Chamberlain College: NR566 MIDTERM 2 EXAM LATEST 2021/2022
1 Know what meds you would give for asthma and COPD (LABA and intermittent use)
• LABA- indacaterol (Arcapta). Indacaterol is a once-daily long-acting bronchodilator that has an onset of 5 minutes and a duration of 24 hours
• FORMO...
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Chamberlain College: NR566
MIDTERM 2 EXAM LATEST
2021/2022
1 Know what meds you would give for asthma and COPD (LABA and
intermittent use)
• LABA- indacaterol (Arcapta). Indacaterol is a once-daily long-
acting bronchodilator that has an onset of 5 minutes and a
duration of 24 hours
• FORMOTEROL/ SALMETEROL/ INDACATEROL
3 What to do when a patient calls you with hypoglycemia
4 How many gms of carb is needed during hypoglycemic episode- 15 what to
tell patient to do for low blood sugar
5 how many mcg of dietary intake of iodine
• Dietary iodine of about 100 to 150 mcg/d is required for normal
thyroid hormone production.
6 alendronate (Fosamax) patient education- osteoporosis
• PO meds should be taken first thing in the morning, at least
30 mins prior to medications.
• Take it with 8oz plain water
• Mineral water, coffee, OJ, and other beverages greatly reduce
absorption.
• Remain upright for least 30 mins after taking meds, which allows
for passage out of the stomach and minimizes the risk for
esophageal irritation.
• GI distress and dyspepsia are the most common s/e's. if needed
take aluminum and
magnesium containing anatacids may be taken more than 2 hours
fosomax.
• Patients should eat a diet that has calcium and vitamin D
7 what medication decreases the T4 and the answer was
Carbamazepime/ drug increases t4 (carbamazepine)
8 First choice for hypertension – which diuretic
• thiazide-type diuretic has been typically chosen because
in the landmark Chlorothiazide (Diuril)
Chlorthalidone.
Hydrochlorothiazide
(Microzide) Indapamide.
Metolazone.
9 Besides hypertension, BB are indicated for (I selected MI)
Angina/ HTN/ MI prophylaxis/ glaucoma / migraine
prophylaxis 10 Mechanism of action of Theophylline
• Treats asthma (bronchodilator)
• Work directly by an unknown mechanism believed to be mediated
by selective
inhibition of specific phosphodiesterases. This, in turn, produces
an increase in cAMP, which then leads to bronchial smooth
, muscle and pulmonary vessel relaxation.
• Theophylline and caffeine have an impact on most of the major
body systems. They
are powerful CNS stimulants, often causing insomnia and
excitability. Although both drugs have cardiovascular effects,
theophylline has a greater effect on the cardiovascular system.
Theophylline directly stimulates the myocardium and increases
myocardial contractility and heart rate. By relaxing vascular
smooth muscle, theophylline dilates the coronary, pulmonary,
and systemic blood vessels.
11 What should you test a patient c/o muscle pain, on atorvastatin
• For all reductase inhibitors, muscle tenderness or pain may
indicate a serious problem that may require discontinuance
of the drug.
• patient C/O muscle pain on atorvastin: check cK level.
,12- 7 yo with pneumonia, what to give if already on amoxicillin
• high-dose amoxicillin (90 mg/kg daily, divided in two doses) is the
drug of choice for 7 to 10 days of outpatient treatment (Bradley et
al, 2011)). If highly resistant
pneumococci are in the community, the practitioner may choose
between IV or IM ceftriaxone (50 mg/kg in one daily dose) or
cefotaxime (150 mg/kg/d every 8 hours) followed by appropriate
oral therapy after 1 or 2 doses
13 What to give for high cholesterol if cannot take statins – name of medication
• Nicotinic acid (niacin) was always touted as effective in
lowering total cholesterol and triglyceride levels and raising
HDL levels
14 Which inhaler to give on asthma exacerbation
• Ipratropium is an inhaled anticholinergic that may be used in
combination with
albuterol to treat asthma exacerbation in the emergency
department (NAEPP, 2007). Hospital admission may be avoided by
the addition of ipratropium to the treatment regimen in cases of
exacerbation seen in the clinic or emergency department
15 Nicotine replacement drugs– bupropion should be avoided with what?
• Bupropion is contraindicated in patients with seizure disorders,
bulimia, and anorexia nervosa and within 14 days of the use of
monoamine oxidase inhibitors
(MAOIs).
• Bupropion should not be used in patients with a history of stroke,
brain tumor, brain surgery, or history of closed head injury.
• Bupropion should be used with caution in patients with hepatic
cirrhosis, with the
dose decreased to 150 mg every other day.
• The concurrent use of bupropion (Zyban) and Wellbutrin is
contraindicated. Risk of
suicide ideation and suicidality in children, adolescents, and young
adults. Zyban is not approved for smoking cessation in children
under 18 years of age. Patients prescribed Zyban should be
monitored closely for signs of suicide ideation when treatment is
started.
16 INH - risk for liver toxicity
• INH has a Black-Box Warning regarding the development of
severe and sometimes fatal hepatitis, even after many months
of treatment.
• .Increased risk for hepatitis is associated with daily alcohol use,
chronic liver disease,
and IV drug use. Black and Hispanic women, as well as any woman
during the postpartum period who takes INH, may have increased
risk of developing fatal hepatitis. nitro sublingual
• All patients taking INH should have monthly symptom reviews to
screen for
, hepatitis. Symptoms to screen for include unexplained anorexia,
nausea, vomiting, dark urine, icterus, rash, persistent paresthesias
of hands or feet, fatigue, weakness, fever longer than 3 days, or
abdominal tenderness especially in the right upper quadrant.
• Liver enzymes should be measured in patients over age 35 years
prior to starting INH
and then periodically throughout treatment.
• They should report all flu-like illness immediately and see their
health-care provider at least monthly during treatment.
17 Angina patient should be on ASA- aspirin
• Atenolol, metoprolol, nadolol, and propranolol are
indicated for long-term management of angina
18 Angina and diabetic should be
on what 19 Which medication to
take for SVT
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