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NR 566 WEEK #4 EXAM QUESTIONS WITH COMPLETE ANSWERS
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NR 566 WEEK #4 EXAM QUESTIONS WITH COMPLETE ANSWERS
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NR 566 WEEK #4 EXAM QUESTIONSWITH COMPLETE ANSWERS
treatment of obesity: evaluation of phentermine/topiramate - Answer-Schedule IV drug
indicated for chronic weight loss. Phetermine suppresses appetite which topirmate
increases satiety. Most common side effects are dry mouth, constipation, blurred vision,
and numbness tingling.
-serious effects are memory loss, concentration, HTN, tachycardia, hypoglycemia
treatment of obesity: evaluation of phentermine/topiramate contraindications: - Answer-
Glaucoma or hyperthyroid
-Should not be given with MAOI. Stop MAOI 2 weeks before starting.
-Carbonic anhydrase increases risk for metabolic acidosis
-diuretics that are not K+ sparing increases risk for hyperkalemia
Orlistat (Xenical) - Answer-- Is prescribed to morbidly obese pts to lose weight. It
prevents absorption of some of the fat in the pts diet.
- The med should be taken 3 times/day within 1 hour of a meal
- Its a lipase inhibitor, not an appetite suppressor.
Orlistat (Xenical) adverse effects: - Answer-Oily rectal leakage, sharting, fecal urgency,
and fatty or oily stools
-increased defecation and incontinence
-rare: severe liver damage —> itching, vomiting, anoxeria, dark urine, light colored
stools
-acute pancreatitis and kidney stones
Orlistat (Xenical) contraindications - Answer-Malabsorption syndrome and cholestasis
Lorcaserin (Belviq) - Answer-weight loss drug
Lorcaserin adverse effects - Answer-HA, back pain, decrease lymphocytes and URIs,
hypoglycemia in diabetics
Lorcaserin adverse reactions that are less common - Answer-Blood dye radios,
cognitive impairment, psychiatric disorders, priapism, HTN, valvular heart disease
Weight loss drugscontraindications for children - Answer-Not recommended.
- orlistat is not approved for kids under 12
Diethylpropion and phentermine are not for children under 16
Weight loss drugs contradictions: pregnancy - Answer-Not recommended
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