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Maryville NURS 615 Exam 3 with correct
answers
First line treatment for Acute gout attack? - correct answer -colchicine First line treatment for mild to moderate pain? - correct answer -Ibuprofen and tylenol Treatment for RA? - correct answer -NSAIDs, glucocorticoid injections and low dose prednisone OTC Treatment for back pain? - correct answer -Start w/ NSAIDs Treatment for Gout? - correct answer -Allopurinol, febuxstat, & Colchicine Low dose colchicine versus high dose colchicine? - correct answer -low: 1.2 mg initially, 0.6 mg one hour later High: 0.6-1.2mg every hour until relief. Max 4-8mg 1st line diuretic treatment for heart failure? - correct answer --Spironalactone or furosemide? What to monitor for with allopurinol? - correct answer -BUN, Crt, uric acid & renal tests What to monitor for w/ ACEIs/ARBs? - correct answer -Renal function tests and serum Crt What can amiodarone cause? - correct answer -Hyperthyroidism What to monitor for w/ Canaglifozin? - correct answer -hypovolemia What to monitor for w/ spironolactone? - correct answer -Potassium levels frequently
Education needed with long-term corticosteroid use? - correct answer --Never stop abruptly -take prilosec or zantac to protect from GI bleeds -Diabetics may need more insulin -Monitor for signs of infection Education needed for alpha-glucosidase inhibitors? - correct answer -Must be taken w/ first bite of food from each meal When to take levothyroxine? - correct answer -Take first thing in the morning on an emptly stomach and no other food/meds within 30 min of it MOA of CCB? - correct answer --Prevents the opening of calcium channels, reducing the effect of calcium excitation, contraction, coupling of skeletal, smooth and cardiac muscle, regulating aldosterone and pacemaker signal conduction = decreased contraction strength MOA of metformin? - correct answer -Stimulates infulin release from pancreatic beta cells to decrease blood glucose MOA of diltazem? - correct answer -Same as CCB, Most likely to affect myocardial contractility and AV conduction MOa of Sacubitril/valsartan? - correct answer -Block angiotensin 2 receptor, reduce vascular tone and enhance sodium and water clearance MOa of cholestyramine (questran)? - correct answer -exchange chloride ions for bile acids promoting an increase in bile acid secretion MOA of ibuprofen? - correct answer -inhibit COX enzymes (cyclooxygenase) -prostaglandin synthetase
What are side effects of statin medications? - correct answer -Muscle weakness or tenderness, dark colored urine What do you do if a pt reports muscle weakness, tenderness or dark colored urine at 6 weeks of taking the medication? - correct answer -Check for rhabdomyolysis, obtain liver function tests, creatinine kinase and kidney function tests Side effects of acetaminophen? - correct answer -Liver toxicity/liver necrosis w/ OD What can ACE inhibitors cause and what should we do as providers? - correct answer -A dry, barking cough -Treat symptoms as necessary. Stopping medication will not stop the cough right away Side effects of NSAIDs (cox-1)? - correct answer -Alter gastric acid secretion and the production of protective mucus in the stomach Side effect of selective sodium glucose co-transporter 2 (SGLT-2)? - correct answer -cause vaginal yeast infections Black box warning for pioglitazone? - correct answer --ischemic cardiovascular risk and heart failure Initial dose for 70 yo female w/ HTN and giving CCB - correct answer -? What to monitor w/ procainamide? - correct answer -Drug serum levels due to the short half-life and cardiac rate and rhythm What to monitor for w/ levothyroxine? - correct answer -Monitor TSH and free T4 Q 6 months -elderly at risk for side effects, watch for hyperthyroidism (tachycardia, angina) What to monitor for w/ Niacin? - correct answer -ASA reduces the vasodilation associated with naicin
Contraindications of acarbose? - correct answer -Contraindicated w/ inflammatory or irritable bowel syndrome Contraindications w/ ARBs? - correct answer -Pregnancy Contraindications w/ Digoxin and NSAIDs? - correct answer -give acetaminophen for pain How long is NPH onset of action? - correct answer ---1 hour onset What medications are schedule 1? - correct answer -Heroin, LSD, pot, Ecstacy What meds are schedule 2? - correct answer -Vicodin, cocaine, meth, oxycotin, and adderall. -No refills What meds are schedule 3? - correct answer -Tylenol w/ codeine, ketamine, steroids, testosterone. -Prescription required What meds are schedule 4? - correct answer -Xanax, ativan, ambien, tramadol. -Script required w/ refill What meds are schedule 5? - correct answer -Robitussin AC, lomotil, lyrica, motofi -Script required w/ fewest refill regulations What schedule meds can have refills? - correct answer -schedule 3-
