3. Cont.. PHARMA FINAL EXAM REVIEW
Diphenhydramine
- antihistamine
-blockshistamineatH1 receptor
-usedforallergies
-“Zantac” = blocksH2 (acid),can be addedfortx
of allergy
-Adveffect–CNSdepression,drowsiness
-Contraindication=pxsw/dysrhythmias,HF,
narrow angle glaucoma(due to
anticholinergiceffects)
Nasal Glucocorticoid
-Ex.Fluticasone
-locallyactingtotreat inflammation
Pseudoephedrine(Pseudofed)
-adrenergic
-tx of allergies
-relievenasal congestion
-Major s/e = Reboundcongestion
-donot take more than 3-5days
-s/e = adrenergic= HPN,CNSstimulation,
anxiety/Insomnia
Anaphylaxis
-Tx = Epinephrine
-usedinBronchial asthmaandcardiac arrest
Epinephrine Action
-alphareceptor– vasoconstrictors
-B1 = cardiac
-B2 = lungs
-blockshistaminerelease
-adrenergicsx = palpitation,tremor,HPN
-Nx consideration=VS,monitoradverse effects,
DM = monitorforincbloodglucose
Bronchial asthma= raise HOB
Monitorchest/resp
1. What are antacidsusedfor?
2. What isthe mostimportantnursing
considerationtorememberwhen
administeringantacid
medication?Why?
3. What do histamine (H2) receptor
antagonistsdo?
4. How doGI prostaglandinswork?
5. How doproton pumpinhibitorswork?
6. What do antiemeticsdo?
7. What are the twomain typesof
antiemetics?
8. How dothe dopamine antagonist
antiemeticswork?
9. How dothe anticholinergicantiemetics
work?
10. What are commonside effectsof
Gravol?Rememberitisan
anticholinergic.
11. What are importantnursing
considerationsrelatedtoantiemetic
administration?
12. What isthe actionof a locallyacting
antidiarrheal?
13. What isthe actionof systemic
antidiarrheal meds?
14. What isthe secondmostcommontype
of infectiontreatedwithantibiotics?
15. What part of the anatomymightbe
includedinaUTI?
16. Why are womenat greaterriskof UTI
than men?
17. What bacteriamostoftencausesUTI?
18. What medicationiscommonly
prescribedforUTI? Answer:Norfloxacin
19. What isthe actionof Norfloxacin?
20. What are nursingconsiderationtotake
intoaccount whentreatingaUTI?
21. What doesbroadspectrummean?
22. What adverse effectsare likelyoccur
withNorfloxacin?
23. What type of medicationis
oxybutynin/Ditropan?
24. What isthe actionand use of
oxybutynin?
25. What potential adverse effectsmight
yousee withoxybutynin?(it’san
anticholinergic)
26. What isbethanechol usedfor?
27. How doesbethanechol work?
28. How dooral contraceptiveswork?
4. 29. What ishormone replacementtherapy
(HRT) usedfor?
30. What are the potential side effectsof
HRT?
31. What isoxytocinusedfor?
32. What are potential adverseeffectsof
oxytocin?
33. What are tocolytics,suchas
Terbutaline,usedfor?
34. What isViagra (sildenafil) usedfor?
35. What isa potentiallydangerousside
effectformentakingViagraand
nitratesforangina?
36. What type of medicationsare often
usedto treatrenal failure?
37. What are the 4 typesof muscle
relaxants?
38. What are centrallyactingmuscle
relaxantsusedfor?
39. What are directmuscle relaxantsused
for?
40. What are bone resorptioninhibitors?
41. What are importantnursing
considerationsforalendronate?
42. What are commontreatmentsfor
arthritis?
43. What are the twomain usesof
chemotherapy?Hint –it isn’tusedjust
to cure cancer
44. What are the majoradverse effectsof
chemotherapy?
45. What are the majornursing
considerationsforapatienton
chemotherapy?
46. What isbone marrow suppression?
47. What type of drug is timolol?
48. What are potential adverseeffectsof
timolol?Rememberitisa betablocker.
49. How couldthese occurfrom eye drops?
50. What are NSAIDSusedfor? Examples
include ASA,ibuprofen,celecoxib,
diclofenac,naproxen
51. What are some examplesof systemic
glucocorticoids?
52. What isthe actionof the systemic
glucocorticoids?
53. What are potential adverseeffectsof
glucocorticoids?
54. What typesof medicationsare usedto
treat fever?
55. What type of medicationis
diphenhydramine?
56. What isthe actionof diphenhydramine?
57. What are the adverse effectsof
antihistamines?
58. Give an example of anintranasal
glucocorticoid?
59. What type of drug is pseudoephedrine?
60. What isthe majoradverse effectof
intranasal pseudoephedrine?
61. What are potential side effectsof oral
pseudoephedrine? Whatdowe use to
treat anaphylaxis? Rememberitisan
adrenergic.
62. What else mightepinephrine be used
for?
63. What type of medicationis
epinephrine?
64. What isthe actionof epinephrine?
65. What adverse effectsmightyouexpect
to see?Rememberitisan adrenergic.
66. What are nursingconsiderationsfora
clientwhohasreceivedepinephrine?