NR 565||(NR 565 ) Final Exam Study Guide
BEST FOR MIDTERM EXAM 100%
ASSURED WELL GRADED A+ (VERIFIED
2025-2026)
*During pregnancy, treating GERD Which cytoprotective agents would be used? Ranitidine and
ANS-*Esomeprazole are safe. *Carafate (sucralfate) A1c - Older Adult goal - ANS-
A1C General Goals: ANS of less than 7%, less than 8% in patients with severe hypoglycemia,
a short life expectancy, or advanced microvascular or macrovascular complications. Action of
Insulin - ANS-Anabolic-promotes conservation of energy and buildup of energy stores
(Glycogen)
stimulates the transport of glucose, amino acids, nucleotides, and K into the cell (uptake).
encourages the production of complex molecules. Triglycerides, Glucose, Glycogen, Amino
Acids, Proteins, and Fatty Acids Promotes cellular growth and division
Energy efficiency ANS-Bismuth subsalicylate (Pepto Bismol) increases the risk of Reye's
syndrome in children during or after chickenpox. COPD and asthma: initial treatment with
ANS-•SABA PRN ANS: Only when symptoms cannot be controlled with safer medications
would an oral steroid be prescribed. May be required for patients with moderate to severe
persistent asthma or for management of acute exacerbations of asthma or COPD.
When should A1C be checked again? ANS: Every three months until A1C falls below 7%, then
every six months. Be familiar with abbreviations of diabetic drug classifications (GLP-1, TZD,
DPP4-I, SGLT2i) - ANS-GLP-1: Glucagon-like Peptide -1 Receptor Agonist
TZD: Thiazolidinediones (Glitazones)
Gliptins are dipeptidyl peptidase-4 (DPP-4) inhibitors. SGLT2i: Sodium-Glucose Cotransporter 2
Inhibitors
Black box warning associated with gastroparesis treatment - ANS-long-term high-dose therapy
can cause irreversible tardive dyskinesia, characterized by repetitive, involuntary movements of
the arms, legs, and facial muscles.
Contraindicated in patients with GI obstruction, perforation, or hemorrhage.
Bupropion Recommended length of treatment - ANS-Daily for 12 weeks, if abstinence is
achieved, an additional 12 weeks of treatment is warranted. Treatment should begin 8-35 days
before smoking cessation.
Levothyroxine and catecholamines interact, putting ANS-induced cardiac responsiveness at
risk for catecholamine-induced dysrhythmias. Insulin and digoxin May need to have ↑'d dosages
of these if patient is taking levothyroxine
Complete this sentence: Manage with a ______ as needed. - ANS-SABA
, Constipation o Lifestyle modifications to suggest prior to treatment - ANS-•Increasing fiber and
fluid in diet
*Mild exercise, especially after meals
Definition of vaccine - ANS-a preparation containing whole or fractionated microorganisms.
Administration causes the recipient's immune system to manufacture antibodies directed
against the microbe.
Drug/Food/Supplement interactions with levothyroxine Absorption REDUCED by: -
ANS-Histamine 2 receptor blockers (Cimetidine [Tagamet])
Proton pump inhibitors (Lansoprazole)
Carafate (sucralfate) Cholestyramine (Questran)
Colestipol, or the Colestid Aluminum containing antacids (maalox, mylanta)
Calcium supplements (tums, os-cal)
Iron supplements
Selenium salts Orlistat (Xenical)
* 4 hours between levothyroxine and the above meds is recommended and food reduces
absorption as well
Drug/Food/Supplement interactions with levothyroxine Metabolism ACCELERATED by: -
ANS-Phenytoin (Dilantin)
Carbamazepine (Tegratol, Caratrol)
Rifampin (Rifadin)
Sertraline (Zoloft)
Phenobarbital
Patients taking these medications will need to have dose of levothyroxine increased
Tdap or DTaP? Who should receive the Tdap vaccine? - ANS-Tdap vaccine is given to
adolescents >10 years old and adults.
Examples of decongestant - ANS-Phenylephrine (Neo-synephrine)
Pseudoephedrine (Sudafed)
Naphthazolone, or Privine Oxymetazoline (Dristan, Afrin) Tetrahydrozoline (Tyzine)
Otrivin, xylometazoline Examples of vaccine types - Attenuated - ANS-Influenza (Live
Attenuated)
Examples of vaccine types - Inactive viral antigen - ANS-Hep A
Hep B
Influenza (not active) Poliovirus
Examples of vaccine types - Live virus - ANS-MMR
MMRV
Varicella
Rotavirus
Influenza
Examples of vaccine types - Toxoid - ANS-DTaP
Adsorption vaccines for diphtheria, tetanus, and acellular pertussis as well as recombinant
hepatitis B and inactivated poliovirus H2 receptor antagonists, such as ANS-Cimetidine
(Tagamet), are examples. Famotidine (Pepcid)
Nizatidine (Axid)
Ranitidine (Zantac)
BEST FOR MIDTERM EXAM 100%
ASSURED WELL GRADED A+ (VERIFIED
2025-2026)
*During pregnancy, treating GERD Which cytoprotective agents would be used? Ranitidine and
ANS-*Esomeprazole are safe. *Carafate (sucralfate) A1c - Older Adult goal - ANS-
A1C General Goals: ANS of less than 7%, less than 8% in patients with severe hypoglycemia,
a short life expectancy, or advanced microvascular or macrovascular complications. Action of
Insulin - ANS-Anabolic-promotes conservation of energy and buildup of energy stores
(Glycogen)
stimulates the transport of glucose, amino acids, nucleotides, and K into the cell (uptake).
encourages the production of complex molecules. Triglycerides, Glucose, Glycogen, Amino
Acids, Proteins, and Fatty Acids Promotes cellular growth and division
Energy efficiency ANS-Bismuth subsalicylate (Pepto Bismol) increases the risk of Reye's
syndrome in children during or after chickenpox. COPD and asthma: initial treatment with
ANS-•SABA PRN ANS: Only when symptoms cannot be controlled with safer medications
would an oral steroid be prescribed. May be required for patients with moderate to severe
persistent asthma or for management of acute exacerbations of asthma or COPD.
When should A1C be checked again? ANS: Every three months until A1C falls below 7%, then
every six months. Be familiar with abbreviations of diabetic drug classifications (GLP-1, TZD,
DPP4-I, SGLT2i) - ANS-GLP-1: Glucagon-like Peptide -1 Receptor Agonist
TZD: Thiazolidinediones (Glitazones)
Gliptins are dipeptidyl peptidase-4 (DPP-4) inhibitors. SGLT2i: Sodium-Glucose Cotransporter 2
Inhibitors
Black box warning associated with gastroparesis treatment - ANS-long-term high-dose therapy
can cause irreversible tardive dyskinesia, characterized by repetitive, involuntary movements of
the arms, legs, and facial muscles.
Contraindicated in patients with GI obstruction, perforation, or hemorrhage.
Bupropion Recommended length of treatment - ANS-Daily for 12 weeks, if abstinence is
achieved, an additional 12 weeks of treatment is warranted. Treatment should begin 8-35 days
before smoking cessation.
Levothyroxine and catecholamines interact, putting ANS-induced cardiac responsiveness at
risk for catecholamine-induced dysrhythmias. Insulin and digoxin May need to have ↑'d dosages
of these if patient is taking levothyroxine
Complete this sentence: Manage with a ______ as needed. - ANS-SABA
, Constipation o Lifestyle modifications to suggest prior to treatment - ANS-•Increasing fiber and
fluid in diet
*Mild exercise, especially after meals
Definition of vaccine - ANS-a preparation containing whole or fractionated microorganisms.
Administration causes the recipient's immune system to manufacture antibodies directed
against the microbe.
Drug/Food/Supplement interactions with levothyroxine Absorption REDUCED by: -
ANS-Histamine 2 receptor blockers (Cimetidine [Tagamet])
Proton pump inhibitors (Lansoprazole)
Carafate (sucralfate) Cholestyramine (Questran)
Colestipol, or the Colestid Aluminum containing antacids (maalox, mylanta)
Calcium supplements (tums, os-cal)
Iron supplements
Selenium salts Orlistat (Xenical)
* 4 hours between levothyroxine and the above meds is recommended and food reduces
absorption as well
Drug/Food/Supplement interactions with levothyroxine Metabolism ACCELERATED by: -
ANS-Phenytoin (Dilantin)
Carbamazepine (Tegratol, Caratrol)
Rifampin (Rifadin)
Sertraline (Zoloft)
Phenobarbital
Patients taking these medications will need to have dose of levothyroxine increased
Tdap or DTaP? Who should receive the Tdap vaccine? - ANS-Tdap vaccine is given to
adolescents >10 years old and adults.
Examples of decongestant - ANS-Phenylephrine (Neo-synephrine)
Pseudoephedrine (Sudafed)
Naphthazolone, or Privine Oxymetazoline (Dristan, Afrin) Tetrahydrozoline (Tyzine)
Otrivin, xylometazoline Examples of vaccine types - Attenuated - ANS-Influenza (Live
Attenuated)
Examples of vaccine types - Inactive viral antigen - ANS-Hep A
Hep B
Influenza (not active) Poliovirus
Examples of vaccine types - Live virus - ANS-MMR
MMRV
Varicella
Rotavirus
Influenza
Examples of vaccine types - Toxoid - ANS-DTaP
Adsorption vaccines for diphtheria, tetanus, and acellular pertussis as well as recombinant
hepatitis B and inactivated poliovirus H2 receptor antagonists, such as ANS-Cimetidine
(Tagamet), are examples. Famotidine (Pepcid)
Nizatidine (Axid)
Ranitidine (Zantac)
