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NSG 533 ADVANCED PHARMACOLOGY EXAM QUESTIONS AND ANSWERS LATEST UPDATE

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NSG 533 ADVANCED PHARMACOLOGY EXAM QUESTIONS AND ANSWERS LATEST UPDATE

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NSG 533 ADVANCED PHARMACOLOGY EXAM QUESTIONS
AND ANSWERS LATEST UPDATE
EXAM 1
Role of NP
State title protection. Board of nursing regulates practice.
5 states have joint oversight with medical board.
Scope of practice is determined by NP license.
24 states are totally NPs are anonomous
20 states require physician collaboration
3 states have physician supervision
Some states allow NPs to prescribe by protocol.
Role of PA
Title protection in all states.
All have prescription authority
5 states limit PA formulary
15 states permit only schedule III to V drugs
Practice oversight by MD
Control of practice and licensing by medical board.
Factors involved in using good clinical judgement
Is a prescription the right treatment?
Which drugs are effective for the disease?
What are the goals of therapy? Cure or maintain?
Monitor to see if drug meets goals
Check for drug duplications-polypharmacy
OTC vs. Rx
What is the cost of the drug?
Where did you get your information?
Is it EBP?
Pharmacotherapeutics
Intregates pharmacology, pathophysiology, and therapeutics
Pharmacokinectics

, How the body processes medications. What the body does with the drug
Pharmacodynamics
What the drug does to the body. The medication action at cellular level to elict a
therapeutic effect.
Two main branches of pharmacology
Pharmacokinetics
Pharmacodynamics
Toxicology
Branch dealing with toxic effects
Therapeutics
The use of drugs to diagnose, prevent, or treat disease or to prevent pregnancy
4 major processes of pharmacokinetics
Drug absorption into the bloodstream
Drug distribution into the tissues to the site of action
Drug metabolism via liver or intestinal enzymes
Drug excretion via the kidneys in urine or intestine in feces
Major processes of pharmacodynamics
Effects on the body
Receptor binding and effect
Drug effects on body-pharmacodynamics
Desired activity
Undesirable effects
Therapeutic window
Duration of action
Desired activity of a drug
Cellular membrane disruption
Chemical reaction with downstream effects
Interaction with enzyme, structural, and carrier proteins
Interaction with ion channels
Ligand binding to receptors
Receptors

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