Pharmacology Final Keiser University 2023 Exam

*VACCINES* *Teaching points for parents regarding reactions:* • Proper dose, timing, & preparation • fore soreness or low grade fever = take Tylenol • Apply heat to injection site for pain {Ans: Common reactions= • Local reactions = discomfort, swelling, erythema (redness), irritation, pain • Fever Adults = in deltoid Children = vastus lateralis (thigh)} {Ans: * Types of Thyroid Dysfunction:* *Hypothyroidism =* • Absence of thyroid gland • Lack of sufficient iodine in diet • Lack of sufficient functioning thyroid tissue •Lack of TSH due to pituitary disease •Lack of TRH R/T tumor or disorder of hypothalamus * Hyperthyroidism =* • Excessive amount of thyroid hormone production in circulation}*Vasopressin Receptor Antagonists = * • Conivaptan (Vaprisol) • Tolvaptan (Samsca) {Ans: INDICATIONS: Hypervolemic or euvolemic hyponatremia A/E = Polyuria Blood pressure changes Hyperglycemia Arrhythmias NURSING CONSIDERATIONS: • Monitor fluid volume (I & O) • Monitor urine & serum osmolality, urine specific gravity, CBC, electrolytes, glucose, hepatic & renal function tests • Monitor VS, ECG, weight • Monitor condition of nasal passages • Provide thorough patient teaching}*Malignant hyperthermia =* {Ans: a serious adverse effect with nondepolarizeng neuromuscular junction-blocking agents characterized by: • extreme muscle rigidity/spasticity • severe