NR565- Advance Pharmacology Questions and Correct Answers the Latest Update and Recommended Version
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Course
NR565
Institution
NR565
Which schedule drugs can APRNs prescribe?
→ II-V
Who determines and regulates prescriptive authority?
→ State Board of Nursing
How does limited prescriptive authority impact patients within the healthcare system?
→ Longer wait times to sign a prescription
→ Limit practitioners that ar...
NR565- Advance Pharmacology
Questions and Correct Answers the Latest
Update and Recommended Version
Which schedule drugs can APRNs prescribe?
→ II-V
Who determines and regulates prescriptive authority?
→ State Board of Nursing
How does limited prescriptive authority impact patients within the healthcare system?
→ Longer wait times to sign a prescription
→ Limit practitioners that are needed in rural areas
→ Unequal relationships between providers.
→ Independent practitioners= more patients being seen= lessens the patient/provider
load
What are the key responsibilities of prescribing?
→ Safe and competent practice
→ Understanding of the drugs, reactions, and pharmacology
→ Be aware of the age group you are prescribing to
What should be used to make prescribing decisions?
→ Documented provider-patient relationship
→ Not prescribing for family or friends
→ Documenting a thorough H&P, including discussions with the patient, and drug
monitoring/titrating.
→ Cost, guidelines, availability, interactions, side effects, allergies, hepatic and renal
function, need for monitoring, and special populations
Be familiar with pharmacokinetic and pharmacodynamic changes of older adults and how that
would translate to baseline information needed to prescribe.
→ increase glomerular filtration rate leads to increase drug excretion
→ increase hepatic metabolism
→ decrease tone and motility of bowel
→ increase drug absorption
Beer's Criteria- What is it and Why is it important
→ Recommendations of medications inappropriate for elderly (65 and older)
→ Prevents adverse drug reactions
Impacts/outcomes of polypharmacy
→ -increase risk for medication interactions
CYP450 inhibitors
o Examples
o What do they do?
o What do they cause if not used correctly? (aka: What would the patient experience?)
→ inhibit metabolism, increase blood levels of medications
→ Examples
→ Valproate, isoniazid, sulfonamides, amiodarone, chloramphenicol, ketoconazole,
grapefruit juice, quinidine
→ "VISA credit card debt INHIBITS spending on designers like CK to look GQ"
o What do they cause if not used correctly? (aka: What would the patient experience?)
→ Speed up metabolism of drugs (drug is cleared faster), drug has lesser effect
(decrease blood levels of drug)
→ Examples
→ Barbituates, St John wort, Carbamazepine, rifampin, alcohol, phenytoin, griseofulvin,
phenobarbital, sulfonylureas
→ "Bullshit Crap GPS INDUCES rage"
What happens when someone has a poor metabolism phenotype?
→ medications metabolized slower, medication might not work or put them at risk for
side-effects
What does the U.S. Food and Drug Administration regulate when it comes to medications?
→ Whether the drug is safe, effective, and benefits of a drug outweigh the risks
Reasons for medication non-adherence
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