NR565 / NR 565 Advanced Pharmacology Fundamentals Midterm Exam Study Guide 100% Guarantee Pass

NR565 / NR 565 Advanced Pharmacology Fundamentals
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Midterm Exam Study Guide ss ss ss




100% Guarantee Pass
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1. What schedule drugs can APRNs prescribe?
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Answer
ss It depends on the governing
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body in each state. In AZ there are no restrictions on APRN prescribing by schedule
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2. Who determines and regulates prescriptive authority?
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Answer
ss AZ - State Board of Nursing
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3. How does limited prescriptive authority impact patients within the
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ss health- care system? ss ss




Answer
ss Creates numerous barriers to quality affordable and acessible patient care.
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4. What are the key responsibilities of prescribing?
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Answer
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, ss 1. Be prudent and deliberate
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2. Have a documented provider-patient relationship with the person for whom
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ss you are prescribing
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3. Do not prescribe medications for family or friends or for yourself
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4. Document a thorough history and physical examination in your records
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ss 5.Include any discussions you have with the patient regarding risk
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factors, side effects, or therapy options
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5. Have a documented plan regarding drug monitoring or titration, if applicable.
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5. What should be used to make prescribing decisions?
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Answer
ss Cost, availability, cur- rent practice guidelines, medication interactions with
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ss food side effects need for
ss ss ss ss s s monitoring how drug is metabolized. special ss ss ss ss ss




ss populations. ask if prescriptions are ss ss ss ss s s cost prohibitive. ss




6. Be familiar with pharmacokinetic and pharmacodynamic changes of
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ss older adults and how that would translate to baseline information
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ss needed to pre- scribe.ss ss ss




Answer
ss Older adults often metabolize drugs more slowly. Dosages may need to be
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ss adjusted to accommodate age related changes in GI system, liver function,
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kidney function, etc.
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7. What is the BEERS criteria?
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Answer
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, ss lists potentially inappropriate drugs that lead to adverse effects in the
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ss elderly


8. why is the BEERS criteria important?
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Answer
ss It provides a list of medications that are potentially harmful in elderly.
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ss List that identifies drugs with a high likelihood of causing adverse effects
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ss in older adults. Beers Criteria are recommendations;
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ultimately prescribers must determine whether a medication is appropriate for
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ss use or not. These guidelines are not intended to limit the use of medications
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ss or apply to all older adults. Safe and judicious prescribing is crucial in the older
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ss adult to optimize pharmacotherapy.
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9. Impacts/outcomes of polypharmacy ss ss




Answer
ss - drug interactions with mild side effects to life-threatening consequences
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10. CYP450 inhibitors ss




Answer
inhibit metabolism, increase blood levels of medications
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11. CYP450 inhibitors mnemonic ^ drug levels ss ss ss ss ss




Answer
CRACK AMIGOS
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Cimetidine
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