Exam (elaborations)
NSG 533: PHARM EXAM 2 QUESTIONS AND ANSWERS 2024
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NSG 533: PHARM EXAM 2 QUESTIONS AND ANSWERS 2024
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NSG 533: PHARM EXAM 2If you had a male patient w/ osteoporosis, what could you recommend as a 1st
line treatment?
Bisphosphonates are considered 1st line therapy in male patients w/
osteoporosis.
What medication would you recommend for a patient who has symptomatic
hyperuricemia and is an over-producer and under excretor:
Allopurinol is the medication of choice for symptomatic hyperuricemia and for
over-producers and under excretors.
What doses of calcium and vitamin D would you recommend for a patient based
on their age?
Men: 51-70: 1,000 mg calcium
Woemn 51+/ Men 71+: 1,200mg calcium
Men/ Women 50+: 800-1000 iu vitamin D
Know current treatment guidelines of The American College of Rheumatology for
the tx of OA:
-lifestyle modifications
,-PT
-heat/ cold therapy
-oral NSAIDs, topical NSAIDs on superficial joints
-APAP
-tramadol
-duloxetine
Know which herbal/ OTC product is commonly used in the tx of OA
Glucosamine and chondroitin
Know all about tramadol; how it works, daily dose limits, interactions and side
effects:
-centrally acting synthetic opioid
-weak SSRI/ SNRI
, -can cause dizzinesss, vertigo, N/V, lethargy
-seizures reported; dose related, more so with TCAs and other SSRIs
-risk for SEROTONIN SYNDROME
-Max 200mg/ day
Understand when you would initiate prophylaxis therapy in a patient w. gout (you
would not typically recommend prophylaxis for a patient experiencing symptoms
for the first time):
-patients with 2 or more flares/ year
-radiographic evidence attributable to gout
-or one subcutaneous tophi are candidates for prophylaxis treatment
What meds could you recommend for prophylaxis?
Allopurinol is generally well tolerated, effective and affordable and treats
overproduction of uric acid and underexcretion of uric acid.
Febuxostat was found to be less effective in people with CVD.
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