MSN 622 FINAL TEST BANK COMPLETE
QUESTIONS AND VERIFIED ANSWERS
EXPERT REVIEW RESOURCE
⩥ Absorption.
Answer: how medication actually gains access to the body or enters the
bloodstream from the site of administration
⩥ Distribution.
Answer: how the drug travels through the bloodstream to different
tissues in the body
⩥ metabolism.
Answer: how to body chemically modifies the drug
⩥ excretion.
Answer: how the metabolized drug is removed from the body- usually
urine in the kidneys but can be through sweat, saliva, tears, and feces
⩥ The first pass effect metabolism.
Answer: phenomenon of drug metabolism at a specific location in the
body which leads to a reduction in the concentration of the active drug
before it reaches the site of action.
,⩥ Generic names of drugs.
Answer: created to explain the active ingredient chemical structure,
action, or indication
there is only one generic name
⩥ brand names.
Answer: name given by the drug company.
There are multiple brand names.
⩥ drug classes.
Answer: Group names for drugs that have similar activities or are used
for the same type of diseases and disorders.
usually mechanism of action (beta blockers, BPD 5 blockers),
therapeutic classes (anti-hypertensives, antiseizures)
⩥ what should you assess if a patient has hepatic or renal issues?.
Answer: their function and reassess dosing
⩥ polyuria/anuria.
,Answer: frequent urination, no urine formation
if the pt is chronic it is not a big deal but if it is a change it is an
emergency
⩥ NSAIDS.
Answer: ibuprofen, naproxen, indomethacin, ketorolac, celecoxib
antipyretic/anti-analgesics
should only be on one of these medications.
nephrotoxic and hepatotoxic
MOA: cox 1 & 2 inhibitors
*except for celecoxib which is a cox 2 inhibitor. Cox 2 inhibits
inflammation
Blackbox warning: GI bleeding
pt. complaining of GI upset can take an occult test.
, ⩥ Acetaminophen.
Answer: Bocks cox more centrally in the body.
antipyretic/anti-analgesics
NOT anti-inflammatory
preferred for some patients as it is NOT nephrotoxic but is hepatotoxic.
It can seriously damage the liver if pt overdoses on it.
N-acetylcysteine- used to treat acetaminophen toxicity.
⩥ Corticosteroids.
Answer: hydrocortisone, prednisone, methylprednisolone,
dexamethasone
Best anti-inflammatory
Major systemic effects: hyperglycemia, immunosuppression,
hypertension, osteoporosis/fractures
QUESTIONS AND VERIFIED ANSWERS
EXPERT REVIEW RESOURCE
⩥ Absorption.
Answer: how medication actually gains access to the body or enters the
bloodstream from the site of administration
⩥ Distribution.
Answer: how the drug travels through the bloodstream to different
tissues in the body
⩥ metabolism.
Answer: how to body chemically modifies the drug
⩥ excretion.
Answer: how the metabolized drug is removed from the body- usually
urine in the kidneys but can be through sweat, saliva, tears, and feces
⩥ The first pass effect metabolism.
Answer: phenomenon of drug metabolism at a specific location in the
body which leads to a reduction in the concentration of the active drug
before it reaches the site of action.
,⩥ Generic names of drugs.
Answer: created to explain the active ingredient chemical structure,
action, or indication
there is only one generic name
⩥ brand names.
Answer: name given by the drug company.
There are multiple brand names.
⩥ drug classes.
Answer: Group names for drugs that have similar activities or are used
for the same type of diseases and disorders.
usually mechanism of action (beta blockers, BPD 5 blockers),
therapeutic classes (anti-hypertensives, antiseizures)
⩥ what should you assess if a patient has hepatic or renal issues?.
Answer: their function and reassess dosing
⩥ polyuria/anuria.
,Answer: frequent urination, no urine formation
if the pt is chronic it is not a big deal but if it is a change it is an
emergency
⩥ NSAIDS.
Answer: ibuprofen, naproxen, indomethacin, ketorolac, celecoxib
antipyretic/anti-analgesics
should only be on one of these medications.
nephrotoxic and hepatotoxic
MOA: cox 1 & 2 inhibitors
*except for celecoxib which is a cox 2 inhibitor. Cox 2 inhibits
inflammation
Blackbox warning: GI bleeding
pt. complaining of GI upset can take an occult test.
, ⩥ Acetaminophen.
Answer: Bocks cox more centrally in the body.
antipyretic/anti-analgesics
NOT anti-inflammatory
preferred for some patients as it is NOT nephrotoxic but is hepatotoxic.
It can seriously damage the liver if pt overdoses on it.
N-acetylcysteine- used to treat acetaminophen toxicity.
⩥ Corticosteroids.
Answer: hydrocortisone, prednisone, methylprednisolone,
dexamethasone
Best anti-inflammatory
Major systemic effects: hyperglycemia, immunosuppression,
hypertension, osteoporosis/fractures
