NSG124 Exam 3
I am used in a hypertensive emergency to lower BP fast.
1) What drug am I?
2) How do I work?
3) What should you watch for? - ANS 1) Sodium nitroprusside
2) Vasodilator
3) Hypotension and chest pain
Megaloblastic anemia
1) What does megaloblastic mean?
2) What causes it?
3) How do we treat it? - ANS 1) Large red blood cells
2) Deficiency of either cobalamin (vit B12) or folate (vit B9)
3) Pills, vit B12 or folic acid
What is the therapeutic lab range for:
1) Lithium
2) Digoxin - ANS 1) 0.4-1
2) 0.5-2 or 0.5-0.8
Warfarin vs Enoxaparin vs Heparin labs - ANS Warfarin = INR
Enoxaparin and Heparin = aPPT
I am a mood stabilizer often given to people with bipolar disorder. I also used to be an ingredient
in 7-Up. - ANS Lithium
I will avoid giving IM injections or doing any intervention that could cause bleeding. I will monitor
their aptt/ptt and be vigilant to S/S of bleeding.
1) What type of med is patient on?
2) Give 2 examples
3) What are S/S of bleeding?
4) What should they avoid at home? - ANS 1) Anticoagulant
2) Enoxaparin or Heparin
3) Hypotensive, tachycardia, abd pain, nausea, cramps
4) Any activity that could cause bleeding - use soft toothbrush, careful shaving, need labs, no
alcohol
1) What is orthostatic hypotension?
2) What common drug types cause it?
3) What will you teach your patient? - ANS 1) A sudden drop in BP when you stand up
2) Any BP med, diuretics, vasodilators
, 3) Stand up slowly, you may feel dizzy or lightheaded, change positions slowly
1) What drug does someone take after a heart attack that they would have to take the rest of
their life?
2) How does it help? - ANS 1) Aspirin
2) Prevents clot formation
I am a PAM/LAM drug.
1) What drug class am I?
2) Give 3 examples
3) What am I used for?
4) ______ is the preferred sleep med for short-term use - ANS 1) Benzodiazepines
2) Diazepam, lorazepam, alprazolam
3) Anxiety, panic, sleep, muscle relaxer, prevent seizures-often during alcohol withdrawal
4) Zolpidem
Helps address high cholesterol (hyperlipidemia). Directions: take 1 hour before or at least 4
hours after other meds. Take with food and water to help absorption.
1) Drug class
2) 1 example
3) What other drug class could they take? - ANS 1) Bile-acid binding resins
2) Colesevalam
3) Statins
Vasodilators
1) What are they used for?
2) Name 4 examples
3) What SE/AE might we see? Why? - ANS 1) Lower BP, angina, heart failure
2) Hydralazine, Captopril, Lisinopril, Nitroglycerin
3) Hypotension - lightheadedness, dizzy, falls, N/V, flushing, peripheral edema, prevent reflex
tachycardia. Bigger blood vessels = blood can get into nooks and crannies
What can you teach a patient about an Xl, ER, XR drug? - ANS Do not crush, chew, or cut the
med.
Swallow whole
I have fatigue, weakness, pale/yellow skin, an irregular heartbeat, SOB,
dizziness/lightheadedness, cold hands/feet. Might bruise easily. Doctor put on ferrous sulfate.
1) What is ferrous sulfate?
2) How do you know drug is working? - ANS 1) A type of iron
2) Symptoms get better
1) Name 6 statin drugs