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Latest notes & summaries Loyola University Chicago
GNUR 294 Pharm Exam 4
GNUR 294 FINAL EXAM REVIEW (M19-22) 
 
MODULE 19 
PHARMACOTHERAPY OF GI DISORDERS 
Upper GI 
•	Upper GI disorders – most prevalent in US 
o	Requires the most pharmacologic therapy 
•	Upper GI tract consists of the stomach and the esophagus 
o	Anything below the duodenum is considered lower GI tract – we don’t commonly administer drugs that effect lower GI tract in US 
•	Disorders of upper GI tract include 
o	Peptic ulcer disease (PUD) 
o	Gastroesophageal reflux disease (GERD) 
 
Mech...
GNUR 294 EXAM 3 REVIEW (M14-18) 
 
MODULE 14 
PHARMACOTHERAPY OF ENDOCRINE SYSTEM 
Diabetes Mellitus 
Diabetes – disorder of CHO metabolism 
•	Cells prefer glucose for energy metabolism 
•	Normal BG level 60-100 mg/dL 
•	If high BG (hyperglycemic) ? pancreas releases insulin ? cells take up glucose from blood and liver produces glycogen (remainder of insulin not used is brought to liver, converted to glycogen and stored) ? BG falls 
•	If low BG (hypoglycemic) ? pancreas releases glucag...
Classification Prototype Routes, Onset, Duration of Action Mechanisms of Action Indications Contraindications Adverse Effects Pregnancy Drug Interactions Nursing Responsibilities • Thyroid Hormone Replacement • Synthetic T4 • Levoyhtroxine (Synthroid, Levothyroid, etc.) o Liothyronine (cytomel) o Liotrix (thyrolar) o Thyroid, desiccated (armour) • PO, IV (myxedema coma) • PO: slow onset • IV: 6-8 hrs • DOA: 1-3 weeks, half life 6-7 days • Identical to thyroid hormone: increasing ...
Care of the Patient Receiving Brachytherapy 
 
Gail, age 49, is a married mother of four. During her recent gynecological exam she was found to have a Class IV pap smear resulting in the diagnosis of cervical cancer. She is admitted to the hospital for an internal radiation implant (brachytherapy) by way of an applicator placed into the vagina. 
 
?	Gail asks why she has to be in a private room. What is your response? 
?	 Because she is radioactive (safety reasons) 
?	 Low dose brachytherapy...
Classification	Prototype	Routes, Onset, Duration of Action	Mechanisms of Action	Indications	Contraindications	Adverse Effects	Pregnancy	Drug Interactions	Nursing Responsibilities 
•	Thyroid Hormone Replacement 
•	Synthetic T4	•	Levoyhtroxine (Synthroid, Levothyroid, etc.) 
o	Liothyronine (cytomel) 
o	Liotrix (thyrolar) 
o	Thyroid, desiccated (armour)	•	PO, IV (myxedema coma) 
•	PO: slow onset 
•	IV: 6-8 hrs 
•	DOA: 1-3 weeks, half life 6-7 days 	•	Identical to thyroid hormone: i...
GNUR 294 EXAM 2 REVIEW (M7-13) 
 
MODULE 7 
Pharmacotherapy during Pregnancy 
Quick facts: 
	Teras = Greek word meaning “monster” 
	Teratogenesis = “to produce a monster” 
	Teratogens – adverse affects in pregnancy 
•	Effects structural formation in fetal tissue 
•	Effects organ function in fetal tissue 
•	Causes fetal demise 
2 individuals of concern: 
1)	Pregnant women 
2)	Fetus 
Fetal-placental barrier – not effective, many drug molecules can cross and cause harm to fetus 
A...
Drugs: Pharm Exam III 
•	Dabigatran: direct thrombin inhibitor (anticoagulant) 
o	MOA: directly blocks thrombin actions 
o	Indications: non-valvar afib. OR thromboembolic events, given when heparin is inappropriate or history of HIT 
o	Contraindications: internal bleeding, elevated aPTT, mechanical heart valves, caution with renal disease, GI ulcers, recent trauma/surgery 
o	Route: PO 
o	Onset: 30-90 min 
o	DOA: half-life 12-17 hrs. 
o	Adverse effects: bleeding, hypersensitivity, dyspepsia an...
GNUR 238 VITAMINS EXAM 1 | LOYOLA UNIVERSITY CHICAGO
GNUR 238 READING ASSESSMENT EXAM 1 
 
Reading Assessment 1 – The Nursing Process 
1. The nurse is attempting to develop nursing diagnoses for her patient. The nurse understands that nursing diagnoses: 
 	A. identify actual or potential problems as well as responses to a problem	 
 B. require naming patient problems using nursing diagnostic labels	 
 C. utilize objective data since subjective data are often inaccurate	 
 D. includes unvalidated data to determine an accurate and thorough diagnos...