Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

NUR 635 GCU Adv Pharm Final Sarhan & Tyler Review Exam with verified detailed solutions, Exams of Production and Operations Management

NUR 635 GCU Adv Pharm Final Sarhan & Tyler Review Exam with verified detailed solutions

Typology: Exams

2024/2025

Available from 07/01/2025

smart-scores
smart-scores 🇺🇸

5

(2)

7K documents

1 / 34

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
NUR |! 635 |! GCU |! Adv |! Pharm |! Final |! Sarhan |!
& |! Tyler |! Review |! Exam |! with |! verified |!
detailed |! solutions
Main |! medication |! class |! used |! in |! tx |! of |! depression |! - |! Correct |! answer |!
SSRIs
Prescribing |! concerns |! with |! SSRI |! - |! Correct |! answer |! serotonin |!
syndrome |! caused |! by |! drug-drug |! interactions
what |! is |! phenytoin |! prescribed |! for |! - |! Correct |! answer |! Seizures
prescribing |! concerns |! for |! phenytoin |! - |! Correct |! answer |! delayed |! onset |!
of |! hypersensitivity |! rxn
carbamazepine |! prescribed |! for |! - |! Correct |! answer |! seizures
what |! causes |! carbamazepine |! levels |! to |! drop |! despite |! no |! other |! change |! -
|! Correct |! answer |! autometabolizes- |! med |! digests |! itself, |! need |! to |!
increase |! dose
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22

Partial preview of the text

Download NUR 635 GCU Adv Pharm Final Sarhan & Tyler Review Exam with verified detailed solutions and more Exams Production and Operations Management in PDF only on Docsity!

NUR |! 635 |! GCU |! Adv |! Pharm |! Final |! Sarhan |!

& |! Tyler |! Review |! Exam |! with |! verified |!

detailed |! solutions

Main |! medication |! class |! used |! in |! tx |! of |! depression |! - |! Correct |! answer |! ✔SSRIs Prescribing |! concerns |! with |! SSRI |! - |! Correct |! answer |! ✔serotonin |! syndrome |! caused |! by |! drug-drug |! interactions what |! is |! phenytoin |! prescribed |! for |! - |! Correct |! answer |! ✔Seizures prescribing |! concerns |! for |! phenytoin |! - |! Correct |! answer |! ✔delayed |! onset |! of |! hypersensitivity |! rxn carbamazepine |! prescribed |! for |! - |! Correct |! answer |! ✔seizures what |! causes |! carbamazepine |! levels |! to |! drop |! despite |! no |! other |! change |! - |! Correct |! answer |! ✔autometabolizes- |! med |! digests |! itself, |! need |! to |! increase |! dose

Black |! box |! warning |! carbamazepine |! - |! Correct |! answer |! ✔SJS, |! TEN(toxic |! epidermal |! necrolysis) Long-term |! carbamazepine |! use |! requires |! monitoring |! of |! - |! Correct |! answer |! ✔CBC |! minimum |! 4 |! times |! a |! year |! due |! to |! risk |! of |! hematological |! effects Lamotrigine(Lamictal) |! for |! tx |! of |! seizures |! prescribing |! concerns |! - |! Correct |! answer |! ✔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 |! - |! Correct |! answer |! ✔Check |! back |! in |! four |! weeks. |! May |! take |! some |! time. Carbamazepine |! black |! box |! warning |! - |! Correct |! answer |! ✔Asians |! are |! at |! higher |! risk |! for |! SJS |! and |! TEN Moderate |! generalized |! anxiety |! disorder: |! good |! first |! medication |! - |! Correct |! answer |! ✔Buspar Buspar |! class |! - |! Correct |! answer |! ✔SNRI

10mg |! Percocet |! and |! 10mg |! oxycodone, |! Pt |! asks |! why |! does |! the |! Percocet |! work |! faster? |! - |! Correct |! answer |! ✔Medication |! formulations |! (fillers |! and |! other |! additives) |! can |! effect |! pharmacodynamics what |! medications |! need |! in |! order |! to |! be |! effective |! in |! an |! individual |! - |! Correct |! answer |! ✔Albumin |! for |! binding. |! Toxicity |! can |! occur |! if |! drug- drug |! interactions |! result |! in |! competition |! for |! albumin "Sig" |! on |! a |! prescription |! - |! Correct |! answer |! ✔how |! you |! take |! the |! medication, |! Latin |! for |! directions. |! Directions |! to |! pharmacist Abbreviation |! not |! used |! in |! rx |! - |! Correct |! answer |! ✔QD medication |! that |! can |! discolor |! teeth |! - |! Correct |! answer |! ✔tetracycline |! antibiotic giving |! a |! pt |! antiseizure |! drugs |! for |! a |! couple |! of |! weeks, |! pt |! is |! still |! having |! the |! same |! amount |! of |! seizures, |! what |! to |! check? |! - |! Correct |! answer |! ✔Check |! serum |! drug |! levels considerations |! for |! phenytoin |! and |! contraception |! - |! Correct |! answer |! ✔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 |! - |! Correct |! answer |! ✔Now. |! Before |! getting |! pregnant. |! Most |! defects |! occur |! in |! first |! trimester Pt |! taking |! daily |! aspirin |! becomes |! pregnant. |! Development |! concern? |! - |! Correct |! answer |! ✔Can |! see |! premature |! closure |! of |! PDA |! (patent |! ductus |! art) Pneumonia |! tx |! goal: |! Fever |! gone |! in |! 2-4 |! days. |! If |! fever |! persists: |! - |! Correct |! answer |! ✔current |! AB |! not |! targeting |! the |! right |! pathogen Adults |! w/no |! risk |! factors |! with |! CAP |! tx: |! - |! Correct |! answer |! ✔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; |! immunosuppressed; |! or |! use |! of |! ab |! w/in |! 3 |! mos; |! or |! other |! risk |! for |! DRSP |! inf. |! Tx: |! - |! Correct |! answer |! ✔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: |! - |! Correct |! answer |! ✔ceftriaxone |! (Rocephin) |! IM/IV |! IM |!

Beclamethasone |! (Qvar), |! tx |! of |! exercise |! induced |! asthma |! and |! pt |! education |! - |! Correct |! answer |! ✔inhaled |! corticosteroid |! for |! asthma, |! not |! for |! exercise |! induced |! or |! acute |! exacerbation |! of |! asthma, |! it |! is |! for |! prevention |! of |! asthma |! attacks. |! Maintenance |! med Singulair |! (montelukast) |! patient |! education |! - |! Correct |! answer |! ✔Increased |! risk |! of |! suicide, |! aggression, |! anxiety, |! depression Inhaled |! Corticosteroids |! patient |! education |! - |! Correct |! answer |! ✔Rinse |! out |! mouth |! to |! prevent |! thrush Older |! male |! w/seasonal |! allergies, |! what |! should |! he |! take |! - |! Correct |! answer |! ✔avoid |! systemic |! allergy |! meds |! like |! OTC |! Benadryl(diphenhydramine), |! adverse |! rxns |! include |! urinary |! retention |! and |! CNS |! effects |! (sedation) 2nd |! gen |! allergy |! meds |! preferred |! like |! Zyrtec(cetirizine) Betexalol |! opthalmic |! drops. |! What |! should |! be |! monitored? |! - |! Correct |! answer |! ✔-topical |! betaxolol- |! monitor |! their |! intraocular |! pressure. |! -betaxolol |! can |! cause |! decreases |! in |! blood |! pressure |! and |! heart |! rate. -monitor |! the |! patient |! for |! the |! potential |! systemic |! adverse |! effects |! seen |! with |! betaxolol |! and |! other |! beta-blockers |! for |! patients |! on |! both |! topical |! and |! oral |! forms.

Pt |! with |! new |! onset |! of |! depression. |! What |! do |! we |! check? |! - |! Correct |! answer |! ✔Thyroid |! testing. |! Hypothyroid |! symptoms |! similar |! to |! depression |! syptoms. |! T3, |! T4, |! TSH first |! line |! meds |! in |! depression |! tx |! - |! Correct |! answer |! ✔lexapro, |! zoloft, |! prozac Pt |! would |! like |! to |! dc |! lexapro, |! she's |! been |! on |! it |! for |! a |! year |! with |! good |! results. |! Best |! approach: |! - |! Correct |! answer |! ✔Taper |! by |! 50% |! every |! three |! to |! four |! days Paxil |! prescribing |! considerations |! - |! Correct |! answer |! ✔Paxil |! has |! a |! short |! half-life, |! need |! to |! be |! on |! top |! of |! refills |! because |! withdrawal |! can |! happen |! quickly Reassessment |! of |! asthma |! protocol |! - |! Correct |! answer |! ✔using |! rescue |! inhaler |! more |! than |! twice |! weekly |! or |! more |! than |! once |! daily |! use Asthma |! Step |! Therapy |! - |! Correct |! answer |! ✔Step |! 1: |! Short-acting |! beta- agonist Step |! 2: |! Preferred: |! Low-dose |! inhaled |! steroid Step |! 3: |! Preferred: |! Low-dose |! inhaled |! steroid |! + |! long-acting |! beta |! agonist |! or |! Medium-dose |! inhaled |! steroid

PUD |! (peptic |! ulcer |! disease) |! treatment |! - |! Correct |! answer |! ✔PPI |! and |! clarithromycin |! and |! amoxicillin if |! cannot |! tolerate |! it |! all, |! step |! approach, |! for |! example: |! ppi |! and |! clarithromycin |! for |! five |! days |! then |! amoxicillin |! for |! five |! days 16 |! year |! old |! c/o |! urinary |! frequency |! and |! urgency: |! rx? |! - |! Correct |! answer |! ✔Macrobid Why |! don't |! we |! usually |! treat |! onychomycosis? |! (nail |! fungus) |! - |! Correct |! answer |! ✔Medication |! is |! liver |! toxic How |! to |! tx |! genital |! herpes |! - |! Correct |! answer |! ✔acyclovir/valacyclovir tx |! shingles |! - |! Correct |! answer |! ✔oral |! acyclovir/valacyclovir Tx |! community |! acquired |! MRSA |! - |! Correct |! answer |! ✔Skin |! and |! soft |! tissue |! only? |! Bactrim |! Trimethoprim/sulfamethoxazole If |! prescribing |! pancreatic |! enzymes, |! how |! to |! titrate? |! CF |! and |! gastric |! bypass |! pts. |! - |! Correct |! answer |! ✔look |! at |! poop |! color, |! steatorrhea How |! to |! dose |! pancreatic |! enzymes |! - |! Correct |! answer |! ✔units |! of |! lipase

Pt |! taking |! hydrocodone |! for |! over |! a |! month |! says |! had |! to |! take |! way |! more |! this |! month. |! Indicates? |! - |! Correct |! answer |! ✔Not |! working |! as |! well, |! pt |! has |! developed |! tolerance Postop |! Total |! Hip |! Arthroplasty |! pt |! who's |! dtr |! had |! good |! pain |! relief |! from |! Demerol |! (meperidine) |! wants |! him |! to |! have |! it. |! What |! do |! you |! do? |! - |! Correct |! answer |! ✔NO. |! Too |! many |! side |! effects Pilocarpine |! (Pilocar) |! tx: |! - |! Correct |! answer |! ✔glaucoma What |! to |! give |! for |! motion |! sickness |! - |! Correct |! answer |! ✔scopolamine Prescribe |! for |! muscle |! spasm |! of |! the |! back |! - |! Correct |! answer |! ✔Flexeril/cyclobenzaprine- |! educate |! about |! side |! effects, |! CNS |! depression, |! urinary |! ret, |! constipation, |! dry |! mouth how |! Steroid |! use |! relates |! to |! infection |! - |! Correct |! answer |! ✔decrease |! immune |! system |! fxn |! with |! steroid |! use childhood |! immunizations |! before |! 12 |! years |! - |! Correct |! answer |! ✔don't |! need |! Hep |! B, |! PCB newly |! dx |! rheumatoid |! arthritis, |! what |! med |! to |! start |! - |! Correct |! answer |! ✔methotrexate(chemo, |! immune |! suppressive |! drug)

biggest |! side |! effects |! to |! anticipate |! with |! hydrocodone |! - |! Correct |! answer |! ✔constipation: |! senna, |! docusate, |! miralax pts |! w/hx |! of |! cirrhosis |! will |! often |! present |! with |! elevated |! LFTs, |! ALT, |! AST, |! bili, |! and |! AMMONIA, |! how |! to |! tx |! - |! Correct |! answer |! ✔lactulose Pt |! c/o |! flushing, |! check |! chart |! for |! what |! OTC |! med |! - |! Correct |! answer |! ✔niacin newly |! here |! from |! Ethiopia: |! presents |! thin, |! malnoursihed, |! mouth, |! missing |! teeth, |! bleeding |! gums, |! sores, |! deficient |! in |! what? |! Has |! what? |! - |! Correct |! answer |! ✔Scurvy, |! vitamin |! C |! deficiency pt |! w/severe |! ETOH |! hx |! presents |! w/confusion |! and |! other |! symptoms. |! what |! to |! give |! - |! Correct |! answer |! ✔banana |! bag |! w/thiamine why |! does |! Topamax(topiramate) |! help |! with |! weight |! loss |! - |! Correct |! answer |! ✔food |! doesn't |! taste |! as |! good |! and |! sensation |! of |! fullness OTC |! St |! Johns |! Wort |! concerns |! - |! Correct |! answer |! ✔interacts |! with |! meds, |! accelerating |! their |! drug |! metabolism acute |! otitis |! media |! alone |! does |! not |! warrant |! AB, |! but |! w/conjunctivitis: |! - |! Correct |! answer |! ✔high |! dose |! amoxicillin

Contraindication |! for |! antibiotic |! ear |! drops |! - |! Correct |! answer |! ✔ruptured |! tympanic |! membrane peripheral |! neuropathy |! tx |! - |! Correct |! answer |! ✔Vitamin |! b Tx |! for |! swimmers |! ear |! (otitis |! externa) |! - |! Correct |! answer |! ✔AB |! and |! a |! steroid |! for |! bacteria |! and |! inflammation. |! Cipro |! otic |! drop |! and |! hydrocortisone |! drop what |! to |! avoid |! while |! taking |! Flagyl |! (metconazole) |! - |! Correct |! answer |! ✔ETOH biggest |! side |! effect |! with |! clindamycin |! - |! Correct |! answer |! ✔diarrhea Azithromycin |! (Zithromax) |! dosing |! - |! Correct |! answer |! ✔titrate |! down |! each |! day Aminoglycoside |! prescribed |! for |! an |! anaerobic |! infection- |! should |! change |! it |! to... |! - |! Correct |! answer |! ✔vancomycin: |! covers |! both |! aerobes |! and |! anaerobes

What |! is |! the |! initial |! tx |! for |! GERD |! in |! "step-down |! approach"? |! - |! Correct |! answer |! ✔PPI Black |! box |! warning |! for |! Levaquin |! and |! other |! fluoroquinolones |! - |! Correct |! answer |! ✔tendon |! rupture May |! cause |! rebound |! nasal |! congestion |! if |! used |! longer |! than |! 3 |! days |! - |! Correct |! answer |! ✔phenylephrine(Afrin) a |! laxative |! used |! to |! decrease |! ammonia |! levels |! - |! Correct |! answer |! ✔lactulose maintenance |! drug |! indicated |! for |! allergic |! rhinitis |! or |! chronic |! nasal/sinus |! congestion |! - |! Correct |! answer |! ✔nasal |! ICS ex: |! Flonase(fluticasone), |! Nasonex(mometasone), |! Nasacort(triamcinolone) maintenance |! inhaler |! for |! asthma |! - |! Correct |! answer |! ✔ICS AB |! linked |! with |! causing |! pseudomembranous |! colitis |! - |! Correct |! answer |! ✔clindamycin First |! line |! tx |! for |! streptococcus |! pharyngitis |! - |! Correct |! answer |! ✔pcn

maintenance |! inhaler |! medication |! for |! COPD |! - |! Correct |! answer |! ✔LAMA- |! long-acting |! muscarinic |! antagonist ex: |! Spiriva(Tiotropium |! bromide), |! Tudorza(Aclidinium |! Bromide) time |! frame |! for |! expected |! improvement |! w/AB |! for |! CAP |! - |! Correct |! answer |! ✔48-72hrs Tx |! for |! Mycoplasma |! pneumoniae |! - |! Correct |! answer |! ✔macrolides |! such |! as |! Azithromycin Tx: |! Clostridium |! difficile |! - |! Correct |! answer |! ✔Oral |! metronidazole(Flagyl); |! if |! refractory, |! oral |! vancomycin Med |! with |! side |! effect |! of |! "red |! man |! syndrome" |! - |! Correct |! answer |! ✔vancomycin LABA |! should |! always |! be |! combined |! with |! _____________ |! for |! the |! tx |! of |! asthma |! - |! Correct |! answer |! ✔ICS- |! inhaled |! corticosteroid Greatest |! risk |! factor |! for |! developing |! AB |! resistance |! - |! Correct |! answer |! ✔inappropriate |! prescribing |! of |! AB

avoid |! this |! otic |! AB |! in |! pt |! w/ruptured |! ear |! drum |! - |! Correct |! answer |! ✔aminoglycosides ex: |! neomycin Rx |! in |! tx |! of |! valley |! fever/coccidioidomycosis |! - |! Correct |! answer |! ✔fluconazole |! or |! -azoles topical |! or |! oral |! liquid |! Rx |! for |! yeast |! infection |! - |! Correct |! answer |! ✔nystatin medical |! term |! for |! ring |! worm |! - |! Correct |! answer |! ✔tinea |! corporis avoid |! prescribing |! this |! drug |! class |! if |! pt |! has |! systemic |! fungal |! infection |! - |! Correct |! answer |! ✔glucocorticoids Check |! this |! before |! prescribing |! oral |! antifungals |! such |! as |! ketoconazole |! - |! Correct |! answer |! ✔liver |! fxn |! test avoid |! etoh |! withthis |! AB |! - |! Correct |! answer |! ✔Flagyl Bone-building |! med |! should |! be |! taken |! on |! an |! empty |! stomach |! with |! full |! glass |! of |! water |! - |! Correct |! answer |! ✔alendronate |! Fosamax

this |! bacterial |! infection |! is |! tx |! w/2 |! AB |! and |! PPI |! - |! Correct |! answer |! ✔H |! Pylori phentermine |! should |! not |! be |! prescribed |! for |! longer |! than |! ________ |! due |! to |! tolerance |! - |! Correct |! answer |! ✔ 3 |! mos Pts |! taking |! metformin |! or |! long-term |! PPI |! are |! at |! risk |! of |! ________ |! deficiency |! - |! Correct |! answer |! ✔b Useful |! chart |! for |! identifying |! local |! resistance |! to |! AB |! - |! Correct |! answer |! ✔antibiogram 100% |! oxygen |! therapy |! to |! tx |! ___________ |! headache |! - |! Correct |! answer |! ✔cluster |! migraine Buspirone |! (Buspar) |! is |! a |! first |! line |! tx |! for |! this |! mental |! disorder |! - |! Correct |! answer |! ✔generalized |! anxiety |! disorder SSRI |! w |! shortest |! half |! life |! - |! Correct |! answer |! ✔Paroxetine |! (Paxil) antiviral |! medication |! effective |! against |! herpes |! viruses |! - |! Correct |! answer |! ✔acyclovir/valcyclovir