pharm ati practice – Flashcards
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Loop diuretic uses: renal failure, HF SE: hypokalemia ; ototoxity
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Furosemide (lasix)
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anti-platelet uses: prevent MI & CVA SE: bleeding, hemorrhage
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Clopidogrel (Plavix)
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Fluoroquinolone uses: pneumonia, sinusitis, skin infection SE: tendonitis, photosensitivity
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Levofloxacin (Levaquin)
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Mood Stabilizer uses: BPD SE: tremors, polyuria. Toxicity: GI upset, CNS changes, convulsions, coma, death
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Lithium (Eskalith)
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Antipsyhotic uses: schizophrenia, acute psyhosis, Tourette's SE: neutropenia, high risk of EPS
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Haloperidol (Haldol)
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Statin uses: lower cholesterol & LDL ; raise HDL SE: rhabdomyolysis; hepatotoxicity
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Atorvastatin (Lipitor)
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Phosphodiesterase inhibitor use: erectile dysfunction (ED) SE: flushing, erection lasting > 4 hrs, MI
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Sildenafil (Viagra)
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Selective serotonin re-uptake inhibitor (SSRI) uses: depression, OCD, PTSD, panic attacks SE: wt changes, drowsiness, loss of libido, hallucinations, insomia
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Sertraline (Zoloft)
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Narcotic Analgesic use: chronic pain not responding to other analgesics SE: addiction, respiratory depression
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Fentanyl (Duragesic transdermal)
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Corticosteroid use: seasonal & perennial rhinitis SE: nausea, dizziness, epitaxis
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Fluticasone (Flonase)
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Sedative-hypnotic use: insomnia SE: changes in behavior & mental health, sleep walking
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Zolpidem ( Ambien)
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Proton pump inhibitor uses: GERD, gastric ulcer SE: headache, diarrhea; osteporosis
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Esomeprazole (Nexium)
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Nonselective Beta Blocker uses: HTN, dysrhythmias, migraine, many others SE: bradycardia, hypotension
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Propranolol (Inderal)
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Antidysrhythmic uses: a-fib, v-fib, v-tachycardia SE: lung damage, HF, liver & thyroid toxicity
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Amiodarone (Cordarone)
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Cholinesterase inhibitor use: mild to severe AD SE: may decrease reaction time
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Donepezil (Aricept)
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Atypical antipsychotic use: schizophrenia, BPD, major depression, autism
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Aripiprazole (abilify)
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ACE inhibitor use: HTN, MI SE: persistent cough, angioedema
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Lisinopril (Zestril)
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Antimycobacterial use: TB, some other infections SE: hepatotoxicity
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Rifampin (Rifadin)
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Anticoagulant USE; DVT prevention SE: bleeding, neurological impairment
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Enoxaparin (Lovenox)
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Colony stimulating factor use: anemia from chronic kidney disease, perioperative SE: blood clots
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Epoetin (Epogen, Procrit)
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Bisphosphonate use: osteoporosis SE: jaw problems, pain in bones, muscles & joints
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Risedronate (Actonel)
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Anticonvulsant use: neuralgia, partial seixures, fibromyalgia SE: changes in behavior or mood, muscle twitching confusion
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Pregabalin (Lyrica)
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Insulin. Rapid-acting use: type I & 2 DM SE: hypoglycemia
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Aspart (Novolog)
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CA++ Channel blocker USE: TN, angina, a-fib, a-flutter, svt SE: HF, peripheral edema
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Diltiazem ( Cardizem)
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Smoking cessation aid use: aid efforts to stop smoking SE: change in appetite; unusual dreams
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Varenicline (chantix)
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This analgesic is used for a client who has moderate to severe pain.
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Hydromorphone (dilaudid)
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this medication replaces a missing pancreatic hormone.
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Insulin detemir (Levemir)
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This medication may cause a buildup of lactic acid in the body
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Glucophage (Metformin)
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This medication might be used postpartum for a woman who delivered twins
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Methylergonovine (Methergine)
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This is DMARD; disease modifying anti-rheumatic drug.
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Methotrexate (Mexate)
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This medication is approved for epilepsy but is often used as treatment for neuralgia
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Gabapentin (Neurontin)
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Do not take the medication with tadalafil
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Nitroglycerin
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This medication is prescribed to induce or augment labor.
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Oxytocin (Pitocin)
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This medication is often used to prevent GERD in hospitalized clients.
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Pantoprazole (Protonix)
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A decrease in hallucinations & delusions should be seen with this medication.
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Risperidone (Risperdal)
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Prolonged use of this medication may cause Cushing's Syndrome
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Methylprednisolone (SoluMedrol)
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This inhaled medication is used to prevent acute asthma attacks.
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Budesonide/ formoterol (Symbicort)
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This synthetic hormone should be taken after rising in the morning and before eating.
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Levothyroxine (Synthroid)
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A client who has an interstinal infection caused by clostridium difficile is likely to receive this medication.
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Vancomycin (Vancocin)
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Clients allergic to penicillin should not take this medication.
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Piperacillin/tazobactam (Zosyn)
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spironolactone for hypertension
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restrict foods high in potassium
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timolol eye drops for glaucoma
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press nasolcrimal duct
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gemfibozil
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muscle weakness
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hydomorphone
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disposs with a 2nd rn witness
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varicella immunizarion
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allergy to neomycin
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metoprolol contradiction
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2nd degree AV block
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isoniazid
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determine daily alcohol intake
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type 2 DM
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glycosylated HbA1c
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nifedipine
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decreases BP
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eplerenone treat hypertension
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monitor for hyperkalemia
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cefotetan to treat bacteria infection
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penicillin allergy
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HIV
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CD4 T-cell count
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benzodiazepine withdrawal
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assist with ADLs
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alendronate
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take with 8oz water
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im injection of penicillin G benzathine
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your medication cant be give IV because it isnt water-souluble
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gentamicin
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chronic renal insufficiency
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IV amphotericin B
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adverse reaction vertigo
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digoxin with hold if
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apical pulse 52/min
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10-yr hx of alcohol use disorder
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implement seizure precaution
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magnesium sulfate toxicity
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hyporeflexia
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type 2 DM pioglitazone
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you body should become more sensitive to insulin
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type 2 DM metformin
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muscle pain agitation metallic taste
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catopril hypertension
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side effects sore throat
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diphenoxylate/atropine
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high doses of this medication can cause drowsiness
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bethanechol
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increased GI motility
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ampicillin
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allergic reaction pruritus flushing wheezing
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risperidone treat schizophrenia
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fasting glucose level
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simvastatin
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muscle pain
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dimenhydrinate treats motion sickiness
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contraindication for benign prostatic hyperplasia
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isotretinnoin
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monitor triglyceride levels may have nosebleeds 2 neg pregnancy tests
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tobutamide treats DM
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allergies trimethoprim/sulfamethoxazole
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long term hydrochlorothiazide therapy
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adverse effects hypokalemia
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streptococcal pharyngitis allergic to penicillin
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erythromycin
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acyclovir (zovirax) IV to treat viral infection
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cautious dehydration
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cephalexin (Keflex) treat bacterial meningitis
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creatinine
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isoniazid (INH) treat TB
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jaundice numbness in hands dizziness
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acyclovir Zovirax treat herpes simplex infection
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BUN
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ciprofloxacin for UTI and taking prednisolone
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tendon pain
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aztreonam (Azactam ) RTI
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renal impairment
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tetracylcine treat chlamydia
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pseudomembranous enterocolitis
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imipenem (primaxin) treat bacterial infection
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suprainfection
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chloroquine (Aralen) to prevent malaria
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wear sunglasses outdoors avoid driving take with food
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nitrofurantoin (Macrodantin) treat UTI
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cough
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disulfiram (Antabuse)
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cefoten metronidazole (Flagyl)
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ketoconazole treat fungal infection
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gynecomastia
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amphotericin B IV systemic fungal infection
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acetaminophen diphenydramine
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gentamicin treat systemic infection
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furosemide LAsix
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ciprofloxacin Cipro treat RTI
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take antacid 2hrs after taking med
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pneumococcal pneumonia
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cardiac dysrhythmias
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begin gentamicin therapy
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urine output
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enalapril (Vasotec)
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Creatinine clearance
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Infants are at risk for drug toxicity due to
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Decreased liver enzymes Reduced kidney perfusion Reduced liver perfusion
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mild itching while taking amoxicillin (Amoxil)
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Itching can indicate a hypersensitivity to amoxicillin.
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pregnancy risk category D
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Require the use of contraception by women of childbearing age Can cause fetal malformation Can pass through the umbilical cord or the placenta to the fetus Require weighing potential benefits against possible risks
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history of renal insufficiency and is taking lithium carbonate (Lithobid)
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drug toxicity
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nitroglycerin (Nitrostat) IV and is changing to the oral form of the drug
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Decreased bioavailability because of the first-pass effect
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carbamazepine (Tegretol) and who reports drinking grapefruit juice.
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drug toxicity
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anaphylactic reaction
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Low blood pressure wheezing swallowing difficulty
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Which of the following information should health care professionals consider when calculating drug dosages for infants and children compared with adults?
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Older children can have a faster metabolic rate than adults.
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opioid-dependent and is about to begin taking butorphanol (Stadol)
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vomitting abdominal cramps hypertension
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question the use of morphine for a patient who is taking which of the following drugs?
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Phenobarbital (Luminal) for a seizure disorder
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long-term use prednisone adverse effects
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bone loss
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prednisone to treat lupus erythematosus
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Discontinue the drug gradually. report illness or infection increase in take of calcium & vit D monitor signs for gastric bleeding
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butorphanol for pain control
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nausea dizziness headache
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A health care professional should question the use of morphine for a patient who is recovering from which of the following procedures?
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cholecystectomy
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tramadol (Ultram) to treat moderate acute pain
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increase fiber& fluid intake take with food avoid driving change positions gradually
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taking aspirin for OA what possible indications of salicylism
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tinnitus diaphoresis dizziness
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butorphanol (Stadol) to a patient for pain control
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Withhold the drug for respiratory rates below 12/min.
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allopurinol (Zyloprim) to prevent hyperuricemia
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adverse effects sore throat vertigo bruising vision changes
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celecoxib (Celebrex) to treat RA
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chest pain
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tramadol (Ultram)
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seizure disorder
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furosemide (Lasix) starting to take prednisone
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hypokalemia
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A health care professional should advise a patient who has which of the following to stop taking ibuprofen (Advil) to treat an occasional headache or muscle strain?
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peptic ulcer disease
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early indications of acetaminophen overdose
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diaphoresis nausea diarrhea
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A health care professional should understand that naloxone can reverse the effects of an excessive dosage of which of the following drugs?
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morphine
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A health care professional is caring for a patient who is taking naloxone to treat a morphine overdose. The health care professional should monitor for which of the following adverse effects? (Select all that apply.)
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tachypnea increased pain tachycardia hypertension
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allopurinol (Zyloprim) to treat gout
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fever
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A patient who takes low-dose aspirin to prevent cardiovascular events asks a health care professional about taking ibuprofen (Advil) to treat rheumatoid arthritis. The health care professional should respond with which of the following statements?
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"Ibuprofen will reduce the antiplatelet effects of low-dose aspirin."
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verapamil (Calan) to treat atrial fib
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hypotension
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While talking with a patient about drug therapy options for hypertension, the provider notes that the patient also has some manifestations of depression that require treatment. Which of the following antihypertensive drugs is inappropriate for the patient?
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reserpine
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amiodarone (Cordarone) to treat a-fib
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grapefruit juice
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simvastatin (Zocor) to treat hypercholesterolemia
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muscle pain
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epelernone (Inspra) treat hypertension
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avoid use of salt substitutes
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hydralazine therapy for severe hypertension
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lupus-like syndrome
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nifedipine (Procardia)
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hx of unstable angina pectoris
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digoxin (Lnaoxin)
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fab antibody fragments (Digibind)
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milrinone (Primacor)
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acute MI
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A provider is considering the various drug therapy options for treating a patient's cardiac dysrhythmia. He should be aware that which of the following antidysrhythmic drugs is appropriate only for short-term use because of its severe adverse effects with long-term use?
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Procainamide
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A health care professional is caring for a patient who is about to begin captopril (Capoten) therapy to treat hypertension. When talking with the patient about taking the drug, the health care professional should tell her to report which of the following adverse effects because they can indicate a need to stop drug therapy? (Select all that apply.)
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rash distorted taste swelling of tongue dry cough
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administer atenolol (Tenormin) to a patient who has hypertension
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apical pulse
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A health care professional should question the use of dobutamine for a patient who is receiving which of the following types of drugs? (Select all that apply.)
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Monoamine oxidase inhibitor general anesthetic tricyclic antidepressant beta blocker
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ethacrynic acid (Edecrin) to treat heart failure
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hearing loss
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clonidine (Catapres) to treat hypertension
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hypertension
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nifedipine (Procardia)
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propranolol (Inderal)
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propranolol (Inderal) to treat a tachydysrhythmia
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antacids
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pironolactone (Aldactone) to treat hypertension.
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serum potassium level of 5.2 mEq/L
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gemfibrozil (Lopid) to treat hypercholesterolemia.
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Report any new intolerance to fried foods. Report muscle tenderness. Expect periodic liver function testing.
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aliskiren (Tekturna) therapy to treat hypertension
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hyperkalemia throat swelling cough
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carvedilol (Coreg) for hypertension is about to begin taking an oral antidiabetes drug to manage newly diagnosed type 2 diabetes mellitus.
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Hypoglycemia
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A health care professional is caring for a patient who has a glomerular filtration rate of 10 mL/min and a reduced urine output. The health care professional should question the use of hydrochlorothiazide for the patient because of which of the following characteristics of the drug?
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The drug does not promote diuresis for patients who have renal insufficiency.
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losartan (Cozaar) to treat hypertension
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facial edema
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A health care professional is caring for a patient who is about to begin levothyroxine (Synthroid) therapy to treat hypothyroidism. Which of the following instructions should the health care professional include when talking with the patient about taking the drug?
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Expect life-long therapy with the drug.
