Advanced Pharm Quiz 2 Study Guide 1. Who gets albumin? Remember it is a fluid expander so your patient has lost a lot of fluids. Think trauma, gi bleed, overwhelming sepsis causes the body to go into the inflammation cascade and they vasodilate this could be infection, burns, or trauma. 2. What is cardiac output? - Total volume of blood ejected (pumped) by the heart per min - HR X Stroke volume = Cardiac Output 3. What is pernicious anemia? - Stomach is lacking in the intrensic factor to absorb Vit. B12 in the stomach - Given Cyanocobalamin ( Vitamin B12) 4. Chemo folks are immunosuppressed. What drug do they receive to help them? - Filgastrin (Neupogen), Pelfigrastim ( Neulasta), Sargramostin (Leukine) - Meds Stimulate blood cell development > WBC 5. What do you monitor if you are taking coumadin? Heparin? - Coumadin monitor INR - Heparin monitor aPTT 6. Do you know about nitroglycerin? If pt has CP what do you do? - Nitro given for CP - Sublingual is most common; given every 5 minutes for 15 minutes if symptoms doesn’t subside call 911 7. Myocardial infarction (MI) know that men are dramatic. Women get passed over initially because they present differently. What are you looking for? - Men symptoms include: Sweating, CP, Heartburn, N/V - Women symptoms include : Jaw Pain, SOB, CP, Backache, Extreme fatigue and nausea 8. Insulins…when do I need to feed the people? Know which are long /short acting. - Rapid insulin must feed pt within 15 minutes ( Lispro, Aspart, Glulisine) - Regular insulin onset is 30 min to 1 hr lasting up to 5-8hours - NPH and Lente is intermediate insulin - onset is 1-2 hours lasting up to 24 hours - Levemir, Lantus, Ultralente is long acting insulin 9. Sliding scale insulin…what type do you use? - Regular insulin 10. Tell me about Synthroid. - Give for Hypothyroidism - Given in the morning before breakfast on an empty stomach 11. Your pt had thyroid surgery. What lab are you monitoring? - Serum Calcium 12. Your BFF is going on a cruise. What drugs do you talk to her about so she doesn’t get motion sick? - Dramamine 13. Eyes…if I want to see the retina what drops would I put in? Give them the throw away sunglasses to leave in. - Atropine 14. Eyes…foreign body removal - Tetracaine or Proparacaine 15. Ears… how do you get built up ear wax out? - Hydrogen Peroxide, Cerumenolytics, or Mineral Oil