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NURSING 2047 Pharmacology Exam 1 Study Guide Questions answers graded A

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NURSING 2047

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NURSING 2047

NURSING 2047 Pharmacology Exam 1 Study Guide Questions answers NURSING 2047 Pharmacology Exam 1 Study Guide Questions answers NURSING 2047 Pharmacology Exam 1 Study Guide Questions answers

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nursing 2047 pharmacology exam 1 study guide questions answers

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1

PHARMACOLOGY EXAM 1 STUDY GUIDE

• Drugs that PRODUCE a response?
o Agonist

• Drugs that PREVENT a response?
o Antagonist

• Therapeutic WINDOW is what?
o Level of the drug between minimal effective concentration in the plasma for
obtaining desired drug response and the minimal toxic concentration

• The time it takes for ½ of the drug concentration to be eliminated from the body is
called?
o Half life

• What is a patient on two highly protein bound drugs at risk for
o Accumulation and toxicity
o A decreased responsiveness over the course of therapy which may lead to the
need to increase dosages to attain the same effect tolerance

• What is it called for drugs to share many common features
o Classification or class

• What makes drugs fit into the same “class”
o Related by chemical structure
o Work in the same way
o Used for the same purpose

• Another name for antagonist?
o Adrenergic blocker

• Who do you not give antagonist or adrenergic blocker to?
o Asthma client

• Beta blockers commonly seen in what clients?
o Hypertension

• Antagonist suffix
o LOL

• Antagonist S/S
o Decreased HR

, 2

o Rest and digest
o Bronchospasm

• Agonist S/S
o Increased HR, Fight or flight, Vasoconstriction, Increase blood sugar

• Before administering antagonist what do you check
o HR and BP

• Cholinergic
o Salivate, Lacrimation, Urinate, Defecate, Decreased weight

• Anticholinergic
o Can’t see, pee, spit, poop, and increase HR

• What type of drug is Reglan?
o Cholinergic

• How do you treat cholinergic crisis
o Atropine

• Cholinergic crisis S/S
o Flushing, sweating, nausea, ab cramping

• Anticholinergic drugs are contraindicated in who?
o Coronary artery disease (increase HR)
o GI obstruction (constipation)
o Supraventricular tachycardia (increase HR)

• CNS stimulant drugs are contraindicated in who?
o Coronary artery disease (cause vasoconstriction=heart attack)
o Hypertension (additive hypertension=stroke)

• Hemorrhagic stroke
o Increase BP
o Increase HR
o Increased RR
o Unresponsive to deep pain

• Anorexiants can lead to what?
o 16x greater risk for stroke

• Most common side effects of Ritalin
o Irritability
o Insomnia

, 3

▪ Weight loss
▪ Decrease appetite

• Benzodiazepines increase activity to what neurotransmitter (PAM & LAM)
o GABA

• Reversal to benzodiazepines
o Flumazenil

• Ambien side effects
o Sedative/hypnotic
o Suicidal ideation
o Dependence
o Abnormal behavior

• Drug choice for treating status epilepticus
o Diazepam’s

• Dilantin can do what?
o Cause gum disease
o Treat seizures
o Cause high BP
o Cause birth defects
o Decrease effectiveness of anticoagulants

• When a client is on Dilantin what are some nursing interventions?
o Monitor for narrow therapeutic index (freq blood test)
o Take as prescribed
o Oral care
o Teach pt to use barrier contraceptives along with oral

• What is therapeutic level for Depakote?
o 40-100

• If Depakote levels are high (>100) what needs to be done?
o Hold meds
o Check liver function with blood test
o Discuss with DR
o Neuro assessment
o Check vitals

• What does Depakote treat?
o Epilepsy
o Migraine

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