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Nur 641 E Final Exam Study Guide Grand Canyon University 2025|Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It 100% Accurate!!

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Nur 641 E Final Exam Study Guide Grand Canyon University 2025|Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It 100% Accurate!!

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Nur 641 E Final Exam Study Guide Grand Canyon University 2025|Actual
在中文中

Exam Set Questions And Verified Answers (Correct solutions) | Get It 100%

Accurate!!

absorption, distribution, metabolism, excretion - (ANSWER)Pharmacokinetics involves




absorption from the administration site either directly or indirectly in the blood plasma -

(ANSWER)Pharmacokinetic absorption




reversibly or irreversibly move from the bloodstream into the interstitial and intracellular fluid -

(ANSWER)Parmacokinetic distribution




biotransformed via hepatic metabolism or by other tissue - (ANSWER)Pharmacokinetics metabolism




1. highest bioavailability


2. places entire does into venin thus bypassing absorption


3. avoids hepatic first pass metabolism in the liver - (ANSWER)Intravenous medications




usually reached within 4-5 half lives of the drug - (ANSWER)steady state medication

,1.the time required for the elimination process to reduce 2.the concentration of the drug to one half what it
在中文中
was at initial administration


3.determines drug frequency


4. predicts length of toxic effects


5. constant first order pharmacokinetics of a drug - (ANSWER)drug half life




drug is metabolized at a constant rate per unit - (ANSWER)zero order (nonlinear)




metabolizes 50% drugs


inhibit: grapefruit juice


- increase drug -> adverse effects


may have enhanced activity with any other CYP3A4 - (ANSWER)CYP3A4




1. discovery or laboratory for development


2. Phase 1 begins with animal testing


3. phase 2 human subjects


4. compare drug to placebo or other drug that is effective


5.FDA then reviews result and determines approval


6. Post market study to determine other side effects that were not seen while lab testing - (ANSWER)Six

steps in drug development process

, 在中文中
1.Institute of Safe mediation Practice


2. Institute of Medicine


3. Joint commission


4.National Coordinating Council form mediation error reporting and prevention


5. Food and Drug Administration (safe use initiative) - (ANSWER)organizations for medication safety




1.Also known as a side effect, an undesirable reaction that accompanies the principal response for which

the drug was taken include allergic reactions and adverse drug effects


2. Either pharmacological or idiosyncratic


3. 85-90% of ADRs are pharmacological


4. Reporting is not mandated by FDA thus are not commonly reported


5. usually preventable occur in hospital and nursing homes due to med errors


6. Polypharmacy, multiple doctors and multiple pharmacies increase risk - (ANSWER)Adverse Drug

Reaction (ADR)




1. end in pril: lisinopril, captopril, enalapril, ramipril, benazepril and fosinopril


2. suppress release of angiotensin converting enzyme


3. side effects include cough and angioedema, with angioedema the medication should be discontinued -

(ANSWER)Angiotensin-converting enzyme (ACE) inhibitors

, 在中文中
1. -sartan: candesartan, eprosartan, ibesartan, Isosartan, telmisartan, valsartan


2.block angiotensin 11 receptors - (ANSWER)Angiotensin II Receptor Blockers (ARBs)




Essential HTN accounts for 90% of cases and is also called primary, secondary may be caused by CKD -

(ANSWER)Essential vs Secondary HTN




use: angina pectoris


action: dilate veins and arteries and thereby reducing ischemia and relieving pain by decreasing

myocardial O2 consumption


Side effects: throbbing HA, flushing, hypotension tachycardia


available: IV, SL, topical ointment and transdermal patch


contraindicated with PDE-5 (sildanfil and vardenafil) - (ANSWER)Nitroglycerin (Nitrate)




1. antiarrhythmic of choice when there is coexisting heart failure


2. can cause thyroid and pulmonary toxicity - (ANSWER)Amiodarone




vasoconstriction and increased blood pressure - (ANSWER)Alpha 1 adrenergic stimulation results

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