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25 Cards in this Set
- Front
- Back
Infants are at risk for drug toxicity due to which of the following?
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Decreased liver enzymes, reduced kidney perfusion, reduced liver perfusion
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A health care professional is caring for a patient who arrived at an urgent care center following a bee sting. What findings indicates anaphylactic reaction?
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Low BP, wheezing, swallowing difficulty
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A patient is having difficulty remembering to take a prescribed drug t.i.d. Which form of the drug should the health care professional recommend?
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Extended release tablet
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What best describes drugs that are in pregnancy risk category D
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Weigh benefits against risks, pass through umbilical cord or placenta to fetus, may cause fetal malformation, use of contraception by women of childbearing age is required.
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When caring for a patient with a history of renal insufficiency and is taking Lithium you should monitor for?
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Drug toxicity
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You should suspect what? When a pt who reports chronic pain states that his pain meds are no longer effective for pain relief.
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Drug tolerance
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When a pt is taking an OTC what info about the OTC is important?
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Don't require supervision by HCP, drug interactions, should be included in drug history assessment.
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What info should be included when talking to pt about EC-naproxen?
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Don't chew or crush tablets
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What info should you include when talking to pt about drugs that have small margin of safety such as phenytoin AKA Dilantin?
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Lab test to measure serum drug levels, toxicity, taking smallest effective dose.
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When caring for a hospitalized pt when should drug & discharge planning occur?
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ASAP
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Pt states he has no allergies but developed some mild itching while taking amoxicillin. What should you explain to pt?
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Itching indicates hypersensitivity
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A pt is takin digoxin for cardiac dysrhythmias which route of administration is the fastest?
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IV
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Peak and trough levels help monitor for what?
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Drug toxicity, Min effective dose, constant therapeutic levels.
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When teaching a pt what can decrease PR's ability to learn
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Cognitive level, language, comfort level, readiness to learn.
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Time it takes a drug to demonstrate a full therapeutic effect?
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The peak time
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Before a pt begins a drug that is eliminated by the kidneys what should you assess for regarding blood values?
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Creatinine clearance
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What info should you consider when calculating dosages for infants compared to adults?
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Older Children have faster metabolisms than adults
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What are characteristics of additive drug interactions?
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Can achieve desired effect w/ lower dosages, both drugs have similar actions.
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When drinking grapefruit juice w/ certain drugs what risk is the pt in?
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Drug Toxicity
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A no therapeutic unintended effect of a drug that occurs w/ a therapeutic range is?
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An adverse effect
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What is a physiologic characteristics of infants that can alter drug absorption?
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Delayed gastric emptying
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A teratogenic drug can cause what?
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Fetal malformation
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An oral dose will be higher than the IV dose b/c of what?
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First-pass effect
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A parenteral drug is what?
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IV, SubQ, or IM administered drug
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What considerations should you recommend for a breastfeeding mother who is taking OTCs?
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Newborns weight, amount of breast milk child consumes q.d. Whether benefits out way risks, properties of the drug.
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