PHARMA – SEMIS GUTIERREZ 6.

18-month old for 4th dose of DPT – 3rd DPT

was from 4 months ago
HIV & AIDS-RELATED DRUGS
7. Eligible to receive flu vaccine – 18-month old
1. Prevent perinatal transmission of HIV to fetus
child
– Provide written & oral ed of antiretroviral drug
therapy 8. DPT and MMR vaccines done – Provide
vaccine info in preferred language; Document
2. “Undetectable” HIV viral load – Educate about
continued need for meds lab monitoring ANTINEOPLASTICS & BIOLOGIC
RESPONSE MODIFIERS - ANTICANCER
3. When & how should CD4+ should be done –
At same lab, same time of day 1. Alkylating agent plus Anti-tumor antibiotic –
Combi chemo ^ extent of tumor cell killing
4. NOT Plan of care for antiretroviral therapy –
Lab blood work within normal limits 2. Chemo drugs cause myelosuppression –
Monitor temp changes
5. NOT Health teaching for pt on Efavirenz –
Dose after breakfast; hyperglycemia, jaundice & 3. Report symptom from fluorouracil intake due
diabetes are side effects to colorectal cancer – Bleeding gums
TRANSPLANT DRUGS 4. Fatigue complaint – Assess contributing
factors such as trouble sleeping
1. ^risk for transplant plus immunosuppressant
drug – Infection 5. Additional teaching about Mucositis – Use
mouthwash with alcohol
2. Virus associated with posttransplant
lymphoproliferative disorder – Epstein-Barr 6. Health teaching about Cyclophosphamide –
Virus Drink 2L of fluid per day
3. Factors influencing adherence to drug 7. Health teaching about Doxorubicin intake –
regimen – Drug side effects, episodes of Report SOB, palpitations, edema
rejection, cost, other health care issues
8. Highest priority of cancer pt with Vincristine
4. Expect to see from Basilliximab = cytokine intake – Decreased phenytoin effects
release syndrome – Chills
9. Inappropriate symptomatic treatments for
5. Belatacept induced by recently pregnant pt – Mucositis after chemo – Anti-emetics & Stress
Contact pregnancy registry reduction
VACCINES 10. Teaching plan for post-chemo
Thrombocytopenia – Use razor, soft bristled
1. 4-month old reacts to immunization, elicit info
brush, & report bleeding
about – S/Sx experienced
ANTINEOPLASTICS & BIOLOGIC
2. Implication of Varicella vaccine of young
RESPONSE MODIFIERS – TARGETED
woman – Pt is pregnant
THERAPIES TO TREAT CANCER
3. 38-yr old farmer with DPT vaccine – Provide
1. Breast cancer pt not receiving Trastuzumab –
vaccine info in pt’s primary language
Cancer cells don’t have target for it
4. Immunocompromised 1 yr old – Give info
2. Imatinib therapy teaching – Don’t drink
about type of vaccine
grapefruit juice while taking drug
5. HPV after first dose health teaching – Inform
about date of return to clinic
3. Priority Dx for pt with epidermal growth factor 3. Health teaching about Oxymetazoline – Limit
receptor inhibitors – Risk for impaired skin use to 5-7 days to prevent nasal bound
integrity r/t skin side effects congestion
4. Most concern for possible infusion reaction – 4. Purpose of Guaifenesin – Loosen bronchial
Monoclonal antibodies secretions
5. Sunitinib intake report of hands & feet red, 5. Beclomethasone for allergic rhinitis – With
painful with blisters – Notify oncologist to Continuous use, nasal mucosa may dry
determine dosage reduction
6. Diphenhydramine NOT TEACH – Take meds
6. Tositumomab intake teaching – Use separate on empty stomach for absorption
bathroom & sit while urinating for 1week
LOWER RESPIRATORY DRUGS
7. High priority to avoid while taking Ixazomib –
1. Fluticasone propionate & Salmeterol for
Take 1hr before or 2hrs after food
COPD NOT – Used to treat acute attack;
8. St. John’s wort should be avoided – contains beta 1 agonist & cromolyn
Decreases blood levels of targeted therapies
2. Acute bronchospasm plus COPD order –
and reduce effectiveness
Epinephrine
9. Imatinib intake gains 5lbs – Indicate water
3. Adverse effect of Aminophylline-Theophylline
retentions & renal impairment
- ^ HR
ANTINEOPLASTICS & BIOLOGIC
4. Serum Theophylline level 32mcg/mL – Notify
RESPONSE MODIFIERS
HCP
1. Primary action of Interferon-alfa – Enhance
5. COPD pt taking Leukotriene antagonist
immune fxn, produce WBC & antigen-antibody
Montelukast – Maintenance treatment of
rxn
asthma
2. Interferon-alfa 2a side effect – Flu-like
CARDIAC GLYCOSIDES, ANTIANGINALS,
syndrome
ANTIDYSRHYTHMICS
3. RBC production stimulated by – Epoetin alfa
1. Digoxin treatment for heart failure
4. Rarely used drug given thru IV infusion only – IMPROVED – Absence of peripheral edema
Interleukin 2
2. Digoxin level 3.0ng/mL – in High elevated
5. Pegfilgrastim order – requires one injection range
per chemo cycle
3. S/Sx for Digitalis Toxicity – Apical pulse
6. Scheduled dose of erythropoietin stimulating 48bpm, irregular rate
agent – Contact HCP to discuss lab results &
4. Low potassium level (Hypokalemia) could
D/C of order
affect Digoxin - ^Digoxin sensitivity level
UPPER RESPIRATORY DRUGS
5. Symptom for initial dose of Nitrate –
1. Side effects of OTC antihistamine Headaches
Diphenhydramine – Avoid driving motor vehicle
6. Beta blockers as effective as antianginals –
until stabilized
Decrease HR & myocardial contractility
2. Sore throat due to Beta hemolytic
7. D/C beta blocker – Dose should be tapered
streptococcal infection – leads to Pharyngitis
down
8. Acebutolol Primary purpose – Block Beta1 8. Amlodipine (Calcium channel blocker) S/Sx of
adrenergic receptors in Cardiac tissues side effects – Dizziness, Headache, Ankle
Edema
9. Anginal pt with Nitroglycerin intake NOT –
Apply to hairy area & Call HCP after 5 tabs
intake
DIURETICS
1. Hydrochlorothiazide & Digoxin leads to
electrolyte imbalance – Hypokalemia
2. INCORRECT about Hydrochlorothiazide –
Monitor for hypoglycemia
3. Favorable response to Furosemide – RR &
depth decreases from 28 to 20bpm
4. Mannitol use – Decreases ICP
5. Furosemide intake – Assess bp before admin
6. Purpose of Triamterene and
Hydrochlorothiazide intake - ^Potassium level
7. Spironolactone for heart failure intake –
Monitor for Hyperkalemia
ANTIHYPERTENSIVES
1. NOT nonpharmacological method to lower bp
- ^Protein diet
2. First-line drug to treat mild hypertension –
Diuretic
3. Less effective antihypertensive drugs for
African Americans – Beta blockers &
Angiotensin-converting enzyme inhibitors
4. Diuretic drug combined with Antihypertensive
drug – Hydrochlorothiazide
5. Before admin of beta blocker – Assess Apical
Pulse
6. Common side effect of Captopril
(Angiotensin-converting enzyme drug) –
Constant irritating cough
7. Losartan action (Angiotensin II receptor
blocker) – Block Angiotensin II from Angiotensin
I receptors