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NR 565 - advanced pharmacology midterm - Chamberlain QUESTIONS AND ANSWERS .

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NR 565 - advanced pharmacology midterm - Chamberlain QUESTIONS AND ANSWERS .NR 565 - advanced pharmacology midterm - Chamberlain QUESTIONS AND ANSWERS .

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NR565- Advanced Pharm- Week 8 &... NR 565 - advanced pharmacology ... NR511 2025 |EXAM (M


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During what trimester is a 1st trimester (fetus most at risk d/t rapid growth)

pregnant woman most at risk for

adverse drug reactions with

potential long term

consequences?


Recommendations of medications inappropriate for elderly (65
What is BEERS criteria?
and older), prescriber ultimately decides


What is the CYP450 liver enzyme system where medications are metabolized, can

(cytochrome P450) either be inducers or inhibitors and create drug-drug interactions


Speed up metabolism of drugs (drug is cleared faster), drug has

CYP450 inducers lesser effect (decrease blood levels of drug), elevate CYP450

enzymes


CYP450 inducers pneumonic "Bullshit Crap GPS INDUCES rage"


Barbituates, St John wort, Carbamazepine, rifampin, alcohol,
CYP450 inducer drug names
phenytoin, griseofulvin, phenobarbital, sulfonylureas


CYP450 inhibitors inhibit metabolism, increase blood levels of medications


"VISA credit card debt INHIBITS spending on designers like CK
CYP450 pneumonic
to look GQ"


Valproate, isoniazid, sulfonamides, amiodarone,
CYP450 inhibitors drug names
chloramphenicol, ketoconazole, grapefruit juice, quinidine


Physiological changes during increase glomerular filtration rate leads to increase durg

pregnancy that impact excretion

pharmacodynamics and increase hepatic metabolism

pharmacokinetic properties of decrease tone and motility of bowel

drugs? increase drug absorption


Antiepileptic drugs, antimicrobials such as tetracyclines and
Examples of medications that
fluoroquinolones, vitamin A in large doses, some anticoagulants,
can be teratogenic
and hormonal medications such as diethylstilbestrol (DES).

, How is absorption of slow and erratic due to low blood flow in muscles first few days

intramuscular medications of life

different in neonates?


Why is absorption of medication delayed gastric emptying

in the stomach increased in

infancy?


glucocorticoids, discoloration of developing teeth with
Some medications that should
tetracyclines, and kernicterus with sulfonamides, levofloxacin
be avoided in the pediatric
(antibiotics)
patient?
aspirin (Severe intoxication from acute overdose)


dosage size and timing

route and technique of administration

what should be included in duration of treatment

medication administration drug storage

patient education? nature and time course of desired responses

nature and time course of adverse responses

finish taking antibiotic


reduced renal function

polypharmacy (the use of five or more medications daily)

greater severity of illness

What are some things that put presence of comorbidities

the elderly patient at higher risk use of drugs that have a low therapeutic index (e.g., digoxin)

for adverse drug reactions? increased individual variation secondary to altered

pharmacokinetics

inadequate supervision of long-term therapy

poor patient adherence


obtaining a thorough drug history that includes over-the-counter

medications

considering pharmacokinetic and pharmacodynamics changes

due to age
How can healthcare providers
monitoring the patient's clinical response and plasma drug levels
decrease likelihood of an
using the simplest regimen possible
elderly patient experiencing an
monitoring for drug-drug interactions and iatrogenic illness
adverse drug reaction?
periodically reviewing the need for continued drug therapy

encouraging the patient to dispose of old medications

taking steps to promote adherence and to avoid drugs on the

Beers list


simplifying drug regimens

providing clear and concise verbal and written instructions

using an appropriate dosage form
How can we promote
clearly labeling and dispensing easy-to-open containers
medication adherence with
developing daily reminders
elderly patients?
monitoring frequently

affordability of drugs

support systems


Why do nitrates need to be Need nitrate free interval so tolerance doesn't develop

taken no later than 4 PM?

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