Pharmacology and the Nursing Process7: Pharmacology Final Exam Flashcards


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Pharmacology Final Exam
updated 9 years ago by Boosh_75
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pharmacology, nursing
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1

PCA stands for what?

Patient controlled analgesia

2

Nubain and Pentazocine have what effect that reaches a maximum analgesic effect and no more?

Ceiling effect

3

Nubain, Stadol, and Talwin are agonist-antagonist/partial agonist/mixed agonist drugs and cause _________ response than full agonist drugs.

Weaker

4

_______ reverses respiratory depression caused by opioids.

Narcan

5

________ analgesics should never be used in a patient that has had a head injury, has risk for respiratory depression, has intercranial pressure, or severe asthma.

Opioid

6

Morphine __________ intercranial pressure.

Increases

7

__________ analgesics should not be used in patients who are morbidly obese, have sleep apnea, paralytic ileus, or are pregnant.

Opioid

8

Euphoria, CNS depression, respiratory depression, urinary retention and constipation, diaphoresis and flushing, nausea, vomiting, pupil constriction (miosis), and itching are all adverse effects of _________ analgesics.

Opioid

9

Naloxone (Narcan), and naltrexone (Revia) are used in the management of opioid __________.

Toxicity

10

Fentanyl (Duragesic) is a opioid transdermal patch that should be changed when?

Every 3-7 days

11

Meperidine (Demerol) can cause __________.

Seizures

12

Methadone is used as a ___________ treatment.

Detoxification

13

Acetaminophen has a maximum daily dose of ________mg/day.

3000

14

Opioid drugs should be held if patient respirations are below _____resp/min.

10

15

Patient education of opioid use should include an increase in ________ and _________ to counteract constipation.

Fluids and fiber

16

Antiinflammatories inhibits __________ aggregation.

Platelet

17

What kind of antiinflammatories have the ceiling effect?

NSAIDS

18

What antiinflammatories can cause GI bleeding, ulcers, and erosions, worsen renal impairment, tinnitus, pulmonary edema, liver toxicity and rash?

NSAIDS

19

Tinnitus is a common side effect of what antiinflammatory treatment?

Salicylate

20

Misoprostol (Cytotec) is used to decrease the dangerous effects of tubular necrosis but should bot be used in what type of patient?

Pregnant

21

An NSAID should not be taken within _____ hours of taking an antacid.

2

22

NSAIDS ________ the effects of beta blockers, ACE inhibitors, diuretics, and the absorption of anilipemics.

Decrease

23

NSAIDS _________ the effects of anticoagulants, and digoxin toxicity.

Increase

24

Patients 12 years old and younger experiencing flu-like symptoms should never be given _________ due to Reye's Syndrome.

Aspirin

25

Ascriptin is a combination of _________ and antacid.

Aspirin

26

Diflunisol (Dolobid), choline magnesium trisalicylate (Trilisate), and salsalate (Salsitab) are all _________ based drugs.

Aspirin

27

Tinnitus, hearing loss, and metabolic acidosis are all signs of chronic aspirin ________.

Toxicity

28

Ketorlac (Toradol) is a powerful analgesic given to patients with __________ __________.

Multiple sclerosis

29

Celoxib (Celebrex) should never be given to a patient with a __________ allergy.

Sulfa

30

Relafen (Nabumetone) is only used for the treatment of _______ and ________ arthritis.

Osteo and rheumatoid

31

___________ is an antiinflammatory that should be avoided in patients taking ACE inhibitors.

Naproxen

32

Ibuprofen, naproxen, and oxaprozin have a _________ effect, which means they have a maximum analgesic effect and no more.

Ceiling

33

_________ is the drug of choice for acute gout pain.

Colchicine

34

Cochicine can cause a decrease in WBC called _________.

Leukapenia

35

Colchicine should be administered 1 hour before a meal of ______ hours after.

2

36

Allopurinol (Zyloprim) have contraindications with alcohol and ________.

Caffeine

37

___________ is used concurrently with PCN to prevent its excretion and increase the levels of the PCN to prolong its effect.

Probenecid (Benemid)

38

Glucosamine and Chondroitin increase the effects of _________ and insulin resistance.

Warfarin

39

Benzodiazepines __________ activity in the CNS.

Depress

40

Benzodiazepines are used in the treatment of __________ withdrawal as well as anti-anxiety, and epilepsy.

Alcohol

41

Flurazepam (Dalmane) can give morning _________ that is more common in the elderly.

Hangover

42

Triazolam (Halcion) is used for short term treatment of ___________.

Insomnia

43

Flumazenil (Romzicon) is used as a reversal agent of __________.

Benzodiazepines

44

A patient experiencing benzodiazepine toxicity such as somnolence, confusion, and coma should never undergo what blood filtering treatment that is common in other drug toxicity management?

Hemodialysis

45

Barbituates should never be given to _________ women and those with respiratory and liver dysfuntion.

Pregnant

46

Alcohol, opioid, MOA inhibitors all _________ the effects of barbituates.

Increase

47

Barbitutates ________ the effect of anticoagulants.

Decreases

48

A ___________ monitor should be used when a patient is given phenobarbital IV.

Cardiac

49

A patient should never be given ________ ____ ________ to induce vomiting in a patient with barbituate toxicity.

Syrup of ipecac

50

Baclofen and cyclobenazaprine cause ___________ relaxation.

Muscle

51

Dantrolene (Dantrium) can be used to reverse the muscle rigidity and increase temperature in _________ _________.

Malignant hyperthermia

52

Phenobarbital is used in the treatment of __________ __________ and febrile seizures.

Status epilepticus

53

Therapeutic levels of phenobarbital are ______-______mcg/mL.

15-40

54

Phenytoin (Dilantin) can cause urine to turn the color of ______ ______.

Red wine

55

Therapeutic levels of phenytoin (Dilantin) are between ______ and ________ mcg/mL.

5; 20