Back to Basics
Is This Even Pharm?
Playing Safe
I Want to Pee
I Want to Pee 2
Need a Sugar Daddy
Something's Rising and It's Not Insulin
100
What is the study of drugs?
Pharmacology
100
What is the Nursing Process?
ADPIE
100
True or False. We need to inform the doctor about ALL medications the patient is taking, including Over-The-Counter ones. EVERYTHING.
True
100
What class of drugs does furosemide fall under?
Loop Diuretics
100
Another name for Thiazide Diuretics?
Calcium Sparing Diuretics
100
True or False. Glipizide will increase insulin secretion and you have to take it before meals.
True
100
Which insulin should you draw up first, Regular or NPH?
Regular
200
In 1-2 words, define Single Order, Standing Order, STAT Order, Routine Order, and PRN Order.
Single Order (Once)
STAT Order (NOW)
Routine Order (Every)
Standing Order (Protocol)
PRN Order (As Needed)
200
What is the generic name?
Amoxicillin
200
True or False. Herbal Supplements and OTC medications are always safe to take with other medications.
False
200
Which electrolyte is spared with spironolactone administration?
Potassium
200
Significant vital sign in patients who are dehydrated by taking too much diuretics.
Tachycardia
200
How often do you need to check your A1C Level?
3 months
200
How long can you store opened insulin on room temperature and in the refrigerator?
28 Days Room Temperature
3 months Refrigerator
300
What is a drug called when it could potentially hurt the fetus?
Teratogen
300
What kind of data involves vital signs, lab tests, and observations made by the nurse?
Objective
300
True or False. If a drug is contraindicated, then the patient can get it.
False
300
The best indicator of fluid status.
Daily Weights
300
Give 3 foods that you should avoid when taking spironolactone.
Avocado
Banana
Cantaloupe
Dried Fruits
Juicy Fruits
Mrs. Dash
White Beans
300
The drug of choice for unconscious hypoglycemic patient?
Glucagon
300
Why do you need to rotate insulin injection sites?
Prevent lipodystrophy
400
Difference between Primary Effect and Secondary Effect?
Primary (Intended Therapeutic Effect)
Secondary (Side Effect)
400
Define Visual, Kinesthetic, and Auditory Learning.
Visual (Seeing)
Auditory (Hearing)
Kinesthetic (Doing)
400
Type of drug effect wherein drugs pile up in the body faster than it can eliminate, which causes toxicity.
Cumulative Effect
400
What part of the kidneys do thiazide diuretics affect?
Distal Convoluted Tubule
400
Which diuretic should you avoid when your patient is taking ACE Inhibitors?
Spironolactone
400
The best lab test for Diabetes, and what are the ranges?
Hemoglobin A1C
<5.7 = Normal
5.7-6.4 = Prediabetes
>6.5 = Diabetes
400
Which insulin can you give IV and which Insulin should be used in pumps?
Regular (IV)
Rapid (Pumps)
500
Branch of Pharmacology that deals with how the body is affected by the drug.
Pharmacodynamics
500
Define Cognitive, Affective, and Psychomotor Domain.
Cognitive = Intellect
Affective = Emotions
Psychomotor = Skills
500
What does it mean when the effect of two drugs is way more than just by themselves?
Synergistic Reaction
500
Aside from antagonizing aldosterone, what is another action of spironolactone?
Androgen Antagonist
500
What is the normal potassium level?
3.5-5 mEq/L
500
Why do you need to hold Metformin 48 hours before contrast procedure?
Prevent Lactic Acidosis
500
Can you recall BATTLE?
BAT = Increases Insulin
TLE = Decreases Insulin
600
Enumerate the processes in Pharmacokinetics, and what body part is most likely involved.
Absorption (GI)
Distribution (Tissues)
Metabolism (Liver)
Excretion (Kidneys)
600
What gauge needle for subcutaneous injections and how much?
G 23-25, 0.5-1mL
600
Type of drug effect that is peculiar and often unexpected.
Idiosyncratic Reaction
600
How much weight gain is bad on patients with diuretics?
Gain of >2 pounds in 1 day
Gain of >5 pounds in 1 week
600
Why should you not administer furosemide quickly?
Ototoxicity
600
In DKA, what kind of breathing is expected?
Kussmaul's Respirations, Has a Fruity odor breath
600
Give the Onset, Peak, and Duration for all 4 insulins.
Lispro – 5-10 min, 0.5hr-1.5 hr, 3-5hr
Regular – (short) 30-60 min, 2-4 hr, 5-8 hr
NPH – (intermediate) 1.5 hr, 4-10 hr, 14 hr
Glargine – (long), 1 hr, no peak, 24 hr