Advance Pharmacy Nr565 Midterm Questions With Certified Solutions

Which schedule drugs can APRNs prescribe? Schedule II-V · Who determines and regulates prescriptive authority? Nurse practitioner scope of practice is determined by state practice and licensure laws. · How does limited prescriptive authority impact patients within the healthcare system? limited authority creates problems for the patient. The patient is not able to get the care they need · What are the key responsibilities of prescribing? 1. Be prudent and deliberate in your decision-making process 2. Have a documented provider-patient relationship with the person for whom you are prescribing 3. Do not prescribe medications for family or friends or for yourself 4. Document a thorough history and physical examination in your records5.Include any discussions you have with the patient regarding risk factors, side effects, or therapy options 6. Have a documented plan regarding drug monitoring or titration, if applicable · What should be used to make prescribing decisions? Pharmakinetiscs and Pharmodynamics of older adults drug accumulation secondary to 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