Pharm4Nursing In-Class Questions

Ideal drug

effective, safe, selective

Term to know the drug has a therapeutic effect

effectiveness

Purpose of a blind study in clinical trials

To reduce bias

Teratogenicity

potentially cause harm to fetus

drug selectivity means

has a specific target

6 rights of drug administration

1. Right Patient

2. Right Drug/Med

3. Right Dose

4. Right Route

5. Right Time

6. Right Documentation

*understand what right an issue would be pertaining to (wrong time for instance)

geriatric patients have increased risk for drug effects due to

they metabolize slowly

pediatric patients have increased risk for med errors because..

many doses are weight-based

How to prevent medication errors

Follow 6 rights

1. Right Patient

2. Right Drug/Med

3. Right Dose

4. Right Route

5. Right Time

6. Right Documentation

Understand the pediatric vaccine schedule..

Hepatitis B vaccine is given..

Shortly after birth

Give patient Penicillin, a reaction occurs shortly after given, what to do?

Stop and administer epi (epinephrine)

Important patient teaching point for cephalexin

Patient needs to complete the full course of therapy

Patient receives maropenem....****** double check this question

Seizure activity

If patient receives vancomycin and begins presenting with red skin, what do you do?

Patient is developing red man syndrome (infusion reaction), need to slow the infusion rate to resolve the symptoms.

Instruction for teaching patient taking cifrofloxacin

limit sun exposure

Patient taking sulfamethexilone presents with widespread rash and blistering...what do you do?

Patient has Steven's Johnson Syndrome, need to STOP med. Treat rash/blistering like a burn.

Patient education with doxycycline

Contraindicated in pregnancy and young children

Patient needs further teaching with metronidazole if says..

"It's safe to drink wine"

Patient with herpes, education...

Can cause nephrotoxicity, ensure adequate hydration

Antifungal associated with nephrotoxicity and highly toxic

amphotericin B (aka amphoterrible)

antifungal med class suppresses synthesis and fungal cell membranes

azoles

Which antifungal is used for swish and swallow (or spit)?

Nystatin

What is pharmicokinetics?

what the body does to the drug (Absorption, distribution, metabolism, excretion = ADME)

Which immunosuppressant requires regular eye exams?

hydroxychloroquine

toxicity....trough level monitor.... double check question***

Tochrolymis (used to prevent organ rejection)

Med causes bone marrow suppression

mycophenolate mofetil

What drug requires TB screening first?

Methotrexate (used for RA)

What med class increases acetylcholine?

Cholinesterase inhibitors

Crisis from too much acetylcholinesterase?

Cholinesterase crisis

Crisis from insufficient acetylcholinesterase?

Myasthenia crisis