Leik - FNP review Questions with complete solutions

Leik - FNP review Questions with complete solutions Labs to order if Digoxin overload suspected electrolytes, creatinine, and serial EKG's First line for atrial fibrillation Coumadin. INR of 5 to 8 without bleeding hold for 1 to 2 doses, then recheck every 2 to 3 days until normal. Those taking thiazides may also find relief with osteoporosis. it stimulates formation of osteoclasts. Those taking thiazides can have which adverse effects hyperglycemia, hypokalemia, increased lipids, increased uric acid. Thiazides may worsen what conditions diabetes, gout, HPL, and electrolyte imbalances If a patient is allergic to sulfa what diuretic should they avoid thiazides. instead, use triamterene or amiloride Chlorhtalidone is longer acting and more potent than HCTZ. true or false? true who are loop diuretics prescribed to edema from heart failure, cirrhosis, renal disease, hypertension. black box warning for loop diuretics extreme diuresis Adverse effects of loop diuretics hypovolemia, loss of electrolytes, pancreatitis, jaundice, rash, ototoxicity What are aldosterone antagonists like spironolactone used for? hirsutism, hypertension, severe heart failure Adverse effect of spironolactone galactorrhea and hyperkalemia. black box warning for spironolactone increase of benign and malignant tumors. beta blockers are first line for post-myocardial infarction beta blockers are used for migraine prophylaxis, angina, arrythmias, hyperthyroidism cardioselective beta blockers include atenolol and metropolol beta blockres may cause what complication in diabetics they mask the hypoglycemic response. what are contraindications of beta blockers asthma, copd, bronchitis, emphysema, bradycardia A patient with an ace develops a cough. What should you do? stop and switch to an ARB for same renal protective effects. what to monitor when giving captopril CBC. it may cause neutropenia, leukopenia, and agranulocytosis the prescriber should be careful not to mix the calcium channel blocker verapamil with what antibiotics erythromycin and clarithromycin. Contraindications of giving calcium channel blockers av block, bradycardia, congestive heart failure grapefruit juice when taken with calcium channel blockers can cause toxicity. true or false? true drug interactions with calcium channel blockers intraconazole, macrolides when are alpha blockers given hypertension with co-existing BPH terazosin dosing 1 mg PO at bedtime a good alternative for gram positive infections in those who are penicillin allergic is macrolides. Clindamycin is associated with what infection C. diff Initial treatment of COPD antichollinergics. ipratropium bromide what antibiotics are pregnancy category D doxycycline, minocycline, tetracycline tetracyclines will not impact effectiveness of birth control pills. true or false? false 1st line for chlamydial infections and atypical bacteria doxycyline common side effect of minocycline dizziness and vertigo taking expired tetracycline may result in what medical conditions nephropathy and fanconni syndrome Macrolides are generally category B which macrolide are pregnancy category C clarithromycin and telithromycin Those with myasthenia gravis should not take which antibiotic? erythromycin and telithromycin. telithromycin has a black box warning