Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Random Pharm Exam4
Pharm 1 - Fall 2011
| Question | Answer |
|---|---|
| Volume depletion involving third-space sequestration? | -Fracture -Acute Pancreatitis -Crush injury -Intest obstrux |
| Muscle wkness can be caused by? | Hypo or Hyperkalemia |
| Polyuria and Polydipsia can be caused by? | Hyperglycemia or severe hypokalemia |
| Lethargy, confusion, seizures, and coma can be d/t? | HypoNa+, HyperNa+, Hyperglycemia |
| Rate of repletion for severe volume depletion or hypovolemic shock? | 1-2L NS as quick as poss! (to restore tiss perfusion) -Then: Fluid repletion is continued at rapid rate until clinical signs normalize |
| Rate of repletion for mild to mod hypovolemia? | 50-100mL/hr in excess of continued losses |
| What is the estimated insensible loss per hr? | 30-50mL/hr |
| Overly rapid correction of which substance may lead to irreversible neuro damage? | Plasma Na+ Concentration |
| If pt on IV fluids for long pd...remember to monitor? | Ca, Cl, P, Mg (and vitamins and proteins) |
| Hypotonic soln may cause what in the very ill or when used for prolonged pd of time? | Hyponatremia |
| Replacement of insensible losses should be with? | Hypotonic Saline or 5% dextrose |
| 1L of IV fluid weighs? | 1 kg |
| Excess mg can cause? | Diarrhea |
| Excess Ca, Al can cause? | Constipation |
| Drug interax w/ Cimetidine? | (Is an H2RA) -CYP450 Inhib (^Cp of anticoags, theophylline, phenytoin) |
| What is a ?able RF for NSAID-induced PUD? | Cig smoking |
| Does Ibuprofen or Naproxen have a higher GI toxicity? | Naproxen |
| How to prevent NSAID-induced ulcers in those at high risk? | Px w/ Misoprostol or PPI (works as well as misoprotol, but better tolerated) |
| Std doses of a PPI and a non-selective NSAID are just as effective as a what in reducing the risk of NSAID-induced ulcers and upper GI complications? | Cox-2 inhibs |
| What do H2RAs prevent and what don't they (in NSAID-induced ulcers)? | Prevent duodenal ulcers, NOT gastric ulcers |
| Sucralfate and Antacids are not effective for prevention of? | NSAID-induced ulcers |
| How long does it usually take for an ulcer to heal? | ~4wks (gastric ulcers take longer to heal vs duodenal ulcers) |
| If have an ulcer and NSAID must be continued,what is the tx of choice? | PPI |
| H2RA and PPI provide symptomatic relief at what point after starting them for an ulcer? | ~1 wk |
| Relief of ulcer pain DOES NOT directly correlate with? | Ulcer healing |
| Pt presents w/ ulcer-like sxs...what are alarm sxs? | Bleeding, wt loss, anemia |
| Drugs that decrs LES tone? | CCBs, Estrogens, Theophylline, Nitrates, Narcotics, Nicotine, Progesterone, Ethanol, Caffeine |
| Meals rich in what are recommended for those with GERD that can augment the LES tone? | Protein-rich meals |
| Water and electrolyte losses during acute diarrhea are what kind of losses? | Isotonic losses (so should be replaced as "isotonic") |
| Types of diarrhea? | Secretory, osmotic, exudative, Altered intest transit |
| If someone is infected w/ E.coli, why should you not kill the pathogen? | Killing it will cause it to release its toxins and cause even worse problems |
| Why shouldn't you eat solids when have diarrhea? | If have a pathogen, don't want to keep it in there |
| MC bacterial pathogens of AOM from MC to LC? | S.pneumo>H.flu>M.cat |
| 35% of S.pneumo of AOM is resistant d/t what? | Altered PBP sites |
| Resis S.pneumo is espec prev in who? (for AOM) | Kids <2yo, in daycare, receivd abx therapy in last 3 mo's |
| H.flu of AOM may present concominantly with? | Conjunctivitis |
| A dx of AOM requirs? | 1. Hx of acute onset of sx/signs 2. MEE 3. Signs/sx of midd ear inflamm |
Created by:
ferrier.kath
Popular Pharmacology sets