NURS 617 PHARM EXAM 3 ACTUAL TEST
PAPER COMPLETE QUESTIONS AND
SOLUTIONS TESTED ANSWERS
◉ More prandial coverage for lunch and snacks.
Answer: Advantage of taking Glargine and aspart instead of a
premixed insulin
◉ 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.
Answer: What types of patients are likely to have the greatest
challenges using insulin
◉ 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.
Answer: How long do you wait between dosing changes for
Levothyroxine
,◉ 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.
Answer: How to determine appropriate dosage size for
Levothyroxine
◉ Potentiates effects of adrenergic agonists.
May inhibit adrenergic blocking drugs
Answer: What drugs are capable of having a drug-drug interaction
with Synthroid.
◉ Levothyroxine
Answer: Which medication is best for chronic hypothyroidism
◉ Liothyronine
Answer: Which thyroid medication is most cardiotoxic
◉ Liotrix
, Answer: Which thyroid medication has the disadvantage of not
having content stability
◉ Liothyronine has a faster onset of action and is more potent.
Answer: What are some advantages of Liothyronine over
Levothyroxine
◉ Less cardiotoxic and has a longer duration of action meaning that
even if some doses are missed thyroid levels can remain therapeutic.
Answer: Advantage of using Levothyroxine over Liothyronine
◉ irritability, insomnia, tachycardia, arrhythmias, elevated blood
pressure, anxiety, weight loss, all similar signs of hyperthyroidism.
Answer: What are some signs of Thyroid medication toxicity?
◉ Propylthiouracil
Answer: Which antithyroid drug is used in pregnancy
◉ Propylthiouracil
Answer: Which antithyroid drug has a black box warning for liver
injury
PAPER COMPLETE QUESTIONS AND
SOLUTIONS TESTED ANSWERS
◉ More prandial coverage for lunch and snacks.
Answer: Advantage of taking Glargine and aspart instead of a
premixed insulin
◉ 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.
Answer: What types of patients are likely to have the greatest
challenges using insulin
◉ 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.
Answer: How long do you wait between dosing changes for
Levothyroxine
,◉ 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.
Answer: How to determine appropriate dosage size for
Levothyroxine
◉ Potentiates effects of adrenergic agonists.
May inhibit adrenergic blocking drugs
Answer: What drugs are capable of having a drug-drug interaction
with Synthroid.
◉ Levothyroxine
Answer: Which medication is best for chronic hypothyroidism
◉ Liothyronine
Answer: Which thyroid medication is most cardiotoxic
◉ Liotrix
, Answer: Which thyroid medication has the disadvantage of not
having content stability
◉ Liothyronine has a faster onset of action and is more potent.
Answer: What are some advantages of Liothyronine over
Levothyroxine
◉ Less cardiotoxic and has a longer duration of action meaning that
even if some doses are missed thyroid levels can remain therapeutic.
Answer: Advantage of using Levothyroxine over Liothyronine
◉ irritability, insomnia, tachycardia, arrhythmias, elevated blood
pressure, anxiety, weight loss, all similar signs of hyperthyroidism.
Answer: What are some signs of Thyroid medication toxicity?
◉ Propylthiouracil
Answer: Which antithyroid drug is used in pregnancy
◉ Propylthiouracil
Answer: Which antithyroid drug has a black box warning for liver
injury
