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Galen |\Pharmacology |\Test |\ 1 |\QUESTIONS |\
WITH |\ANSWERS
ear |\drops |- |\CORRECT |\ANSWERS |\✔✔INSTILL |\AT |\ROOM |\TEMP/ |\child- |
down |\and |\back/ |\adult- |\up |\and |\back eye |\drops |- |\CORRECT |\ANSWERS |\✔✔important |\to |\instill |\the |\eye |\drop |\medication |\into |\the |\conjunctival |\sac |(not |\the |\eyeball/cornea). |\inner |
to |\outer enema |- |\CORRECT |\ANSWERS |\✔✔patient |\lays |\on |\left |\side pharmacokinetic |- |\CORRECT |\ANSWERS |\✔✔what |\happens |\in |\the |\body |\once |\med |\is |\administered -Absorption -Distribution/ |\Binding -Metabolism -Renal |\Excretion first-pass |\effect |- |\CORRECT |\ANSWERS |\✔✔A |\swallowed |\pill |\that |\goes |
into |\the |\liver |\through |\the |\portal |\vein |\where |\some |\of |\the |\drug |
becomes |\inactive
protein |\binding |- |\CORRECT |\ANSWERS |\✔✔protein |(usually |\albumin) |
binds |\to |\medication |\to |\help |\chemicals |\move |\through. When |\the |\medication |\is |\bound |\to |\the |\protein |\it |\is |\not |\available |\to |
perform |\its |\action |\in |\the |\body |
True |\or |\False |- |\CORRECT |\ANSWERS |\✔✔True free |\drug |- |\CORRECT |\ANSWERS |\✔✔The |\amount |\that |\is |\left |\not |
bound |\called |\the__________________and |\it |\performs |\the |\pharmacologic |\response pharmacodynamics |\phase |- |\CORRECT |\ANSWERS |\✔✔refers |\to |\the |
effects |\drugs |\will |\have |\on |\a |\patient |\and |\the |\mechanism |\of |\their |
actions. How |\do |\antacids |\affect |\drug |\absorption? |- |\CORRECT |\ANSWERS |
✔✔Antacids |\increase |\the |\PH |(alkaline) |\of |\gastric |\juices |\which |\causes |\a |\decrease |\in |\the |\disintegration |\process Most |\drugs |(excluding |\enteric |\coated |\or |\XR) |\need |\an |\acidic |
environment |\to |\break |\down.
non-opiod |\analgesic |- |\CORRECT |\ANSWERS |\✔✔acetaminophen non |\benzodiazepine |- |\CORRECT |\ANSWERS |\✔✔zolpidem Spinal |\anethesia |- |\CORRECT |\ANSWERS |\✔✔Spinal/Epidural Nsaid-Salicylate |- |\CORRECT |\ANSWERS |\✔✔Aspirin Anti-gout |- |\CORRECT |\ANSWERS |\✔✔allopurinol opioid |- |\CORRECT |\ANSWERS |\✔✔morphine |\sulphate opioid |\antagonist |- |\CORRECT |\ANSWERS |\✔✔naloxone CNS |\Stimulant-amphetemine-like |- |\CORRECT |\ANSWERS |
✔✔Methylphenidate Hydantoin, |\Antiepileptics |- |\CORRECT |\ANSWERS |\✔✔Phenytoin Valproate |- |\CORRECT |\ANSWERS |\✔✔valporic |\acid
Barbituate |- |\CORRECT |\ANSWERS |\✔✔Phenobarbital antipsychotic |\nonphenothiazine |- |\CORRECT |\ANSWERS |\✔✔haloperidol SSRI |- |\CORRECT |\ANSWERS |\✔✔Fluoxetine MAOI |- |\CORRECT |\ANSWERS |\✔✔phenelzine |\sulfate atypical |\antipsychotic |- |\CORRECT |\ANSWERS |\✔✔aripiprazole tricyclic |(TCA) |- |\CORRECT |\ANSWERS |\✔✔amitriptyline serotonin |\and |\norephinephrine |\reuptake |\inhibitor |- |\CORRECT |
ANSWERS |\✔✔venlafaxine mood |\stabalizer |- |\CORRECT |\ANSWERS |\✔✔lithium What |\are |\Phenobarbitol |\used |\for? |- |\CORRECT |\ANSWERS |\✔✔Treats |
seizures, |\status |\epilepticus What |\are |\ 2 |\main |\side |\effects |\of |\Phenobarbitol |- |\CORRECT |\ANSWERS |\✔✔respiratory |\depression |/ |\sedation
What |\is |\happening |\during |\absorption |- |\CORRECT |\ANSWERS |\✔✔drug |\gets |\into |\bloodstream What |\is |\the |\primary |\site |\for |\metabolism? |- |\CORRECT |\ANSWERS |
✔✔liver What |\affects |\absorption? |- |\CORRECT |\ANSWERS |\✔✔High |\fat |\foods Decreased |\gastric |\emptying Exercise GI |\acidity Who |\am |\I? When |\drug |\can |\accumulate |\in |\body |
Decreases |\plasma |\protein |\levels need |\to |\watch |\drug |\combination Portion |\bound |\to |\protein |\is |\inactive Free |\drug |\can |\reach |\site |\of |\action |- |\CORRECT |\ANSWERS |\✔✔High |
protein |\bound |\drug The |\time |\it |\takes |\for |\the |\drug |\to |\start |\working |____________ |- |
CORRECT |\ANSWERS |\✔✔onset
The |\highest |\concentration |\in |\the |\blood |________________ |- |\CORRECT |
ANSWERS |\✔✔peak Who |\am |\I? Blood |\draw |\for |\the |\highest |\and |\lowest |\amount |\of |\drug |\in |\the |\blood |- |\CORRECT |\ANSWERS |\✔✔Peak |\and |\trough Who |\am |\I? Reaction |\that |\can |\be |\mild |\to |\severe Ex. |\Orthostatic |\hypotension, |\bradycardia, |\tachycardia, |\Steven |
Johnson |\syndrome, |\angioedema, |\suicide |\ideation, |\hypertension |- |
CORRECT |\ANSWERS |\✔✔Adverse |\drug |\reaction Who |\am |\I? This |\population |\has |\decreased |\liver |/ |\kidney |\function, |\slow |\gastric |
emptying, |\swallowing |\difficulties, |\poor |\nutrition Polypharmacy Adherence |\problems |- |\CORRECT |\ANSWERS |\✔✔Elderly The |\elderly |\patient |\who |\has |\a |\sudden |\change |\in |\behavior |\after |
receiving |\medication. |\What |\could |\the |\reason |\be? |- |\CORRECT |
ANSWERS |\✔✔Drug |\Toxicity
What |\are |\ 3 |\adverse |\effects |\you |\should |\watch |\for |\in |\a |\patient |\taking |\zolpidem? |- |\CORRECT |\ANSWERS |\✔✔1. |\anterograde |\amnesia
- |\hangover |\effect
- |\suicide |\ideations What |\medication |\is |\used |\for |\dental |\procedures, |\thoracentesis, |
lumbar |\puncture |- |\CORRECT |\ANSWERS |\✔✔Lidocaine What |\are |\ 2 |\adverse |\reactions |\to |\a |\spinal |\epidural? |- |\CORRECT |
ANSWERS |\✔✔Hypotension |\and |\Respiratory |\depression. Who |\am |\I? |
Use: |\anti |\inflammatory, |\pain, |\mildly |\works |\on |\fever Cox |\ 1 |\and |\Cox |\ 2 |\inhibitor Adverse |- |\GI |\ulcers, |\bleeding, |\peripheral |\edema Stop |\before |\surgery Don't |\take |\with |\aspirin |\or |\alcohol |- |\CORRECT |\ANSWERS |
✔✔Ibuprofen (NSAID) Who |\am |\I? Used |\for |\inflammation, |\pain, |\fever, |\antiplatelet
Not |\given |\to |\children Adverse |- |\GI |\ulcers, |\bleeding Take |\with |\food, |\no |\alcohol |\or |\warfarin Stop |\before |\surgery |- |\CORRECT |\ANSWERS |\✔✔Asprin (A |\salicylate) Who |\am |\I? |
Not |\given |\to |\patients |\with |\heart |\disease No |\GI |\symptoms Many |\drug |\interactions Not |\given |\with |\Ginko |\Biloba Use |- |\pain, |\inflammation |- |\CORRECT |\ANSWERS |\✔✔celecoxib NSAID |\Cox |\ 2 |\inhibitor Who |\am |\I? |
Reduces |\uric |\acid |\levels Assess |\kidney/liver |\function Decrease |\purine |\foods Can |\have |\GI |\side |\effects |- |\CORRECT |\ANSWERS |\✔✔allopurinol What |\is |\allopurinol |\used |\for? |- |\CORRECT |\ANSWERS |\✔✔gout
What |\medical |\emergency |\is |\asprin |\given |\for? |- |\CORRECT |\ANSWERS |
✔✔heart |\attack |(MI) Why |\is |\asprin |\not |\given |\to |\children? |- |\CORRECT |\ANSWERS |\✔✔b/c |\it |
could |\cause |\Reye's |\syndrome Children |\are |\more |\likely |\to |\get |\it |\with |\an |\infection What |\is |\the |\antidote |\for |\acetaminophen |- |\CORRECT |\ANSWERS |
✔✔acetylcysteine Who |\am |\I An |\analgesic, |\antipyretic No |\antiplatelet |\properties, |\little |\GI |\effects Watch |\liver |\function Can |\interact |\with |\herbals |- |\CORRECT |\ANSWERS |\✔✔acetaminophen What |\pain |\medication |\causes |\these |\side |\effects? miosis, |\urinary |\retention, |\constipation, |\sedation |- |\CORRECT |
ANSWERS |\✔✔Morphine What |\can |\pinpoint |\pupils |\indicate? |- |\CORRECT |\ANSWERS |
✔✔overdose
What |\is |\the |\antidote |\for |\opioids? |- |\CORRECT |\ANSWERS |\✔✔Naloxone What |\are |\some |\nursing |\responsibilities |\when |\a |\patient |\is |\receiving |
morphine? |- |\CORRECT |\ANSWERS |\✔✔Assess |\VS |\for |\baseline Assess |\pain |\level |\before |\and |\after |\admin Fall |\precautions What |\are |\the |\adverse |\effects |\of |\morphine? |- |\CORRECT |\ANSWERS |
✔✔Respiratory |\depression, |\decreased |\HR, |\itching, |\euphoria, |\and |
blurred |\vision What |\is |\Sumitriptan |\used |\for? |- |\CORRECT |\ANSWERS |\✔✔Used |\in |\the |
treatment |\of |\migraines |- |\however |\contraindicated |\in |\coronary |\artery |\disease |\and |\hypertension When |\do |\you |\teach |\the |\patient |\to |\take |\their |\sumitriptan? |- |
CORRECT |\ANSWERS |\✔✔Take |\with |\the |\first |\sign |\of |\symptoms |\or |
aura. Which |\medication |\could |\have |\these |\adverse |\effects? decreased |\or |\increased |\heart |\rate hearing |\loss seizures
- |\Steven |\Johnson's |\syndrome What |\is |\something |\the |\nurse |\would |\want |\to |\be |\sure |\to |\teach |\a |
patient |\on |\Phenytoin? |- |\CORRECT |\ANSWERS |\✔✔Increase |\calcium, |
folic |\acid |\and |\vitamin |\d |\intake. |(specifically |\calcium) Use |\back |\up |\birth |\control Gingival |\Hyperplasia |\is |\very |\common What |\medication |\requires |\these |\Nursing |\interventions/ |\patient |
teaching? |
Take |\in |\the |\AM, |\with |\a |\good |\breakfast Avoid |\caffeine |
Monitor |\VS, |\sleep, |\weight Report |\palpitations, |\tachycardia |- |\CORRECT |\ANSWERS |
✔✔Methylphenidate What |\is |\methylphenidate |\used |\for? |- |\CORRECT |\ANSWERS |\✔✔ADHD, |
narcolepsy What |\ 2 |\patient |\populations |\would |\avoid |\the |\use |\of |\valporic |\acid? |- |
CORRECT |\ANSWERS |\✔✔Not |\for |\patients |\with |\liver |\disease Not |\good |\with |\pregnancy |- |\fetal |\abnormalities
What |\is |\Valporic |\acid |\used |\to |\treat? |- |\CORRECT |\ANSWERS |
✔✔Seizures Who |\am |\I? Used |\for |\status |\epilepticus, |\alcohol |\withdraw, |\anxiety Monitor |\respiratory |\system, |\CNS |\depression Monitor |\for |\orthostatic |\hypotension |- |\CORRECT |\ANSWERS |
✔✔lorazepam What |\would |\the |\nurse |\monitor |\in |\a |\patient |\taking |\aripiprazole? |- |
CORRECT |\ANSWERS |\✔✔Monitor |\VS Watch |\for |\orthostatic |\hypotension Assess |\for |\EPS Monitor |\glucose |\if |\diabetic |- |\can |\increase Would |\you |\advise |\patients |\to |\wear |\sunblock, |\a |\hat |\and |\sunglasses |
while |\out |\in |\the |\sun |\if |\taking |\an |\atypical |\anti-psychotic |\like |
aripiprazole? |\Yes |\or |\No |- |\CORRECT |\ANSWERS |\✔✔Yes, |\this |
medication |\can |\cause |\photosensitivity When |\administering |\an |\oral |\anti-psychotic |\medication, |\what |\would |
the |\nurse |\need |\to |\do |\before |\leaving |\the |\patient's |\side? |- |\CORRECT |
ANSWERS |\✔✔Check |\the |\mouth |\to |\confirm |\the |\medication |\was |
swallowed
What |\should |\the |\nurse |\monitor |\in |\a |\patient |\taking |\amitriptyline? |- |
CORRECT |\ANSWERS |\✔✔Monitor |\CBC. |\Watching |\for |\blood |\dyscrasias Monitoring |\for |\s/s |\of |\EPS Fall |\risk- |\so |\slow |\position |\changes |\due |\to |\orthostatic |\hyertension Who |\am |\I? SSRI Anticholinergic |\symptoms, |\suicide |\ideation Takes |\weeks |\to |\work Take |\at |\bedtime Not |\taken |\with |\other |\CNS |\depressants |- |\CORRECT |\ANSWERS |
✔✔fluoxetine What |\are |\ 4 |\reasons |\a |\patient |\would |\be |\taking |\fluoxetine? |- |
CORRECT |\ANSWERS |\✔✔depression, |\OCD, |\PTSD, |\bulimia What |\food |\would |\fluoxetine |\interact |\with? |- |\CORRECT |\ANSWERS |
✔✔grapefruit |\juice If |\the |\patient |\has |_______________, |\they |\should |\not |\be |\prescribed |
fluoxetine. |- |\CORRECT |\ANSWERS |\✔✔glaucoma (increased |\pressure |\due |\to |\SSRI)
Who |\am |\I? |
used |\for |\major |\depression, |\anxiety, |\panic |\disorder Don't |\stop |\abruptly Adverse |- |\suicide |\ideation, |\Steven |\Johnson |\syndrome, |\NMS Don't |\take |\with |\herbals, |\interacts |\with |\prescribed |\meds |- |\CORRECT |
ANSWERS |\✔✔Venlafaxine SNRI Who |\am |\I? Diet |\restrictions |- |\no |\tyramine |\or |\meds |\with |\phenylephrine Last |\resort Not |\given |\with |\TCAs |- |\CORRECT |\ANSWERS |\✔✔Phenelzine |\sulfate MAOI What |\types |\of |\foods |\contain |\tyramine? |- |\CORRECT |\ANSWERS |
✔✔aged |\cheese, |\yogurt, |\coffee, |\chocolate, |\raisins, |\bananas, |\liver, |
pickled |\foods, |\yeast, |\wine, |& |\beer What |\can |\tyramine |\cause |\in |\someone |\taking |\MAOI's? |- |\CORRECT |
ANSWERS |\✔✔hypertensive |\crisis
