NUR 2474 Final Exam Review Week 10 & 11 Pharmacology for Professional Nursing
What should not be taken with tetracyclines?
- Calcium, minerals, dairy, iron, etc. take 6 H before tetracycline or 2
H after administration of tetracycline
What happens when you take alcohol and cephalosporins together?
- Disulfiram reaction (violent heaving/vomiting, muscle cramps)
Are NSAIDS safe in pregnancy?
- NO (Reye's Syndrome) not safe anytime in pregnancy
Tetracyclines, fluoroquinolones, and Macrolides cause
- Photosensitivity (sunburn)
Who should you always check with when prescribing medications/educating to a pregnant patient?
- Always check with FDA before prescriptions
Should you take cephalosporin with food, what about penicillin?
- Take food with cephalosporin, try not to take penicillin with food
but if patient can't tolerate it w/o nausea/vomiting, can be taken with food 1 / 3
What is always the best option for any medication or treatment?
- Informed consent best option first most helpful
Tetracyclines, Fluoroquinones should not be used in children under 8 years old because?
- Risk of teeth staining (gray) Most 8-year old’s have permanent
molars at this age
When is acyclovir given to a pregnant patient to prevent exposure to infant during birth?
- 38 weeks through delivery (IV is best option)
If not treated there can be a hepatic outbreak which can cause blindness if baby is exposed to herpes
Should thyroid hormones be taken during pregnancy and what blood test do they monitor during pregnancy for hypothyroidism?
- Yes, they should be taken, if they are not taken there is a risk that
the baby can have mentation harms
Thrush and Candida can be caused by use of antibiotics like Penicillin’s and Cephalosporins should be treated with?
- Treat Thrush with myostatin (oral rinse and swallow)
Treat yeast/candida with nystatin cream/powder
Azithromycin has how long of a half-life?
- 3-day half-life, therefore should not be used back-to-back due to risk
of toxicity
Is Advil (ibuprofen) an NSAID safe post-delivery?
- Advil is okay during after delivery and during breastfeeding 2 / 3
Fluoroquinolones like floxacins have a risk of ........................... .......................especially with steroid use, calf tightness should be reported
- Achilles tendon rupture
What anti-depressant is generally most used or safe for pregnancy and breastfeeding?
- Sertraline (Zoloft)
What is the treatment of C-diff?
- PO Flagyl/metronidazole and Vanco
Discontinue causative agents
What medications should not be taken when drinking grapefruit juice?
- Calcium channel blockers
- Statins
- Amiodarone
What is tolerance?
- The diminishing effect with regular use of the same dose of a drug,
requiring the user to take larger and larger doses before experiencing the drug's effect (habitual pushback need higher doses)
What is a dopamine blocker anti-emetic?
- Metoclopramide (Reglan)
s/e is EPS, sedation, CNS depression risk
What is tachyphylaxis?
- Increased tolerance to a drug that is administered repeatedly (long
- / 3
term medications) for example Nitroglycerin patch (applied at 8a and taken off at 8p)