Download Rasmussen pharm Exam #1 Questions And Answers and more Exams Pharmacy in PDF only on Docsity!
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What drugs contribute to urinary retention in a parkinsons patient?
correct answer ✅benztropine What is atropine linger? - correct answer ✅dry mouth, blurred vision, gastric distention How does benzodiazepine work? - correct answer ✅works by calming nerves by sustaining the GABA in your body How would you explain to a patient that is taking a sympathomimetic the way in which it works? - correct answer ✅triggers fight or flight, which opens the airways and increases the heart rate What is the antidote for an opioid OD? - correct answer ✅naloxone
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How to apply a transdermal scopolamine patch? - correct answer ✅wash hands, don gloves, take old patch off, then wash the area Put the new patch in a different spot beind the ear with the name date and time written on it What would make you not want to give morphine? - correct answer ✅low respiratory rate (below 10), low heart rate, oxygen saturation below 90% What is the antidote for lorazepam? - correct answer ✅flumazenil What are you going to do when a patient is on phenytoin? - correct answer ✅need meticulous mouth cleaning because hyperplasia gingivitis can occur A pt who is bipolar and is manic, is on valproate and on valproic acid.
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How long does a prescription for dextroamphetamine last for? Why? When should the patient take it? - correct answer ✅90 days the dose is prescribed based on height and weight so the patient has to come in and get re-weighed and re-measured to ensure that they have the right dose They should take it in the morning because it is a cerebral stimulant and it will keep them awake can't take it at night because it will keep them awake Quetiapine, if they were started on this because they were hallucinating and you know that neuroleptics are given to resolve delusions and hallucinations how would you indicate that the medication is starting to work - correct answer ✅they are having less hallucinations and delusions
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a pt with dimentia is started on donepezil, what type of drug is donepezil? - correct answer ✅cholinesterase inhibitor, has the cholinergic effects which means you might see incontinence of B+B no dry eyes or mouth What would you say to a pt that said well I guess I'll take my cyclobenzaprine tonight with a pint of whiskey? - correct answer ✅don't do, you might not wake up because cyclobenzaprine is already and CNS depressant cyclobenzaprine is a centrally acting skeletal muscle relaxant How often do you give levodopa-carbidopa? - correct answer ✅q6h, it doesn't matter if they're sleeping you wake them up at midnight and administer the medication What are the S/S of serotonin syndrome? When would a patient experience it? - correct answer ✅unexplained fever
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Why would sympatholytics be contratindicated in asthma care? - correct answer ✅blocks fight or flight (adrenergic receptors-which open up the airway) so if you give sympatholytics to an asthmatic patient their air way will constrict What is the drug of choice for status epilepticus? - correct answer ✅diazepam, becuase it is fast acting and it doesn't need a loading dose Pt comes into the ED that has been on seizure meds for a long time with a full blown seizure, what would you ask them? - correct answer ✅when was the last time you took your medication? What is the purpose of a psychotropic washout period? What do you need to put your pt on during this period? - correct answer ✅to start fresh suicide precautions
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if you had a pt that was psychotic and non compliant, what medication would you give? Why can't you give risperidone? - correct answer ✅halopurinol can't use risperidone because it isn't as fast acting What is MS contin? What would be the pt education for managing the SE? - correct answer ✅opioid analgesic, controlled release morphine addiction need to increase fluid intake because med can cause constipation respiratory depression decreased oxygen saturation levels it is not a rapid pain release med don't crush have to see MD to get prescription renewed
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have to watch out for percoset, oxycodone, or norco because of what? - correct answer ✅3,000mg all of those meds contain acetaminophen compared with oxy, norco, and percoset What is the antidote for acetaminophen? - correct answer ✅acetylcysteine What med may amplify tremors in a pt with parkinsons? - correct answer ✅halopurinol, because it increases the risk for parkinsons by blocking dopamine You give a pt phenytoin, and they develop hives all of the sudden, what would you do? - correct answer ✅stop med, and then call the MD What would you do if you had a MD come in and write a prescription and you can't read it? - correct answer ✅clarify it
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What are the s/s of lithium toxicity? - correct answer ✅confusion arrhythmias hyponatremia (because as water leaves the body so does Na) seizures renal toxicity act like they are drunk because they are water intoxicated What are the nursing interventions to prevent lithium toxicity? - correct answer ✅provisions to prevent water intoxication are needed when lithium is taken with an NSAID or a diuretic, toxicity is is risk toxicity can be signaled by drunken behaviors, and arrhythmias What does tolerance mean? - correct answer ✅when the pt needs more and more of med to achieve theraputic effects
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When should we recommened to a pt to take benztropine? - correct answer ✅before bed because it makes you sleepy What are the meds you can crush? - correct answer ✅scored, chewable, and uncoated tabs can you crush valproic acid? - correct answer ✅no, because it has a special coating on them What calming med can you safely give to a patient with pneumonia and an impaired respiratory status? - correct answer ✅lorazepam, because it doesn't affect the airway How many times a day do you take clonazepam? What do you tell pt? - correct answer ✅tid take it on time sudden withdrawl triggers seizures and nightmares
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the pt will build up a tolerance, and they CAN'T taper if off themself when going off of the medication Why would a pt be on prolonged suicide watch when switching antidepressants? - correct answer ✅because the new antidepressant may take a couple of weeks to start working What would your concerns be for a pt who has arthritis, and they are taking high doses of asprin? - correct answer ✅no antidote toxicity bleeding stomach ulcers What do you do if the valproic acid levels are to high? - correct answer ✅hold med check liver function call prescriber check mental status
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Right Documentation Right to Education Right Evaluation Right to Refuse
