Pharmacology exam 1- Galen (questions
and answers)
Midazolam |- |correct |answers✔✔Benzodiazepine
Uses: |Conscious |sedation
S/E: |Dizzy
Adverse |reactions/ |Toxicity: |Respiratory |depression
PT |teaching: |Safety
Contraindications: |Cardiopulmonary |disease
Zolpidem |Tartrate |- |correct |answers✔✔Non- |Benzodiazepine
Uses: |Insomnia
S/E: |Dizziness, |Drowsiness, |Behavioral |changes
Adverse |reactions/ |Toxicity: |Complex |sleep |behavior
- |Lidocaine |- |correct |answers✔✔Local |Anesthetic
Uses: |Minor |procedure
S/E: |Confusion, |drowsiness, |stinging, |bradycardia
Nursing |considerations: |Rapid |onset
Spinal, |Epidural |- |correct |answers✔✔Spinal |Anesthesia-
Uses: |Pain, |Pregnancy
S/E: |Back |pain, |Shivering
Adverse |reactions/ |Toxicity: |Respiratory |depression, |Hypotension, |Headache, |Nerve
|damage
Pt |teaching: |Lay |flat, |Monitor |for |headache
Ibuprofen |- |correct |answers✔✔NSAID |(non-selective)-
,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.
Celecoxib |- |correct |answers✔✔NSAID(COX |2 |inhibitor)-
Uses: |Inflammation, |Severe
S/E: |Dizziness, |GI |distress, |Peripheral |edema, |Herbal |remedies
Adverse |reactions/ |Toxicity: |Thromboembolism
Contraindications: |CABG, |Angina, |Renal/ |Hepatic |disfunction
Aspirin |- |correct |answers✔✔NSAID(Salicylate)-
Uses: |Inflammation, |anti-platelet
S/E: |GI |distress, |Nosebleed
Adverse |reactions/ |Toxicity: |Hearing, |Tinnitus, |Reye |syndrome, |Hyperuricemia
Contraindications: |GI |bleeding, |Gout, |Pregnancy
Allopurinol |- |correct |answers✔✔Anti-gout- |
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
Acetaminophen |- |correct |answers✔✔Non- |Opioid |Analgesic-
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)
Morphine |sulfate |- |correct |answers✔✔Opioid |Analgesic-
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
Naloxone |- |correct |answers✔✔Opioid |Antagonist |(NARCAN)- |
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.