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Advance Pharmacy NR565 MIDTERM Questions And Answers 100% Verified.
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Advance Pharmacy NR565 MIDTERM Questions And Answers 100% Verified.
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Advance Pharmacy NR565 MIDTERMQuestions And Answers 100% Verified.
··tWhichtscheduletdrugstcantAPRNstprescribe?t-tcorrecttanswer.ttttScheduletII-V
·tWhotdeterminestandtregulatestprescriptivetauthority?t-
tcorrecttanswer.ttttNursetpractitionertscopetoftpracticetistdeterminedtbytstatetpracticetandtlic
ensuretlaws.
·tHowtdoestlimitedtprescriptivetauthoritytimpacttpatientstwithintthethealthcaretsystem?t-
tcorrecttanswer.ttttlimitedtauthoritytcreatestproblemstfortthetpatient.tThetpatienttistnottablettot
gettthetcarettheytneed
·tWhattaretthetkeytresponsibilitiestoftprescribing?t-
tcorrecttanswer.tttt1.tBetprudenttandtdeliberatetintyourtdecision-makingtprocess
2.tHavetatdocumentedtprovider-
patienttrelationshiptwithtthetpersontfortwhomtyoutaretprescribing
3.tDotnottprescribetmedicationstfortfamilytortfriendstortfortyourself
4.tDocumenttatthoroughthistorytandtphysicaltexaminationtintyourtrecords
5.Includetanytdiscussionstyouthavetwithtthetpatienttregardingtrisktfactors,tsideteffects,tortth
erapytoptions
6.tHavetatdocumentedtplantregardingtdrugtmonitoringtorttitration,tiftapplicable
·tWhattshouldtbetusedttotmaketprescribingtdecisions?t-tcorrecttanswer.tttt
PharmakinetiscstandtPharmodynamicstoftoldertadultst-
tcorrecttanswer.ttttdrugtaccumulationtsecondaryttotreducedtrenaltfunction
polypharmacyt(thetusetoftfivetortmoretmedicationstdaily)
greatertseveritytoftillness
presencetoftcomorbidities
usetoftdrugstthatthavetatlowttherapeutictindext(e.g.,tdigoxin)
increasedtindividualtvariationtsecondaryttotalteredtpharmacokinetics
inadequatetsupervisiontoftlong-termttherapy
poortpatienttadherence
- correcttanswer.tttt
t t
, ·tBeer'stCriteriat-
tcorrecttanswer.tttt•potentiallytInappropriatetMedicationt(PIM)tusetintoldertadults
•PIMtusetintoldertadultstduettotmedication-diseasetortmedication-
syndrometinteractionstthattmaytexacerbatetthetdiseasetortsyndrome
•medicationsttotbetusedtcautiouslytintoldertadults
•clinicallytsignificanttdrugtinteractionstthattshouldtbetavoidedtintoldertadults
•medicationsttotbetavoidedtortdosagetdecreasedtintthetpresencetoftimpairedtkidneytfunctio
ntintoldertadultst(AmericantGeriatrictSocietytBeerstCriteriatUpdatetExperttPanel,t2019)
CYP450t-
tcorrecttanswer.ttttManytmedicationstaretmetabolizedtthroughtthetlivertenzymetsystemtcalle
dtcytochrometP450t(CYP450).tMetabolizationtcantbetinhibitedtortinducedtbytdrugstandtonc
etthisthappenstdrug-drugtinteractionstcantoccur.
VISAtcredittcardtdepttInhibitstSpendingtontCKtandtGQt-tcorrecttanswer.ttttValproate
I-soniazid
S-ulfamids
A-miodarone
C-hloramphenical
Ketoconazole
G-rapefruittJuicet
Q-uinidine
CYP450tInhibitorst-tcorrecttanswer.tttt-
tDecreasestthetCYP450twhichtkeepstthetmedicationtintyourtbodytlongertwhichtcantcausetto
xicity
CYP450tINDUCERSt-tcorrecttanswer.ttttIncreasetCYP450ttotworktfastertcausest
Drugsttotleavetyourtbodytfaster.
InducerstfortPY450tChronictAlcholicstStealtPhentPhentandtNevertRefusetGreasytCarbst-
tcorrecttanswer.ttttChronictAlcoholicst
St.tJohnstWortt
Phenytoint
Phenobarbitalt
Nevirapine
tRefiampint
Griseofalvint
Carbamazepine
·tWhatthappenstwhentsomeonethastatpoortmetabolismtphenotype?t-
tcorrecttanswer.ttttMetabolizesttotslowtorttotfast.
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