pharma 4 exam
how long does it take to achieve full pain relief from topical lidocaine
20 to 60 minutes
no how long you should observe a patient after an immunization for evidence of anaphylaxis
30 minutes
when is the peak serum level drawn on a patient receiving gentamicin
30 minutes after completion of a 30 minute IV administration immediately after 60 minutes he administration and 45 to 60 minutes after and IM administration
know which anti-infective agent is most reliable in treating pseudomonas
Aminoglycoside
know what sources must accurate regarding immunization guidelines
CDC
know what you as the nurse should recommend to a patient after receiving their annual flu vaccine and they report pain at the injection site
acetaminophen
alternative medications will be used when giving propofol to achieve what effect that that propofol does not provide
analgesia
what medication should your patient avoid taking concurrently with ciprofloxacin
antacids
how vecuronium induces paralysis to facilitate innovation and balance anesthesia
antagonizing acetylcholine receptors at neuromuscular junctions
when would you encourage the patient to take sumatriptan for migraines
at the onset of the migraine
what change in status is a possible indication of hypersensitivity to lidocaine
audible wheezing respiratory issues
why you will monitor the results of a serum gentamicin level
avoid renal toxicity to identify whether the drug is at a therapeutic level
what local anesthetic is contraindicated for local infiltration during pregnancy
bupivacaine
how was spinal anesthesia be delivered
by injecting local anesthetic into the spinal fluid
what patient diagnosis would you use extreme caution with gentamicin
chronic renal failure secondary to diabetes mellitus
know what medication would be contraindicated to give a patient a live vaccine
contraindicated if the patient is taking steroid therapy/probably prednisone
what are possible adverse effects related to MMR vaccine you would teach a child parents to look for
cough fever
in post anesthetic recovery what adverse effect should you look for when ketamine was given
delirium and agitation
how you would respond to a patient who developed a pronounced rash after the first dose of ciprofloxacin iv
discontinue the IV and inform the provider immediately
know what medication should be available when administering the mumps vaccine to a child
epinephrine for allergic reactions
why lidocaine and epinephrine are used for local anesthesia
epinephrine prolongs lidocaine's effects
how often should a patient be administered a tetanus vaccine
every 10 years
how often should seniors get the flu vaccine
every year
what medication for migraines might cause the patient to develop decreased platelet aggregation resulting in bruising
ferverfew
what is the advantage of a fluoroquinolone over an aminoglycoside
fluoroquinolone can be given orally
what is I and D
incision and drainage
how does naproxen that is given for migraine achieve its therapeutic effect
inhibits prostagladin synthesis of cox 1 and Cox 2
how does lidocaine administered for I and D
injection
what are the symptoms of LAST
intensely anxious and agitated
the most appropriate route to administer an immunization that contains aluminum phosphate
intramuscular IM
the indication phase of general anesthesia is achieved
intravenous administration of anesthetics
what is the action of an aminoglycoside
it inhibits bacterial protein synthesis
how to describe what happens when an infant is getting an immunization
it is the administration of an antigen for an antibody response
what medication is given for malignant hyperthermia
iv of dentrolene sodium
arthralgia
joint pain
what is l a s t
local anesthetic systemic toxicity
what is the action of sumatriptan
medication causes vasoconstriction on cranial blood vessels
what type of reaction is a patient having when presenting with a fever and arthralgia 4 days after tetanus vaccine
mild serum sickness type 3 immune complex mediated hypersensitivity
what should you instruct your patient not to do after they have been given oral lidocaine
not to eat or drink for an hour
what should you do if you get an order for parental administration of lidocaine before surgery
notify the provider this should be performed by healthcare provider or a nurse anesthetist
know what kind of immunity the hepatitis b series provides
passive artificial immunity
know who should not receive a live vaccine
pregnant immunocompromised age 50 and older
know how spinal propane induces anesthesia
preventing the influx of sodium into nerve cells
what is the adverse reaction of midazolam when given for conscious sedation
respiratory depression
know what the risk is to the patient who receives the rubella immunization while pregnant
risk of birth defects
no which immunization is no longer recommended for administration
smallpox vaccine
what medication is contraindicated with frovatriptan
ssris (ine) like fluoxetine sertraline and paroxetine
which aminoglycoside is used for a 4 to 6 drug regime for multi drug resistant TB
streptomycin (sulfate)
what is the adverse effect of proccain
tachycardia
how will the addition of nitrous oxide or IV anesthetics affect the minimum alveolar concentration of isoflurane
the Mac will decrease
know what the post antibiotic effect of gentamicin therapy is
the ability of an antibiotic to kill bacteria even when serum concentrations are low
know why you will monitor the results of a serum gentamicin level
to avoid renal toxicity and to identify whether the drug is at a therapeutic level
why the anesthesis administers vecuronium
to ensure the client does not move during surgery
no which vaccine should be administered to a 79 year old patient to prevent herpes zoster
zostavax shingrix
