NUR2474 Pharmacology for Professional Nursing – Examination Blue Print –
Exam 3
Diabetes Medications
• Short duration: Rapid-acting
o Onset
o Peak
o Duration
o Nursing considerations (administrations, complications)
• Sliding scale insulins
o Know how to read a sliding scale order
o What kind of insulin can be given via sliding scale?
• Long duration
o Onset
o Duration
o Nursing considerations (administration, complications)
• Drug interactions with insulin
o Propranolol (beta blocker)
• Glipizide
o Disulfiram-like reaction with alcohol
o Nursing considerations
o Signs of hypoglycemia
• Acarbose
o Side effects
o Nursing considerations
• Insulin Glargine
o Onset and Duration
• Metformin
o Know the mechanisms of action for oral anti diabetics
o Considerations with CT Scan
Drugs for Thyroid Disorders
• Levothyroxine
o Client education
o Administration considerations
o Considerations with supplements and GI medications
• Effects of hypothyroidism on pregnancy (fetus)
Estrogen and Progestins
• Side effects
o What routes have fewer side effects?
• Hormone Replacement Therapy
o Benefits and risks (specifically combination progestin/estrogen
• Application of transdermal estrogen spray
Androgens
• Application of testosterone gel
• Adverse reactions of Androgens
, Drugs for BPH/ED
• Doxazosin vs saw palmetto or finasteride
• Sildenafil
o Drug reactions- nitroglycerin
Opioid Medications
• Tolerance
• Morphine
o Assessment of effectiveness
o Reversal agent and need for reversal
o Treatment of side effects
Antihistamines
• Fexofenadine
o Client teaching- administration, side effects, etc
• Hydroxyzine
o Client teaching- administration, side effects, etc
• Use in pregnancy
Cyclooxygenase Inhibitors: NSAIDs and Acetaminophen
• Aspirin
o Client teaching
o Indications for use
o Side effects
• Acetaminophen
o Maximum dose
o Drug interaction-alcohol
• Ibuprofen
o Client teaching
o Side effects
Glucocorticoids in Nonendocrine Disorders
• Cushing Syndrome
o Causes
o Signs/symptoms
o Associated laboratory tests
o Nursing considerations
• Glucocorticoids
o Client teaching
o Nursing considerations
o Side effects/Adverse effects
o Signs to report to the provider
• Drug interactions: Warfarin and prednisone
Drug Therapy for Gout
• Treatment for acute attack vs prevention
Exam 3
Diabetes Medications
• Short duration: Rapid-acting
o Onset
o Peak
o Duration
o Nursing considerations (administrations, complications)
• Sliding scale insulins
o Know how to read a sliding scale order
o What kind of insulin can be given via sliding scale?
• Long duration
o Onset
o Duration
o Nursing considerations (administration, complications)
• Drug interactions with insulin
o Propranolol (beta blocker)
• Glipizide
o Disulfiram-like reaction with alcohol
o Nursing considerations
o Signs of hypoglycemia
• Acarbose
o Side effects
o Nursing considerations
• Insulin Glargine
o Onset and Duration
• Metformin
o Know the mechanisms of action for oral anti diabetics
o Considerations with CT Scan
Drugs for Thyroid Disorders
• Levothyroxine
o Client education
o Administration considerations
o Considerations with supplements and GI medications
• Effects of hypothyroidism on pregnancy (fetus)
Estrogen and Progestins
• Side effects
o What routes have fewer side effects?
• Hormone Replacement Therapy
o Benefits and risks (specifically combination progestin/estrogen
• Application of transdermal estrogen spray
Androgens
• Application of testosterone gel
• Adverse reactions of Androgens
, Drugs for BPH/ED
• Doxazosin vs saw palmetto or finasteride
• Sildenafil
o Drug reactions- nitroglycerin
Opioid Medications
• Tolerance
• Morphine
o Assessment of effectiveness
o Reversal agent and need for reversal
o Treatment of side effects
Antihistamines
• Fexofenadine
o Client teaching- administration, side effects, etc
• Hydroxyzine
o Client teaching- administration, side effects, etc
• Use in pregnancy
Cyclooxygenase Inhibitors: NSAIDs and Acetaminophen
• Aspirin
o Client teaching
o Indications for use
o Side effects
• Acetaminophen
o Maximum dose
o Drug interaction-alcohol
• Ibuprofen
o Client teaching
o Side effects
Glucocorticoids in Nonendocrine Disorders
• Cushing Syndrome
o Causes
o Signs/symptoms
o Associated laboratory tests
o Nursing considerations
• Glucocorticoids
o Client teaching
o Nursing considerations
o Side effects/Adverse effects
o Signs to report to the provider
• Drug interactions: Warfarin and prednisone
Drug Therapy for Gout
• Treatment for acute attack vs prevention