You can mix regular insulin (Humalog) with ___ insulin.
What labs should you monitor for when giving Enoxaparin?
CBC: H&H, platelet count
What labs should you monitor when giving Digoxin?
Potassium (Low K can potentiate dig toxicity
Metoclopramide (Reglan) is used for both delayed gastric emptying, GERD, and as an antiemetic. What can long term use be associated with using it?
Tardive Dyskinesia: uncontrollable movements around the face and cheeks, fingers or neck
Why should Lithium and NSAIDS like ibuprofen not be taken together?
Lithium is cleared renally, and NSAIDS and other drugs that decrease renal blood flow can cause lithium toxicity.
What expected meds are given to moderate or severe asthma exacerbations with diminished VS?
Systemic corticosteroids (Solu-Medrol)
Why is a baseline TST (TB test) done before initiating TNF inhibitors (tumor necrosis factor) drugs?
TNF drugs inhibit the inflammatory response and cause immuno - suppression. Latent TB patients must be treated with antitubercular agents or TB reactivation would occur.
Should Methylphenidate (Ritalin) be taken in AM or HS?
It should be given no later than 6pm as it can interfere with sleep.
What's the number of hours peak time is regular insulin?
2-5 hours subq
What is the indication for IVIG in Kawasaki dz in kids?
For prevention of coronary aneurysm and subsequenmt occlusion; given with aspirin therapy
1. When taking levothyroxine for hypothyroidism during pregnancy, symptom relief will begin approximately when?
2. Can you take prenatal vitamin along with it?
3. How should it be taken? In the AM or PM? With or without food?
1. 3-4 weeks
2. No. They can contain iron that affect absoprtion.
3. It should be taken in the AM on an empty stomach
This drug requires good oral hygiene with a soft-bristle toothbrush and regular dentist visits. Otherwise gingival hyperplasia (overgrowth of gum tissues), especially in high doses can occur.
Hint: it is used for seizure disorders
When should a patient take his Simvastatin?
A. Most effective in the evening or at HS
What is the indication for Filgrastim with a patient who received Chemotherapy?
Increase their neutrophil count.
List conditions that can increase lithium levels in a patient that can lead to toxicity?`
Severe renal dysfunction
T or F: Rifampin, TB drug, can cause red-orange discoloration of body fluids. It is not concerning
T or F: A patient who experiences coughs when taking ACE inhibitors can take cough suppressants to relieve their symptom.
False: cough supressants won't help with this kind of cough
This type of abx can cause prolonged QT intervals, leading to Torsades.
Macrolides (azithromycin for ex)
List the therapeutic range of lithium
0.6 - 1.2
>1.5 and/or presence of even mild symptoms must be reported
Can ACE inhibitors increase or decrease potassium?
Increase by decreasing urinary potassium excretion
What test should be done prior to starting statin meds?
Liver function tests
Isotretonoin is for severe acne. Which vitamin supplement is contraindicated when taking this med?
Vitamin A: the med is derived from Vitamin A, and taking supplements can lead to toxicity