Pharm Exam 3 J2
Acute seizures may require multiple meds.. why? - correct answer-- some people build up a
resistance to one drug
Acylcovir side effects - correct answer-- nephrotoxicity, hyperplasia, diarrhea
- it is a strong drug , infuse slowly
- important to hydrate pt before during and after
Adefovir (Hepsera) is used for - correct answer-- treatment of Hep B
- risk for hepatomegaly with steatosis ( fatty liver)
Anti- epileptic drugs work by - correct answer-- slowing down the neuronal impulses and
firing
antiviral protease inhibitors monitoring include - correct answer-- watching for s/s of
hyperglycemia
- pts want to eat, drink, and pee constantly
- can cause new onset diabetes, possible DKA
- watch triglycerides, cholesterol
- pt may need to change diet and exercise
ART therapy - correct answer-- used to treat HIV
- pt must be adherent to drug regimen
Benzodiapines include - correct answer-- lorazepam
- diazepam
benzodiazapine are contraindicated with - correct answer-- pregnancy
- will cause birth defects
- make sure patient is taking a working contraceptive
Carbamexepine (Tegretol) main side effect - correct answer-- causes bone marrow
supression
carbidopa side effects - correct answer-- sleep attacks
- head movement
- dyskinesia
Clozapine (Clozaril) uses - correct answer-- Management of severely ill patients with
schizophrenia who are unresponsive to standard drugs; reduction of risk of recurrent suicidal
behavior in patients with schizophrenia or schizoaffective disorder
clozapine side effects include - correct answer-- bone marrow problems
do not take what medications with cholinestrase inhibitors - correct answer-- antihistamines
Do not use what when taking ganciclovir - correct answer-- contact lenses
Donazepil (Aricept) is used for - correct answer-- mild dementia
donazepil main side effect - correct answer-- forgetfullness
- GI problems
-difficulty learning new skills
- make sure that the pt is not the one refilling the perscriptions
drug good for alcoholism - correct answer-- thiamine
Drug of choice for bipolar - correct answer--lithium
Efavirenz (Sustiva) is used for - correct answer-- treatment of HIV
- make sure this pt is taking contraception
- will cause fetal abnormality
- DO NOT GET preggo on this medication
family teaching for anit seizure drugs - correct answer-- encourage the family and pt that it
might take a long time to find the right drug
- we also want to make sure the pt does tolerate the drug that they are currently on well
before making it permenant or changing it
First line of therapy of acute MS - correct answer-- steroids = methlyprednisone
- goal is to reduce frequency and maintain quality of life
- prevents permanent damage to the axon but not permanent remission
- keep pt as healthy as possible
- USE cation with pts that already have that disease process
For withdrawl pts are usually prescribed ... - correct answer-- benzodiazapines
- while slowly taking them off they drug they are on
- SLOWLY TAPER
Ganciclovir (Cytovene) - correct answer-- treatment of cytomegalovirus
side effects
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