Escrito por estudiantes que aprobaron Inmediatamente disponible después del pago Leer en línea o como PDF ¿Documento equivocado? Cámbialo gratis 4,6 TrustPilot
logo-home
logo
  • NURS 615/ NURS615
  • NURS 615/ NURS615
Para añadir elementos a tu lista de deseos, debes estar conectado
Document preview thumbnail
Vista previa 3 fuera de 16 páginas
Examen

Exam 2: NURS 615/ NURS615 (Latest 2024/ 2025 Update) Advanced Pharmacotherapeutics Complete Review |Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville

0.0
(0 reseñas)
- vendido
16 páginas
2024/2025 Escrito para el año académico
Institución NURS 615/ NURS615
Grado NURS 615/ NURS615
Document preview thumbnail
Vista previa 3 fuera de 16 páginas

Exam 2: NURS 615/ NURS615 (Latest 2024/ 2025 Update) Advanced Pharmacotherapeutics Complete Review |Qs & As| 100% Correct| Grade A (Verified Answers) Q: Phenelzine (Nardil) is an MAO inhibitor. What are the cautions and contraindications? How is it used to treat recalcitrant depression? Answer: •Contraindications Liver or kidney disease Hypersensitivity Congestive heart failure or arteriosclerotic disease Age over 60 years Pregnancy category C; excreted in breastmilk safety not established Not approved for use with children Postural hypotension and suppression of myocardial pain may occur. •MAOIs exert their effect by irreversibly inactivating the enzymes that metabolize norepinephrine, serotonin, and dopamine, thereby increasing the bioavailability of these neurotransmitters. FUll 2 weeks to clear from system should wait that long to start a different therapy Q: What are the symptoms of hypertensive crisis? Answer: •MAOIs inhibit the metabolism of norepinephrine and can cause hypertensive crisis. Foods high in tyramine should be restricted because of this risk as well as they are the precursor to dopamine, norepinephrine, and epinephrine. •Treatment of hypertensive crisis needs to be managed immediately, and the patient should remain standing until it is. Usual treatment is phentolamine (Regitine) 5mg IV and then 0.25mg to 0.5mg IM every 4 to 6 hours. •Hypertensive crisis symptoms include: Headache Heart palpitations Stiff/sore neck Chest tightness Tachycardia Sweating Dilated pupils Q: How long does it take for selective serotonin reuptake inhibitors to produce an effect in patients with depression? Answer: These drugs may take as long as 2 to 6weeks until their full therapeutic benefits become evident and the initial adverse reactions, commonly, nausea, intermittent light-headedness, sedation, muscle restlessness, and sleep disruptions, should be minor and transient. Q: When are buspirone (Buspar) and an SSRI combined? Answer: Although buspirone can used as the sole pharmacotherapeutic modality for anxiety, it is frequently used adjunctively with SSRIs in treatment-resistant depression because of the combined serotonergic mechanisms, that is, postsynaptic reuptake inhibition and receptor agonism. Q: What type of diet is recommended with the administration of lithium? Answer: Patients should ensure adequate salt intake when taking lithium. Q: What factors will place the patient at risk for antibiotic resistance? Answer: The leading risk factors for having a drug resistant pathogen include recent use of antibiotics, age younger than 2 years old or older than 65 years old, day-care center attendance, exposure to young children, multiple medical comorbidities, recent hospitalization, and immunosuppression. Q: What factors place the patient at risk for hypersensitivity reactions with penicillins and cephalosporins? Answer: A history of serious hypersensitivity reaction (e.g., anaphylaxis, serum sickness, exfoliative dermatitis, hemolysis, or other blood dyscrasia) to a penicillin contraindicates the use of any penicillin on account of cross sensitivity. Severe, type I allergic reactions to cephalosporins, carbapenems, or beta-lactamase inhibitors may contraindicate use of penicillins. Patient with a history of allergy to other substances (e.g., atopic skin conditions) should also use these drug with caution. Q: What are the safest antibiotics to prescribe to a woman who is pregnant?

Vista previa del contenido

ExamI2:INURSI615/INURS615I(LatestI2024
/I2025IUpdate)IAdvancedI
PharmacotherapeuticsICompleteIReviewI|Qs
I&IAs|I100%ICorrect|IGradeIAI(VerifiedI
Answers)

Q:IPhenelzineI(Nardil)IisIanIMAOIinhibitor.IWhatIareItheIcautionsIandIcontraindications?IH
owIisIitIusedItoItreatIrecalcitrantIdepression?


Answer:
•Contraindications


LiverIorIkidneyIdisease
Hypersensitivity
CongestiveIheartIfailureIorIarterioscleroticIdisease
AgeIoverI60Iyears
PregnancyIcategoryIC;IexcretedIinIbreastmilkIsafetyInotIestablishedI
NotIapprovedIforIuseIwithIchildrenI
PosturalIhypotensionIandIsuppressionIofImyocardialIpainImayIoccur.I

•MAOIsIexertItheirIeffectIbyIirreversiblyIinactivatingItheIenzymesIthatImetabolizeInorepinephr
ine,Iserotonin,IandIdopamine,ItherebyIincreasingItheIbioavailabilityIofItheseIneurotransmitters.

FUllI2IweeksItoIclearIfromIsystemIshouldIwaitIthatIlongItoIstartIaIdifferentItherapy




Q:IWhatIareItheIsymptomsIofIhypertensiveIcrisis?

Answer:
•MAOIsIinhibitItheImetabolismIofInorepinephrineIandIcanIcauseIhypertensiveIcrisis.IFoodsIhi
ghIinItyramineIshouldIbeIrestrictedIbecauseIofIthisIriskIasIwellIasItheyIareItheIprecursorItoIdo
pamine,Inorepinephrine,IandIepinephrine.I

,•TreatmentIofIhypertensiveIcrisisIneedsItoIbeImanagedIimmediately,IandItheIpatientIshouldIre
mainIstandingIuntilIitIis.IUsualItreatmentIisIphentolamineI(Regitine)I5mgIIVIandIthenI0.25mgI
toI0.5mgIIMIeveryI4ItoI6Ihours.I


•HypertensiveIcrisisIsymptomsIinclude:

HeadacheI
HeartIpalpitations
Stiff/soreIneck
ChestItightness
TachycardiaI
Sweating
DilatedIpupils




Q:IHowIlongIdoesIitItakeIforIselectiveIserotoninIreuptakeIinhibitorsItoIproduceIanIeffectIinI
patientsIwithIdepression?


Answer:
TheseIdrugsImayItakeIasIlongIasI2ItoI6weeksIuntilItheirIfullItherapeuticIbenefitsIbecomeIevide
ntIandItheIinitialIadverseIreactions,Icommonly,Inausea,IintermittentIlight-
headedness,Isedation,ImuscleIrestlessness,IandIsleepIdisruptions,IshouldIbeIminorIandItransient
.




Q:IWhenIareIbuspironeI(Buspar)IandIanISSRIIcombined?

Answer:
AlthoughIbuspironeIcanIusedIasItheIsoleIpharmacotherapeuticImodalityIforIanxiety,IitIisIfreque
ntlyIusedIadjunctivelyIwithISSRIsIinItreatment-
resistantIdepressionIbecauseIofItheIcombinedIserotonergicImechanisms,IthatIis,IpostsynapticIre
uptakeIinhibitionIandIreceptorIagonism.

, Q:IWhatItypeIofIdietIisIrecommendedIwithItheIadministrationIofIlithium?

Answer:
PatientsIshouldIensureIadequateIsaltIintakeIwhenItakingIlithium.




Q:IWhatIfactorsIwillIplaceItheIpatientIatIriskIforIantibioticIresistance?

Answer:
TheIleadingIriskIfactorsIforIhavingIaIdrugIresistantIpathogenIincludeIrecentIuseIofIantibiotics,I
ageIyoungerIthanI2IyearsIoldIorIolderIthanI65IyearsIold,Iday-
careIcenterIattendance,IexposureItoIyoungIchildren,ImultipleImedicalIcomorbidities,IrecentIhos
pitalization,IandIimmunosuppression.




Q:IWhatIfactorsIplaceItheIpatientIatIriskIforIhypersensitivityIreactionsIwithIpenicillinsIandIc
ephalosporins?


Answer:
AIhistoryIofIseriousIhypersensitivityIreactionI(e.g.,Ianaphylaxis,IserumIsickness,IexfoliativeIde
rmatitis,Ihemolysis,IorIotherIbloodIdyscrasia)ItoIaIpenicillinIcontraindicatesItheIuseIofIanyIpen
icillinIonIaccountIofIcrossIsensitivity.I

Severe,ItypeIIIallergicIreactionsItoIcephalosporins,Icarbapenems,IorIbeta-
lactamaseIinhibitorsImayIcontraindicateIuseIofIpenicillins.I

PatientIwithIaIhistoryIofIallergyItoIotherIsubstancesI(e.g.,IatopicIskinIconditions)IshouldIalsoIu
seItheseIdrugIwithIcaution.




Q:IWhatIareItheIsafestIantibioticsItoIprescribeItoIaIwomanIwhoIisIpregnant?

Answer:
IsoniazidsIareIpregnancyIcategoryIAIantibioticsIandIareIsafestIprescribeIinIpregnancy.

Información del documento

Subido en
30 de septiembre de 2024
Número de páginas
16
Escrito en
2024/2025
Tipo
Examen
Contiene
Preguntas y respuestas
Informar violación de derechos de autor
$10.99
¿Documento equivocado? Cámbialo gratis Dentro de los 14 días posteriores a la compra y antes de descargarlo, puedes elegir otro documento. Puedes gastar el importe de nuevo.
Escrito por estudiantes que aprobaron
Inmediatamente disponible después del pago
Leer en línea o como PDF
Seller avatar
Los indicadores de reputación están sujetos a la cantidad de artículos vendidos por una tarifa y las reseñas que ha recibido por esos documentos. Hay tres niveles: Bronce, Plata y Oro. Cuanto mayor reputación, más podrás confiar en la calidad del trabajo del vendedor.
nurse_steph
3.9
(1752)
Vendido
9853
Seguidores
5153
Artículos
8185
Última venta
3 días hace
Disponible en paquete
Product Image
Package deal
Exam 2: NURS 615/ NURS615 (Latest 2024/ 2025 Updates STUDY BUNDLE PACKAGE WITH SOLUTIONS) Advanced Pharmacotherapeutics |Qs & As| 100% Correct| Grade A (Verified Answers) - Maryville
-
-
Vendido
2
artículo
Sep 2024
$22.48
$14.49
Ahorras 36% Más información

Explora asignaturas relacionadas

Temas

  • exam 2
  • nurs 615nurs615nurs 615 nurs615 exam
  • nurs 615nurs615nurs 615 nurs615 exam 1
  • nurs 615nurs615nurs 615 nurs615 exam 2
  • nurs 615nurs615nurs 615 nurs615 exam 3
  • nurs 615nurs615nurs 615 nurs615 exam 4

Por qué los estudiantes eligen Stuvia

Creado por compañeros estudiantes, verificado por reseñas

Calidad en la que puedes confiar: escrito por estudiantes que aprobaron y evaluado por otros que han usado estos resúmenes.

¿No estás satisfecho? Elige otro documento

¡No te preocupes! Puedes elegir directamente otro documento que se ajuste mejor a lo que buscas.

Paga como quieras, empieza a estudiar al instante

Sin suscripción, sin compromisos. Paga como estés acostumbrado con tarjeta de crédito y descarga tu documento PDF inmediatamente.

Student with book image

“Comprado, descargado y aprobado. Así de fácil puede ser.”

Alisha Student

Preguntas frecuentes