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Exam 3: NURS 615/ NURS615 (Latest 2024/ 2025 Update) Advanced Pharmacotherapeutics Complete Guide |Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville

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Exam 3: NURS 615/ NURS615 (Latest 2024/ 2025 Update) Advanced Pharmacotherapeutics Complete Guide |Qs & As| 100% Correct| Grade A (Verified Answers) Q: Nitrates can cause what symptoms? Answer: Severe headache, severe hypotension, certain cases can cause bradycardia. This can affect compliance. Q: What is nitrate tolerance? Answer: Loss of one or several of the effects of organic nitrates after long-term use of nitrates. Q: What is the dosing schedule of nitrates? Answer: Frequent dosing such as 3-4 times a day Q: How do you avoid tolerance to long-term nitrate? Answer: Provide a 10-12 hour nitratd-free interval when possible, so say the patient will take it at 0800, 1400, and then not the rest of the day Q: If patients have breakthrough angina during that 12 hour free of long-acting nitrates what can you suggest? Answer: Using a short term nitrate like sublingual nitroglycerin during that time Q: Why should a thyroid panel be run on a patient while taking amiodorone? Answer: Amiodorone can cause the thyroid to not function properly. They thyroid can become either hypo or hyper. TSH should be checked every 6 months. Q: What is a common side effect of Digoxin? Answer: Patients can develop color vision disturbances, mostly of yellow and green which is caleld tritanopia. Q: What are the most common indications for Digoxin? Answer: A-fib, and A-flutter with RVR. But this is not the first choice of med to use Q: What meds should be used for A-flutter with RVR or A-fib? Answer: Beta blockers and calcium channel blockers. They improve the pumping of the heart by slowing down the conduction at the AV node and allow the ventricles to fill with blood. Q: Serious reactions with the following meds can occur with Digoxin? Answer: Verapamil, amiodarone, erythromycin, and epinephrine Q: What are some side effects with amiodorone? Answer: Corneal micro deposits that cause optic neuropathy (visual problems), bluish-gray skin discoloration of the skin, photosensitivity, interstitial lung disease, hypo or hyper thyroid. Monitor blood pressure daily. Q: Amiodorone is used to treat what? Answer: Life threatening ventricular arrhythmias such as v-tach or v-fib. Q: What can amlodipine be used for? Answer: Chest pain prevention, hypertension, and HF

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ExamI3:INURSI615/INURS615I(LatestI2024
/I2025IUpdate)IAdvancedI
PharmacotherapeuticsICompleteIGuideI|QsI
&IAs|I100%ICorrect|IGradeIAI(VerifiedI
Answers)
Q:INitratesIcanIcauseIwhatIsymptoms?

Answer:
SevereIheadache,IsevereIhypotension,IcertainIcasesIcanIcauseIbradycardia.IThisIcanIaffectIcom
pliance.




Q:IWhatIisInitrateItolerance?

Answer:
LossIofIoneIorIseveralIofItheIeffectsIofIorganicInitratesIafterIlong-termIuseIofInitrates.




Q:IWhatIisItheIdosingIscheduleIofInitrates?

Answer:
FrequentIdosingIsuchIasI3-4ItimesIaIday




Q:IHowIdoIyouIavoidItoleranceItoIlong-termInitrate?

Answer:

,ProvideIaI10-12IhourInitratd-
freeIintervalIwhenIpossible,IsoIsayItheIpatientIwillItakeIitIatI0800,I1400,IandIthenInotItheIrestI
ofItheIday




Q:IIfIpatientsIhaveIbreakthroughIanginaIduringIthatI12IhourIfreeIofIlong-
actingInitratesIwhatIcanIyouIsuggest?


Answer:
UsingIaIshortItermInitrateIlikeIsublingualInitroglycerinIduringIthatItime




Q:IWhyIshouldIaIthyroidIpanelIbeIrunIonIaIpatientIwhileItakingIamiodorone?

Answer:
AmiodoroneIcanIcauseItheIthyroidItoInotIfunctionIproperly.ITheyIthyroidIcanIbecomeIeitherIh
ypoIorIhyper.ITSHIshouldIbeIcheckedIeveryI6Imonths.




Q:IWhatIisIaIcommonIsideIeffectIofIDigoxin?

Answer:
PatientsIcanIdevelopIcolorIvisionIdisturbances,ImostlyIofIyellowIandIgreenIwhichIisIcaleldItrit
anopia.




Q:IWhatIareItheImostIcommonIindicationsIforIDigoxin?

Answer:
A-fib,IandIA-flutterIwithIRVR.IButIthisIisInotItheIfirstIchoiceIofImedItoIuse

, Q:IWhatImedsIshouldIbeIusedIforIA-flutterIwithIRVRIorIA-fib?

Answer:
BetaIblockersIandIcalciumIchannelIblockers.ITheyIimproveItheIpumpingIofItheIheartIbyIslowi
ngIdownItheIconductionIatItheIAVInodeIandIallowItheIventriclesItoIfillIwithIblood.




Q:ISeriousIreactionsIwithItheIfollowingImedsIcanIoccurIwithIDigoxin?

Answer:
Verapamil,Iamiodarone,Ierythromycin,IandIepinephrine




Q:IWhatIareIsomeIsideIeffectsIwithIamiodorone?

Answer:
CornealImicroIdepositsIthatIcauseIopticIneuropathyI(visualIproblems),Ibluish-
grayIskinIdiscolorationIofItheIskin,Iphotosensitivity,IinterstitialIlungIdisease,IhypoIorIhyperIthy
roid.IMonitorIbloodIpressureIdaily.




Q:IAmiodoroneIisIusedItoItreatIwhat?

Answer:
LifeIthreateningIventricularIarrhythmiasIsuchIasIv-tachIorIv-fib.




Q:IWhatIcanIamlodipineIbeIusedIfor?

Answer:
ChestIpainIprevention,Ihypertension,IandIHF

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