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Exam (elaborations)

NYU Pharm Exam 3 Questions & Answers 2024/2025

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NYU Pharm Exam 3 Questions & Answers 2024/2025 Vomiting - ANSWERScaused by stimulation of chemoreceptors in trigger zone (many causes) anti-emetics nursing process (AIT) - ANSWERSassessment: causative factors, hx glaucoma interventions: VS, bowel sounds, provide oral care (r/t stomach aci...

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  • October 24, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NYU Pharm
  • NYU Pharm
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NYU Pharm Exam 3 Questions &
Answers 2024/2025

Vomiting - ANSWERScaused by stimulation of chemoreceptors in trigger zone (many causes)



anti-emetics nursing process (AIT) - ANSWERSassessment: causative factors, hx glaucoma

interventions: VS, bowel sounds, provide oral care (r/t stomach acid)

pt. teaching: alcohol intensifies sedation, avoid driving, avoid 1st trimester



Dimenhydrinate/DRAMAMINE (moa & use) - ANSWERSH1 antagonist, DRAMAMINE, over the counter,
inhibit vestibular stimulation in middle ear, used for post-op and motion sickness



Dimenhydrinate (considerations) - ANSWERSanticholinergic (sedation, caution w/ narrow angle
glaucoma)



Scopolamine (moa & use) - ANSWERSanticholinergic, inhibits cholinergic transmission from vestibular
center to vomiting center, used for post-op & motion sickness



Scopolamine (caution) - ANSWERSanticholinergic (not to use w NAG or urinary retention), can cause
tachycardia



Metoclopramide (moa & use) - ANSWERSdopamine antagonist, blocks D2 receptors in CTZ, used for
surgery/chemo/radiation/anesthetics



Metoclopramide (a/r) - ANSWERSanticholinergic, extrapyramidal (tardive dyskenesia r/t to D2 role in
Parkinsons) CAREFUL W DOSAGE



Odansetron (moa & use) - ANSWERSserotonin receptor antagonist, blocks serotonin receptor in CTS,
used in pre-post-op/chemo

, Odansetron (a/r) - ANSWERSHA (common), diarrhea, fatigue, dissy, prolonged QT -> torsades de pointes



Odansetron (considerations) - ANSWERSvery effective w chemo n/v, don't block dopamine -> no EPS



Methylpresnisolone (moa) - ANSWERSglucocorticoid, < inflammation triggered by afferent stimulation of
PNS in vomiting center



Methylpresnisolone (a/r) - ANSWERShyperglycemia, hypokalemia, hypernatremia, HTN



Dronabinol, cannabidiol - ANSWERScannabinoids, unclear moa, effective in chemo n/v and AIDS anorexia



Dronabinol, cannabidiol (considerations) - ANSWERScontraindicated for psych disorders, appetite
stimulant for AIDS pts.



trimethobenzamide (moa) - ANSWERSsuppress impulses to CTZ



trimethobenzamide (a/r) - ANSWERSanticholinergic, EPS



diarrhea - ANSWERScomplications include electrolyte - Na &K - and fluid loss



anti-diarrheal nursing process (AIT) - ANSWERSassessment: VS, BS, hx of cause

interventions: treat infection pre administration, monitor s/s dehydration & BM

teaching: no x2days or fever



codeine (moa) - ANSWERSopiod, < intestinal motility = < peristalsis



codeine (considerations) - ANSWERSCNS depression w/ alc/sedatives/tranquilizers



Diphenoxylate/Atropine (moa) - ANSWERS< intestinal motility = < peristalsis, atropine < abdominal
cramping & hypersecretion

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