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NURS 5334 ADV. PHARMACOTHERAPEUTICS, FINAL REVIEW

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  • NURS 5334
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  • NURS 5334

NURS 5334 ADV. PHARMACOTHERAPEUTICS, FINAL REVIEW

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  • October 4, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
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  • NURS 5334
  • NURS 5334
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AGRADEPROMASTER
NURS 5334 ADV.
PHARMACOTHERAPEUTICS, FINAL
REVIEW


Why0do0many0medications0lack0pediatric0dosing0information0in0their0drug0labeling?
A.0Most0medications0are0not0used0in0pediatric0patients.0
B.0There0is0a0lack0of0evidence-
based0literature0on0the0safe0and0effective0use0of0medications0in0children.
C.0The0FDA0does0not0allow0pediatric0dosing0information0in0product0labeling.0
D.0Only0products0available0as0oral0liquid0formulations0are0required0to0contain0pediatric0d
osing0information0in0their0labeling.0-0ans--✔✔B.0There0is0a0lack0of0evidence-
based0literature0on0the0safe0and0effective0use0of0medications0in0children.

Why0are0Neonates0at0greater0risk0for0toxicity0with0highly0protein-bound0drugs?0
A.0Protein0binding0is0decreased0in0neonates0increasing0the0amount0of0free0drug0availabl
e.0
B.0The0protein-bound0drugs0are0not0eliminated0effectively0in0neonates.0
C.0Neonates0are0unable0to0metabolize0these0highly0protein-bound0drugs.0
D.0Protein0binding0is0increased0in0neonates,0making0measurement0of0serum0levels0of0the
0drug0inaccurate.0-0ans--

✔✔A.0Protein0binding0is0decreased0in0neonates0increasing0the0amount0of0free0drug0avail
able.

At0what0age0are0adult0levels0of0renal0function0achieved?0•
A.060months0
B.0120months0
C.0240months0
D.030years0old0-0ans--✔✔B.0120months

What0is0the0list0that0identifies0drugs0with0a0high0likelihood0of0causing0adverse0effects0in0t
he0elderly?0
A.0No0use0list0
B.0Beers0list0
C.0Pharmacists0list0
D.0Adverse0drug0list0-0ans--✔✔B.0Beers0list

, In0pediatric0patients0gastric0acidity0does0not0reach0adult0values0for0______0-0ans--
✔✔20Years

The0principles0underlying0complication0to0drug0therapy0in0the0elderly0include___,0____,0_
___,0and0____.0-0ans--
✔✔altered0pharmacokinetics,0multiple0and0severe0illnesses,0multiple-
drug0therapy,0and0poor0adherence.

Altered0absorption0of0drugs0in0the0elderly0may0result0in____drug0response0-0ans--
✔✔Delay

The0four0major0factors0that0can0alter0drug0distribution0in0the0elderly0include0_,0_,0_,0and0_
?0-0ans--
✔✔increased0body0fat,0decreased0percentage0of0lean0body0mass,0decreased0total0body0
water,0and0reduced0concentration0of0serum0albumin.

The0most0important0cause0of0adverse0drug0reactions0in0the0elderly0is___.0-0ans--
✔✔drug0accumulation0secondary0to0reduced0renal0excretion.

In0the0elderly,0the0proper0index0of0renal0function0is____.0-0ans--
✔✔creatinine0clearance0or0GFR

Name0factors0underlying0the0increase0in0adverse0reactions0in0the0geriatric0population:0-
0ans--✔✔•0Polypharmacy0

•0Severe0illness,0
•0multiple0pathologies,0
•0greater0use0of0drugs0that0have0a0low0therapeutic0index
•0Inadequate0supervision0
•0Poor0patient0adherence

What0is0maximum0amount0of0Sumatriptan0that0can0be0taken0in010day?0
A.01000mg0
B.02000mg0
C.03000mg0
D.04000mg0-0ans--✔✔B.02000mg

The0ability0of0the0anesthetic0to0penetrate0the0axon0membrane0is0determined0by030propert
ies.0What0are0they?0
A.0Molecular0size0
B.0Protein0binding0potential0
C.0Lipid0solubility0
D.0Degree0of0ionization0at0tissue0pH0
E.0Water0solubility0
F.0Degree0of0blood0flow0-0ans--✔✔A.0Molecular0size0
C.0Lipid0solubility0
D.0Degree0of0ionization0at0tissue0pH

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