NSG6005 Advanced Pharmacology Practice Test Latest

NSG6005 Advanced Pharmacology Practice Test Latest Role of NP - State title protection. Board of nursing regulates practice. 5 states have joint oversight with medical board. Scope of practice is determined by NP license. 24 states are totally NPs are anonomous 20 states require physician collaboration 3 states have physician supervision Some states allow NPs to prescribe by protocol. Role of PA - Title protection in all states. All have prescription authority 5 states limit PA formulary 15 states permit only schedule III to V drugs Practice oversight by MD Control of practice and licensing by medical board. Factors involved in using good clinical judgement - Is a prescription the right treatment? Which drugs are effective for the disease? What are the goals of therapy? Cure or maintain? Monitor to see if drug meets goals Check for drug duplications-polypharmacy OTC vs. Rx What is the cost of the drug? Where did you get your information? Is it EBP? Pharmacotherapeutics - Intregates pharmacology, pathophysiology, and therapeutics Pharmacokinectics - How the body processes medications. What the body does with the drug Pharmacodynamics - What the drug does to the body. The medication action at cellular level to elict a therapeutic effect. Two main branches of pharmacology - Pharmacokinetics Pharmacodynamics Toxicology - Branch dealing with toxic effects Therapeutics - The use of drugs to diagnose, prevent, or treat disease or to prevent pregnancy 4 major processes of pharmacokinetics - Drug absorption into the bloodstream Drug distribution into the tissues to the site of action Drug metabolism via liver or intestinal enzymes Drug excretion via the kidneys in urine or intestine in feces Major processes of pharmacodynamics - Effects on the body Receptor binding and effect Drug effects on body-pharmacodynamics - Desired activity Undesirable effects Therapeutic window Duration of action Desired activity of a drug - Cellular membrane disruption Chemical reaction with downstream effects Interaction with enzyme, structural, and carrier proteins Interaction with ion channels Ligand binding to receptors