ECPI Pharmacology Exam 1 Questions with Correct Answers
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ECPI Pharmacology
Institution
ECPI Pharmacology
ECPI Pharmacology Exam 1 Questions with Correct Answers
What patient education should you give epileptic patients? - Answer- take meds at same time each day to maintain consistent level of medication
o Nystagmus (fluctuations of eye movement)
o Sedation (causes drowsiness)
o Ataxia (loss o...
ECPI Pharmacology Exam
1 Questions with Correct
Answers
What patient education should you give epileptic patients? - Answer- take meds at
same time each day to maintain consistent level of medication
o Nystagmus (fluctuations of eye movement)
o Sedation (causes drowsiness)
o Ataxia (loss of control of body movements)
o Diplopia (double vision)
o Cognitive impairment
o Gingival hyperplasia (swelling, tenderness, and bleeding of the gums)
o Skin rash
o Effects in pregnancy
o Cardiovascular effects
o Gingivectomy
o Folic acid (0.5 mg/day) may prevent gum overgrowth
o Risk can be minimized by good oral hygiene, including dental flossing and gum
massage - Answer- adverse effects of dilantin (phenytoin)
Therapeutic levels of dilantin (phenytoin) are? - Answer- 10-20 mcg/mL
this drug decreases the effects of oral contraceptives, warfarin, and glucocorticoids -
Answer- dilantin (phenytoin)
this drug increase levels of diazepam, isoniazid, cimetidine, alcohol, and valproic acid -
Answer- dilantin (phenytoin)
True or false: a patient can quit taking their seizure medications cold turkey - Answer-
false. they should slowly get off of it to decrease risk of life-threatening seizures and
state epilepticus
A patient is prescribed dilantin (phenytoin) for epileptic seizures.
Which of the following is the priority for patient teaching? - Answer- Teach the patient to
avoid the abrupt cessation of treatment.
Diazepam (Valium) is under what class of drug? - Answer- benzodiazepine
, This drug is used to induce anesthesia. It's onset is about 1 minute. - Answer-
Diazepam (Valium)
What must be available immediately if Diazepam (Valium) is administered via IV? -
Answer- facilities for respiratory support
What should the pt do if a drug tolerance is identified? - Answer- Talk to their provider
about possible increasing dosage
When a patient develops an opiod tolerance, is the medication's effect increased,
decreased, or does it stay the same? - Answer- decreased
Sedation
Euphoria
Analgesia - Answer- Therapeutic effects of opioids
When do you assess pain levels when administering opioids by mouth or via NG tube? -
Answer- Before, and one hour after administration
when do you assess pain levels when administering opioids IV/IM? - Answer- Before,
and 30 mins after administration
What medication is prescribed to treat opioid-induced constipation? - Answer-
Methylantexone (Relistor)
How do you avoid opioid induced constipation? - Answer- Increase fiber and water
intake
What happens when a mother takes meperidine (demerol) for pain WHILE
PREGNANT? - Answer- It causes physical dependence/withdrawal in the baby after
delivery.
what happens when a mother takes meperidine (demerol) in early pregnancy? -
Answer- Inc. risk of:
Congenital heart defects
Spina bifida
Gastroschisis
what happens when a mother takes meperidine (demerol) during labor/delivery? -
Answer- causes respiratory depression in neonate
Respiratory depression after receiving an opioid is a sign that a reversal agent should
be used. What is the name of this antagonist? - Answer- Naloxone (Narcan)
When would respiratory depression manifest after administering morphine sulfate? How
long do effects last? (hint: it's different based on route) - Answer- IV: 7 mins
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