Matching Pairs Pharmacology FINAL EXAM reviewOnline version Test your knowledge with this Pharmacology Final Review! by Kayla Meyers 1 A pt taking Digoxin is experiencing problems with their eyesight, N/V, & increased digoxin level. These are signs of: 2 Taking this 30mins ac, wearing a med alert bracelet, carrying fast-acting carb snack, & understanding effects of alcohol are teaching points for 3 Noting BM frequency, teaching a pt to avoid sedatives, encouraging increased fluid intake, and discouraging use in pts with glaucoma are for this med 4 This medication must be available for any pt who is receiving a Heparin infusion 5 In a pt with conditions that lead to prolonged drug half-life, the risk for this potentially severe adverse effect is increased 6 Monitoring liver function test, and Avoiding alcohol & overexposure to the sun are important concepts of teaching for a pt taking this antifungal med 7 This fast-acting insulin is given in cases of acute hyperglycemia 8 A pt receiving antibiotics & Proton Pump Inhibitors (PPI's) for H. Pylori infection should expect that the med will do the following 9 In order to reduce the risk of fungal infections/candidiasis, the pt should perform this action after they have used their inhaler 10 Overuse/Extended use of nasal sprays has this potential adverse effect 11 Decreasing fluid intake and reporting headache & drowsiness to a doctor are teaching points to give to a pt taking this med for Diabetes Insipidus 12 CT contrast dye has this effect on the kidneys, which can lead to a build-up of metformin in the body 13 This long-acting insulin should NOT be mixed with other insulins for administration 14 A pt with BPH that is unable to urinate, & presents with a cold may be experiencing adverse effects of this OTC medication class 15 Insomnia is one possible indication of overdose of this med Drug toxicity Decongestants Lomotil (opioid med- treats diarrhea) Digoxin toxicity Glargine Slows the action of the kidneys Protamine Sulfate Desmopressin Ketoconazole Kill the bacteria and stop acid production Rebound nasal congestion Rinse the mouth with water Regular insulin Glipizide (antihyperglycemic) Levothyroxine (Synthroid) 1 Abdominal pain and jaundice are possible adverse effects of this class of medication 2 The most likely time frame for which a pt taking NPH insulin will experience a hypoglycemic event 3 GI disturbances and increased risk for developing ulcers are potential side effects of this class of anti-inflammatory med 4 The form of the med, pH of the stomach, pts pain level, & presence of food in the stomach are all factors that influence this 5 Aminoglycosides combined with cephalosporins can cause this potentially serious adverse effect 6 Beta blockers should NOT be taken with this type of OTC med 7 Sumatriptan reduces the pain of migraine headaches through this mechanism of action 8 Increasing fluid intake and having a high fiber diet are important considerations when taking this class of medication 9 This class of antidepressants works by inhibiting the reuptake of serotonin and norepinephrine 10 Flushing, respiratory depression, & muscle weakness are all possible adverse effects of this med when administered to a pt in pre-term labor 11 Posterior headache, heart palpitations, neck stiffness, N/V, diaphoresis, dilated pupils, tachycardia, & chest pain with HTN = possible toxicity with 12 Hypokalemia, Hyperglycemia, & Sulfa allergies are all concerns related to this class of diuretics 13 A pt has an order for an IV med that is not compatible with other IV meds running. What course of action must the nurse take to administer this med 14 Compared to IV administration- ORAL administration has this rate of action Magnesium sulfate Monoamine Oxidase Inhibitor (MAOI's) 6-14 hours Absorption Nephrotoxicity Skeletal muscle relaxers Cold medicines Thiazide diuretics Opioid analgesics (constipation can occur) Tricyclic Antidepressants (TCA's) Start another IV in the opposite arm Non-Steroidal Anti-Inflammatory Drug (NSAID's) Constricting cranial arteries Slower rate of action 1 Corticosteroids have the potential adverse effect of lowering potassium and causing this condition 2 NSAIDs taken with other meds carry this potential adverse effect 3 Antibiotics have a suppressive effect on this form of medication 4 Beta-blockers can cause this potential adverse effect 5 This long-acting insulin has no peak action and a duration of 24hrs 6 Dry mouth is a potential adverse effect of taking this med that is commonly used for motion sickness 7 Good hygiene with a soft bristle toothbrush is important teaching for a pt taking this anti-seizure med 8 This potential adverse effect of amphetamine/dextroamphetamine administration should be reported to the doctor 9 A pt starting the med "Isoniazid" (INH) for Tuberculosis should have this lab test done prior to receiving the first dose 10 A diabetic pt presents with stable blood sugar levels & no complications of diabetes. This is an example of this positive outcome: 11 This non-opioid analgesic is generally considered safe to take with most meds as well as during pregnancy 12 This is the priority assessment for a pt taking Oxybutynin 13 Chemotherapy meds typically have this adverse effect 14 The movement of this electrolyte contributes to muscle contraction & relaxation 15 Continual PT/INR monitoring is required for a pt taking this anticoagulant 16 Levothyroxine has this effect in pts taking Warfarin Warfarin (coumadin) Acetaminophen Hypokalemia Phenytoin Effective drug therapy Increased risk for GI bleed Bone marrow suppression Bronchospasm Vision changes Calcium Oral contraceptives Increases effectiveness of Warfarin Heart palpitations Dimenhydrinate Liver enzyme test Glargine
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