Thompson River University (TRU ) • Nursing
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NR566 Week 5 Study Outline 
Chapter 18: Drugs Affecting the Hematopoietic System 
•	Know the pharmacodynamics, pharmacotherapeutics clinical use, drug interactions and adverse drug reactions for: 
 
Anticoagulants 
 
•	Pharmacodynamics 
•	Oral anticoagulants such as warfarin (Coumadin) inhibit the hepatic synthesis of several clotting factors, including factor X. 
•	Heparin inhibits the activity of several activated clotting factors by accelerating the activity of antithrombin III. 
...
	Clinical signs & symptoms, risk factors, associated symptoms, and diagnosis 
o	HYPERTHYROIDISM (Thyrotoxicosis) 
	Grave’s disease- common etiology of hyperthyroidism 
	Autoimmune disease characterized by generation of abnormal IgG autoantibodies to thyroid peroxidase and thyroglobin -> binds to the TSH receptors -> activating excessive glandular growth and hormone production. 
	S/Sx: 
	heat intolerance 
	heightened sensitivity to SNS stimulation 
	nervousness 
...
NR566 Week 2 Study Outline 
Chapter 17: Drugs Affecting the Respiratory System 
Bronchodilators: 
 
Beta 2 Receptor Agonists (B2RA): Short and long acting beta agonists 
•	B2RA widely used in all ages to treat reversible bronchoconstriction caused by reactive airway disease (RAD) or COPD 
•	Bronchodilators 
•	Short-acting beta agonists: Albuterol (ProAir, Ventolin, Proventil) , metaproterenol (Alupent), terbutaline (Brethine, Brethaire), bitolterol (Tornalate), pirbuterol (Maxair)...
Quiz 1 
1. In meeting the safety needs of the adolescent client, it would be most important for the nurse to focus her teaching on: 
A.	Smoking 
B.	Sports injury 
C.	Alcohol abuse 
D.	Drivers education 
 
2. When implementing the use of restraints on a hospitalized client the nurse should. 
a.	Restrain all confused clients so they do not sustain a fall injury 
b.	Tie restraint to bottom of the side rail so the client can’t reach 
c.	Ensure that the primary care provider renews orders every 2...
CHAPTER 17: DRUGS AFFECTING THE RESPIRATORY SYSTEM 
 
SHORT-ACTING BETA AGONISTS 
	Albuterol (Ventolin), metaproterenol (Alupent), terbutaline (Brethine), bitolterol (Tornalate), pirbuterol (Maxair), levalbuterol (Xopenex) 
 
LONG-ACTING BETA AGONISTS 
	Arformoterol (Brovana), salmeterol (Serevent), formoterol (Foradil), indacaterol (Arcapta Neohaler) 
	Associated risk for intubation and death. 
	Should not be used alone- used in combination with an asthma controller medication such...
NR 566 Week 7 Study Guide 
Chapter 48: Women as Patients 
Pharmacokinetic gender differences between men and women 
•	These three medications have shown differences that are clearly significant between men and women 
•	Propranolol (Inderal): early drug that showed a clear gender difference in metabolism (clearance) 
o	PO doses: significantly higher (63%) rate of clearance in men than women 
o	IV doses do not do this: indicates hepatic first pass metabolism 
o	Women: show a significantly grea...
Immunizations are an important part of becoming a healthy adult. The process in which a person is made resistant to infectious diseases and illness is through immunizations or vaccines. Vaccines are known to protect people from diseases like Diphtheria, Tetanus, and Pertussis (DTaP) and pneumococcal disease. This paper will highlight the name of 2 diseases and their respected vaccines, along with important information regarding those vaccines. 
PPSV23 
Pneumococcal disease is a pneumococcal inf...
NR 566 Week 4 Study Guide 
Chapter 25: Drugs Used in Treating Inflammatory Processes 
Gout medications 
Drugs: 
Anti-gout agents: allopurinol (Zyloprim), colchicine, and febuxostat (Uloric) 
Uricosuric agents: probenecid (Benemid) and sulfinpyrazone (Anturane) 
o	Peak incidence 70 to 79 years old, more common in men than women 
o	Gout in women occurs exclusively post-menopausal and is associated with HTN, renal insufficiency, and diuretics 
o	Gout Syndrome: Caused by an alteration in purine m...
Please give all credit to these responses to my classmates in Professor Halls class!!! Hope this helps in reviewing for our midterm!! Sorry for the late submission! Good luck everyone 
 
Week 1 
 
Professor question: Why are statins recommended in the evening instead of morning? (pg 561) 
After starting John on insulin, he calls the office saying he feels bad. He said when he checked his blood sugar before calling it was 52 mg/dl. What instructions should he be given? 
 
Answer from class...
Chapter 2. Review of Basic Principles of Pharmacology 
1.	A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to prescribing because: 
 		 Distribution of drugs to target tissue may be affected. 
 2. Drugs that have a significant first-pass effect: 
		Are rapidly metabolized by the liver and may have little if any desired action 
 3.The route of excretion of a volatile drug will likely be the: 
	 	Lungs 
 4. Medroxyprogesterone (...