regis nu641 adv clinical pharmacology midterm exam
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Regis NU641 Adv Clinical Pharmacology
Midterm Exam QUESTIONS AND
CORRECT VERIFIED ANSWERS|GRADED
A
Angina, Coronary Artery Disease, & Migraines - ANSWER-Patients that are at
highest risk for abruptly stopping a beta blocker are those with
Angiotensin-converting enzyme (ACE) inhibitors - ANSWER-The medication that
helps the imbalance between myocardial oxygen supply and myocardial oxygen
demand in the myocardium by increasing the myocardial oxygen supply
improves insulin sensitivity
improves renal hemodynamics
reduce production of angiotensin II - ANSWER-Roles of Angiotensin-converting
enzyme (ACE) inhibitors in DM patients
Activation of the sympathetic nervous system that increases heart rate and
preload - ANSWER-The pathological change that takes place in HF that is not
addressed by ACE inhibitors
blunted coronary artery dilation due to calcified plaque - ANSWER-Reason why
nitro glycerin tablets "do not work well" in patient with hyperlipidemia and angina
age
factoring in the cost to the patient of the medication prescribed -
ANSWER-Clinical judgement in prescribing includes
decreased renal function - ANSWER-Prior to prescribing an ACE inhibitor the NP
should access for
statins - ANSWER-First-line pharmacologic therapy for hyperlipidemia
, Any end-organ damage, direct effects on lifestyle, or inability to perform the tasks
of daily living - ANSWER-When is consultation with or referral to a cardiologist
appropriate?
Diuretics - ANSWER-If not chosen as the first drug in hypertension treatment,
which drug class should be added as a second step because it will enhance the
effects of most other agents?
Determine their other risk factors - ANSWER-A 65-year-old patient who has been
on a lipid-lowering diet and is using plant sterol margarine daily for the past three
months. Her LDL is 135mg/dL. What would an appropriate treatment for them
be?
promote smooth muscle dilation by stopping intracellular entry of calcium into the
cell, which increases contractility, which increase the activity of the
NA+/K+/ATPase pump indirectly - ANSWER-Calcium Channel Blocker's helps
control blood pressure because it
discussion of expected adverse drug reactions - ANSWER-Patient education
regarding prescribed medications includes
Do not take any herbal products without first discussing this with the provider -
ANSWER-Patient education when prescribing clopidogrel includes which of the
following statements?
If they stop the medication, their lipid levels will return to pretreatment levels;
medication is a supplement to diet therapy and exercise; and if they have muscle
aches or pain, they should contract their provider - ANSWER-When starting a
patient on a statin, what would education include?
Lung - ANSWER-When treating a patient for hypertension with a non-selective
beta blocker, what other organ may be unintentionally affected?
The brand name of warfarin and "do not substitute" - ANSWER-When writing a
prescription for warfarin it is common to write this on the prescription
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