NUR 635 ADVANCED PHARMACOLOGY-MIDTERM EXAM ALREADY GRADED A+:-GCU
Pt on heparin in hospital setting. Why start coumadin 2 days before dc? - (ANSWER)Because coumadin
needs a couple days before it starts working.
Angina: bc pts dev tolerance to long-acting nitroglycerine w/i 1 day. How to prevent? - (ANSWER)Pts
must have 8hrs with no nitroglycerine every days. Hint: At night, remove nitro patch bc no risk of
exertional angina
Underlying cause of angina - (ANSWER)coronary disease, athlerosclerosis
Why do we give aspirin in pts w/atherosclerosis? - (ANSWER)Aspirin is an antiplatelet.. Prevents the
existing plaques from getting bigger. Prevents plaque rupture. Cardio protective, prevents stroke, MI,
CVA
What is prescribed for angina pts w/DM? - (ANSWER)ACE inhibitors to protect the kidneys and nerves
SE of high doses of aspirin? - (ANSWER)Tinnitus: ringing ears
Pt education regarding Plavix(clopidogrel bisulfate)? - (ANSWER)Anti-platelet med. S/sx bleeding: blood
in stool or vomit, excessive bruising, abd pain uterine bld, back pain, petichae. Interactions with
EVERYTHING: OTC, herbals, supplements
Pts on coumadin? What are we watching for? - (ANSWER)INR to check therapeutic levels. Half life is
long. Check 12hrs after taking.
What can be caused if pt started on heparin? - (ANSWER)day4, ordering blood work to check platelet
count to observe for THROMBOCYTOPENIA
coumadin and childbearing aged females - (ANSWER)Interactions with oral contraceptives- must have a
back up method during time you're taking coumadin
Pregnancy considerations and coumadin - (ANSWER)Need to monitor anti-Xa levels
, NUR 635 ADVANCED PHARMACOLOGY-MIDTERM EXAM ALREADY GRADED A+:-GCU
biggest food group interaction with coumadin - (ANSWER)Grapefruit, green leafy veggies. Why? high in
vitamin K which counteracts warfarin
Short duration: rapid acting insulin indication, MOA, usage - (ANSWER)Given w/meals
Provide bs control between meals at night
Can use in conjunction w/intermediate or long-acting agent
lispro, aspart, gluulocene
Short duration: short acting insulin indication, MOA, usage - (ANSWER)Before meals to control
postprandial hyperglycemia
Infused SQ via pump
humulin/regular
intermediate(humalin/novalin) duration insulin indication, MOA, usage - (ANSWER)BS control between
meals and during the night
Only one suitable for mixing w/short actings
basal coverage
Long duration: Insulin glargine U100 - (ANSWER)up to 24hrs, once daily subq dosing, basal coverage for
DM1 or Dm2
Neostigmine is a medication uesd to tx what disease/disorder? - (ANSWER)Myastenia Gravis: AI
disorder, antibodies destroy communication btw nerves and muscles. S/S weak skeletal muscles,
voluntary muscles, dysphagia, ptosis
Myasthenia gravis is an AI disorder that may cause what s/s? - (ANSWER)difficulty swallowing
Medication must cross _____________ to affect CNS - (ANSWER)BBB
Pt on heparin in hospital setting. Why start coumadin 2 days before dc? - (ANSWER)Because coumadin
needs a couple days before it starts working.
Angina: bc pts dev tolerance to long-acting nitroglycerine w/i 1 day. How to prevent? - (ANSWER)Pts
must have 8hrs with no nitroglycerine every days. Hint: At night, remove nitro patch bc no risk of
exertional angina
Underlying cause of angina - (ANSWER)coronary disease, athlerosclerosis
Why do we give aspirin in pts w/atherosclerosis? - (ANSWER)Aspirin is an antiplatelet.. Prevents the
existing plaques from getting bigger. Prevents plaque rupture. Cardio protective, prevents stroke, MI,
CVA
What is prescribed for angina pts w/DM? - (ANSWER)ACE inhibitors to protect the kidneys and nerves
SE of high doses of aspirin? - (ANSWER)Tinnitus: ringing ears
Pt education regarding Plavix(clopidogrel bisulfate)? - (ANSWER)Anti-platelet med. S/sx bleeding: blood
in stool or vomit, excessive bruising, abd pain uterine bld, back pain, petichae. Interactions with
EVERYTHING: OTC, herbals, supplements
Pts on coumadin? What are we watching for? - (ANSWER)INR to check therapeutic levels. Half life is
long. Check 12hrs after taking.
What can be caused if pt started on heparin? - (ANSWER)day4, ordering blood work to check platelet
count to observe for THROMBOCYTOPENIA
coumadin and childbearing aged females - (ANSWER)Interactions with oral contraceptives- must have a
back up method during time you're taking coumadin
Pregnancy considerations and coumadin - (ANSWER)Need to monitor anti-Xa levels
, NUR 635 ADVANCED PHARMACOLOGY-MIDTERM EXAM ALREADY GRADED A+:-GCU
biggest food group interaction with coumadin - (ANSWER)Grapefruit, green leafy veggies. Why? high in
vitamin K which counteracts warfarin
Short duration: rapid acting insulin indication, MOA, usage - (ANSWER)Given w/meals
Provide bs control between meals at night
Can use in conjunction w/intermediate or long-acting agent
lispro, aspart, gluulocene
Short duration: short acting insulin indication, MOA, usage - (ANSWER)Before meals to control
postprandial hyperglycemia
Infused SQ via pump
humulin/regular
intermediate(humalin/novalin) duration insulin indication, MOA, usage - (ANSWER)BS control between
meals and during the night
Only one suitable for mixing w/short actings
basal coverage
Long duration: Insulin glargine U100 - (ANSWER)up to 24hrs, once daily subq dosing, basal coverage for
DM1 or Dm2
Neostigmine is a medication uesd to tx what disease/disorder? - (ANSWER)Myastenia Gravis: AI
disorder, antibodies destroy communication btw nerves and muscles. S/S weak skeletal muscles,
voluntary muscles, dysphagia, ptosis
Myasthenia gravis is an AI disorder that may cause what s/s? - (ANSWER)difficulty swallowing
Medication must cross _____________ to affect CNS - (ANSWER)BBB
