Questions and All Correct Answers.
How many ounces are in a tablespoon? - Answer 1/2 ounce
How many tablespoons are in an ounce? - Answer 2 tablespoons
How many drops are in 1 mL - Answer 20 gtt
How many mL are in an ounce? - Answer 30 mL
How many drops are in an ounce? - Answer 600 gtt
What is the antidote for Haloperidol? - Answer There is no direct antidote, so treatment
includes emesis or gastric lavage followed by activated charcoal.
What should you teach a patient about haloperidol? - Answer Abruptly discontinuing leads to
withdrawal
Possible extrapyramidal symptoms and adverse reactions
Possible orthostatic hypotension, drowsiness
Taking CNS depressants like alcohol can cause severe reactions like respiratory distress
What should you teach a patient about amitriptyline? - Answer Abruptly discontinuing leads
to withdrawal
Possible drowsiness, blurred vision, orthostatic hypotension, sedation, and confusion
Taking CNS depressants like alcohol can cause severe reactions
Possible urinary retention, constipation, or blue/green urine
Monitor for changes in mental health
What labs would you run for heparin administration? - Answer Monitor activated partial
thromboplastin time (aPTT) and hematocrit periodically
Monitor platelet count every 2-3 days for signs of thrombocytopenia.
May cause hyperkalemia and increased AST/ALT
What is the antidote for warfarin? - Answer Phytonadione (vitamin K) (Mephyton)
, What labs would you run for warfarin administration - Answer Prothrombin Time (PT) is the
speed of clot formation, typically higher with warfarin
International Normalized Ratio (INR) is a Blood coagulation test. It is normally 0.8-1.2, but it is
recommended to be 2.5-3.5 for warfarin
Test stool and urine for occult blood
International Normalized Ratio (INR) - Answer The ratio of PT to thromboplastin activity,
1 is the common rate of coagulation, 2 means it takes twice as long to clot. If a warfarin
patient's INR is lower than 2.5, they're at a risk for clotting. If their INR is above 3.5, they're at a
risk for hemorrhage.
Foods high in vitamin K - Answer Mayo, canola oil, soybean oil, leafy greens
What is the mechanism of action for statins - Answer Inhibits 3-hydroxy-3-methylglutaryl-
coenzyme A (HMG-CoA) reductase, an enzyme which is responsible for catalyzing an early step
in the synthesis of cholesterol
Statin side effects - Answer Henry Feels His Powerful Headaches aRe Good
Hepatitis, Fatigue, Hyperglycemia, low Platelet count, Headaches, Rhabdomyolysis, GI issues
What can prevent side effects of statins? - Answer Coenzyme Q10 supplements (unofficially
vit D)
Why was red yeast rice taken off the market? - Answer It contains lovastatin
Signs and symptoms of unstable angina - Answer a new, changing, or worsening chest pain,
unrelieved by nitrates, can occur at rest and lasts longer than that of stable angina, typically 30
min
Angina signs and symptoms - Answer chest pain behind the sternum, difficulty breathing,
nausea, burning, squeezing, radiating to neck/jaw/shoulders/arms, anxiety
What is used to treat angina? - Answer nitroglycerin - MAIN, reduces LV pre/afterload,
vasodilates cor. arteries to relieve ischemic symptoms
Antiplatelet agents - Reduces risk of cor. artery blockage by inhibiting platelet aggregation
Ranolazine - for chronic, alters transcellular late sodium current, prevents calcium overload
Beta-adrn antag - Reduce myocardial oxygen demands by decreasing heart rate, blood pressure,
and contractility