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NURS 617 PHARM EXAM 3 QUESTIONS AND DETAILED ANSWERS GRADED A+
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NURS 617 PHARM EXAM 3 QUESTIONS AND DETAILED ANSWERS GRADED A+
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NURS 617 PHARM EXAM 3 QUESTIONSAND DETAILED ANSWERS GRADED A+
QUESTION; Which thyroid medication has the disadvantage of not having content stability - ANSWER-
Liotrix
QUESTION; What are some advantages of Liothyronine over Levothyroxine - ANSWER-Liothyronine has a
faster onset of action and is more potent.
QUESTION; Advantage of using Levothyroxine over Liothyronine - ANSWER-Less cardiotoxic and has a
longer duration of action meaning that even if some doses are missed thyroid levels can remain
therapeutic.
QUESTION; What are some signs of Thyroid medication toxicity? - ANSWER-irritability, insomnia,
tachycardia, arrhythmias, elevated blood pressure, anxiety, weight loss, all similar signs of
hyperthyroidism.
QUESTION; Which antithyroid drug is used in pregnancy - ANSWER-Propylthiouracil
QUESTION; Which antithyroid drug has a black box warning for liver injury - ANSWER-Propylthiouracil
QUESTION;Advantage to using premixed insulin compared to taking Glargine and Aspart - ANSWER-Less
injections
QUESTION; Advantage of taking Glargine and aspart instead of a premixed insulin - ANSWER-More
prandial coverage for lunch and snacks.
QUESTION; What types of patients are likely to have the greatest challenges using insulin - ANSWER-
Patients with neuropathy and retinopathy might find it difficult to draw up their insulin and might benefit
from prefilled insulin syringes with aids such as clicks and magnifiers.
QUESTION; How long do you wait between dosing changes for Levothyroxine - ANSWER-start low and go
slow method. For adults, start at 50mcg daily and increase in incr. of 25 every 2-4 weeks. For older
adults, start at 25-50 mcg and increase by 12.5-25 mcg every 6-8 weeks.
, Lower doses and longer intervals are recommended for those with CV disease or long standing
hypothyroidism.
QUESTION; How to determine appropriate dosage size for Levothyroxine - ANSWER-For adults with no
CV impairment start at 50mcg/day and increase by 25mcg every 2-4 weeks.
For Older adults with no CV impairment start at 25-50mcg and increase by 12.5-25 mcg every 6-8 weeks
Lower doses and longer intervals are recommended for those with CV impairment and those with long
standing hypothyroidism.
Therapy is decided by TSH levels as well. Most adults require a dose less than 200mcg and a dose of
>300mcg lack of adherence or malabsorption.
QUESTION; What drugs are capable of having a drug-drug interaction with Synthroid. - ANSWER-
Potentiates effects of adrenergic agonists.
May inhibit adrenergic blocking drugs
QUESTION; Which medication is best for chronic hypothyroidism - ANSWER-Levothyroxine
QUESTION; Which thyroid medication is most cardiotoxic - ANSWER-Liothyronine
QUESTION; Which thyroid medication has the disadvantage of not having content stability - ANSWER-
Liotrix
QUESTION; What are some advantages of Liothyronine over Levothyroxine - ANSWER-Liothyronine has a
faster onset of action and is more potent.
QUESTION; Advantage of using Levothyroxine over Liothyronine - ANSWER-Less cardiotoxic and has a
longer duration of action meaning that even if some doses are missed thyroid levels can remain
therapeutic.
QUESTION; What are some signs of Thyroid medication toxicity? - ANSWER-irritability, insomnia,
tachycardia, arrhythmias, elevated blood pressure, anxiety, weight loss, all similar signs of
hyperthyroidism.
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