Patient prescribed viagra. What instruction to give patient? - CORRECT ANSWER-
Avoid taking nitroglycerin with this drug
A patient is taking proscar for BPH. Explain that this med has which effect? - CORRECT
ANSWER-Decreases the size of the prostate
Patient taking viagra. Should avoid what food? - CORRECT ANSWER-Grapefruit juice
Rapid acting insulin - CORRECT ANSWER-Lispro (Humalog)
Aspart (Novolog)
Glulisine (Apidra)
Short onset and duration insulin - CORRECT ANSWER-NPH
Drug of choice for type 2 diabetes - why - CORRECT ANSWER-Metformin - decreases
glycogenolysis in liver
Why would we recommend pts take an ASA a day? - CORRECT ANSWER-Prevents
thrombolytic events
Side effect of high dose aspirin - CORRECT ANSWER-Tinnitus
Anemic pt getting epoetin - what to monitor? - CORRECT ANSWER-Hypertension -
monitor BP
Safety warning for erythropoiesis stimulating medications? - CORRECT ANSWER-Can
cause tumors
Dx with angina, we know they have underlying what? - CORRECT ANSWER-
Athrosclerosis
Medications for athrosclerosis - CORRECT ANSWER-Statin, ASA, nitro
, Someone wants to self donate blood for surgery. Give what? - CORRECT ANSWER-
Epogen with iron
Prescribing iron for iron deficiency anemia, what do I check 1 week out? - CORRECT
ANSWER-Reticulocyte count
Prescribing iron replacement, what education? - CORRECT ANSWER-Empty stomach
with orange juice.
What does pernicious anemia mean? - CORRECT ANSWER-Lacking B12
Giving B12, what do we monitor for? - CORRECT ANSWER-Hypokalemia
How long for NPH to take effect? - CORRECT ANSWER-60-90 min
What's the biggest side effect for treating DM? - CORRECT ANSWER-Hypoglycemia
What s/sx should DM pts look for? - CORRECT ANSWER-Cold and clammy, need
some candy
Interaction between insulin and beta blockers? - CORRECT ANSWER-Beta blockers
will mask signs of hypoglycemia
Switching pt from NPH to glargine, then what do we do to glargine dosage? -
CORRECT ANSWER-Decrease it by 20%
Things to consider when prescribing metformin? - CORRECT ANSWER-Cannot do
contrast, overhydrate them, A1C, baseline kidney function
Assess prior to metformin? - CORRECT ANSWER-Kidney function
How are gliptins different from other DM meds? - CORRECT ANSWER-Indirectly
increase insulin production
How do GLP-1 agonists work? - CORRECT ANSWER-Bind to receptors in pancreas to
stimulate insulin release, work on incretin system
What things to check with iron treatment? - CORRECT ANSWER-Ferratin, H/H, TIBC -
normalize after 4 weeks
NYHA, which one is angina without symptoms? - CORRECT ANSWER-Variant angina,
stage I
NYHA stage 2 - CORRECT ANSWER-Angina with exertion
NYHA Stage 3 - CORRECT ANSWER-Severe symptoms with minimal activity