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Exam 2: NURS 615/ NURS615 (Latest 2024/ 2025 Update) Advanced Pharmacotherapeutics Complete Review |Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville £8.56   Add to cart

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Exam 2: NURS 615/ NURS615 (Latest 2024/ 2025 Update) Advanced Pharmacotherapeutics Complete Review |Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville

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Exam 2: NURS 615/ NURS615 (Latest 2024/ 2025 Update) Advanced Pharmacotherapeutics Complete Review |Qs & As| 100% Correct| Grade A (Verified Answers) Q: Phenelzine (Nardil) is an MAO inhibitor. What are the cautions and contraindications? How is it used to treat recalcitrant depression? ...

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  • September 30, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 615/ NURS615
  • NURS 615/ NURS615
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ExamI2:INURSI615/INURS615I(LatestI2024
/I2025IUpdate)IAdvancedI
PharmacotherapeuticsICompleteIReviewI|Qs
I&IAs|I100%ICorrect|IGradeIAI(VerifiedI
Answers)

Q:IPhenelzineI(Nardil)IisIanIMAOIinhibitor.IWhatIareItheIcautionsIandIcontraindications?IH
owIisIitIusedItoItreatIrecalcitrantIdepression?


Answer:
•Contraindications


LiverIorIkidneyIdisease
Hypersensitivity
CongestiveIheartIfailureIorIarterioscleroticIdisease
AgeIoverI60Iyears
PregnancyIcategoryIC;IexcretedIinIbreastmilkIsafetyInotIestablishedI
NotIapprovedIforIuseIwithIchildrenI
PosturalIhypotensionIandIsuppressionIofImyocardialIpainImayIoccur.I

•MAOIsIexertItheirIeffectIbyIirreversiblyIinactivatingItheIenzymesIthatImetabolizeInorepinephr
ine,Iserotonin,IandIdopamine,ItherebyIincreasingItheIbioavailabilityIofItheseIneurotransmitters.

FUllI2IweeksItoIclearIfromIsystemIshouldIwaitIthatIlongItoIstartIaIdifferentItherapy




Q:IWhatIareItheIsymptomsIofIhypertensiveIcrisis?

Answer:
•MAOIsIinhibitItheImetabolismIofInorepinephrineIandIcanIcauseIhypertensiveIcrisis.IFoodsIhi
ghIinItyramineIshouldIbeIrestrictedIbecauseIofIthisIriskIasIwellIasItheyIareItheIprecursorItoIdo
pamine,Inorepinephrine,IandIepinephrine.I

,•TreatmentIofIhypertensiveIcrisisIneedsItoIbeImanagedIimmediately,IandItheIpatientIshouldIre
mainIstandingIuntilIitIis.IUsualItreatmentIisIphentolamineI(Regitine)I5mgIIVIandIthenI0.25mgI
toI0.5mgIIMIeveryI4ItoI6Ihours.I


•HypertensiveIcrisisIsymptomsIinclude:

HeadacheI
HeartIpalpitations
Stiff/soreIneck
ChestItightness
TachycardiaI
Sweating
DilatedIpupils




Q:IHowIlongIdoesIitItakeIforIselectiveIserotoninIreuptakeIinhibitorsItoIproduceIanIeffectIinI
patientsIwithIdepression?


Answer:
TheseIdrugsImayItakeIasIlongIasI2ItoI6weeksIuntilItheirIfullItherapeuticIbenefitsIbecomeIevide
ntIandItheIinitialIadverseIreactions,Icommonly,Inausea,IintermittentIlight-
headedness,Isedation,ImuscleIrestlessness,IandIsleepIdisruptions,IshouldIbeIminorIandItransient
.




Q:IWhenIareIbuspironeI(Buspar)IandIanISSRIIcombined?

Answer:
AlthoughIbuspironeIcanIusedIasItheIsoleIpharmacotherapeuticImodalityIforIanxiety,IitIisIfreque
ntlyIusedIadjunctivelyIwithISSRIsIinItreatment-
resistantIdepressionIbecauseIofItheIcombinedIserotonergicImechanisms,IthatIis,IpostsynapticIre
uptakeIinhibitionIandIreceptorIagonism.

, Q:IWhatItypeIofIdietIisIrecommendedIwithItheIadministrationIofIlithium?

Answer:
PatientsIshouldIensureIadequateIsaltIintakeIwhenItakingIlithium.




Q:IWhatIfactorsIwillIplaceItheIpatientIatIriskIforIantibioticIresistance?

Answer:
TheIleadingIriskIfactorsIforIhavingIaIdrugIresistantIpathogenIincludeIrecentIuseIofIantibiotics,I
ageIyoungerIthanI2IyearsIoldIorIolderIthanI65IyearsIold,Iday-
careIcenterIattendance,IexposureItoIyoungIchildren,ImultipleImedicalIcomorbidities,IrecentIhos
pitalization,IandIimmunosuppression.




Q:IWhatIfactorsIplaceItheIpatientIatIriskIforIhypersensitivityIreactionsIwithIpenicillinsIandIc
ephalosporins?


Answer:
AIhistoryIofIseriousIhypersensitivityIreactionI(e.g.,Ianaphylaxis,IserumIsickness,IexfoliativeIde
rmatitis,Ihemolysis,IorIotherIbloodIdyscrasia)ItoIaIpenicillinIcontraindicatesItheIuseIofIanyIpen
icillinIonIaccountIofIcrossIsensitivity.I

Severe,ItypeIIIallergicIreactionsItoIcephalosporins,Icarbapenems,IorIbeta-
lactamaseIinhibitorsImayIcontraindicateIuseIofIpenicillins.I

PatientIwithIaIhistoryIofIallergyItoIotherIsubstancesI(e.g.,IatopicIskinIconditions)IshouldIalsoIu
seItheseIdrugIwithIcaution.




Q:IWhatIareItheIsafestIantibioticsItoIprescribeItoIaIwomanIwhoIisIpregnant?

Answer:
IsoniazidsIareIpregnancyIcategoryIAIantibioticsIandIareIsafestIprescribeIinIpregnancy.

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