Galen Pharm 210 Exam 2 Class exam question and answer latest
update 2024\24
Epinephrineadrenergic agonist
AtenololAdrenergic blocker
Bethanecholcholinergic
pilocarpionecholinergic
atropineanticholinergic
benztropineanticholinergic
tolterodineanticholinergic
Carbidopa-Levodopa Antiparkinson Agent Dopamine Replacement
TolcaponeCOMT inhibitor
Rivastigmineacetylcholinesterase inhibitor
Pyridostigmine acetylcholinesterase inhibitor
cyclobenzaprine centrally acting muscle relaxant
digoxincardiac glycoside
nitroglycerinNitrate
Diltiazemcalcium channel blocker
acebutololbeta blocker
amiodaronePotassium channel blocker
aspirinNSAID Antiplatelet
ClopidogrelAntiplatelet
warfarinAnticoagulant
heparinAnticoagulant
enoxaparinlow molecular weight heparin
alteplasethrombolytic
atorvastatinstatin-antihyperlipidemic
cilostazolvasodilator
Benzodiazepine- Midazolam Uses: Conscious sedation
S/E: Dizzy
Adverse reactions/ Toxicity: Respiratory depression
PT teaching: Safety
Contraindications: Cardiopulmonary disease
Non- Benzodiazepine- zolpidem tartrate Uses: Insomnia
S/E: Dizziness, Drowsiness, Behavioral changes
Adverse reactions/ Toxicity: Complex sleep behavior
Local Anesthetic- Lidocaine Uses: Minor procedure
S/E: Confusion, drowsiness, stinging, bradycardia
Nursing considerations: Rapid onset
Spinal Anesthesia- Spinal, Epidural Uses: Pain, Pregnancy
S/E: Back pain, Shivering
Adverse reactions/ Toxicity: Respiratory depression, Hypotension, Headache, Nerve damage
Pt teaching: Lay flat, Monitor for headache NSAID (non-selective)- Ibuprofen Uses: Moderate to high pain, fever, inflammation
S/E: GI distress, Blurred vision, Fluid retention, headache, peripheral edema
Adverse Reactions/ Toxicity: Seizure, Ulcer, Hearing loss, Tinnitus, Kidney damage, kidney damage, nephrotoxicity
Pt teaching: take with full glass of water, take as directed, don't take more than 10 days/pain and 3 days/fever
Nursing considerations: Pts with asthma, allergy, nasal polyps have high risk for reactions, assess GI bleed, look 4 renal impairment
Lab values: BUN, CBC, serum creatine, liver function test will be increased, alcohol increases bleeding
Contraindications: CABG, pregnancy, asthma, contraindicated in bleeding disorders.
NSAID(COX 2 inhibitor)- Celecoxib Uses: Inflammation, Severe
S/E: Dizziness, GI distress, Peripheral edema, Herbal remedies
Adverse reactions/ Toxicity: Thromboembolism
Contraindications: CABG, Angina, Renal/ Hepatic disfunction
NSAID(Salicylate)- Aspirin Uses: Inflammation, anti-platelet
S/E: GI distress, Nosebleed
Adverse reactions/ Toxicity: Hearing, Tinnitus, Reye syndrome, Hyperuricemia
Contraindications: GI bleeding, Gout, Pregnancy
Anti-gout- Allopurinol Uses: Lowers uric acid levels
S/E: GI upset, dizziness
Adverse reactions/ Toxicity: Hepatotoxicity, hepatotoxicity
Pt teaching: No alcohol, increase water intake, alkaline diet
Nursing considerations: I &O, monitor kidney function
Lab values: I&O, BUN, Creatinine
Contraindications: Severe kidney disease
Non- Opioid Analgesic- Acetaminophen Uses: Pain, fever, NOT NSAID
S/E: GI upset
Adverse reactions/ Toxicity: Hepatotoxicity (Liver), steven Johnson syndrome, epidermal necrolysis
Pt teaching: Take exactly as directed, chronic used can lead to hepatotoxicity, avoid alcohol, consult PCP if fever not relieved in 3 days.
Nursing considerations: Asses for overall alcohol use and health status.
Lab values: Evaluate hepatic hematologic & renal function.
(About 4g/per day)
Opioid Analgesic- Morphine sulfate Uses: MI, Cancer pain, SOB for dyspnea
S/E: urinary retention, dizziness, pinpoint pupils
Adverse reactions/ Toxicity: Respiratory depression, severe hypotension
Pt teaching: teach of abuse potential, avoid use of alcohol, change positions
Nursing Considerations: Use extreme caution with MAO inhibitors, assess conscience level, BP, pulse, and respirations
Lab values: Liver enzymes
Contraindications: hepatic/ renal dysfunction
Opioid Antagonist (NARCAN)- Naloxone Uses: Opioid overdose, Reserves respiratory depression
S/E: N/V, hypertension, hypotension
Adverse reactions/ Toxicity: Ventricular arrhythmias
Nursing Considerations: monitor respiratory rate, BP, and pulse, given in slow increments.
Anti- (Migraine)- Sumatriptan Uses: Migraines, Cluster headache
S/E: Drowsy, Flushing, warm sensation
Adverse reactions/ Toxicity: Bradycardia
Pt teaching: Only use during a migraine attack, avoid alcohol, overuse can cause headache
Contraindications: History of hypertension, liver failure, pregnancy
CNS Stimulant- (Amphetamine Like drug)- Methylphenidate Uses: ADHD, Narcolepsy
S/E: Insomnia, Irritability, weight loss, decreased appetite
