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NUR-635 Pharm final Exam – Questions and Answers - 2023
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NUR-635 Pharm final Exam – Questionsand Answers - 2023
While rational drug selection is based on the individual patient the aspect of
rational drug selection addressing disease-specific information by a national
medical or nursing organization is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. - -A. a guideline
-Drugs that alter synaptic transmission are much more selective than those
that alter axonal conduction, why is this? - -a drug that affects the axonal
conduction - non-selective effect.
Drugs that alter synaptic transmission - very selective because of the
differences in synapses and their specific neurotransmitters
-What is phenytoin used for? - -Seizures
-What should you monitor for with phenytoin? - -Delayed hypersensitivity -
even 1 month later
-What is carbamazepine used for? - -Seizures
-What may cause carbamazepine levels to drop despite no other change?
What to do? - -Autometabolization of drug. Increase dose.
-What is the black box warning for carbamazepine? - -Steven-Johnson
Syndrome & TENS
-Monitoring for carbamazepine, and how often? - -CBC, 3-4 times a year
-What population is most at risk for Steven-Johnson syndrome & TENS when
taking carbamazepine? - -Asian patients
-Main class of medication for depression? - -Selective serotonin reuptake
inhibitors (SSRIs)
-What to watch for with SSRIs? - -Other medications that can cause
serotonin syndrome
-What is lamictal used for? - -Seizures
, -Patient on lamictal has fever, rash, swollen lymph nodes. What are we
concerned for? - -Hypersensitivity in lamictal can lead to MODS
-Patient on lamictal wants birth control. What do we need to change? - -
Increase lamictal dose.
-When will pt notice improvement after starting an SSRI? - -4 weeks later
-1st line medication for moderate generalized anxiety - -Buspar (SNRI)
-1st line med for classic migraines - -Triptans
-2nd line treatment for classic migraines - -Prophylactic - propranolol
-Why is important that NPs have the authority to prescribe? - -Increase
access to healthcare
-What must be done if a drug has a narrow therapeutic index? - -Frequent
serum level monitoring
-Why would 10mg percocet or 10mg oxy work better than the other? - -
Differences in pill filler composition
-What do medications need in order to be effective: - -Albumin (binding to)
-If a patient has a toxic drug level, but normal albumin, what could be
happening? - -Other drugs competing for albumin
-What does "Sig" mean on a prescription? - -Directions to pharmacist
-What items are necessary on a prescription? - -Drug, dose, route,
frequency, quantity, refills
-Abbreviations to not use - -QD
-What drug may cause grey teeth? - -Tetracyclines
-Pt reports no improvement in seizures after treatment for a few weeks.
What next - -Assess drug levels for therapeutic index
-If patient on phenytoin wants birth control? - -Not oral contraceptives! IUD
better
-Patient on teratogen med wants to get pregnant. When should they stop? -
-Before getting pregnant, beware first trimester
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