HESI PHARM EXAM 2021

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1. Ibandronate (Boniva) Side effects  Oral S/E: Esophageal inflammation, reflux and ulcers, stomach pain, difficulty swallowing, nausea  Injectable S/E: Do not have GI side effects  Rare ... complication: Spontaneous femur fractures, kidney failure  Don’t take with Aspirin, NSAIDS, Antacids  Take with full glass of water, 1 hour after meals  Patient should be able to sit/stand for 1 hour 2. Lansoprazole (Prevacid) for GERD tell patient healing takes a few weeks (if no immediate results)  Ulcer and GERD relief usually within a week  Suppress gastric acid secretions and neutralizes gastric content, used to treat peptic ulcer and GERD  This PPI relieves symptoms faster and maintains healing better than H2 blockers 3. Atorvastatin diet: eat morning with breakfast foods like oatmeal, yogurt, banana. HDL should increase, LDL and total cholesterol decrease. 4. Mega Vit. C – 1,000 mg or more daily. Can be used for ascorbic acid deficiency. Excess doses can lead to diarrhea and urinary stone formation. Foods’s high in ascorbic acid include citrus fruits, tomatoes, strawberries, cantaloupe, and raw peppers. Abrupt withdrawal of megadoses of ascorbic acid may cause rebound deficiency. (F.A. Davis Company, 2015) add citrus into diet 5. FE (iron) supplement is given in the morning with orange juice 6. Restless leg syndrome may be caused by iron deficiency or vitamin D deficiency 7. Vitamin D OD – causes increased serum calcium levels (excessive vitamin D intake leads to excessive calcium absorption); normal serum Ca++ level is 8.4 – 10.5 mg/dL 8. Pilocarpine causes constriction, difficult to see at night 9. Antitussive Drugs used to stop or reduce coughing  Opioid and nonopioid  Used only for nonproductive co [Show More]

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