100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NU 578 Unit 4 Exam with All Correct Answers (Newest Version) $12.49   Add to cart

Exam (elaborations)

NU 578 Unit 4 Exam with All Correct Answers (Newest Version)

 17 views  0 purchase
  • Course
  • NU 578
  • Institution
  • NU 578

NU 578 Unit 4 Exam with All Correct Answers (Newest Version) Steroid SE - Answer- SE: Osteoporosis (decreased calcium absorption and bone demineralization), ulcers from increased acid secretion, hyperglycemia, hyperlipidemia, fat predisposition, growth retardation, adrenal suppression, decreased w...

[Show more]

Preview 2 out of 9  pages

  • September 25, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NU 578
  • NU 578
avatar-seller
Scholarsstudyguide
NU 578 Unit 4 Exam with All Correct
Answers (Newest Version)

Steroid SE - Answer- SE: Osteoporosis (decreased calcium absorption and bone
demineralization), ulcers from increased acid secretion, hyperglycemia, hyperlipidemia,
fat predisposition, growth retardation, adrenal suppression, decreased wound healing,
immunosuppression (increased infections), hypertension, increased CNS excitation,
menstrual irregularities

Steroid DDI/ Contrainducations - Answer- Interactions related to potassium loss: steroid
increase urinary loss of potassium and can induce hypokalemia.
Digoxin: causes hypokalemia
Diuretics: potassium loss
NSAIDS: increases risk for GI bleeding and ulcers
Insulin and hypoglycemics: steroids cause increased BG
vaccines: can decrease antibody response to vaccines.

Contraindication: systemic fungi infections and those receiving live virus vaccines

Cyclosporine - Answer- an immunosuppressive drug used to prevent rejection of
transplant organs, can reduce symptoms of RA. can cause kidney damage and other
serous adverse effects. reserved for severe progressive RA that has not responded to
safer drugs.

Dexamethasone - Answer- Given PO. used to diagnose Cushing's and replacement
therapy. ALL PO meds are given in the AM to mimic boys normal release(chronic
therapy) or by a taper pack.

COX 1 and Cox 2 inhibitors - Answer- Most NSAIDS inhibit both.
COX 2: inhibition causes renal impairment and promotes mMI and stroke secondary to
suppressing vasodilation, suppression of inflammation, alleviation of pain, reduction of
fever, protect aginast colorectal cancer
Inhibiting COX1: can protect against MI and stroke, gastric errosion, bleeding
tendencies,

First generation NSAIDS - Answer- inhibit cox1 and cox2 and treat inflammatory
disorders, mild pain, suppress fever, relieve dysmenorrhea. cannot suppress
inflammation without risk for serious harm. (aspirin)

, Celecoxib - Answer- cox2 inhibitors. less effect on clothing time and GI bleed. at risk for
heart attack and stroke if discontinue.

NSAIDS - Answer- work by inhibiting cyclooxyrgenase, an enzyme necessary for
synthesis of prostaglandins and thromboxane A2. They are used to mediate pain,
inflammation, clot formation, vasoconstriction, vasodilation, platelet aggregation, fever,
integrity of gastric mucosal barrier, renal homeostasis, labor and patience of ductus
arterioles.

NSAID USE/ AE - Answer- anti-inflammatory, analgesic, antipyretic, anti platelet.

AE: gi upset, bleeding, ulceration, increased bleeding time (7-12 days with aspirin and
ibuprofen for 1) due to effects of platelets, renal effects including decreased GFR, salt
and water retention.

Aspirin DDI - Answer- anticoagulants (warfarin, hepatic), glucocorticoids, alcohol
(stomach bleeding warnings), other NSAIDS, ACEI and ARBS (impair renal function),
vaccines.

Melocicam - Answer- used for arthritis

celecoxib use - Answer- arthritis, acute pain, dysmenorrhea

selective cox 2 inhibitor. use off label for rare genetic disorder known as familial
adenomatous polyposis. no cardiovascular benefits bc does not block cox 1

AE: Gastroduodenal ulcerations, MI, stroke, renal impairment, sulfonamide allergy, don't
use in pregnancy.

Methotrexate - Answer- Reduces symptoms of RA in 80% of patients but takes 3-6
weeks to work. Works by suppressing b and t lymphocytes.
SE: hepatic fibrosis, bone marrow suppression, must monitor liver and kidney function.
DO NOT USE IN PREGNANCY

MONITOR FOR INFECTION AND FEVER. BBW FOR toxicities of bone marrow, liver,
lungs, kidneys, skin reactions.

Acute gout treatment - Answer- NSAIDS (indomethacin, naproxen), prednisone,
colchicine

Chronic gout treatment - Answer- Allopurinol, febuxostat, preobenicid, pegloticase
(given IV)
GI SIDE EFFECTS!!

Febuzostat - Answer- not recommended for patients younger than 16. expensive.
alternative to allopurinol. lowers rate levels in blood. symptoms may flare up during

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Scholarsstudyguide. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

78140 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart