NAPLEX-Chapter 7 (Intravenous Medication Principles) Flashcards


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1

Which of the following drugs are compatible with dextrose only? (Select ALL that apply.)

Amphotericin B, oxaliplatin and quinupristin/dalfopristin (Synercid) are all compatible in dextrose solution only.

2

Which of the following drugs are compatible with saline? (Select ALL that apply.)

Ampicillin

Unasyn

Daptomycin

Ertapenem

3

Which of the following should accompany a micafungin dose when it is delivered to the nursing unit for patient administration?

A light-protective covering

4

Which of the following statements regarding IV compatibility is false?

If two medications are listed as incompatible in the same container, the should not be administered via a Y-site

5

Home Medications (continued on admission):
CellCept 1,000 mg PO BID
Cozaar 50 mg PO daily
Norvasc 10 mg PO daily
Nystatin suspension (400,000 units/4 mL) swish and swallow four times daily x 7 days
Prednisone 30 mg PO daily
Prograf 2 mg PO BID
Protonix 40 mg PO daily
Rosuvastatin 20 mg PO daily

Which of TP's treatments, when given intravenously, will require a non-PVC container?

Prograf

6

When compounding IV medications from ampules, what is used to prevent particulates from getting into the IV bag?

Filter needles

7

The majority of drugs that require filters use what size filter?

The majority of drugs that require filters use a 0.22 micron filter (1 micron = 1/1,000 mm). Lipids require a larger pore size (1.2 micron).

8

Which of the following medications require a "protect from light" covering while infusing? (Select ALL that apply.)

Nitroprusside

Mycamine

Doxycycline

9

Inpatient Pharmacy Orders:
BSA formula for chemotherapy dosing: 0.007184 x height in cm0.725 x weight in kg0.425 Xeloda 1,250 mg/m2 PO twice daily for 2 weeks, followed by a 1-week rest period. Repeat every 21 days x 8 cycles.
Docetaxel 75 mg/m2 as a 1-hour IV infusion every 3 weeks. Dose adjust as needed per clinical trial protocol below.Neulasta 6 mg SC once 24 hours after docetaxel infusion.Ondansetron 16 mg IV as needed for nausea and vomiting.Continue home lorazepam.

Which of the following is required when preparing the intravenous chemotherapy order?

Non-PVC bag and tubing

10

PT is receiving his first chemo regimen consisting of doxorubicin. PT is counseled that doxorubicin usually is this color and can cause skin and secretions discoloration:

Red

11

Which of the following drugs are compatible with saline only? (Select ALL that apply.)

Ampicillin

Invanz

Dilantin

12

TS presents to the emergency department with chest pain and shortness of breath. His blood pressure is 195/115 mmHg, heart rate is 102 BPM and he is found to be having an acute myocardial infarction. A nitroglycerin drip has been ordered. Premixed IV nitroglycerin has been in shortage, so the nurse removes a compounded nitroglycerin drip from the refrigerator to start the infusion. Which of the following is true?

The drug should be compounded in a glass bottle or other non-PVC container

13

One of the nurses on the floor has called the pharmacy concerning a vial of norepinephrine. She notes that the solution is a dark brown color. What is the best course of action?

The vial should be discarded

(Norepinephrine turns brown when it is oxidized. If discolored, then it should not be used.)

14

A patient admitted to the hospital with a fungal infection is started on amphotericin B treatment. Which is true regarding the preparation and administration of amphotericin B deoxycholate infusions?

The recommended diluent is dextrose

15

JM will require TPN for 2 weeks as he recovers from major abdominal surgery. He currently has a peripheral IV line in his right forearm. Which statement is INCORRECT regarding IV access?

Peripheral lines are preferred for higher osmolality solutions

16

A patient is receiving ceftriaxone through her IV line. Which of the following products is incompatible if administered with ceftriaxone?

Calcium chloride

17

Which of the following is an example of a physical incompatibility that can occur with a drug? (Select ALL that apply.)

Drug that cannot be placed into PVC container

Drug incompatible with saline

18

A nurse calls the pharmacy about a blue-colored compounded IV bag of nitroprusside. Which of the following is the best pharmacist response?

The product should be discarded

19

Which of AD's IV medications require filtration?

Amiodarone

20

Which of AD's medications is incompatible with PVC bags? (Select ALL that apply.)

Ativan

Amiodarone

21

Which of AD's IV medications should not be refrigerated? (Select ALL that apply.)

Precedex

Lasix

Moxifloxacin

22

Which of the following medications require a "protect from light" cover while infusing? (Select ALL that apply.)

Mycamine

Doxycycline

23

A hospital pharmacist is compiling a chart of compounding instructions for IV medications in the cleanroom. Which of the following medications should be indicated as "Do Not Shake"? (Select ALL that apply.)

Insulin

Immune globulins

Infliximab

Alteplase

24

What size filter is required to infuse the 30% Intralipid?

1.2 micron

25

A patient is admitted to the hospital with acute decompensated heart failure. The pharmacist receives an order for Lasix 60 mg IV twice daily. The pharmacist should communicate with the nurse that this medication:

Should be stored at room temperature prior to administration

26

Which of JF's hospital medications should be protected from light?

Nitroprusside

27

Which of JF's medications should not be refrigerated? (Select ALL that apply.)

Bactrim

Enoxaparin

Phenytoin

28

Which of JF's IV medications require filtration?

Phenytoin

29

You are preparing JF's phenytoin piggyback. Which diluent should be used?

0.9% NS

30

Which of JF's IV medications must be diluted in dextrose?

bactrim

31

A nurse calls the pharmacy to see if she can infuse diltiazem via Y-site into the same line with heparin. What is a reputable resource for this compatibility information?

Handbook on injectable drugs

32

Which of the following statements is correct regarding paclitaxel infusions?

The medication needs to be placed in glass or polyolefin container