GI
Your patient tested positive for H. Pylori. What medications do you expect to be ordered?
Amoxicillin + Clarithromycin + a PPI (omeprazole)
What medication is used for an ongoing asthma attack?
A short-acting beta2 agonist: Albuterol
What is one drug that is used to treat MRSA?
Vancomycin
Ceftaroline
Linezolid
What beta-blockers can you give to those with asthma?
Basiprolol
Esmolol
Atenolol
Metoprolol
For proper pain relief, what type of schedule should opioids be on?
A fixed schedule
When can a patient take sucralfate?
2 hours before or 2 hours after other medications
Your patient has been prescribed fluticasone propionate. What should you educate your patient about to avoid the side effects of this medication?
To avoid thrush rinse your mouth out with water afterward.
What are three adverse effects of vancomycin?
Red man syndrome
Ototoxicity
Nephrotoxicity
*Keep levels between 15-20
What effects do adrenergic medications have on the body? (At least three)
Increase blood pressure
Increases blood sugar
Increased metabolism
Increased respiratory rate
Pupil dilation
What should a patient take with probenecid to help with acute attacks?
Indomethacin
Which laxative is used for hepatic encephalopathy? (Extra points if you know why)
Lactulose
(it decreases ammonia)
Your patient is experiencing ventricular fibrillation after taking theophylline. What can you assume the drug level in the bloodstream is?
Levels over 30 can cause seizures and V-fib.
If the level is around 20, the patient may experience N/V, insomnia, and restlessness
What medications are used to treat TB in a patient with HIV?
Rifabuten
Isoniazid
Pyrazinamide
Ethambutol
What dyslipidemia medication is most effective at increasing HDL?
Niacin
325-650 mg
Which group do bulk-forming laxatives and surfactant laxatives belong to?
Group III: soft sool in 1-3 days
Your patient is a truck driver, and he asks if he should take diphenhydramine for his allergies. What would your response be? (If not, what would you recommend?)
No, 1 generation antihistamines cause drowsiness.
(Recommend a second generation such as cetirizine, fexofenadine, and loratadine.)
What are the five side effects of protease inhibitors?
Hyperglycemia
Fat redistribution
Hyperlipidemia
Decreased bone marrow density
Increased serum transaminases
What should you monitor with heparin? (extra points: what is the therapeutic range)
PTT (60-90 seconds)
What is the antidote to acetaminophen overdose?
acetylcysteine
Which antiemetic is often used for delayed nausea and vomiting?
Aprepitant
Your patient reports experiencing congestion, runny nose, and nasal itching. What type of drug is the most effective at treating his symptoms? (Extra points: name the two drugs in this category)
Intranasal glucocorticoids
Fluticasone and mometasone
What should you do before administering amphotericin?
Pretreat with Benadryl, acetaminophen (no NSAIDs)
Your patient on digoxin reports seeing halos and then goes into a ventricular arrhythmia. How do you treat this patient?
Stop the digoxin
Lidocaine and phenytoin for the arrhythmia
Antidote: Digibind (does not fix the arrhythmia)
What patients should not recieve sumatriptan?
Those who have CAD, angina, and/or uncontrolled hypertension