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PHARM 302 Version 2 HESI Exam Study Guide
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PHARM 302 Version 2 HESIExam Study Guide
Isotretinoin sun toxicity - Answer - Increases photosensitivity reaction
- Avoid excessive sunlight or UV ray exposure
- Wear sunscreen and cover up body while outside
Echinacea topical - Answer - Herb/flower used for wounds and skin problems
- Increases hydration
- Can cause redness, itchiness, and rash
- Diminishes therapeutic effects of immunosuppressants (drugs that make body not
reject transplants)
- Consider therapy modification
NG tube administration meds - Answer - Has to be liquid or crushed and diluted
- Push very slowly
o Let gravity do the work
- Administer each medication separately
- Flush tube with water before and after
Safe medication administration/adverse reaction - Answer - Right patient, medication,
dose, route, time
- Check patient name/birthday
- Check allergies
- Adverse Reaction: Unwanted or unintended reaction from a drug (rash, allergic
reaction, heart attack)
Vitamin D overdose - Answer - Caused by hypercalcemia (buildup pf calcium)
- Can be caused by menopause, hyperparathyroidism, chronic kidney disease,
immobility
- Can weaken the bones, cause kidney stones, interfere with heart and brain
, - Normal calcium levels= 4-5.6mg/dL
- Hypercalcemia Levels= 14-16mg/dL
- Can cause
- Renal calculi
- Kidney failure
- Coma (confusion/lethargy/drowsiness)
- Cardiac arrest/hypertension
- Osteoporosis/bone pain
- Decreased muscle tone/weight loss/weakness
- N/V/D
Metronidazole Teaching - Answer - Aka Flagyl
- Antibiotic used to treat infections (vaginal infections)
- Patients with multiple sexual partners need to be treated as well
- Avoid alcohol for at least 3 days after treatment
- Metallic taste and red-brown urine may occur
- Report signs/symptoms of candidal overgrowth, adverse reactions (especially
neurologic)
- Tell doctor if pregnant or plan to become pregnant
Cephalosporins Penicillin Allergy - Answer - Cross sensitivity: Penicillin ->
Cephalosporins (start w/ CEF) -> Carbapenems (end w/ NEM)
- Have to be exposed to medication at least once
Vancomycin Acute Kidney Injury - Answer - Acute Kidney Injury= Sudden episode of
kidney failure or damage
o Caused by lack of blood flow to kidneys, blockage of urine flow, direct kidney
damage/infection
- Vancomycin= Aminoglycoside (antibiotic)
o Nephrotoxic
§ Too much can cause damage to the kidneys
§ (BUN 0.6-1.2 and Creatinine 10-20)
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