Medication Profile—Long Term Care

Date of admission: 7/18
Patient Name: Shoni Doe
Race: Hispanic
Address: 1122 Everywhere St.
Height: 5'4”
Age: 63
Weight: 110 lb
Gender: F
Allergies: Paxil®, Claforan®

Diagnoses
Primary: Congestive heart failure, hypertension
Secondary: Anemia, scarlet fever, depression, and hernia, constipation, neurogenic bladder

Admission orders
Date
Name and Strength
Route
Sig
1.
6/29
Antivert® 25 mg
PO
i tid
2.
6/29
Ditropan® 5 mg
PO
i qam
3.
6/29
Ditropan® 10 mg
PO
i qhs
4.
6/29
Protonix® 40 mg
PO
i qd
5.
6/29
Catapres 0.1 mg
PO
i qhs
6.
6/29
Lanoxin® 0.1 mg
PO
i qd
7.
6/29
Muro 128
Ophthalmic
i gtt ou qd
8.
6/29
Catapres® 0.1 mg
PO
i prn
9.
6/29
Milk of magnesia
PO
30 cc qd prn constipation
 
Use the patient profile above to answer the following questions.

1.
Which of the drugs prescribed to Ms. Doe will treat her neurogenic bladder?
A.
Ditropan®
B.
Antivert®
C.
Catapres®
D.
Protonix®
E.
None of the medications listed in her profile because neurogenic bladder cannot be treated


2.
If you were given her admission orders to fill, which drugs would you call her physician about a possible drug-drug interaction?
I. Antivert®–Ditropan®
II. Catapres®–Lanoxin®
III. Antivert®–Lanoxin®
A.
I only
B.
II only
C.
III only
D.
I and II
E.
II and III


3.
What drugs is this Ms. Doe taking to treat her congestive heart failure?
I. Lanoxin®
II. Antivert®
III. Catapres®
A.
I only
B.
II only
C.
III only
D.
I and II
E.
I and III


4.
Which mechanism of action best describes how Catapres® helps Ms. Doe's hypertension?
I. Reduces sympathetic outflow, producing a decrease in vasomotor tone and heart rate
II. Stimulates alpha2-adrenoceptors in the brain stem
III. Dilates the lungs
A.
I only
B.
II only
C.
III only
D.
I and II
E.
I and III


5.
If you were given the admission orders to fill, which drug would you call about because of failure to provide a diagnosis?
I. Protonix®
II. Antivert®
III. Muro 128
A.
I only
B.
II only
C.
III only
D.
I and II
E.
I, II, and III


6.
You should take into account the Claforan® allergy this patient has, if you were asked to fill a prescription for this patient for
A.
Rocephin®
B.
Zoloft®
C.
Pamelor®
D.
Tegretol®
E.
Naprelan®


7.
Drug therapy for acute or severe congestive heart failure consists of
I. Diuretics
II. Positive inotropes
III. Arterial vasodilators
A.
I only
B.
II only
C.
III only
D.
I and II
E.
I, II, and III


8.
FDA approved uses for Protonix® include
I. Short-term treatment of erosive esophagitis associated with GERD
II. Acid indigestion
III. Sour stomach
A.
I only
B.
II only
C.
III only
D.
I and II
E.
I, II, and III


9.
Dosage forms available for Catapres® include
I. Injection
II. Patch
III. Tablet
A.
I only
B.
II only
C.
III only
D.
I and II
E.
I, II, and III


10.
If this patient were to be given Lanoxin® IV, the dosage would have to be
A.
Increased by 20%
B.
Decreased by 20%
C.
Increased by 40%
D.
Decreased by 40%
E.
No adjustment would be necessary


STOP This is the end of the test. When you have completed all the questions and reviewed your answers, press the button below to grade the test.