NR565 / NR 565 Midterm Exam
What are medication examples of Schedule II drugs? - correct answer -Ativan & Valium
-Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs? - correct answer -Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
What medications are Schedule IV drugs? - correct answer -Ativan
-Tramadol
-Methadone
-Adderall
Which schedule drugs can APRNs prescribe? - correct answer Schedule II through Schedule IV
examples of reasons for medication non-adherence - correct answer -too busy
-too expensive
-ran out
-forgetting
-traveling & busy
Distribution in medication in elderly can be affected in what ways? - correct answer -decreased
lean mass
-decreased albumin
-decreased body fat
-slower gastric acidity
-slower absorption results in delayed response
In the elderly decrease albumin and decreased lean mass affects medications how? - correct
answer medication binds to protein so decreased protein affects how medication is absorbed
and distributed
, NR565 / NR 565 Midterm Exam
In elderly decreased body fat affects medications how? - correct answer need fat to transport
medications and some drug metabolism is dependent on body weight
When prescribing medication, we must understand that liver function declines with age due
to.... - correct answer decreased blood flow to the liver, decreased hepatic enzymes
What is the most important cause of adverse drug reactions? - correct answer
***overprescribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low & go slow)
-lack of monitoring medications
What can a poor metabolism phenotype do to a metabolism of a drug? - correct answer -slow
or increase absorption
-slow the metabolism
-keep drug in body longer
-increase toxicity
How does poor metabolism affect a high or low therapeutic index? - correct answer -increase
drug toxicity
(example plavix - clots & increased platelets)
Black box warning for Opioids - correct answer respiratory depression
Black box warning for Fentanyl - correct answer FATAL respiratory depression
Black box warning for Methadone (NP cannot prescribe) - correct answer QT interval
prolongation
Black box warning for Codeine - correct answer -breastfeeding and infant death can occur
-10% of dose converts to morphine
Black box warning for hydromorphone & oxymorphone (NP cannot prescribe long acting
hydromorphone and oxymorphone) - correct answer -risk for high abuse & overdose
-respiratory depression
Black box warning for oxycodone (NP need additional training to prescribe for chronic pain) -
correct answer -HIGH potential for abuse
-respiratory depression
Meds that require special training for APNs to prescribe are... - correct answer -Opioids
What are medication examples of Schedule II drugs? - correct answer -Ativan & Valium
-Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs? - correct answer -Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
What medications are Schedule IV drugs? - correct answer -Ativan
-Tramadol
-Methadone
-Adderall
Which schedule drugs can APRNs prescribe? - correct answer Schedule II through Schedule IV
examples of reasons for medication non-adherence - correct answer -too busy
-too expensive
-ran out
-forgetting
-traveling & busy
Distribution in medication in elderly can be affected in what ways? - correct answer -decreased
lean mass
-decreased albumin
-decreased body fat
-slower gastric acidity
-slower absorption results in delayed response
In the elderly decrease albumin and decreased lean mass affects medications how? - correct
answer medication binds to protein so decreased protein affects how medication is absorbed
and distributed
, NR565 / NR 565 Midterm Exam
In elderly decreased body fat affects medications how? - correct answer need fat to transport
medications and some drug metabolism is dependent on body weight
When prescribing medication, we must understand that liver function declines with age due
to.... - correct answer decreased blood flow to the liver, decreased hepatic enzymes
What is the most important cause of adverse drug reactions? - correct answer
***overprescribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low & go slow)
-lack of monitoring medications
What can a poor metabolism phenotype do to a metabolism of a drug? - correct answer -slow
or increase absorption
-slow the metabolism
-keep drug in body longer
-increase toxicity
How does poor metabolism affect a high or low therapeutic index? - correct answer -increase
drug toxicity
(example plavix - clots & increased platelets)
Black box warning for Opioids - correct answer respiratory depression
Black box warning for Fentanyl - correct answer FATAL respiratory depression
Black box warning for Methadone (NP cannot prescribe) - correct answer QT interval
prolongation
Black box warning for Codeine - correct answer -breastfeeding and infant death can occur
-10% of dose converts to morphine
Black box warning for hydromorphone & oxymorphone (NP cannot prescribe long acting
hydromorphone and oxymorphone) - correct answer -risk for high abuse & overdose
-respiratory depression
Black box warning for oxycodone (NP need additional training to prescribe for chronic pain) -
correct answer -HIGH potential for abuse
-respiratory depression
Meds that require special training for APNs to prescribe are... - correct answer -Opioids
