MSN 571 ADVANCE PHARMA QUIZ 1 Questions and Answers Latest 2023
Prescriptive authority - Correct Answers legal authority granted to advanced practice nurses to prescribe medication; DETERMINED BY STATE LAW
Rational Drug Selection - Correct Answers based on individual patient and addresses dis...
MSN 571 ADVANCE PHARMA QUIZ 1 Questions and Answers
Latest 2023
Prescriptive authority - Correct Answers legal authority granted to advanced
practice nurses to prescribe medication; DETERMINED BY STATE LAW
Rational Drug Selection - Correct Answers based on individual patient and
addresses disease specific information: ONLY A GUIDELINE
Drug Selection - Correct Answers includes analysis of cost, guidelines, availability,
interactions, side effects, allergies, hepatic and renal function, need for
monitoring, special precautions i.e elderly
medication education basic components - Correct Answers medication name
purpose
dosing regimen
administration
adverse effects
any storage needs
associated labs testing
food & drug interactions
duration of therapy
medication adherence - Correct Answers barriers to adherence=
forgetfulness
lack of planning
cost
dissatisfaction
altered dosing
Phamacokinetics - Correct Answers study of drug movement throughout body
principles of pharmacokinetics - Correct Answersabsorption
distribution
metabolism
excretion
, Passage of drugs across membranes - Correct Answers- channels and pores
- transport systems (P-glycoprotein)
- direct penetration of the membrane
Absorption of drugs - Correct AnswersTransfer of drugs from site of
administration across cell membrane into the blood stream
factors that affect absorption of drugs - Correct Answersrate of dissolution- how
easy dissolves
surface area- >surface area moves faster
blood flow- >blood flow moves faster
lipid solubility - lipid easily cross membrane
ph partitioning -
Distribution of drugs - Correct Answersmovement of drugs from systemic
circulation to site of drug action
factors that determine drug flow - Correct Answersblood flow to tissues
ability to exit vascular system
ability to enter cell
Drug ability to exit vascular system - Correct Answerscapillary bed- typical
blood brain barreier
placenta drug transfer
protein binding - albumin
drug ability to enter cell - Correct Answersbinds with receptors on external
surface of cell membrane
drug metabolism - Correct Answersthe enzymatic biotransformation of a drug
structure
most occur in liver by P450 system
first pass effect - Correct Answersrapid hepatic inactivation of drug on its first pass
through liver
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