Rasmussen Pharmacology Exam 2 Questions and Answers Already Passed

Rasmussen Pharmacology Exam 2 Questions and Answers Already Passed What can happen from an abrupt discontinuation of a corticosteroid ? -Addison's disease Addison's disease Sings and symptoms -extreme fatigue -darkening of skin -low BP -high potassium and low sodium levels -severe vomititing and diarrhea At breakfast PT received enough insulin for sugar of 190 and before lunch he was hypoglycemic. Why did this occur? -Not enough carbs -insulin peaked at this time -PT used a lot of energy and burned off too many carbs. Contraceptives -antibiotics decrease effects and back up birth control should be used. -smoking decreases effects also. -risk of stroke increases with smoking and contraceptives Corticosteroids -Increase appetite -decrease immune system -causes hyperglycemia and insulin may be ordered. slidding scale -CORT, will be in some CORTicosteroids. -ex. hydroCORTisone (CORTef), CORTisone, prednisone, dexamethasone. NPH -NPH peaks 4-12 hours -if given in A.M. it peaks at lunch and is out of system at 4:00 Lab values for thyroid -TSH, most important. If TSH is elevated it is hypothyroidism. Means pituitary gland is making the thyroid is working harder. -T3 -T4 Aspirin and prednisone -Cause gastric ulcer - Cox inhibitor ? ? levothyroxine (Synthroid) -Give before meals -Don't give before bed because it is a stimulant -increases energy, metabolism Emergency contraceptive -must be within 72 hours how to administer eye ointments -place on conjunctival sac -inner to outer What inactivates Quinolone's ? -antacids -magnesium -milk -iron -zinc -calcium -aluminum -any drug that contains above take 2 hours before or after. Ex. of these drugs are multivitamin and a antacid, tums, calcium carbonate (Mylanta) , M.O.M, aluminum hydroxide (Amphojel), what are Quinolone's / fluoroquinolone , examples, and SUFFIX -broad spectrum antibiotic -ciprofloxaCIN, norfloxaCIN -ENDS in -CIN What do you do for PT that had allergic reaction to antibiotic ? -stop antibiotic -give antihistamine IV, diphenhydramine (Benadryl), -give epi (sub cutaneous) -give steroids desmopressin (Ddavp) -antidiuretic hormone -be carful of water intoxication (Hyponatremia), can cause seizures -monitor electrolytes -fluid restrictions -Hold medication if water intoxication occurs