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NURS 682 Midterm Questions and Answers
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Discuss the s/s , screening, transmission, treatment, education for
chlamydia.n for chlamydia. Ans: - Asymptomatic
- Cervicitis, lots of discharge
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- Screening: annuals <25, MSM, HIV+, high risk
- Transmission: sexual contact and vertical transmission
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- Diagnosis: culture, non-amplified tests (urine, cervical, urethral)
- Tx: azith 1 gm po x1 OR doxycycline 100 mg po BID x7 days
*no doxycycline in pregnancy
*doxycycline is broad spectrum, photosensitivity
- SE: n/v/d, anorexia, better absorption/less SE with food
-education: all partners in past 60 days, evaluation and presumptive
treatment, counseling, no sex for 7 days, return for rescreening 3 months
after treatment
*pregnant patients OR alternative treatment given should be retested
after 3-4 weeks for TEST OF CURE
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What are the four rational prescribing principles. Ans: Maximizing
effectiveness of med, minimizing side effects, minimizing cost,
customizing an agent for an individual
Who controls prescriptive authority? Ans: Individual state.
Where do most medication errors occur (HINT: beginning and end) Ans:
Prescribing and administering.
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Define adverse drug reaction. Ans: Unintended and undesired that
occurs in doses used in human for prophylaxis, diagnosis and therapy or
response that is noxious and unintended and occurs at doses normally
used.
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Define side effect. Ans: Predicted effect that occur with therapeutic
doses of medication, they are not life threatening, do not require
stopping the medication.
What are the steps of rational prescribing? Ans: 1.Make a specific
diagnosis
2.Consider the pathophysiology of the DX
3.Select a therapeutic agent based on the pathophysiology
4.Select the drug of choice (Based on pharmacokinetics,
pharmacodynamics, and cost
5.Determine the appropriate dose regimen