - ANS -Units of lipase
\How to taper medication? - ANS -Decrease by 50% every 3-4 days
\How to titrate pancreatic enzymes? - ANS -Based off poop color (steatorrhea)
\How to treat afrin overuse? - ANS -Nasal steroids while weaning
\How to treat elevated ammonia? - ANS -Lactulose
\How to treat eye gonorrhea? - ANS -Ceftriaxone, eye drops
\How to treat PUD peptic ulcer disease? - ANS -PPI + clarithromycin + amoxicillin
\ICS and beta agonist. Which first? - ANS -Beta first, then ICS
\If a patient has a toxic drug level, but normal albumin, what could be happening? - ANS -Other drugs competing for
albumin
\If patient on phenytoin wants birth control? - ANS -Not oral contraceptives! IUD better
\Increase pain with paget's disease, what treatment? - ANS -Calcitonin salmon
\Known G63D deficiency, what antibiotic can you not prescribe? - ANS -Sulfas
\Levaquin blackbox warning - ANS -tendon rupture
\Lithium education? - ANS -sodium can influence your lithium levels. So intake should be consistent.
