GCU Adv Pharm NUR 635 Final Tyler review-Questions with Correct Answers/ Verified/ Latest Update
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Course
NUR 635
Institution
NUR 635
Main medication class used in tx of depression - SSRIs
Prescribing concerns with SSRI - serotonin syndrome caused by drug-drug interactions
what is phenytoin prescribed for - Seizures
prescribing concerns for phenytoin - delayed onset of hypersensitivity rxn
carbamazepine prescribed for - seizu...
GCU Adv Pharm NUR 635 Final Tyler review -Questions with Correct Answers/ Verified/ Latest Update Main medication class used in tx of depression - ✔✔SSRIs Prescribing concerns with SSRI - ✔✔serotonin syn drome caused by drug -drug interactions what is phenytoin prescribed for - ✔✔Seizures prescribing concerns for phenytoin - ✔✔delayed onset of hypersensitivity rxn carbamazepine prescribed for - ✔✔seizures what causes carbamazepine levels to drop despite no other change - ✔✔autometabolizes - med digests itself, need to increase dose Black box warning carbamazepine - ✔✔SJS, TEN(toxic epidermal necrolysis) Long -term carbamazepine use requires monitoring of - ✔✔CBC minimum 4 times a year due to risk of hema tological effects Lamotrigine(Lamictal) for tx of seizures prescribing concerns - ✔✔SJS, TEN Pts taking oral contraceptives: estrogen can lower lamotrigine levels, may need to adjust dosing Prescribing SSRI: Educate - When should pts notice a difference - ✔✔Check back in four weeks. May take some time. Carbamazepine black box warning - ✔✔Asians are at higher risk for SJS and TEN Moderate generalized anxiety disorder: good first medication - ✔✔Buspar Buspar class - ✔✔SNRI cluster headache, first choice tx - ✔✔100% oxygen 15 -30min classic migraine, first choice tx - ✔✔triptans classic migraine, tx after triptans are not working, first choice prophylactic - ✔✔propranolol (beta blocker) Chantix (varenicline) SE teaching - ✔✔depression, mania, psychosis, hallucinations, paranoia, delusions, homicidal ideation, aggression, hostility, anxiety, and panic, as well as suicidal ideation, suicide attempt, and completed suicide in patients attempting to quit smoking while taking CHAN TIX 1st rx choice for c/o nerve pain - ✔✔gabapentin why is it important for NPs to have full prescriptive authority - ✔✔increase access to healthcare considerations for rx with narrow therapeutic index - ✔✔monitor plasma levels closely 10mg Percocet an d 10mg oxycodone, Pt asks why does the Percocet work faster? - ✔✔Medication formulations (fillers and other additives) can effect pharmacodynamics what medications need in order to be effective in an individual - ✔✔Albumin for binding. Toxicity can occur if drug -drug interactions result in competition for albumin "Sig" on a prescription - ✔✔how you take the medication, Latin for directions. Directions to pharmacist Abbreviation not used in rx - ✔✔QD medication that can discolor teeth - ✔✔tetracycline an tibiotic giving a pt antiseizure drugs for a couple of weeks, pt is still having the same amount of seizures, what to check? - ✔✔Check serum drug levels considerations for phenytoin and contraception - ✔✔phenytoin (Dilantin) is a serious teratogen, oral contraception is not the most effective way to prevent pregnancy pts taking teratogen rx and thinking about getting pregnant, when to dc - ✔✔Now. Before getting pregnant. Most defects occur in first trimester Pt taking daily aspirin becomes pregnant. Development concern? - ✔✔Can see premature closure of PDA (patent ductus art) Pneumonia tx goal: Fever gone in 2 -4 days. If fever persists: - ✔✔current AB not targeting the right pathogen Adults w/no risk factors with CAP tx: - ✔✔macrolide such as azithromycin, clarithromycin, erythromycin or doxycycline when allergic to pcn most common pathogen: s.pneumoniae Adults with pneumonia and comorbidities i.e. heart/lung/liver disease; dm; etoh; ca; asplenia; immunosup pressed; or use of ab w/in 3 mos; or other risk for DRSP inf. Tx: - ✔✔respiratory fluoroquinolone: levofloxacin(Levaquin) or beta -lactam PLUS macrolide such as amoxicillin or amoxicillin -clavulanate (Augmentin) adults older than 60, comorbid w/CAP. Outpt tx: - ✔✔ceftriaxone (Rocephin) IM/IV IM or levofloxacin IV daily
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