Psychiatric Nursing Knowledge and Interventions, Exercises of Nursing

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PMHNP Exam Reported Questions

images, pmhnp Questions

DBT (dialectical behavior therapy) - correct answer relaxation muscle prior to DBT

Greatest patient at risk for Violence - correct answer Substance abuse

EMDR (eye movement desensitization and reprocessing) - correct answer eye movement

desensitization and reprocessing

What is dissemination? - correct answer Getting the research information out to those who

need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article

What does a 17 on MMSE mean? - correct answer Moderate cognitive impairment

What is Tegretol in the CYP450 system? - correct answer Inducer -->will lower dose of Lamictal

and BCP's

What do BCP's do to Lamictal? - correct answer Inducer - will lower dose of Lamictal

What is a Type I research error? - correct answer There IS a difference but you say there isn't a

difference.

What is a Type II research error? - correct answer There is NO difference but you say there is a

difference.

What is pseudo-dementia? - correct answer Cognitive impairment secondary to depression that

clears when treated in the elderly. Dementia won't improve.

Is it normal for a 1 month old to have a palmar grasp? - correct answer Yes.

What is a drug 1/2 life? - correct answer The time it takes for 50% of a drug to be eliminated

from the body.

What 3 atypicals can be used with teens? - correct answer Zyprexa, Abilify, Seroquel - low doses

What is a risk of using Tramadol? - correct answer Serotonin Syndrome as it is very

serotonergic.

What is the allele seen in Asians that increase the risk of SJS? - correct answer HLAB-

When might you see toxic epidermal necrolysis? - correct answer With worsening of SJS

How many generations do you include for a genogram? - correct answer 1st degree - mother,

father, siblings 2nd degree - grandparents & cousins 3rd degree -

What does messenger RNA code for? - correct answer Amino Acids

What is epigenetics? - correct answer Factors that affect genes - environmental, smoking,

stress, etc...

What part of the brain is involved with OCD? - correct answer Basal Ganglia

Occipito-Frontal

What happens to the brain during adolescence? - correct answer Dendritic pruning

Emotions are controlled by amygdala By adulthood, PFC involved as well

When do males typically present with schizophrenia? - correct answer 10-25 yo

When do females typically present with schizophrenia? - correct answer 25-35 yo

What does Erythromycin to trileptal? - correct answer You will need to decreases the level

because Trileptal(inducer) and erythromycin is a inhibitor

ACE Inhibitors are the drug of choice for what? - correct answer Heart Failure

HTN

What are some psychiatric side effects seen with some asthma drugs - correct answer

Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor

What should you watch for with Tegretol? - correct answer Agranulocytosis and Hyponatremia

What are the 3 CK muscle enzyme tests? - correct answer CKBB, CKMM, CKMB

Which one of the 3 muscle enzymes are related to cardiac muscle damage? - correct answer

CKMB

What is the risk of a seriously elevated CKMB? - correct answer Polymyositis

Rhabdo

What is a normal CKMB? - correct answer 0.3 mcg/L

What psychoactives does Detrol interact with? - correct answer Topamax

KCL

Zonegran

What CN are you assessing when you have the patient shrug their shoulders? - correct answer

CN XI - Spinal Accessory

What do you see in labs with HIV & Dementia? - correct answer CD4 <

Viral Load is high <20% get it with antiretroviral treatment

What is the scoring with the Beck Depression Inventory? - correct answer Self-Report - 0-

0-13 - minimal 14-19 - mild 20-28 - moderate 29-63 - severe

What is sensitivity? - correct answer Helps rule-out disease = True Positive = Snout

What is specificity? - correct answer Helps rule-in disease = True Negative = Spin

What does a sed rate measure? - correct answer Inflammation (ESR - Erythrocyte

Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.

What is a normal sed rate or ESR? - correct answer 0-22 males

0-29 females

What is a retic count? - correct answer Measures % of reticulocytes in blood (immature RBC's)

Indicates whether enough RBC's are being produced by bone marrow.

What does a decreased retic count indicate? - correct answer Anemia - acute or chronic

bleeding

What does an increased retic count indicate? - correct answer Bone marrow disorder or Vitamin

Deficiency

What does an abnormal retic ount indicate in general? - correct answer Doesn't diagnose

anything. First step is ID source of the issue.

What happens when you mix tegretol and macrolides? - correct answer Increase tegretol levels.

What happens if a pregnant women takes Accutane? - correct answer Birth defects.

What labs do you get with RA? - correct answer Sed rate, RF, ANA, C reactive protein, CBC, CMP,

CRP - helps confirm diagnosis. CRP and ESR are both increased in RA but NOT in osteoarthritis.

Where does the NP Code of Ethics come from? - correct answer ANA

When do you assume informed consent? - correct answer Unconscious

Incompetent Life Threatening Situation

What are the legal ramifications of treating w/o informed consent? - correct answer Same as

with informed consent

Who can declare a patient incompetent and appoint a guardian? - correct answer Only a court

Does impaired judgment mean one is incompetent? - correct answer No.

Can an advanced directive ever be revoked? - correct answer Yes, at any time.

What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? -

correct answer Nothing. They are all the same.

Does the de facto rule of proxy apply in same sex marriages? - correct answer No.

How do Asians see HC providers? - correct answer As in a position of authority.

Expect to give instructions and help make decisions

What does it mean when an Asian patient does not make eye contact with the NP? - correct

answer SIgn of respect

What is the evil eye? - correct answer When a stronger or more powerful person looks at a

weaker person - often infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea, disturbed sleep, increased fussiness.

How do you protect from the evil eye? - correct answer Red ribbon on an infant

Amulet for adults

How do you treat for evil eye? - correct answer Access traditional healer + traditional care.

For there to be a duty to a patient, what must exist? - correct answer Relationship

What is a proximate cause? - correct answer Connection between A + B.

For there to be damages, what must exist first? - correct answer Negligence

What is an occurrence basis liability insurance? - correct answer "occurred" during the policy

period, no matter when the claim is brought against the insured

What is a claims made/based liability insurance? - correct answer provides coverage for a claim

that is brought within the policy period, no matter when the loss occurred.

Who sets the minimum requirements for NP's? - correct answer Board of Nursing

State

What are the various controlled substance classes? - correct answer Schedule I - nobody has

these - not good for health - heroin, PCP, MDMA, researchers can get it sometimes. Schedule II - Significant Abuse Potential - morphine, methadone, methyphenidate Schedule III - Moderate Abuse Potential - hydrocodone, codeine Schedule IV - Low Abuse Potential - benzo's, ambien, phentermine Schedule V - Very low abuse potential - anti-tussives, lomotil

What classes of CS's is the NP approved to prescribe? - correct answer Schedules III-V ONLY.

Where does 50% of healthcare funds come from? - correct answer The government

Who is eligible for Medicare? - correct answer >65 or under 65 with diability, ANY age with

renal disease.

What is incident to billing? - correct answer Means MD initiates treatment and NP is an

extension of the care and directly under the supervision of the MD. Allows NP to get reimbursed at 100% rather than 85%.

How are Medicaid benefits determined? - correct answer State determines qualification -

Partnership between State and Fed Govt. Must be impoverished

Must be US resident and low or very low income.

Can you have Medicare and Medicaid? - correct answer Yes, impoverished elderly but Medicaid

is always payor of last resort.

Is dental care included in Medicaid? - correct answer Yes, <21 gets basic dental as part of the

Medicaid plan.

What is the purpose of HIPAA? - correct answer National standards for electronic HC

transactions National ID for providers, health plans and employers. Not SIMPLY Confidentiality.

What must be signed prior to any healthcare in the state - correct answer Notice of Privacy

Practices Statement

What happens if a patient refuses to sign an ROI? - correct answer Can decline to treat

Health plan may condition enrollment on provision of consent

When is HIPAA not required? - correct answer Emergency treatment

Substantial communication barriers and consent is inferred Involuntary committment

Is it ok to announce a patient's name in a waiting room? - correct answer Yes, no other way to

give care.

Is it ok to leave a message on a patient's vm? - correct answer Yes, but should be limited.

What is the impact of steroid inhalers on children? - correct answer Slows bone growth and

may decrease ultimate height.

What is the long-term impact of using steroid inhalers? - correct answer Cataracts, glaucoma,

thinning of bones and skin

What is included in the treatment of fibromyalgia? - correct answer Sleeping meds

Antidepressants Pain meds

What psychoactives are first line treatment for fibro? - correct answer Cymbalta, Effexor

Elavil, Pamelor Lyrica, Gabapentin Ultram, Benzo's

What is the purpose of telepsychiatry? - correct answer Increase the ability to reach rural and

underserved areas.

What is the purpose of Motivational Interviewing? - correct answer Explore ambiguity

Maintain passive position

What is required for Medicare submission? - correct answer ICD 10 and narrative or CPT

What is the neurotransmitter problem in Schizophrenia? - correct answer Excess dopamine in

mesolimbic pathway.

What is the neurotransmitter problem in ADHD? - correct answer Dopamine, norepinephrine

and serotonergic dysfunction

What is the benefit of play therapy? - correct answer Don't have to confront emotions head on.

What neurotransmitters are involved in the bioamine hypothesis of depression? - correct answer

Noradrenaline Serotonin

Dopamine MAOi's inhibit MAO's which break down neurotransmitters so allow increase in the amount in the synapse.

How do you test CN XII? - correct answer Stick out your tongue.

What CN are you testing when you have a patient clinch their jaw and assess temporal muscles? -

correct answer CN V - Trigeminal

What are two important things to measure when using Zyprexa? - correct answer Lipid level

and abdominal circumference

What is included in the mini-cognitive exam? - correct answer Clock, memory questions from

MSE.

What is HIV related dementia often mistaken for, especially at the beginning? - correct answer

Depression What do you do when a patient is on tegretol and their ANC (Absolute Neutrophil count) <1000? -

correct answer Stop and repeat lab.

Normal is 1500-8000 mm

Can you take Buspar during pregnancy? - correct answer Category B - ok if really needed.

Can you take Klonopin during pregnancy? - correct answer Category C - avoid if possible; does

excrete into breast-milk and infant could get withdrawal symptoms.

What is the concern when prescribing Lamictal with Depakote? - correct answer Both are

CYP450 inducers of the other and therefore together will lower the level of both drugs.

Can asthma medications cause depression? - correct answer Yes.

If a patient has muscle pain and red urine with an elevated leukocyte esterase. What lab do you

order? - correct answer Microalbumin?

What is often common to patients with fibro? - correct answer Sexual abuse

How is telepsychiatry evaluated? - correct answer Outcome based - measure at intervals.

What happens with a patient taking Lithium and who gets dehydrated? - correct answer Levels

increase

What happens with a patient taking Lithium who decreases sodium intake? - correct answer

Levels increase

What happens with a patient taking Lithium and drinks a lot of water? - correct answer Levels

decrease If a patient takes Risperdal and develops NMS, which other atypical should you avoid in the future? -

correct answer Zyprexa

What happens when taking Lithium and NSAIDS? - correct answer NSAIDS can cause Lithium

levels to increase and for the patient to become toxic!

What medications are at risk to cause SJS in the Asian population? - correct answer HLAB-

Allele increase risks of SJS. Trileptal, Tegretol and other AED's.

Amgdyla - correct answer Fear, Anxiety, and Aggression

Neurotransmitter for Addiction - correct answer Dopamine and GABA

Neurotransmitter for Mood Disorder - correct answer Serotonin and norepinephrine

Which drug affects Carbamazepine/tegretol - correct answer Erythromycin will cause toxic

levels. Decrease Carbamazepine/tegretol

Signs and Symptoms of stimulant abuse - correct answer insomnia and tremor

Depakote check - correct answer HCG levels

Depakote causes - correct answer Spinal bifida

Grasp reflex. - correct answer an infantile reflex in which an infant closes her hand into a fist

when her palm is touched Stroking the palm of a baby's hand causes the baby to close his or her fingers in a grasp. The grasp reflex lasts until about 5 to 6 months of age.

Moro reflex. - correct answer The Moro reflex is often called a startle reflex because it usually

occurs when a baby is startled by a loud sound or movement. In response to the sound, the baby throws back his or her head, extends out the arms and legs, cries, then pulls the arms and legs back in. A baby's own cry can startle him or her and trigger this reflex. This reflex lasts about 5 to 6 months.

pincer grasp - correct answer 9 months

Uses thumb and index finger (pincer grasp) to pick up small objects like Cheerios.

Pt has MI looses his job stable on psych medications - correct answer Provide brief supportive

therapy

Latida and Geodon - correct answer Take with food

Moro reflex absent - correct answer Do xray

Health Care Policy Model - correct answer Access, Cost, Quality

Pt wants to stop medications - correct answer explore reason for stopping

Its their right

16 year old falls with the wrong crowd - correct answer Conduct disorder

change agent - correct answer the person formally in charge of guiding a change effort

Administrator

14 year old girl clenching her teeth - correct answer Cranial Nerve V-Trigeminal nerve

Infant dying - correct answer Give child to parents and comfort parents

borderline personality disorder Treatment - correct answer dialectical behavior therapy

Aggressive patient give - correct answer IM geodon

SIGECAPS of Depression - correct answer Sleep

Interest Guilt Energy Concentration Appetite psychomotor retardation Suicide

DIGFAST for mania - correct answer Distractibility

Indiscretion Grandiosity Flight of ideas Activity increase Sleep deficit Talking increase

5 year old tells u his brother sodomized him - correct answer Tell mom don't leave him alone

with patient and call CPS implement crisis

Just culture - correct answer "Just culture" model: proposed to reconcile the twin needs for no-

blame and appropriate accountability The focus is on identifying and addressing systems issues that lead individuals to engage in unsafe behaviors while maintaining individual accountability by establishing zero tolerance for reckless behavior. Distinguishes between Human error (e.g. slips), At-risk behavior (e.g. taking shortcuts), Reckless behavior (e.g. ignoring required safety steps). In a just culture, the response to an error or near-miss is predicated on the type of behavior associated with the error, not the severity of the event.

Child reports Sexual Abuse - correct answer Interview the young child and infants child with

parent

First sign of temprofrontal Dementia - correct answer Behavior and personalty changes

Tow amines related to depression - correct answer Serotonin and norepinephrine

Want to start an consulting firm what tool would be needed to show economic viability - correct

answer Revenue and expenses

Patient stopped smoking (Cessation) - correct answer Decreased Zyprexia

Promote resilience in schizophrenia for a patient that lives alone and doing well - correct answer

Refer to peer support

Spirit stick - correct answer Teach staff about culture competence

Problems in the parietal lobe can lead - correct answer Sensory-perceptual disturbances and

agnosia(inability to perceive objects) R-L confusion Difficulty writing (agraphia) Aphasia(difficulty of language)

PDSA cycle - correct answer For Plan-Do-Study-Act.

Describes how to test a change: by trying it, observing the consequences, and then learning from those consequences.

Appreciative Inquiry - correct answer an organizational change strategy that directs the group's

attention away from its own problems and focuses participants on the group's potential and positive elements

Appreciative Inquiry - correct answer an organizational change philosophy and process building

organizations around what works, rather than focusing on and trying to fix what doesn't work

Appreciative Inquiry (AI) - correct answer Identify the problem

Analyze the problem Generate Solutions Implement Best Solutions Discovery (Best of what is ) Dream (Wishes or dreams of Org)

Design (Decide what you want to change) Destiny (Make it happen, Implenting Change)

Appreciative Inquiry - correct answer Discovery (Best of what is )

Dream (Wishes or dreams of Org) Design (Decide what you want to change) Destiny (Make it happen, Implenting Change)

CIWA-Ar - correct answer Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised

9 item symptom rating scale, max score 67; <10 does not warrant intervention Hispanic patient lost his parent complain stomach ache his pop couldn't fix what do you do -

correct answer Validate his experience and provide care in a culturally specific way to that

patient

Native American wants his healer present - correct answer Involve mother of the patient and

healer, mom was cleared for you to involve her

16 year old shows up with mother for first therapy is - correct answer confidential mom sits in

lobby

Patient acts out due to missing session what do you do - correct answer You relate to childhood

abandonment and talk about it with the patient

How do you assess the competency of a medical procedure - correct answer Identify a pen and

recall 3 words Patient thinks someone has infiltrated the church because he watched it on TV 2 years ago, what

diagnosis - correct answer Delusional disorder

Increase ICP (signs and symptoms) - correct answer Baby Neuro cry

Menopausal woman - correct answer Hormone therapy and replacement

Patient on antidepressants for 3 weeks and attempted Suicide - correct answer Stop medication

immediately

You want to decrease seclusion on your unit who considered the primary change agent - correct

answer Unit staff

You are a lead NP over other NPs in a rural setting how would you go about the change - correct

answer Make online form and have them vote on it

16 year old refuse treatment - correct answer Send to psych specialist for acting out kids

Positive Trendelenburg Sign - correct answer Refer to Ortho/specialist

Pelvis drops to when patient raises one foot off the floor.

Drug affects Flonase - correct answer Zantac (Histamine 2 Blocker) Antagonist

Little boy wet his sheets, What kind of therapy would you suggest - correct answer Behavior

therapy

DDVAP acts in much the same manner as antidiuretic hormone. - correct answer Makes less

urine

Lithium level 1.2u what are you concerned with - correct answer 4+ Ketones

What does depakote do to Lamictal - correct answer Increase laminate 200%

Inducers of Cytochrome P450 (CYP450) - correct answer Barbiturates, phenytoin,

carbamazepine, rifampin, St. John's Wort A substance that speeds up a chemical reaction

Inhibitor - correct answer A substance that slows down or stops a chemical reaction

cytochrome p450 inhibitors - correct answer CRACK AMIGOS

Cimetidine Ritonavir Acute Alcohol Ciprofloxacin Ketoconazole Amiodarone Macrolides Isoniazid Grapefruit juice Omeprazol Sulfonamides

Carb and Barb - correct answer decrease INR

Deapkote and Disulfruram - correct answer Increase INR

GAL-Renall metabolized - correct answer Gabapentin Acamprostate Lithium

Grapefruit juice - correct answer One glass can reduce absorption by 47%

Blood levels will be Increased

Trazodone (Desyrel) - correct answer Get EKG.

Trazodone (Desyrel) - correct answer Get an eye exam can cause Glaucoma

Grapefruit juice or grapefruit - correct answer Increase trazodone

PICOT - correct answer Patient population of interest

Intervention of interest Comparison of interest Outcome Time

limbic system - correct answer A doughnut-shaped system of neural structures at the border of

the brainstem and cerebral hemispheres; associated with emotions such as fear and aggression and drives such as those for food and sex. Includes the hippocampus, amygdala, and hypothalamus.

Amygdala - correct answer A limbic system structure involved in memory and emotion, anxiety,

particularly fear and aggression.

PANDAS - correct answer Pediatric Autoimmune Neuropsychiatric Disorders Associated with

Streptococcal infections OCD

Mental Health Parity Act 1996 - correct answer ensure equal coverage for mental and physical

illness equal life time and annual limits

charge of DEA - correct answer state and federal

Stereogenesis - correct answer identify an object without sight

a sense that allows a person to recognize the size, shape, and texture of an object

Sterogenesis abnormality in - correct answer parietal lobe

Clozaril (Clozapine) - correct answer WBC-

ANC LESS than 1000 (950) dc medication

how treat child with depression - correct answer Zoloft and therapy

3 year old masturbates, plays with self, says naught things - correct answer normal for Piaget

NMS treatment - correct answer Dantrolene: MUSCLE RELAXTION

D2 agonists (e.g., bromocriptine). For NMS, think FALTER: Fever AMS Autonomic instability Leukocytosis Tremors Elevated CPK Rigidity

mesolimbic system - correct answer POSITIVE symptoms of schizophrenia due to high dopamine

negative symptoms of schizophrenia - correct answer the absence of appropriate behaviors

(expressionless faces, rigid bodies)

negative symptoms of schizophrenia - correct answer Decreased dopamine -mesocorticol

pathway

mesocortical pathway - correct answer VTA to prefrontal cortex

negative symptoms

Nigrostriatal pathway - correct answer EPS DUE TO LOW DOPAMINE IN THIS AREA

Communication from SnPC of the basal ganglia to the striatum (caudate + putamen) of the BG via DA; used to initiate movement

PDSA model - correct answer PLAN-

Do-carry out Study -examine results Act-decide what action

Tanner's stages - correct answer

Tanner stages - correct answer

MMSE (Mini Mental State Examination)- - correct answer Stage

May be Normal 25-30 Mild/Early 21-24 Moderate 10-21 Severe 0-9

A pt states that she has been raped. What do you do - correct answer ensure safety

Hamilton D score of 28 - correct answer Assess for Suicide

Hamilton Depression Rating Scale - correct answer 17-21 questions

0-7 Normal 14-18 Moderate

20 Severe Depression

Beck Depression Inventory (BDI) - correct answer 0-13 Minimal depression

14-19 Mild Depression 20-28 Moderate Depression

29-63 Severe Depression

Patient Health Questionnaire (PHQ-9) - correct answer 1-4 minimal

5-9 Mild depression 10-14 Moderate Depression 15-19 Moderate Severe Depression 20-27 Severe Depression A brief 9-item self-report questionnaire used as a screening tool to assess severity of depression; widely used by health care providers, in validity is well established, particularly for identifying severe depression.

Hamilton Anxiety Rating Scale (HAM-A) - correct answer 14-17 Mild Anxiety

18-24 Moderate Anxiety 25-30 Severe Anxiety

Yale-Brown Obsessive Compulsive Scale (Y-BOCS) - correct answer OCD

0-7 subclinical 8-15 Mild 16-23 Moderate 24-31 Severe 32-40 Extreme

PTSD (Post Traumatic Stress Disorder) - correct answer EMDR

Dilated pupils - correct answer Stimulant intoxication

constricted (pinpoint) pupils - correct answer Opiods

nystagmus - correct answer Phencyclidine

conjuctival injection, muchies (super hungry), psychomotor slowness? - correct answer

Marijuana

Marijuana - correct answer a drug, often smoked, whose effects include euphoria, impairment

of judgment and concentration and occasionally hallucinations; rarely reported as addictive

Boy states that he wishes to be a girl and tells you not to tell his parent s - correct answer Don't

tell

ODD what will you do to prevent it from becoming Conduct disorder - correct answer Therapy

to target mood and aggression

Herpes rooster 3 weeks later sleep difficulties and sad mood - correct answer Depression

Schizophrenia in males - correct answer 18-25 years old

Schizophrenia in Women - correct answer 25-35 years old

signs of amphetamine intoxication - correct answer Tears, Runny nose, restlessness, HTN,

Tremors, Insomnia

Co-morbidities of bipolar - correct answer Anxiety, alcohol and substance abuse

Big Freaking Problems - correct answer Bupropion Fluoxetine Paxil

Medicare - correct answer A federal program of health insurance for persons 65 years of age

and older

Medicare Advantage - correct answer a program by which eligible Medicare beneficiaries may

choose to receive their health care through a qualified managed care plan, which in turn receives capitation payments from Medicare for each enrollee

Medicare A, B, C, D - correct answer A: Inpatient services

B: Outpt services C: Private insurance can provide medicare benefits D: Drugs WATCHERS for GAD

3 of these *** for 6 months - correct answer worry

anxiety tension in muscles concentration hyperarousal energy loss, fatigue restlessness sleep trouble

Transtheoretical Model of Change - correct answer 1. Precontemplation

2. Contemplation
3. Preparation
4. Action
5. Maintenance

Man working at the Gym and his urine is Cherry color - correct answer order myoglobinuria

Latino women wanting prenatal class - correct answer Consult with cultural group in community

Anorexia - correct answer Set up family therapy

quasi-experimental design - correct answer Research method similar to an experimental design

except that it makes use of naturally occurring groups rather than randomly assigning subjects to groups.

The ventricle enlargement observed in clients with - correct answer schizophrenia is most often

accompanied by

Encopresis Treatment - correct answer Behavior management: toilet refusal behavior,

scheduled toileting time, incentives. Prevention of constipation Counseling

Medication that contradicts albuterol - correct answer Adderall (amphetamine /

dextroamphetamine) Advair Diskus (fluticasone / salmeterol) amoxicillin (Amoxil, Trimox, Apo-Amoxi, Moxatag, Amoxicot, DisperMox, Biomox, Moxilin, Wymox) Ativan (lorazepam) Atrovent (ipratropium) azithromycin (Zithromax, Azithromycin Dose Pack, Z-Pak, Zmax) Benadryl (diphenhydramine) caffeine Flonase (fluticasone nasal) ibuprofen ipratropium (Atrovent, Ipratropium Inhalation Solution, Atrovent HFA, Ipratropium Inhalation Aerosol) Lasix (furosemide) metoprolol (Metoprolol Succinate ER, Metoprolol Tartrate, Lopressor, Toprol-XL, Kapspargo Sprinkle) Mucinex (guaifenesin) oxycodone (OxyContin, Roxicodone, Xtampza ER, OxyIR, Oxaydo, Dazidox, Oxyfast, Oxecta, RoxyBond, Oxydose, Percolone, M-Oxy, ETH-Oxydose, Endocodone, Roxicodone Intensol) prednisone (Deltasone, Rayos, Sterapred, Prednicot, Sterapred DS, Liquid Pred, Meticorten, Orasone, Prednicen-M)