RASMUSSEN PHARM STUDY GUIDE
EXAM #1 QUESTIONS WITH COMPLETE
SOLUTIONS
What drugs contribute to urinary retention in a Parkinsons patient? - Answer-
benztropine
What is atropine linger? - Answer-dry mouth, blurred vision, gastric distention
How does benzodiazepine work? - Answer-works by calming nerves by sustaining the
GABA in your body
How would you explain to a patient that is taking a sympathomimetic the way in which it
works? - Answer-triggers fight or flight, which opens the airways and increases the heart
rate
What is the antidote for an opioid OD? - Answer-naloxone
How to apply a transdermal scopolamine patch? - Answer-wash hands, don gloves,
take old patch off, then wash the area
Put the new patch in a different spot beind the ear with the name date and time written
on it
What would make you not want to give morphine? - Answer-low respiratory rate (below
10), low heart rate, oxygen saturation below 90%
What is the antidote for lorazepam? - Answer-flumazenil
What are you going to do when a patient is on phenytoin? - Answer-need meticulous
mouth cleaning because hyperplasia gingivitis can occur
A pt who is bipolar and is manic, is on valproate and on valproic acid.
valproic acid level is normal, but the hepatic enzymes are elevated what is your
concern? - Answer-hepatoxicity, tell doc and ask if they want to continue the
medications
What is a C2 drug?
What does is mean? - Answer-a controlled substance
watched, only available by prescription and it has to be a written order
, have to have 2 nurses count it
must be in a double lock
unused portions get disposed of and there has to be two wittnesses
can't be refilled without a written order
How long does a prescription for dextroamphetamine last for?
Why?
When should the patient take it? - Answer-90 days
the dose is prescribed based on height and weight so the patient has to come in and get
re-weighed and re-measured to ensure that they have the right dose
They should take it in the morning because it is a cerebral stimulant and it will keep
them awake
can't take it at night because it will keep them awake
Quetiapine, if they were started on this because they were hallucinating and you know
that neuroleptics are given to resolve delusions and hallucinations how would you
indicate that the medication is starting to work - Answer-they are having less
hallucinations and delusions
a pt with dimentia is started on donepezil, what type of drug is donepezil? - Answer-
cholinesterase inhibitor, has the cholinergic effects which means you might see
incontinence of B+B
no dry eyes or mouth
What would you say to a pt that said well I guess I'll take my cyclobenzaprine tonight
with a pint of whiskey? - Answer-don't do, you might not wake up because
cyclobenzaprine is already and CNS depressant
cyclobenzaprine is a centrally acting skeletal muscle relaxant
How often do you give levodopa-carbidopa? - Answer-q6h, it doesn't matter if they're
sleeping you wake them up at midnight and administer the medication
What are the S/S of serotonin syndrome?
When would a patient experience it? - Answer-unexplained fever
flushing
sweats
poor coordination
rigidity
EXAM #1 QUESTIONS WITH COMPLETE
SOLUTIONS
What drugs contribute to urinary retention in a Parkinsons patient? - Answer-
benztropine
What is atropine linger? - Answer-dry mouth, blurred vision, gastric distention
How does benzodiazepine work? - Answer-works by calming nerves by sustaining the
GABA in your body
How would you explain to a patient that is taking a sympathomimetic the way in which it
works? - Answer-triggers fight or flight, which opens the airways and increases the heart
rate
What is the antidote for an opioid OD? - Answer-naloxone
How to apply a transdermal scopolamine patch? - Answer-wash hands, don gloves,
take old patch off, then wash the area
Put the new patch in a different spot beind the ear with the name date and time written
on it
What would make you not want to give morphine? - Answer-low respiratory rate (below
10), low heart rate, oxygen saturation below 90%
What is the antidote for lorazepam? - Answer-flumazenil
What are you going to do when a patient is on phenytoin? - Answer-need meticulous
mouth cleaning because hyperplasia gingivitis can occur
A pt who is bipolar and is manic, is on valproate and on valproic acid.
valproic acid level is normal, but the hepatic enzymes are elevated what is your
concern? - Answer-hepatoxicity, tell doc and ask if they want to continue the
medications
What is a C2 drug?
What does is mean? - Answer-a controlled substance
watched, only available by prescription and it has to be a written order
, have to have 2 nurses count it
must be in a double lock
unused portions get disposed of and there has to be two wittnesses
can't be refilled without a written order
How long does a prescription for dextroamphetamine last for?
Why?
When should the patient take it? - Answer-90 days
the dose is prescribed based on height and weight so the patient has to come in and get
re-weighed and re-measured to ensure that they have the right dose
They should take it in the morning because it is a cerebral stimulant and it will keep
them awake
can't take it at night because it will keep them awake
Quetiapine, if they were started on this because they were hallucinating and you know
that neuroleptics are given to resolve delusions and hallucinations how would you
indicate that the medication is starting to work - Answer-they are having less
hallucinations and delusions
a pt with dimentia is started on donepezil, what type of drug is donepezil? - Answer-
cholinesterase inhibitor, has the cholinergic effects which means you might see
incontinence of B+B
no dry eyes or mouth
What would you say to a pt that said well I guess I'll take my cyclobenzaprine tonight
with a pint of whiskey? - Answer-don't do, you might not wake up because
cyclobenzaprine is already and CNS depressant
cyclobenzaprine is a centrally acting skeletal muscle relaxant
How often do you give levodopa-carbidopa? - Answer-q6h, it doesn't matter if they're
sleeping you wake them up at midnight and administer the medication
What are the S/S of serotonin syndrome?
When would a patient experience it? - Answer-unexplained fever
flushing
sweats
poor coordination
rigidity
