Advanced Pharm Study Guide for Test #3 Chapters 17,18,19 1. Always ask what meds the people take. ALL OF THE OVER-THE-COUNTER MEDS…they interact. Looking for allergies too. 2. The goal of allergy medication is to decrease the symptoms of having allergies in the first place. 3. Why do we taper off of steroids? Affects the immune system and adrenal glands need time to “Wake up” 4. Asthma management…peak flow readings the patient does at home everyday guides the patient with the blueprint to manage their symptoms. Green…they just keep on living their best life. If they slide into the yellow or warning slot, then we add medications they already have at home. Usually add a steroid inhaler (inhaled powder) to get the immune system to calm down (stopping the inflammation cascade from spiraling). Red…they need to go see their MD. Know which drugs are your emergency drugs that open you up. Remember you want to give your 911 meds first to open them up then you give your steroid inhalers for control/maintenance. 5. NSAIDS…watch for bleeding, helps with pain, fever, and inflammation. Can be given orally, IM, and IV. 6. A “z-pack” (azithromycin) treats upper resp infections 7. When I say watch your kidneys…what labs am I referring to and what are the normal ranges? Bun: 8-21 and Cr: F-0.51-1.11 & M- 0.61-1.21 8. TB pt. You as the nurse wear the n95. If the pt must leave their room, they wear a surgical mask. Must complete treatment. What are the drugs? Isoniazid and Rifampin 9. How do we treat thrush? Babies? Adults? If an adult has thrush you need to question their immune system. Immunocompromised? HIV? Treat it with Nystatin and don’t rub off; Babies: Coat the mouth with the medication; Adults: Have them swish and swallow or swish and spit, depending on HCP order. 10. Walk me through treating a family with lice. Remember lice likes clean hair. With shampoos and lotions, coming hair with a fine-tooth comb; Hot water -washing clothes, bedding, etc..; Meds: Antiparasitic – Permethrin (Elimite), Malathion (Ovide), and Lindane. 11. Have a mental image of what your immunity looks like a. Active natural- Infected with the organisms, body makes antibodies b. Passive natural- Maternal antibodies (Breastfeeding) c. Active artificial - Vaccines d. Passive artificial – Monoclonal antibodies 12. Monoclonal antibody treatment targets just the cancer cells so the patient doesn’t have their entire immune system affected. 13. What are the precautions for using iodine 125 seeds Pt. should be in special room with lead walls. Special way to discard body fluids, protect self from radioactivity. 14. Tamiflu Treats Influenzas A and B; antinfluenza agent, causes nervousness, n/v, trouble sleeping and seizures. 15. All things snot…(gag) guaifenesin thins the snot so that you can actually cough it up 16. Theophylline…it will make them nervous. They will need labs to monitor levels. Very narrow window. What is the range? With or without food? Without food; Range17. OTC cold meds…what drug is it? We have show our ID to buy it…it is really not good for people with HTN. Dextromethorphan???? IDK if it’s the correct cold med. Pseudoephedrine 18. Mucomyst Is a mucolytic, used as an aerosol treatment in Pt.s with cystic fibrosis. Drug liquefies thick lung secretions. SE: drowsiness, mouth inflammation, runny nose, n/v, and bronchospasm. 19. Caffeine is the best. Why? Pt. who has problems with apnea and caffeine is a resp. stimulant to stimulate the resp. center.; Also helps preemies whose brain development isn’t developed enough to stimulate breath. 20. Smokers…they can take oral meds. Patches. Make sure you date and time the patch. Take off the old one. If they still need more nicotine they can chew nicotine gum. Discourage them from smoking with the patch on. 21. Constipation…how do they work? Infrequent hard stool, that can be treated with laxatives, stimulants and stool softeners. Also, bowel evacuators. 22. Your BFF is going on a fishing trip. What drugs do you want to tell her about? Phenergan and Zofran; antiemetics 23. Tums. Antacid; Calcium carbonate; For Gerd. 24. Old folks…they can use artificial salvia; we give shakes to increase their calorie intake. Meds can be crushed and sprinkled into pudding. 25. Diet pills are addictive because it’s speed 26. In OB what do you give women for hemorrhoids 27. What drugs do we give for prevent stomach ulcers when hospitalized. Proton pump inhibitors