Pharmacology Exam 3 Review: Key Concepts and Medications, Exams of Pharmacology

A concise review of key pharmacology principles and medications, designed to aid in exam preparation. It covers essential topics such as diuretics, antihypertensives, antituberculars, antihistamines, decongestants, expectorants, antitussives, and various medications for asthma, thyroid disorders, diabetes, and adrenal insufficiency. The review includes important nursing considerations, side effects to monitor, and patient teaching points for each medication class. It also includes information about insulin types, onset, peak, and duration, as well as oral glycemic agents and their uses. This review is a valuable resource for nursing students preparing for pharmacology exams, offering a quick reference guide to essential drug information and clinical considerations. It also includes information about electrolyte imbalances, drug interactions, and contraindications, providing a comprehensive overview of pharmacology concepts.

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2024/2025

Uploaded on 09/09/2025

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NUR 210 Exam 3 Review
Principles of Pharmacology -
Galen
100% Guarantee passing score
What to know about Mannitol
- Monitor urine output
- EMERGENCY DIURETIC
Furosemide releases
- Potassium
- Sodium
Before giving Nifedipine
- Check BP
Hydrochlorothiazide you must monitor and report
- Fatigue and muscle weakness
- BP monitoring
How do you know if Furosemide is working?
- Clear breath sounds
Lisinipril adverse reaction to monitor for?
- Palpitations
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lOMoARcPSD|

NUR 210 Exam 3 Review

Principles of Pharmacology -

Galen

100% Guarantee passing score

What to know about Mannitol

  • Monitor urine output
  • EMERGENCY DIURETIC Furosemide releases
  • Potassium
  • Sodium Before giving Nifedipine
  • Check BP Hydrochlorothiazide you must monitor and report
  • Fatigue and muscle weakness
  • BP monitoring How do you know if Furosemide is working?
  • Clear breath sounds Lisinipril adverse reaction to monitor for?
  • Palpitations

Prazosin is used for:

  • African American monotherapy
  • Antihypertensive w/ low HR
  • BPH
  • COPD Metoprolol is contraindicated in which patients
  • Asthma 1 st^ generation antihistamines (diphenhydramine) patient teaching
  • Do not drive Second generation antihistamines cause
  • Less cholinergic effects Guinifenesin does what
  • Clears out secretions Oxymetazoline spray overuse can lead to
  • Rebound congestion Beta 2 bronchodilator (albuterol) adverse reaction to report
  • Tachycardia Non-selective A. Agonist bronchodilator monitoring priority:
  • Chest pain Montelukast patient teaching:
  • Prevents inflammation
  • Inhibits new thyroid hormone and returns to normal Prednisone high risk adverse reaction patients:
  • Diabetes Monitor:
  • Hypokalemia MEDICATIONS Anti- hypertensives ■ NO K+ on ACEIs & A2RBs ■ Monitor HR on BBs & CCBs ■ Take several weeks to start to work ■ Monitor HR/BP daily ■ NO OTC cold meds ■ Daily weights (report 2 lbs in one day or 5 lbs in a week) Valsartan
  • A2RB
  • Treats HTN, HF
  • DOES NOT CAUSE ACEI COUGH Prazosin
  • AAB
  • Treats HTN, HF, BPH
  • Monotherapy for A.A Lisinopril
  • ACEI
  • Treats HTN, HF
  • NO K+
  • NO spirolactone

Diuretics

  • Treat edema, HTN, fluid retention, pulmonary edema, renal dysfunction
  • Cause Orthostatic hypotension
  • Fluid/electrolyte imbalance
  • Hypokalemia
  • NO digoxin
  • Monitor I&Os
  • Monitor BP
  • Take in the AM
  • Get up slowly
  • Increase K+ Furosemide
  • Loop diuretic
  • Treats fluid retention, edema, HTN
  • Can cause hearing loss if pushed too fast
  • Ask about sulfa drug allergies
  • NO digoxin if hypokalemia is present Mannitol
  • Osmotic diuretic
  • Treats ICP, IOP
  • EMERGENCY Spironolactone
  • Potassium sparing diuretic
  • Treats HF, hepatic cirrhosis
  • NO K+ supplements or substitutes
  • NO ACEIs or A2RBs Hydrochlorthiazide
  • Isoniazid=1 hour before meals/ocular toxicity OTC cold meds
  • Rebound congestion with overuse
  • No more than a week Antihistamines
  • Large muscle IM
  • Dilute
  • Slow IV push
  • No alcohol
  • Diphenhydramine
  • Loratidine Diphenhydramine
  • Causes anticholinergic effects
  • Caution in asthma
  • AKA Benadryl Loratidine
  • Less cholinergic effects Oxymetazoline & Pseudophredrine
  • Nasal decongestants
  • Frequent use leads to tolerance & rebound congestion
  • No more than 5 days
  • Contraindicated in HEART ISSUES Guaifenesin
  • Expectorant
  • Treats common cold

Dextromethorphan/Hydrobromide

  • Antitussive
  • Suppress cough
  • NON- narcotic
  • NO grapefruit Montelukast
  • Leukotriene receptor antagonist
  • Treats bronchospasms and asthma Fluticasone & Salmetrol
  • Powder inhaler use
  • NOT A RESCUE
  • RINSE MOUTH Glucocorticoid/Mineralcorticoids
  • Monitor weights
  • Lung sounds
  • Monitor eletrolytes
  • DO NOT STOP abruptly
  • Avoid sick people
  • Take with food
  • Cause HYPOKALEMIA
  • Increase K+ supplements Fluticasone
  • Intranasal glucocorticoid
  • Treats allergic rhinitis
  • Short term use
  • Allergy season
  • NO REBOUND congestion Prednisone
  • Glucocorticoid
  • Treats asthma, UC, glomerulonephritis, organ rejection
  • RINSE MOUTH to prevent infection

Insulin

  • Fridge
  • Avoid high temperature storage
  • Monitor BS
  • Medical alert tag
  • Rotate sites Humalog Insulin
  • LISPRO
  • Lasts: 3-5 H
  • Peak: 30-90 minutes
  • Onset: 15-30 minutes
  • GIVE 5 MINS BEFORE MEAL Insulin Regular
  • Short acting
  • Lasts: 4-12 hours
  • Peak: 2-5 hours
  • Onset 30-60 minutes
  • CLEAR Insulin Glargine
  • Long acting
  • LANTUS=LONG
  • Lasts: 24 hours
  • Onset: 1 hour
  • BEDTIME NPH insulin
  • Lasts: 14-24 hours
  • Peak: 4-12 hours
  • Onset: 1-2 hours
  • Intermediate Glipizide/sulfonylureas
  • Treat DM 2
  • Avoid green tea Exenatide
  • Antidiabetic agent
  • Increases increntin hormones
  • Increases insulin
  • NOT INSULIN SUB
  • Treats DM 2
  • SQ
  • BID
  • Medical alert tag
  • Lowers AIC Metformin/ Biguanides
  • Treats DM 2
  • Metal taste
  • Lactic acidosis
  • HOLD MED 48 H before contrast dye