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HESI Pharmacology Exit Exam Terms in this set (232) What is the indication for metoclopramide/reglan? Prevention of chemotherapy-induced emesis and diabetic gastroparesis Side effects of metoclopramide/reglan Drowsiness, EPS such as tremors Notify MD CA$11.53   Add to cart
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HESI Pharmacology Exit Exam Terms in this set (232) What is the indication for metoclopramide/reglan? Prevention of chemotherapy-induced emesis and diabetic gastroparesis Side effects of metoclopramide/reglan Drowsiness, EPS such as tremors Notify MD
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HESI Pharmacology Exit Exam Terms in this set (232) What is the indication for metoclopramide/reglan? Prevention of chemotherapy-induced emesis and diabetic gastroparesis Side effects of metoclopramide/reglan Drowsiness, EPS such as tremors Notify MD if what occurs when using metoclopramide/r...

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  • September 2, 2024
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HESI Pharmacology Exit Exam
Jeremiah
Terms in this set (232)

What is the indication for Prevention of chemotherapy-induced emesis and diabetic gastroparesis
metoclopramide/reglan?

Side effects of metoclopramide/reglan Drowsiness, EPS such as tremors

Notify MD if what occurs when using Tremors
metoclopramide/reglan

What is the indication xenical (orlistat, Alli) For PTs with BMI of 30+; LT weight control

SE of xenical (orlistat or alli) Oily stool and flatulence

Nursing implications for a pt on xenical Ask pt to describe dietary intake since SE are increased if greater than 30% of fat is in
(orlistat or alli) diet.

What can decrease side effects of xenical Fiber laxatives like Metamucil help decrease SE by binding to the fat.
(orlistat or alli)

Which type of fluids need plenty of water? Bulk forming laxatives

Why do you need plenty of fluids when Because they can produce esophageal and or intestinal obstruction
taking bulk forming laxatives

Last BM and characteristics, abdominal pain, fever and obstruction. Assess dietary and
Laxative use assessment
fluid intake.

With laxative use the nurse should Encourage fluids, fiber and exercise as tolerated/indicated

Laxative use and result in Lack of bowel tone which can lead to dependency

what is ondansetron (zofran) antiemetic

What is ondansetron (zofran)used for? Prevention of N/V associated with chemotherapy and radiation therapy.

Who should you use caution with when PTs with liver failure
giving ondansetron/zofran?

Drugs for ulcerative colitis and crohns 5 aminosalicylates; mesalamie, sulfasalazine.

How do 5 aminosalicylates; (mesalamie, They decrease GI inflammation
sulfasalazine) work?

Side effects of 5 aminosalicylates; Nausea, rash, arthralgia, hematological disorders
(mesalamie, sulfasalazine)

Which drug can cause colitis/c.diff Linezolid/zyvox

What kind of infection is c.diff Suprainfection

What is azithromycin/zithromax? An antibiotic

What does azithromycin/zithromax treat? STDs such as: gonorrhea and chlamydia

How much azithromycin/zithromax is usually One dose of 1g or 2g.
required?

If a female pt has trichomonas (any STI) and Yes!
is asymptomatic does the male need to be
tested?




1/5

, 9/2/24, 3:10 PM
azithromycin/zithromax can cause what? Hepatotoxicity- elevated liver enzymes

What is nitrofurantoin/cipro used for? An antibiotic for UTI

nitrofurantoin/cipro side effect Hepatotoxicity, skin reactions, neuropathy

Give with milk or meals check LFTs. Watch for numbness or tingling of extremities this
nitrofurantoin/cipro nursing considerations
can be an irreversible peripheral neuropathy

Drug of choice for treating c.diff? Metronidazole/flagyl

When is metronidazole/flagyl to be taken? With food and around the clock

What should be avoided when taking Alcohol; can cause a disulfiram-like reaction
metronidazole/flagyl and why?

aminoglycosides examples gentamicin(garamycin), neomycin, tobramycin(nebcin)

how are aminoglycosides ,(-mycin, -micin), given IV for several days
administered?

what is an adverse effect of aminoglycosides decreased hearing/ototoxicity and nephrotoxicity
(-mycin, -micin)

what labs need to be evaluated when given BUN and creatinine
aminoglycosides (-mycin, -micin)?

DOC for MRSA vancomycin

what is MRSA severe staph infections that have become resistant to most antibiotics

acute care requires frequent monitoring og serum drug level for dose adjustment. peak
implications for giving vancomycin
and trough schedule. trough is drawn just prior to next dose.

risks when using vancomycin nephrotoxicity and ototoxicity

thrombophlebitis, red man syndrome if infused too rapidly: flushing or rash of upper
SE of vancomycin
body, dyspnea, itching, hypotension- can be lethal

how long should IV vancomycin infuse? greater than 60 minutes

it is a sulfonamide for treatment of UTI. combination increases efficacy and inhibits
what is trimethoprim/sulfamethoxazole?
metabolism of folic acid at two different points

what is trimethoprim/sulfamethoxazole sulfa allergy
known for?

nursing implications for assess for rash due to potential for stevens johnson syndrome
trimethoprim/sulfamethoxazole

penicillins have a ____ to ____ cross-sensitivity; cephalosporins. they are structurally similar.

observe respiratory status for first 30 minutes when administering for the first time.
nursing considerations for penicillins
watch for anaphylaxis if allergic to one or the other may have cross sensitivity

what can a nurse treat penicillin anaphylaxis epinephrine
with?

do not take for viral illnesses. take entire prescription as ordered. don't take if not
nursing considerations for antibiotics
needed as it can produce resistance.

what is ribavirin(copegus) indicated for? antiviral for treatment of hepatitis C that has failed other treatment

ribavirin(copegus) SE hemolytic anemia

what is ticarcillin/clavulanic acid (timentin)? broad spectrum/extended spectrum penicillins

nursing considerations for do not administer in same infusion with aminoglycosides
ticarcillin/clavulanic acid (timentin)




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