MSN Weekly Worksheets with Verified Solutions
List ten items that must be on every prescription:
a. Prescriber name, license number, and contact information
b. Prescriber U.S. Drug Enforcement Administration (DEA) number, if applicable
c. Patient name and date of birth
d. Patient allergies
e. Name of medication
f. Indication of medication
g. Medication strength
h. Dose of medication and frequency
i. Number of tablets or capsules to dispense
j. Number of refills
What hypertension medication must be avoided in pregnancy?
Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs)
What antibiotics must be avoided in pregnancy?
Tetracyclines and Trimethoprim-sulfamethoxazole
What OTC medication should be avoided in pregnancy?
Mega-doses of vitamin A, NSAIDs, nicotine replacement products
What antidepressant is safe during breastfeeding?
Sertraline, Paroxetine, and possibly TCAs though risk cannot be ruled out
,What is the "BEERS criteria"?
The BEERS Criteria is a reference tool for potentially inappropriate medication use in older
adults. It includes five lists that describe medications with evidence suggesting they should be
avoided by most older people (outside of hospice and palliative care settings), avoided by older
people with specific health conditions, avoided in combination with other treatments because of
an increased risk for harmful "drug-drug" interactions, used with caution because of potential
harmful side effects, or dosed differently or avoided among people with reduced kidney function.
It is recommended to be used as a starting point for discussion between a patient and provider.
what does it means to treat a condition empirically?
The initiation of a broad-spectrum antibiotic after samples of exudate or body fluids have been
collected from a patient with a severe infection to culture and determine the identity and drug
sensitivity of the infecting organism. Once identified, a more selective antibiotic can be started.
What drugs are listed in chapter 73 as an alternative to penicillin in patients that are
allergic?
vancomycin, erythromycin, and clindamycin.
According to your book, what is the primary use for sulfonamides today?
acute UTIs
Your book lists what drug as first line for uncomplicated UTIs?
Nitrofurantoin 100mg twice daily x 5 days or Trimethoprim-sulfamethoxazole 160/800mg twice
daily x 3 days (Fig. 78.1)
, Use the table in chapter 79 to list what labs that must be monitored in a patient receiving
pharmacotherapeutic therapy for active tuberculosis?
AST, ALT, bilirubin, alkaline phosphate, platelet count should be drawn as baseline & monthly
if baseline is abnormal, if signs or symptoms of liver injury develop, or for patients at high risk
of liver injury. Serum Creatinine should be drawn baseline & repeated as indicated. HIV should
be drawn as a baseline and if positive, CD4 Lymphocyte count and HIV RNA load should be
drawn. Hepatitis B and C screen and diabetes screen should be drawn for patients with risk
factors.
What patient education is taught in chapter 82 regarding the effectiveness of acyclovir?
Acyclovir only decreases symptoms and does not eliminate the virus and does not cure. Apply
topical acyclovir with a finger cot or rubber glove to avoid viral transfer to other body sites or
people. Some transient local burning or stinging may occur and does not indicate a reaction and
serious side effects are uncommon. The most common side effects for oral acyclovir include
nausea, vomiting, diarrhea, headache, and vertigo.
1. According to chapter 83, what two lab tests are most central to be monitored in a patient
being treated for HIV?
CD4 T-cell counts and plasma HIV RNA (viral load) essays are used to monitor and guide
therapy
Which STI does chapter 84 say should be treated inpatient with IV antibiotics?
Pelvic inflammatory disease is recommended to be treated with IV therapy with PO doxycycline
What effect does vasoconstriction have on blood pressure?
List ten items that must be on every prescription:
a. Prescriber name, license number, and contact information
b. Prescriber U.S. Drug Enforcement Administration (DEA) number, if applicable
c. Patient name and date of birth
d. Patient allergies
e. Name of medication
f. Indication of medication
g. Medication strength
h. Dose of medication and frequency
i. Number of tablets or capsules to dispense
j. Number of refills
What hypertension medication must be avoided in pregnancy?
Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs)
What antibiotics must be avoided in pregnancy?
Tetracyclines and Trimethoprim-sulfamethoxazole
What OTC medication should be avoided in pregnancy?
Mega-doses of vitamin A, NSAIDs, nicotine replacement products
What antidepressant is safe during breastfeeding?
Sertraline, Paroxetine, and possibly TCAs though risk cannot be ruled out
,What is the "BEERS criteria"?
The BEERS Criteria is a reference tool for potentially inappropriate medication use in older
adults. It includes five lists that describe medications with evidence suggesting they should be
avoided by most older people (outside of hospice and palliative care settings), avoided by older
people with specific health conditions, avoided in combination with other treatments because of
an increased risk for harmful "drug-drug" interactions, used with caution because of potential
harmful side effects, or dosed differently or avoided among people with reduced kidney function.
It is recommended to be used as a starting point for discussion between a patient and provider.
what does it means to treat a condition empirically?
The initiation of a broad-spectrum antibiotic after samples of exudate or body fluids have been
collected from a patient with a severe infection to culture and determine the identity and drug
sensitivity of the infecting organism. Once identified, a more selective antibiotic can be started.
What drugs are listed in chapter 73 as an alternative to penicillin in patients that are
allergic?
vancomycin, erythromycin, and clindamycin.
According to your book, what is the primary use for sulfonamides today?
acute UTIs
Your book lists what drug as first line for uncomplicated UTIs?
Nitrofurantoin 100mg twice daily x 5 days or Trimethoprim-sulfamethoxazole 160/800mg twice
daily x 3 days (Fig. 78.1)
, Use the table in chapter 79 to list what labs that must be monitored in a patient receiving
pharmacotherapeutic therapy for active tuberculosis?
AST, ALT, bilirubin, alkaline phosphate, platelet count should be drawn as baseline & monthly
if baseline is abnormal, if signs or symptoms of liver injury develop, or for patients at high risk
of liver injury. Serum Creatinine should be drawn baseline & repeated as indicated. HIV should
be drawn as a baseline and if positive, CD4 Lymphocyte count and HIV RNA load should be
drawn. Hepatitis B and C screen and diabetes screen should be drawn for patients with risk
factors.
What patient education is taught in chapter 82 regarding the effectiveness of acyclovir?
Acyclovir only decreases symptoms and does not eliminate the virus and does not cure. Apply
topical acyclovir with a finger cot or rubber glove to avoid viral transfer to other body sites or
people. Some transient local burning or stinging may occur and does not indicate a reaction and
serious side effects are uncommon. The most common side effects for oral acyclovir include
nausea, vomiting, diarrhea, headache, and vertigo.
1. According to chapter 83, what two lab tests are most central to be monitored in a patient
being treated for HIV?
CD4 T-cell counts and plasma HIV RNA (viral load) essays are used to monitor and guide
therapy
Which STI does chapter 84 say should be treated inpatient with IV antibiotics?
Pelvic inflammatory disease is recommended to be treated with IV therapy with PO doxycycline
What effect does vasoconstriction have on blood pressure?