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
