NR 566 / NR566 Advanced Pharmacology Care of the Family Midterm Exam Review | ALready Rated A | Latest 2022/2023| Chamberlain
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Course
NR566 / NR 566 (NR566)
Institution
Chamberlain College Of Nursing
NR 566 / NR566 Advanced Pharmacology Care of the Family Midterm Exam Review
1. TB screening test? Next step if +?
• PPD
• >15mm, >10mm if prison, healthcare, nursing home, DM, ETOH, chronically ill, >5mm for AIDS, immune suppressed
• If + PPD --> do CXR.
2. For tre...
NR 566 / NR566 Advanced Pharmacology Care of the Family
Midterm Exam Review
1. TB screening test? Next step if +?
• PPD
• >15mm, >10mm if prison, healthcare, nursing home, DM, ETOH, chronically
ill, >5mm for AIDS, immune suppressed
• If + PPD --> do CXR.
2. For treatment of existing osteoporosis, the dose of alendronate
• 10 mg/day or 70 mg/week
3. Initial dosage for bone less prevention alendronate and risedronate
• 5 mg/day or 35 mg/week
4. For treatment of existing osteoporosis, the dose of risedronate
• 75 mg for 2 consecutive days or 150 mg once a month
5. Alendronate (Fosamax)
, • Therapy with 10 mg daily can increase bone density by up to 10% after 3
years and can decrease vertebral and hip fractures by 50%
6. Testosterone replacement therapy
• risk of prostate cancer
7. Testosterone replacement therapy
• Erythrocytosis is a risk; Hgb and Hct levels checked, expect increase first 6
mths, unless Hgb level higher than 17.5 g/dL, Hct higher than 54%, or both
suggests overtreatment or occasionally abuse. IM happens more than
transdermal. If the Hct is greater than 54%, therapy is stopped until the Hct
decreases to a safe level. The patient should also be evaluated for hypoxia
and sleep apnea. Restarting therapy at a reduced dose usually solves
problems.
8. Adults with vitamin B12 deficiency that is not pernicious anemia
• 1,000 mcg of oral cobalamin are given until normal B12 levels are achieved—
usually 6 to 12 weeks. In seriously ill patients, both vitamin B12 and folic
acid may need to be administered.
9. Who cannot get TRT
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