NUR 2474 Rasmussen Pharm Exam 2 Recent Actual Exam NUR 2474 Pharmacology 2023/2024 Loop Diuretics --------- Correct Answer -------- Furosemide Thiazide Diuretics --------- Correct Answer -------- Hydrochlorothiazide (HCTZ) K Sparing Diuretics --------- Correct Answer -------- Spironolactone ACE Inhibitors --------- Correct Answer -------- lisinopril, captopril Angiotensin 2 Receptor Blockers --------- Correct Answer -------- Losartan Calcium Channel Blockers heart and vessels --------- Correct Answer -------- Verapamil, Dilitizaem Calcium Channel Blockers vessels only --------- Correct Answer -------- nifedipine Beta Blockers --------- Correct Answer -------- Metoprolol Cardiac Glycosides --------- Correct Answer -------- Digoxin K channel blocker --------- Correct Answer -------- Amiodarone HMG -CoA Reductase Inhibitors --------- Correct Answer -------- Lovastatin Bile Acid Sequestrants --------- Correct Answer -------- Cholestyramine Colesevelam Colestipol Nitrates --------- Correct Answer -------- Nitroglycerin Anticoagulant --------- Correct Answer -------- Heparin Long term anticoagulant --------- Correct Answer -------- Warfarin Direct thrombin inhibitors --------- Correct Answer -------- Dabigatran Leukopoietic Growth Factors --------- Correct Ans wer -------- filgrastim Drugs for hemophilia --------- Correct Answer -------- Factor VIII, Factor IX concentrates, desmopressin Antidote: Digoxin --------- Correct Answer -------- Digibind Antidote: Heparin --------- Correct Answer -------- protamine sulfate Antidote: Warfarin --------- Correct Answer -------- Vitamin K Steroids --------- Correct Answer -------- Prednisone, Fluticasone Leukotriene Modifiers --------- Correct Answer -------- Montelukast Short Term Bronchodilator --------- Correct Answer -------- Albuterol Long term bronchodilator --------- Correct Answer -------- Salmeterol Methylxanthines --------- Correct Answer -------- Theophylline Anticholinergics --------- Correct Answer -------- Ipratropium Tiotropium H2 receptor antagonists --------- Correct Answer -------- Cimetidine Ranitidine Famotidine Nizatidine PPI --------- Correct Answer -------- Omeprazole Pantoprazole Mucosal Protectants --------- Correct Answer -------- Sucralfate Types of Antacids --------- Correct Answer -------- Aluminum salts Magnesium salts Calcium salts Sodium bicarbonate Bulk forming laxatives --------- Correct Answer -------- Psyllium Stimulant laxatives --------- Correct Answer -------- Senna Surfactant laxatives --------- Correct Answer -------- docusate sodium Serotonin agonists --------- Correct Answer -------- ondansetron Patient Education on using inhalers --------- Correct Answer -------- For any patient prescribed an inhaler, the RN should ensure the client can self administer the medication. Teach back needed The patient should wait 1 -2 minutes between puffs The patient should wait 5 minutes between 2 different inhalers The patient should take a bronchodilator before a corticosteroid medication (B before C) The patie nt must keep track of doses on their inhaler If opening a new inhaler, the patient should shake it and test before use. If dexterity is limited, a spacer can be used to get more medication in the airway. If the patient uses a steroid, they must wash their mouth out after use. If not, fungal infection may occur The patient should hold breath 10 seconds after receiving a puff. short -term asthma treatment --------- Correct Answer -------- Bronchodilator: albuterol Acts as a rescue inhaler during asthma attack s. Onset is in 5 minutes and will last longer. Xanthine Derivatives: theophylline Dilates airways Can have high drug interactions in the body IV/ inhaled glucocorticoids. long term asthma treatment --------- Correct Answer -------- Bronchodilator: salmeterol. Used to control symptoms of asthma Never is used alone (often with steroid) Anticholinergics: ipratropium bromide For long term asthma prevention Works very slowly. Corticosteroids: fluticasone Non bronchodilation Can take several weeks to show COPD treatment --------- Correct Answer -------- Bronchodilator - short acting albuterol Steroid Must keep o2 saturation between 88 -92% Most asthma treatments require what? --------- Correct Answer -------- Combination of medications - most medications ca nnot be used alone (need bronchodilator plus steroid) Rescue inhalers --------- Correct Answer -------- Quickly relax airways. albuterol, epinephrine, metaproterenol, IV steroid Long term inhalers --------- Correct Answer -------- salmeterol, ipratropium , theophylline, montelukast ,fluticasone Treatment of acute asthma attack --------- Correct Answer -------- Oxygen use Short acting bronchodilator - albuterol Corticosteroid - ipratropium bromide IV Will relieve hypoxemia, reduce airway inflammation, and re lieve obstruction.
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