1|Page
NR 565 Advanced Pharmacology Midterm Newest
Verified Exam Preparation Newest With Complete
Questions And Correct Detailed Answers|| Newest
Exam!!!
How is absorption of intramuscular medications different in
neonates? - Answer-slow and erratic due to low blood flow
in muscles first few days of life
Why is absorption of medication in the stomach increased
in infancy? - Answer-delayed gastric emptying
Some medications that should be avoided in the pediatric
patient? - Answer-glucocorticoids, discoloration of
developing teeth with tetracyclines, and kernicterus with
sulfonamides, levofloxacin (antibiotics)
aspirin (Severe intoxication from acute overdose)
what should be included in medication administration
patient education? - Answer-dosage size and timing
route and technique of administration
duration of treatment
drug storage
,2|Page
nature and time course of desired responses
nature and time course of adverse responses
finish taking antibiotic
What are some things that put the elderly patient at higher
risk for adverse drug reactions? - Answer-reduced renal
function
polypharmacy (the use of five or more medications daily)
greater severity of illness
presence of comorbidities
use of drugs that have a low therapeutic index (e.g.,
digoxin)
increased individual variation secondary to altered
pharmacokinetics
inadequate supervision of long-term therapy
poor patient adherence
How can healthcare providers decrease likelihood of an
elderly patient experiencing an adverse drug reaction? -
Answer-obtaining a thorough drug history that includes
over-the-counter medications
,3|Page
considering pharmacokinetic and pharmacodynamics
changes due to age
monitoring the patient's clinical response and plasma drug
levels
using the simplest regimen possible
monitoring for drug-drug interactions and iatrogenic illness
periodically reviewing the need for continued drug therapy
encouraging the patient to dispose of old medications
taking steps to promote adherence and to avoid drugs on
the Beers list
What is BEERS criteria? - Answer-Recommendations of
medications inappropriate for elderly (65 and older),
prescriber ultimately decides
What is the CYP450 (cytochrome P450) - Answer-liver
enzyme system where medications are metabolized, can
either be inducers or inhibitors and create drug-drug
interactions
CYP450 inducers - Answer-Speed up metabolism of drugs
(drug is cleared faster), drug has lesser effect (decrease
blood levels of drug), elevate CYP450 enzymes
, 4|Page
CYP450 inducer drug names - Answer-Barbituates, St
John wort, Carbamazepine, rifampin, alcohol, phenytoin,
griseofulvin, phenobarbital, sulfonylureas
CYP450 inhibitors - Answer-inhibit metabolism, increase
blood levels of medications
CYP450 pneumonic - Answer-"VISA credit card debt
INHIBITS spending on designers like CK to look GQ"
CYP450 inhibitors drug names - Answer-Valproate,
isoniazid, sulfonamides, amiodarone, chloramphenicol,
ketoconazole, grapefruit juice, quinidine
How can we promote medication adherence with elderly
patients? - Answer-simplifying drug regimens
providing clear and concise verbal and written instructions
using an appropriate dosage form
clearly labeling and dispensing easy-to-open containers
developing daily reminders
monitoring frequently
NR 565 Advanced Pharmacology Midterm Newest
Verified Exam Preparation Newest With Complete
Questions And Correct Detailed Answers|| Newest
Exam!!!
How is absorption of intramuscular medications different in
neonates? - Answer-slow and erratic due to low blood flow
in muscles first few days of life
Why is absorption of medication in the stomach increased
in infancy? - Answer-delayed gastric emptying
Some medications that should be avoided in the pediatric
patient? - Answer-glucocorticoids, discoloration of
developing teeth with tetracyclines, and kernicterus with
sulfonamides, levofloxacin (antibiotics)
aspirin (Severe intoxication from acute overdose)
what should be included in medication administration
patient education? - Answer-dosage size and timing
route and technique of administration
duration of treatment
drug storage
,2|Page
nature and time course of desired responses
nature and time course of adverse responses
finish taking antibiotic
What are some things that put the elderly patient at higher
risk for adverse drug reactions? - Answer-reduced renal
function
polypharmacy (the use of five or more medications daily)
greater severity of illness
presence of comorbidities
use of drugs that have a low therapeutic index (e.g.,
digoxin)
increased individual variation secondary to altered
pharmacokinetics
inadequate supervision of long-term therapy
poor patient adherence
How can healthcare providers decrease likelihood of an
elderly patient experiencing an adverse drug reaction? -
Answer-obtaining a thorough drug history that includes
over-the-counter medications
,3|Page
considering pharmacokinetic and pharmacodynamics
changes due to age
monitoring the patient's clinical response and plasma drug
levels
using the simplest regimen possible
monitoring for drug-drug interactions and iatrogenic illness
periodically reviewing the need for continued drug therapy
encouraging the patient to dispose of old medications
taking steps to promote adherence and to avoid drugs on
the Beers list
What is BEERS criteria? - Answer-Recommendations of
medications inappropriate for elderly (65 and older),
prescriber ultimately decides
What is the CYP450 (cytochrome P450) - Answer-liver
enzyme system where medications are metabolized, can
either be inducers or inhibitors and create drug-drug
interactions
CYP450 inducers - Answer-Speed up metabolism of drugs
(drug is cleared faster), drug has lesser effect (decrease
blood levels of drug), elevate CYP450 enzymes
, 4|Page
CYP450 inducer drug names - Answer-Barbituates, St
John wort, Carbamazepine, rifampin, alcohol, phenytoin,
griseofulvin, phenobarbital, sulfonylureas
CYP450 inhibitors - Answer-inhibit metabolism, increase
blood levels of medications
CYP450 pneumonic - Answer-"VISA credit card debt
INHIBITS spending on designers like CK to look GQ"
CYP450 inhibitors drug names - Answer-Valproate,
isoniazid, sulfonamides, amiodarone, chloramphenicol,
ketoconazole, grapefruit juice, quinidine
How can we promote medication adherence with elderly
patients? - Answer-simplifying drug regimens
providing clear and concise verbal and written instructions
using an appropriate dosage form
clearly labeling and dispensing easy-to-open containers
developing daily reminders
monitoring frequently
