What are the key responsibilities of prescribing? - CORRECT ANSWERS-A
sound understanding of drugs and the conditions that they are used to
manage
Be deliberate in decision-making process
Do not prescribe for family or friends
Document thorough history and physical for the records, including education
provided on drug
Have a documented plan for monitoring and titration
What should be co-administered with febuxostat? - CORRECT ANSWERS-
Colchine or NSAIDs for the first six months since initiating febuxostat can
induce a flare
Which schedule drugs can APRNs prescribe? - CORRECT ANSWERS-Varies
state by state
May include schedule II-V, but never schedule I
Who determines and regulates prescriptive authority? - CORRECT ANSWERS-
The state's health professional board
How does limited prescriptive authority impact patients within the healthcare
system? - CORRECT ANSWERS-Creates numerous barriers to quality,
affordable, and accessible patient care
May prevent outreach to areas of greatest need
Physician approval of prescriptions can increase patient waits
Colchine Side Effects - CORRECT ANSWERS-GI toxicity, N/V/D
Colchine Contraindications - CORRECT ANSWERS-Pregnancy category C
Colchine - CORRECT ANSWERS-Alternative to NSAID for treating gout
Targeted DMARDs - CORRECT ANSWERS-Tofacitinib, barcitinib
Inhibits JAK 1,2,3, leading to disruption of cytokine and growth factor
signaling pathways
Alendronate - CORRECT ANSWERS-Biphosphonate, used as first-line
treatment for osteoporosis
Inhibits osteoclasts, reducing bone resorption and turnover
Which dietary supplements interfere with absorption of biphosphonates? -
CORRECT ANSWERS-Antacids, calcium, iron and magnesium
Patient education for biphosphonates? - CORRECT ANSWERS-Swallow tablet
with a full glass of water on an empty stomach while sitting or standing
Remain upright for 30-60 minutes
Typical daily dose of lisinopril? - CORRECT ANSWERS-5-10mg PO daily
Typical daily dose of amlodipine? - CORRECT ANSWERS-5 mg PO daily to
start, maintenance 5-10mg PO daily
Typical daily dose of colchicine? - CORRECT ANSWERS-1.2-2.4 mg PO daily
divided in 1 or 2 doses
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