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NR 566 week 4 Questions & Answers 100% Correct!! $11.99
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NR 566 week 4 Questions & Answers 100% Correct!!
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treatment of obesity: evaluation of phentermine/topiramate - ANSWER Schedule IV drug indicated for chronic weight loss. Phetermine suppresses appetite which topirmate increses satiety. Most common side efrects are dry mouth, constipation, blurred vision, and numbness tingling. -serious effects a...

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  • September 4, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NR 566
  • NR 566

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NR 566 week 4 Questions &
Answers 100% Correct!!
treatment of obesity: evaluation of phentermine/topiramate - ANSWER Schedule IV drug indicated
for chronic weight loss. Phetermine suppresses appetite which topirmate increses satiety. Most
common side efrects are dry mouth, constipation, blurred vision, and numbness tingling.

-serious effects are memory loss, concentration, HTN, tachycardia, hypoglycemia



treatment of obesity: evaluation of phentermine/topiramate contraindications: - ANSWER Glaucoma
or hyperthyroid

-Should not be given with MAOI. Stop MAOI 2 weeks before starting.

-Carbonic anhydrase increases risk for metabolic acidosis

-diuretics that are not K+ sparing increases risk for hyperkalemia



Orlistat (Xenical) contraindications - ANSWER Malabsorption syndrome and cholestasis



Lorcaserin (Belviq) - ANSWER weight loss drug



Lorcaserin adverse effects - ANSWER HA, back pain, decrease lymphocytes and URIs, hypoglycemia
in diabetics



Lorcaserin adverse reactions that are less common - ANSWER Blood dye radios, cognitive
impairment, psychiatric disorders, priapism, HTN, valvular heart disease



Weight loss drugscontraindications for children - ANSWER Not recommended.

- orlistat is not approved for kids under 12

Diethylpropion and phentermine are not for children under 16



Orlistat (Xenical) - ANSWER - Is prescribed to morbidly obese pts to lose weight. It prevents
absorption of some of the fat in the pts diet.

, - The med should be taken 3 times/day within 1 hour of a meal



- Its a lipase inhibitor, not an appetite suppressor.



Orlistat (Xenical) adverse effects: - ANSWER Oily rectal leakage, sharting, fecal urgency, and fatty or
oily stools

-increased defecation and incontinence

-rare: severe liver damage —> itching, vomiting, anoxeria, dark urine, light colored stools

-acute pancreatitis and kidney stones



Weight loss drugs contradictions: pregnancy - ANSWER Not recommended

Can take diethylpropion- it's not teratogen; but neonates born to women who take this drug May
experience withdrawal



Weight loss drugs contradictions: breastfeeding - ANSWER Not recommended for all drugs



Weight loss drugs for older adults contradictions - ANSWER Those with renal impairment

-Naltrexone/bupropion should be limited to one tablet daily

- creatinine level is less than 50

-phentermine/topiramate should be limited to 7.5/46 capsule daily

-lorcaserin should not be given with 30 or less creatinine clearance



Nalrexone (ReVia) - ANSWER Decrease the ability opioid analgesics to relieve pain

-do not take within 2 weeks of a MAOI



Naltrexone/Bupropion (Contrave) adverse reactions - ANSWER N/v, constipation, HA, dizziness, and
insomnia, increase blood pressure, dry mouth, diarrhea, and discomfort, anxiety, and fatigue, SI
thoughts



Naltrexone/Bupropion (Contrave) black box - ANSWER SI, SI attempts in children, adolescents, and
young adults

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