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NCLEX Review Pharmacology Crash Course questions and answers
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NCLEX Review Pharmacology Crash Course questions and answers
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NCLEXReview
Pharmacology
Crash
Course
Examples
of
short
acting
antianxiety
agents
-
ANSWER--midazolam
-diazepam
Examples
of
intermediate/long
acting
antianxiety
agents
-
ANSWER--clonazepam
-alprazolam
-lorazepam
Lorazepam
-
ANSWER--for
anxiety ,
sedation,
and
*seizures*
(lasting
over
5
minutes)
-avoid
alcohol
-monitor
for
respiratory
depression
-antidote
-->
*flumazenil*
Examples
of
Antiarrhythmics
-
ANSWER--amiodarone
-adenosine
-procainamide
Adenosine
-
ANSWER--for
SVT
-slows
conduction
through
the
A V
node
and
interrupts
re-entry
pathways
through
the
A V
node
(restoring
normal
sinus
rhythm)
-*there
will
be
a
period
of
asystole
after
administration*
-->
*tell
the
family
(flatline
is
scary)
-warn
the
patient
(it
will
feel
like
someone
kicked
them
in
the
chest)
-*rapid
push!*
Examples
of
anticoagulants
-
ANSWER--heparin
-clopidogrel
-warfarin
-enoxaparin
Heparin
-
ANSWER--anticoagulant
-slows
down
clotting
to
prevent
strokes,
chronic
a-fib,
post-op
patient
-pts
get
aPTT
levels
drawn
every
4-6
hours
to
titrate
the
drip
at
the
level
needed -watch
for
bleeding
(hematuria,
hematemesis,
bruising,
down-trending
H&H)
-antidote
-->
*protamine
sulfate*
Heparin
induced
thrombocytopenia
and
thrombosis
(HITT)
-
ANSWER--complication
of
heparin
therapy
(around
5-10
days
after
exposure)
-suspect
any
patient
on
heparin
who
has
an
*unexplained
platelet
drop*
-will
see
skin
lesions
at
heparin
injection
sites,
chills,
fever ,
dyspnea,
and
chest
pain
-can
cause
DVT/PE
(clotting/bleeding
in
wrong
places)
-stop
all
heparin
and
start
a
dif ferent
anticoagulant
W arfarin
-
ANSWER--anticoagulant
(long
term,
can
go
home
on
this)
-used
for
venous
thrombosis,
pulmonary
embolism,
a-fib
-monitor
for
bleeding
-monitor
Pt
(1.3-1.5)
and
INR
(2.5-3.5)
-antidote
-->
*vitamin
K*
-contraindicated
during
pregnancy
Examples
of
Anticonvulsants
-
ANSWER--phenytoin
-carbamazepine
-divalproex
-gabapentin
-lamotrigine
-levetiracetam
Phenytoin
-
ANSWER--anticonvulsant
for
seizures
-therapeutic
level
is
*10-20
mcg/ml*
-gingival
hyperplasia
is
a
side
ef fect
(do
regular
dental
check-ups/use
soft
bristle
toothbrush)
-antacids
can
reduce
the
ef fect
and
should
be
avoided
Examples
of
MAOIs
(Antidepressants)
-
ANSWER--tranylcypromine
-isocarboxazid
-phenelzine
-selegiline
Examples
of
SSRIs
(Antidepressants)
-
ANSWER--fluoxetine
-sertraline
-escitalopram
-citalopram
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