Answer:
Hypoglycemia
Q: What s\/sx should DM pts look for?
Answer:
Cold and clammy, need some candy
Q: Interaction between insulin and beta blockers?
Answer:
Beta blockers will mask signs of hypoglycemia
Q: Switching pt from NPH to glargine, then what do we do to glargine dosage?
Answer:
Decrease it by 20%
Q: Things to consider when prescribing metformin?
Answer:
Cannot do contrast, overhydrate them, A1C, baseline kidney function
Q: Assess prior to metformin?
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<\/a>Patient prescribed viagra. What instruction to give patient?
Avoid taking nitroglycerin with this drug<\/p>\n\n\n\n
A patient is taking proscar for BPH. Explain that this med has which effect?
Decreases the size of the prostate<\/p>\n\n\n\n
Patient taking viagra. Should avoid what food?
Grapefruit juice<\/p>\n\n\n\n
Rapid acting insulin
Lispro (Humalog)
Aspart (Novolog)
Glulisine (Apidra)<\/p>\n\n\n\n
Short onset and duration insulin
NPH<\/p>\n\n\n\n
Drug of choice for type 2 diabetes – why
Metformin – decreases glycogenolysis in liver<\/p>\n\n\n\n
Why would we recommend pts take an ASA a day?
Prevents thrombolytic events<\/p>\n\n\n\n
Side effect of high dose aspirin
Tinnitus<\/p>\n\n\n\n
Anemic pt getting epoetin – what to monitor?
Hypertension – monitor BP<\/p>\n\n\n\n
Safety warning for erythropoiesis stimulating medications?
Can cause tumors<\/p>\n\n\n\n
Dx with angina, we know they have underlying what?
Athrosclerosis<\/p>\n\n\n\n
Medications for athrosclerosis
Statin, ASA, nitro<\/p>\n\n\n\n
Someone wants to self donate blood for surgery. Give what?
Epogen with iron<\/p>\n\n\n\n
Prescribing iron for iron deficiency anemia, what do I check 1 week out?
Reticulocyte count<\/p>\n\n\n\n
Prescribing iron replacement, what education?
Empty stomach with orange juice.<\/p>\n\n\n\n
What does pernicious anemia mean?
Lacking B12<\/p>\n\n\n\n
Giving B12, what do we monitor for?
Hypokalemia<\/p>\n\n\n\n
How long for NPH to take effect?
60-90 min<\/p>\n\n\n\n
What’s the biggest side effect for treating DM?
Hypoglycemia<\/p>\n\n\n\n
What s\/sx should DM pts look for?
Cold and clammy, need some candy<\/p>\n\n\n\n
Interaction between insulin and beta blockers?
Beta blockers will mask signs of hypoglycemia<\/p>\n\n\n\n
Switching pt from NPH to glargine, then what do we do to glargine dosage?
Decrease it by 20%<\/p>\n\n\n\n
Things to consider when prescribing metformin?
Cannot do contrast, overhydrate them, A1C, baseline kidney function<\/p>\n\n\n\n
Assess prior to metformin?
Kidney function<\/p>\n\n\n\n
How are gliptins different from other DM meds?
Indirectly increase insulin production<\/p>\n\n\n\n
How do GLP-1 agonists work?
Bind to receptors in pancreas to stimulate insulin release, work on incretin system<\/p>\n\n\n\n
What things to check with iron treatment?
Ferratin, H\/H, TIBC – normalize after 4 weeks<\/p>\n\n\n\n
NYHA, which one is angina without symptoms?
Variant angina, stage I<\/p>\n\n\n\n
NYHA stage 2
Angina with exertion<\/p>\n\n\n\n
NYHA Stage 3
Severe symptoms with minimal activity<\/p>\n\n\n\n
NYHA stage 4
Symptoms at rest<\/p>\n\n\n\n
What do most patients with angina need to do?
Diet and exercise<\/p>\n\n\n\n
What are the 2 reasons patients go into heart failure?
Infarct
Myocardial ischemia<\/p>\n\n\n\n
What is contraindicated with flagyl?
Alcohol – nasty reaction<\/p>\n\n\n\n
Baseline labs for hepatotoxicity?
Hepatic function panel<\/p>\n\n\n\n
Why can NP and PAs prescribe?
Access to healthcare<\/p>\n\n\n\n
When is it most dangerous for a pregnant person to consume a teratogen?
1st trimester – neural tube defects<\/p>\n\n\n\n
Education for breastfeeding mom taking potentially harmful med?
Pump and dump
Take meds right after pumping<\/p>\n\n\n\n
Neostigmine treats\u2026
myasthenia gravis<\/p>\n\n\n\n
Treating myasthenia gravis with oral med, what do we assess?
Swallow ability<\/p>\n\n\n\n
When would a peds pt get klonidine?
ADHD<\/p>\n\n\n\n
What are some side effects of Parkinson’s meds?
Extrapyramidal symptoms
Risky behaviors
Hallucinations
Sleep attacks<\/p>\n\n\n\n
What type of Parkinsons medication is not associated with sleep attacks?
Dopamine agonists, Pramieprexole<\/p>\n\n\n\n
What can you add into levadopa-carbadopa?
Bromocriptine<\/p>\n\n\n\n
When adding bromocriptine to the levadopa-carbadopa, what do we do with doses?
Decrease doses<\/p>\n\n\n\n
Why do our CNS drugs cause sleepiness?
Crosses the BBB<\/p>\n\n\n\n
What side effects result from abruptly stopping baclofen?
Hallucinations<\/p>\n\n\n\n
Who would you give baclofen to?
Spasticity – MS, spinal cord injury, & cerebral palsy<\/p>\n\n\n\n
What is rivastigmine used for?
Alzheimer’s<\/p>\n\n\n\n
How often to change rivastigmine patch?
Daily<\/p>\n\n\n\n
Medications for preventing frequent migraines?
Propranolol<\/p>\n\n\n\n
Instead of propranolol in gen anxiety asthmatic patient, what medication should you give?
Topiramate (Topamax)<\/p>\n\n\n\n
If pt is on oxycodone and it is no longer working, what would you explain is happening?
Tolerance<\/p>\n\n\n\n
What to do if patient has developed tolerance to opioid?
Increase to stronger, longer acting. Fentanyl patch<\/p>\n\n\n\n
Why do you not like prescribing methadone?
Strongest, with exponential increase in doses. Have to monitor QT.<\/p>\n\n\n\n
Biggest side effects of first gen psych drugs?
Tardive dyskinesia<\/p>\n\n\n\n
Want to start pt on SSRI, but on MAOI, what has to happen?
Stop for 2 weeks before starting the other<\/p>\n\n\n\n
What kind of drug for a pt with generalized panic attacks?
SSRI<\/p>\n\n\n\n
Hormone replace therapy for post-menopaused pt, what formula would we utilize?
Anything transdermal has least amt of side effects.<\/p>\n\n\n\n
Oral contraceptive in young woman, biggest concern?
Compliance, next choice is medroxyprogesterone acetate<\/p>\n\n\n\n
Pt on oral contraceptive, has major surgery coming up, what to do?
Switch to progesterone only, lower chance of clots<\/p>\n\n\n\n
Androgen therapy should only be prescribed for?
Hypogonadism<\/p>\n\n\n\n
Why is it concerning if hypogonadism patient has sudden weight gain?
Could be undertreating<\/p>\n\n\n\n
How to assess for effectiveness of BPH meds?
Easier urination<\/p>\n\n\n\n
What is the peak of lispro?
60 min<\/p>\n\n\n\n
Can you mix lispro and NPH?
yes<\/p>\n\n\n\n
When do you take lispro?
15 min before meal<\/p>\n\n\n\n
Which patient cannot receive tizanidine?
Liver issues<\/p>\n\n\n\n
Patient on heparin in hosp is started on warfarin. Why?
Warfarin takes a few days to kick in.<\/p>\n\n\n\n
How many hours between nitro patch replacement, why?
8 hours, pt builds tolerance<\/p>\n\n\n\n
What does plavix interact with?
Many herbal\/vitamins\/supplements<\/p>\n\n\n\n
What do you check when pt is on coumadin, and when?
INR, 6 hours from last dose<\/p>\n\n\n\n
What can happen on heparin gtt?
HIT (thrombocytopenia).
3-5 days after starting
Check PLT at 4 days<\/p>\n\n\n\n
If you start teenage pt on coumadin, what is important?
Need backup birth control<\/p>\n\n\n\n
What blood thinner can you give to pregnant pt?
Heparin<\/p>\n\n\n\n
What lab value do you monitor with pregnant pt on heparin?
Anti Xa<\/p>\n\n\n\n
What should you avoid on coumadin?
Leafy green veggies high in K<\/p>\n\n\n\n
What do you tell your pt if they miss a dose of coumain?
If less than 12 hours, take the dose, and then the normal schedule<\/p>\n\n\n\n
Treatment for anemia related to chronic renal fx?
Epogen<\/p>\n\n\n\n
Pt bipolar on lithium, should check what?
Lithium level<\/p>\n\n\n\n
Patient on lithium, what lab values should be check regularly?
Sodium, potassium, & thyroid function<\/p>\n\n\n\n
How to stop pre-term labor?
Alpha adrenergic beta agnosts<\/p>\n\n\n\n
Pregnant pt has hypertension, how do you treat?
Labetalol
Methyldopa<\/p>\n","protected":false},"excerpt":{"rendered":"
Midterm Exam: NUR635\/ NUR 635 (Latest 2023\/ 2024 Update) Advanced Pharmacology Exam Review| Graded A| Questions and Verified Answers| 100% Correct – Grand Canyon Midterm Exam: NUR635\/ NUR 635 (Latest2023\/ 2024 Update) Advanced PharmacologyExam Review| Graded A| Questions andVerified Answers| 100% Correct – GrandCanyonQ: Anemic pt getting epoetin – what to monitor?Answer:Hypertension – monitor BPQ: […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-130451","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/130451","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=130451"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/130451\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=130451"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=130451"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=130451"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}