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NURS 682 Midterm Exam Questions And 100% Correct Answers
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NURS 682 Midterm Exam Questions And 100% Correct AnswersDiscuss the s/s, screening, transmission, treatment, education for chlamydia.n for
chlamydia. - Answer - Asymptomatic
- Cervicitis, lots of discharge
- Screening: annuals <25, MSM, HIV+, high risk
- Transmission: sexual contact and vertical transmission
- Diagnosis: culture, non-amplified tests (urine, cervical, urethral)
- Tx: azith 1 gm po x1 OR doxycycline 100 mg po BID x7 days
*no doxycycline in pregnancy
*doxycycline is broad spectrum, photosensitivity
- SE: n/v/d, anorexia, better absorption/less SE with food
education: all partners in past 60 days, evaluation and presumptive treatment,
counseling, no sex for 7 days, return for rescreening 3 months after treatment
*pregnant patients OR alternative treatment given should be retested after 3-4 weeks
for TEST OF CURE
What are the four rational prescribing principles.
- Answer Maximizing effectiveness of med, minimizing side effects, minimizing cost,
customizing an agent for an individual
Who controls prescriptive authority?
- Answer Individual state.
Where do most medication errors occur (HINT: beginning and end) - Answer Prescribing
and administering.
Define adverse drug reaction. - Answer Unintended and undesired that occurs in doses
, used in human for prophylaxis, diagnosis and therapy or response that is noxious and
unintended and occurs at doses normally used.
Side effect-definition Ans Predicted effect that occur with therapeutic doses of
medication, they are not life threatening, do not require stopping the medication.
Steps of rational prescribing -Ans 1.Make a specific diagnosis
2.Consider the pathophysiology of the DX
3.Select a therapeutic agent based on the pathophysiology
4.Select the drug of choice (Based on pharmacokinetics, pharmacodynamics, and cost
5.Determine the appropriate dose regimen
6. Create a plan for drug action monitoring and determination of an endpoint for therapy
7. Create a patient teaching plan
Adverse drug event - Term and Definition Harm from the use of the drug that may be due
to increasing or decreasing dose of, or discontinuing the drug.
Drug efficacy - Term and Definition Highest intensity response achievable with a given
agent. Therapeutic effectiveness
Therapeutic index - Term and Definition -Therapeutic index = LD50/ED50
A drug that is described to have a narrow TI, has a narrow margin of safety
A drug with wide TI has a wide margin of safety
lethal dose/therapeutic dose
It's a number, the window is a range
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