Instructions:

• Answer 50 questions in 15 minutes.
• If you are not ready to take this test, you can study here.
• Match each statement with the correct term.
• Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. What is an example of a med used to increase sugar?
Glucagon
Take 2-4 hrs apart from each other.
They are antilipidemics used to help manage/decrease cholesterol levels. For All DO Not take when pregnant or nursing. Check liver studies. Can take with or without food.
It is a vasodilator/antianginal used to increase coronary blood flow through vasodilation. Keep away from heat - store in dark place - take before stress - and expect HA.


2. What is important to know about tegretol? (use - check - at risk for - prevent)
Levodopa
It is a vitamin given with iron foods to help absorption.
It is an anticonvulsant that is used to PREVENT SEIZURES And DECREASE NERVE PAIN. Check CBC. It suppresses bone marrow (RBC - WBC - & platelets) So at risk for infection - anemia - and bleeding. Need to PREVENT INFECTION.
It is an herb used for PTSD - sleeping disorders - anxiety - restlessness - URI - and acne. Should not be used in glaucoma pts and shouldn't be taken with sleeping pills and antianxiety or antidepressant drugs. Takes 2 weeks to kick in and take at ni


3. What are 2 examples of an oral hypoglycemic?
It is heparin like. The injection should be given in the abdomen and isn't massaged.
(cardiac med) .125- .250 mg QD
Glyset and Glyburide
Trigeminal neuralgia (cheek nerve pain)= don't want to chew so don't eat= loose weight. If med is working the person will GAIN WEIGHT.


4. What is an example of a bronchodilator/spasmolytic?
AMINOPHYLLINE (TheOPHYLLINE)
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
16 ounces
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.


5. What is a normal adult dose of digoxin?
(cardiac med) .125- .250 mg QD
Imdur (Isosorbide)
Gantrisin
They are TB medications. They are okay to take while pregnant.


6. What is an example of a proton pump inhibitor?
Protonix
It is a thyroid hormone that is used lifelong after a thyroidectomy or for hypothyroidism. Teach patients to report signs of overdose (incr. HR) and avoid stimulant (coffee - tea - etc.).
Dilantin - Neurontin - Tegretol - and Topamax
It is a tricyclic antidepressant that needs at least 2 weeks for meds to take effect. SE include hypotension - dry mouth leading to constipation. Diet high in fiber and take meds in PM.


7. What are 2 examples of antigout medications?
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
IT Is AN ELECTROLYTE/ ANTICONVULSANT/LAXATIVE GIVEN IV TO PREVENT SEIZURES In PREGNANT WOMEN And ALCOHOLICS GOING THROUGH DETOX. Given PO for laxative effect. Watch for toxicity (decreased reflexes - outputs - & respirations). The antidote for toxici
Allopurinol and COLCHICINE
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.


8. How often are fentanyl patches for pain applied?
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Aricept
Persantine and Plavix
Q3 days


9. How do you know that Tegretol is working effectively for trigeminal neuralgia?

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10. What are 2 examples of anticoagulants?
No because they have opposing actions and would cancel each other out.
It is an antibiotic that is not absorbed by the gut and used to sterilize the gut by decreasing e.coli leading to decreased ammonia level resulting in improved LOC.
Coumadin and Heparin
It is an oxytocic agent used to increase vasoconstriction and prevent postpartal hemorrhage. Check BP. Expect uterus will be hard and there will be pain or cramps.


11. What is an example of an isotretinoin?
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
Acutane
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.


12. What do steroid names end in?
One
MOTRIN - Feldene - Indomethocin - and Advil.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
An allergy to iodine


13. What are common side effects of Chantix?
Nausea - Sleep disturbances - constipation - gas - and vomiting.
They are cephalosporin drugs in which you look for thrush in babies - yeast infections in females - tx=Give yogurt to prevent vaginal probs and check for allergy to PNC.
Lidocaine and Quinidine
Use caution driving until you know how it affects you. Report bothersome or persistent side effects. Take Chantix after eating and with a full glass of water. Don't stop taking Chantix even if you smoke. Take white tablets for first 7 days and blue f


14. What are 6 examples of antipsychotics?
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
Lactalose
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.


15. What is important to know about nifedipine - verapamil - and toprol? (Use and watch)
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
It is an antihypertensive that should be administered via prick and squeeze method under the tongue for above T6 lesion. It will decrease BP - increase blood to myocardium - and decrease pain. SE includes peripheral edema.


16. What is a toxic level of digoxin?
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
It is an herb used for memory improvement - increased blood flow to brain - antioxidant effects - and increased metabolism effects. 1-3 months use for effect and use cautiously in ppl at risk for bleeding.
Increased Blood sugar - increased Na - increased H20 - and increased BP.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)


17. What is a normal adult dose of morphine sulfate?
Increased Blood sugar - increased Na - increased H20 - and increased BP.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
Check allergies/order - wash hands - select an appropriate injection site - determine appropriate needle size and angle - gloves - clean site - grasp skin fold - inject (no aspiration) - remove - and apply pressure.
(analgesic) 2-10 mgH PRN


18. What is important to know about a scopolamine patch?
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
20 mcg/ml and up (therapeutic range is 10-15).
Check patch for leaks - place in appropriate location - make sure skin is clean and dry - when removing a patch fold it in half and discard in safe container (needle dispenser or flush not garbage) DO Not apply heat to patches (esp. fentanyl) bc medi


19. What is important to teach about a nitroglycerin patch?

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20. What are considerations for lovenox?

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21. What Is IMPORTANT TO Know ABOUT AMINOPHYLLINE (TheOPHYLLINE)? (norm level - avoid - give with care to - toxicity S&S).
They are beta blockers (antihypertensives) used to decreased BP and treat angina. DO Not give to DM bc it will mask low blood sugar and DO Not give to asthma patients bc it will cause bronchospasms.
Gantrisin
Prevents absorption of fat from the GI tract.
It is a bronchodilator/spasmolytic. The NORMAL LEVEL Is 10-20 mcg/ml. Avoid coffee - tea - chocolate - and cola. Give with care to patient with heart disease. Toxicity in adult= tachycardia. In Child= nervousness.


22. What is a type of sulfa antibiotic?
IT Is A STEROID THAT Is USED TO HASTEN FETAL LUNG MATURITY. SE include increased blood sugar so Check moms blood sugar. REQUIRES 24 HOURS TO Work. IF MOM Is GOING TO DELiver In 12 HOURS IT SHOULDN'T BE GIVEN.
It is an erythromycin antibiotic that is used for Upper respiratory infections and is considered a super antibiotic that works in 2-3 days. You should monitor PT & INR when on coumadin also. DO Not take with antacids.
Gantrisin
Flomax


23. What is an example of an alcohol deterrent?
Check allergies/order - wash hands - select an appropriate injection site - determine appropriate needle size and angle - gloves - clean site - grasp skin fold - inject (no aspiration) - remove - and apply pressure.
Antabuse
Reglan
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.


24. Can digoxin and epinephrine given together?
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
Amphotericin B
2 pints
No because they have opposing actions and would cancel each other out.


25. What is important to know about Niacin? (how to take)
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
It is a vitamin and can be taken after food to reduce flushing.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
It is an antilipemic used to decrease lipids. SE include decreased absorption of vitamin A - D - E - &K and may see bruising. Diet includes increased vitamin A - D - E -&K foods.


26. What is important to know about antabuse? (use - avoid w/ - d/c)
Viagra and Levitra/Celias
It is an alcohol deterrent medication to prevent alcohol abuse. It should not be taken with alcohol or cough syrup and must be d/c for 2 weeks before taking a drink.
454 grams
If a slight tingling occurs stop chewing the gum until the sensation subsides - should not eat or drink 15 mins before or during - and chew one piece for about 30 mins.


27. What is impt to know about Flomax? (Use - SE - Teach - dont take with).
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
It is an adrenergic blocker used to relieve S&S of benign prostatic hyperplasia (BPH). SE include sudden drop in BP. Teaching includes no driving or engaging in hazardous tasks for the 1st 12 hours after the 1st dose. DO Not TAKE with COUMADIN or CIM
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
It is used to treat ulcerative colitis.


28. What is important to know about Aricept? (use - when to take)

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29. What is important to know about zantac? (use - how to take)
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
Calcitonin - Salmon
Carafate - Penicillin - and Isoniazid (INH).
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.


30. What are the side effects of beta blockers?
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
2 cups
It should be covered by an occlusive dressing to keep it in place and assist absorption.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.


31. What is an example of a parathyroid agent?
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
Singulair
Calcitonin - Salmon
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).


32. What Is IMPORTANT TO Know ABOUT DIGOXIN? (norm level - SE - toxicity - contradindication)
It is an antibiotic that is not absorbed by the gut and used to sterilize the gut by decreasing e.coli leading to decreased ammonia level resulting in improved LOC.
It is a bone reabsorption inhibitor used in postmenopausal women suffering from osteoporosis. Teach to remain upright for 30 mins after taking. SE include trouble swallowing - chest pain - or severe worsening heartburn.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
The NORMAL LEVEL Is 0.5-2.0.If level is too low=SOB - dec. output - incr. edema. If level is too high= toxicity= N&V - yellow green vision - bradycardia - and anorexia. That amount of free med is What causes toxicity. D/T low serum protein NEVER give


33. How many cups in 1 pint?
I&O and S. CR(?)
2 cups
Parnate
One


34. What is an example of an antifungal med?
Amphotericin B
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
Singulair


35. What is important to know about Codeine? (SE - check - use - diet)
No bc they are made with potassium salt.
It is an opiate analgesic. SE include constipation. Monitor bowel movements. And it is the only med for head injuries. Pt should be on a high fiber diet.
The patient needs to consume 8-10 glasses of water a day.
29.573 mls


36. What is important to know about a nicotine patch?

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37. What is important to know about amphotericin B? (use - check)
It is an antifungal medication and creatinine and output should be checked when administered.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.


38. What is an example of an antiinflammatory?
Sudafed
It is an antilipemic used to decrease lipids. SE include decreased absorption of vitamin A - D - E - &K and may see bruising. Diet includes increased vitamin A - D - E -&K foods.
Azulfidine
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.


39. What is an example of an antacid?
(cardiac med) 2.5-10 mg
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
Amphojel
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.


40. What is important to know about Baclofen? (use - SE)
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
I&O and S. CR(?)


41. What is a drawback of a transdermal drug patch?

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42. What is important to know about prostigmin? (use/patients)
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
IT Is A SMOOTH MUSCLE RELAXER USED for asthma patients And TO STOP PREMATURE LABOR. (if it doesn't stop premature labor then the patient must come into the ER).
It is an antipsychotic/antimanic. The normal level is 0.6-1.2 mEq/L. Signs of toxicity include DEHYDRATION And N&V. Do Not give with lasix. Watch for patient with stomach ache and not drinking. Pt within therapeutic level=no mania <0.6=mania.
(analgesic) 50-100 mg-8H


43. What is important to know about tetracycline? (Avoid - do not give w/).
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
Prevents absorption of fat from the GI tract.
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
INH - Vitamin B6 - and Rifampin


44. What is important to know about procardia? (administered - use - action - SE)
It is an antihypertensive that should be administered via prick and squeeze method under the tongue for above T6 lesion. It will decrease BP - increase blood to myocardium - and decrease pain. SE includes peripheral edema.
Codeine - Demerol - Percodan/Percocet - and Morphine.
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
It is a bronchodilator/spasmolytic. The NORMAL LEVEL Is 10-20 mcg/ml. Avoid coffee - tea - chocolate - and cola. Give with care to patient with heart disease. Toxicity in adult= tachycardia. In Child= nervousness.


45. What are 2 examples of an antiplatelet?
Persantine and Plavix
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
It is an herb that stimulates the immune system used for infections and wound healing. Patients with HIV - MS - or autoimmune diseases SHOULD Not USE!
Trigeminal neuralgia (cheek nerve pain)= don't want to chew so don't eat= loose weight. If med is working the person will GAIN WEIGHT.


46. How many ounces in 1 pint?
It is a thyroid hormone that is used lifelong after a thyroidectomy or for hypothyroidism. Teach patients to report signs of overdose (incr. HR) and avoid stimulant (coffee - tea - etc.).
16 ounces
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.


47. What are 2 examples erectile/impotence agents?
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
2 #3 tylenols because it contains the same amount of codeine.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
Viagra and Levitra/Celias


48. What is impt to know about avandia? (use - check - SE)
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
Azulfidine
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.


49. What is an example of a thyroid hormone?
Synthroid
Avoid tyramine containing foods such as Avocado - sausage - fava beans - cheeses - wine - chocolate - coffee - cola - bananas - salami - sour cream - and fruit (overripe). CAN'T HAVE TYRAMINE FOR 2 WEEKS AFTER The MEDICATION Is STOPPED BC STILL In S
Pryidium
2 cups


50. What is impt to know about elavil? (teach - SE - Diet)
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
It is a tricyclic antidepressant that needs at least 2 weeks for meds to take effect. SE include hypotension - dry mouth leading to constipation. Diet high in fiber and take meds in PM.
(Psych med) 5-10 mg-6H
Diamox