NUR 2474 Pharmacology Final Exam
- estrogen therapy in postmenopausal women
Answer women take due to vaginal dryness, hot flashes, painful sex, prevent bone loss when older
- risks associated with hormonal replacement therapy
Answer breast and cancer de- velopment, risk of blood clots, bone loss, risk of fractures, cardiovascular disease
- penicillin and aminoglycosides interaction
Answer pencillin may react with aminogly- cosides and cause it to be less effective in treating infection.Do NOT combine these antibiotics in same IV solution
- Side effects of steroids
Answer
SHORT TERM
- Insomnia
- Mood alterations or Psychosis
- GI upset
- Increased appetite/weight gain
- Fluid retention
- Hyperglycemia
- Hypokalemia
LONG TERM
- Hyperglycemia
- Osteoporosis
- Thin skin, easy bruising, poor wound healing
- Rare 1 / 3
Answer HTN, PUD, AVN, Allergic reaction
- Adrenal suppression if > 4 courses/year
5. TMP-SMZ
Answer trimethoprim/sulfamethoxazole combination drug
-treat a variety of bacterial infections -UTIs, ear infections, pneumonia
- how to protect kidneys
Answer drink lots of water
- when to take diuretics
Answer in the morning
- Diuretics Side Effects
Answer increased urination, dehydration, increased thirst, weak- ness, and impotence.
- Antacids
Answer neutralize the acids in the stomach
affect acid level, have a lot of interaction so need to take a few hours apart from other meds
- Cimetidine
Answer type of antihistamine that blocks the release of stomach acid. used to treat stomach or intestinal 2 / 3
ulcers
can relieve ulcer pain and discomfort and heartburn from acid reflux
- Naloxone (Narcan)
Answer opiate antagonist (antidote), reverses opioid induced resir- atory depression
- Signs of overdose
Answer Slow breathing, blue lips and finger tips, cold damp skin, shaking, vomiting and gurgling noises
- education with anti-effectives (antibiotic, antifungal)
Answer make sure patient goes through whole course of treatment, go beyond "feeling better", still continue taking at least a week to get it all out
- Antibiotics and C. diff
Answer c-diff often happens after another infection. New onset diarrhea.
- what antibiotics can be given with CDIFF
Answer vancomycin and metronidazole (flagyl)
- Warfarin
Answer Anticoagulant, works later and takes longer to work, better for long-term use, PT/INR levels, hematocrit, hemoglobin
- Warfarin antidote
- / 3