NSG124 Exam 3
I am used in a hypertensive emergency to lower BP fast.
1) What drug am I?
2) How do I work?
3) What should you watch for? - correct answer-1) Sodium nitroprusside
2) Vasodilator
3) Hypotension and chest pain
Megaloblastic anemia
1) What does megaloblastic mean?
2) What causes it?
3) How do we treat it? - correct answer-1) Large red blood cells
2) Deficiency of either cobalamin (vit B12) or folate (vit B9)
3) Pills, vit B12 or folic acid
What is the therapeutic lab range for:
1) Lithium
2) Digoxin - correct answer-1) 0.4-1
2) 0.5-2 or 0.5-0.8
Warfarin vs Enoxaparin vs Heparin labs - correct answer-Warfarin = INR
Enoxaparin and Heparin = aPPT
I am a mood stabilizer often given to people with bipolar disorder. I also used to be an
ingredient in 7-Up. - correct answer-Lithium
I will avoid giving IM injections or doing any intervention that could cause bleeding. I will
monitor their aptt/ptt and be vigilant to S/S of bleeding.
1) What type of med is patient on?
2) Give 2 examples
3) What are S/S of bleeding?
4) What should they avoid at home? - correct answer-1) Anticoagulant
2) Enoxaparin or Heparin
3) Hypotensive, tachycardia, abd pain, nausea, cramps
4) Any activity that could cause bleeding - use soft toothbrush, careful shaving, need labs,
no alcohol
1) What is orthostatic hypotension?
2) What common drug types cause it?
3) What will you teach your patient? - correct answer-1) A sudden drop in BP when you
stand up
2) Any BP med, diuretics, vasodilators
3) Stand up slowly, you may feel dizzy or lightheaded, change positions slowly
, 1) What drug does someone take after a heart attack that they would have to take the rest of
their life?
2) How does it help? - correct answer-1) Aspirin
2) Prevents clot formation
I am a PAM/LAM drug.
1) What drug class am I?
2) Give 3 examples
3) What am I used for?
4) ______ is the preferred sleep med for short-term use - correct answer-1)
Benzodiazepines
2) Diazepam, lorazepam, alprazolam
3) Anxiety, panic, sleep, muscle relaxer, prevent seizures-often during alcohol withdrawal
4) Zolpidem
Helps address high cholesterol (hyperlipidemia). Directions: take 1 hour before or at least 4
hours after other meds. Take with food and water to help absorption.
1) Drug class
2) 1 example
3) What other drug class could they take? - correct answer-1) Bile-acid binding resins
2) Colesevalam
3) Statins
Vasodilators
1) What are they used for?
2) Name 4 examples
3) What SE/AE might we see? Why? - correct answer-1) Lower BP, angina, heart failure
2) Hydralazine, Captopril, Lisinopril, Nitroglycerin
3) Hypotension - lightheadedness, dizzy, falls, N/V, flushing, peripheral edema, prevent
reflex tachycardia. Bigger blood vessels = blood can get into nooks and crannies
What can you teach a patient about an Xl, ER, XR drug? - correct answer-Do not crush,
chew, or cut the med.
Swallow whole
I have fatigue, weakness, pale/yellow skin, an irregular heartbeat, SOB,
dizziness/lightheadedness, cold hands/feet. Might bruise easily. Doctor put on ferrous
sulfate.
1) What is ferrous sulfate?
2) How do you know drug is working? - correct answer-1) A type of iron
2) Symptoms get better
1) Name 6 statin drugs
2) What will you teach your patient? - correct answer-1) Atorvastatin, lovastatin, pitavastatin,
pravastatin, rosuvastatin, simvastatin
2) Take at bedtime. No grapefruit juice. Report any muscle weakness or soreness