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Exam (elaborations)

NR565 WEEK 6 Exam-Questions with Correct Answers/ Verified

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Methylxanthines Who is at risk for toxicity and why? Older patients are at much higher risk for toxicity when taking methylxanthines. Systemic anticholinergics are included in Beers Criteria for Potentially Inappropriate Use in Older Adults; they should not be substituted for inhaled anticholin...

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  • August 22, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR565
  • NR565
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MikeHarris
NR565 WEEK 6 Exam-Questions with Correct Answers/
Verified
Methylxanthines



Who is at risk for toxicity and why?



Older patients are at much higher risk for toxicity when taking methylxanthines.



Systemic anticholinergics are included in Beers Criteria for Potentially Inappropriate Use in Older
Adults; they should not be substituted for inhaled anticholinergics



These drugs are contraindicated for patients with untreated seizure disorders or peptic ulcer
disease.



Use with caution in patients with heart disease (can exacerbate dysrhythmias), liver dysfunction
(increased risk for toxicity), peptic ulcer disease (can exacerbate condition), or seizure disorders (can
exacerbate seizures).




Asthma & COPD



Step 1 therapy



Complete this sentence: Manage with a ______ as needed.



SABA




symptoms associated with mild persistent asthma



Symptoms: More than 2 d/wk but less than daily

, nighttime awakenings:



3–4 times/month



SABA use= more than 2 days/week but less than daily AND no more than 1 time on any day.



Effect on activity= minimal activity limitation.



Risk for exacerbations requiring systemic glucocorticoids= 2 or more times/6 months OR wheezing
lasting more than 1 day 4 or more times/year (2 or more times/year for 5 y.o. & up).




symptoms associated with moderate persistent asthma



Symptoms: Daily



nighttime awakenings:



3-4 times/month More than once/week but less than nightly



SABA use= daily.



Effect on activity= some activity limitation.



Risk for exacerbations requiring systemic glucocorticoids= increased frequency & intensity of



exacerbations or wheezing.

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