PHARM HESI FINAL PRACTICE QUESTIONS AND ANSWERS
(2022-2023 A+)
Actonel - ANS-bisphosphonate - side effect damage to esophagitis need to stand up
and
... [Show More] walk around for at least 30 minutes
Acetylcysteine - ANS-antidote for Tylenol, used for pulmonary disorders. Cystic fibrosis.
Use cautiously in patients with Asthma. Rough on the liver smells like rotten Eggs.
Pneumonia bronchitis its used for. Take with lots of fluid.
Adderall and Adderall XR - ANS-weight decrease appetite issues with sleeping if taken
to late in the day. Extended release allows for extended working time. Give to child in
morning with breakfast. Stimulant
Amlodipine - ANS-calcium channel blocker - chest pain, arrythmia, and hypertension.
(Vasodilator) - relaxes heart muscles - causes sexual disfunction, can cause orthostatic
hypotension, blurred vision lower dose of med. Adverse effect can be peripheral edema
and pulmonary edema. Take BP and pulse prior to giving.
Aricept - ANS-(cholinergic) Anti-Alzheimer's agent - treat dementia. take daily as
directed notify changes in stool and abdominal pain can cause A-Fib. Give in the
evening right before bed. Assess cognitive function for improvement of mood and
memory.
Albuterol Inhaler (Proventil, Ventolin, ProAir) - ANS-- bronchodilator - SABA -
Administer as an inhaler or nebulizer - shake it then blow out then breathe in then hold
5-10 seconds then slowly inhale take this before any steroid inhaler. bronchospasm
wheezing chest pain angina, tremors dizziness excited. Rescue inhaler. Avoid other
stimulants like caffeine while taking.
Atorvastin (Lipitor) - ANS-Class: HMG-CoA inhibitor
MOA: blocks cholestrol production in the liver
Indications: hyperlipidemia
Baclofen - ANS-Muscle Relaxant
Cyclosporine - ANS-Immunosuppressant
Cymbalta - ANS-duloxetine (antidepressant)Anti depressant - fatigue nausea - more
regulated mood with this drug
Digoxin - ANS-antiarrhythmic drug - decreases heart rate - narrow therapeutic range -
take with or without food must take same time everyday check heart rate before taking
it. Do not take with Betablockers. Do not take with antacids within an hour or after of
taking med. if in toxicity you will see yellow halo. Low on potassium can cause OD.
Cogentin - ANS-Anti parkinson's med - anticholinergic dry mouth urinary retention avoid
alcohol toxic psychosis - improves the movement in Parkinson's patient eps is related to
this drug
Esomepraxole - ANS-Nexium - little purple pill- proton pump inhibitor- treats Gerd by
decreasing gastric acid. It binds to enzymes. Raises the Gastric PH - people who are
overweight alcoholics people who take a lot of NSAIDS. Treatment of ulcers and GI
bleeding. Peptic ulcer disease patient. best given on empty stomach 1 hour prior to
eating. extended release no crushing must take whole. Teaching timing of drug. Teach
the patient to avoid smoking alcohol, gastric distressed food.
Felodipine - ANS-calcium channel blocker - Anti- angina drug and Anti- hypertension
drug - inhibits calcium ends in pine - watch type of actives due to orthostatic
hypotension. Adverse Effects - Sick sinus Syndrome heart not working well - this can
also cause a second or 3rd degree heart block. Too much of a good thing - check blood
pressure and check for decrease chest pain. Can cause headache, nausea vomiting,
and diarrhea assess before giving med
Feverfew - ANS-used for migraines, menstrual cramps and anti-inflammatory -
INCREASES BLEEDING WHEN TAKEN WITH BLOOD THINNERS OR OTHER
NSAIDS. its contraindicated to people allergic to Ragweed, and marigolds there no FDA
recommendation's so be careful about dosing and know interaction with current drugs
taking before using this.
Filgrastim - ANS-nupagin - nutrafil drugs - used on cancer patients getting treatment.
HIV patients immunosuppressants patient - LOW WBCS - used to raise them - muscle
aches fatigue - very painful drug - there's a lot of Skeletal pain with this med. - often
given via IV or SQ . do it before chemotherapy. could have a fever after given this med.
Leukocytosis and lowers rbc platelets and can cause thrombocytopenia. side effects are
fatigue pain drowsiness and flushing. Check WBC before and after giving this.
Flaygl - ANS-antibiotics - metronidazole - Trick and VD - treat the person you have had
sex with as well - treatment for STI - take all drug finish everything - do not have sex till
full course f meds is completed. use a second form od contraception. Metallic taste, gi
upset dark urine. dosing depends on condition. Use second form of birth control while
taking don't drink alcohol while taking this med.
Ibuprofen - ANS-Nsaid - Anti-inflammatory med - long term are ulcers and GI bleed and
renal toxicity. Don't take with any anticoagulant. Monitor GFR. CMP Chem -12 , Sodium
Creatin , BuN 10 - 20
Kayexalate - ANS-give to hyperkalemia patients and it comes out in the Stool causes
lots of diarrhea. Report constipation low diet of Sodium report signs of hypokalemia ,
like muscle weakness avoid food high in K+ like melons ,bananas ,orange juice and
,potatoes Assess bow sounds and frequencies of stools monitor all electrolytes balance
Lactulose. CONTINUES... [Show Less]