Nu 578 unit 4 examh study-guide endocrine gi-pharmacology.pdf

UNIT 4: ENDOCRINE, ANTI-INFLAMMATORY, BONE
and JOINT, and GI PHARMACOLOGY


Pharmacology for Advanced Practice Nurses

Lehne’s Pharmacology for Nursing Care (9th edition):
Chapters 57 – 75, 78 – 82




Edited by: Jessica Santos




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,SECTION I: INDEX




QUESTION Page(s)
1. FAMILIARIZE YOURSELF WITH TSH LEVELS, WHAT LABS ARE
IMPORTANT, WHAT TO DO WHEN TSH IS LOW OR ELEVATED. (P. 7
705; KEY SEARCH TERM: “SERUM TSH SERUM”)
2. REVIEW HYPOTHYROIDISM IN NEONATES – HOW IS THIS
TREATED? (P. 706; KEY SEACH TERM: “HYPOTHYROIDISM IN 7–8
NEWBORNS”)
3. REVIEW DOSING IN ADULTS AND ELDERLY. (P. 709; KEY SEARCH
TERM: “ADULTS WHEN CALCULATED”) 8
4. WHAT DRUGS INTERACT WITH LEVOTHYROXINE – WHAT DO YOU
DO TO ADJUST THE MEDICATION? (P. 708; KEY SEARCH TERM: 8–9
“XENICAL TO ENSURE”)
5. PATIENT EDUCATION REGARDING PREGNANCY AND
HYPOTHYROIDISM. (P. 706; KEY SEARCH TERM: “MATERNAL 9
HYPOTHYROIDISM CAN”)
6. WHAT IS THE DIFFERENCE BETWEEN LEVOTHYROXINE
AND SYNTHROID? (P. 708; KEY SEARCH TERM: “POINT OF 9
CONTENTION”)
7. REVIEW PROPYLTHIOURACIL – INDICATIONS, SIDE EFFECTS,
PATIENT EDUCATION. (P. 710; KEY SEARCH TERM: 10
“PROPYLTHIOURACIL LIKE”)
8. MEDICATIONS FOR TREATMENTS, SIDE EFFECTS, APPROPRIATE
DOSAGE, DRUG INTERACTIONS, PATIENT TEACHING, DURATION OF 10 – 12
TREATMENT. (P. 706; KEY SEARCH TERM: “DISEASE GRAVES’”)
9. DRUGS USED, ADVERSE EFFECTS. (P. 706; KEY SEARCH TERM:
“WOMEN TAKING THYROID”) 13
10. ASSESSMENT FOR HYPO AND HYPERTHYROIDISM AS WELL AS
THYROID STORM—HOW IS THYROID STORM MANAGED? (P. 705; 14
KEY SEARCH TERM: “GO UNRECOGNIZED FOR WHAT”)
11. REVIEW ANTIEMETICS – UNDERSTAND HOW THESE MEDICATIONS
WORK. (P. 971; KEY SEARCH TERM: “ANTIEMETICS ARE GIVEN”) 14 – 15
12. WHICH DRUGS ARE USED, TESTS FOR DIAGNOSIS, PATIENT
EDUCATION, COST EFFECTIVE REGIMENS. (PP. 947, 955; KEY 15 – 17
SEARCH TERM: “THE MAJOR AGGRESSIVE”)
13. WHAT ARE SOME ANTICIPATED SIDE EFFECTSS WHEN

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, DISCONTINUING LONG-TERM USE OF GERD MEDICATIONS. (P. 954; 18
KEY SEARCH TERM: “PREFERENCE ALTHOUGH”)
14. REVIEW MEDICATIONS FOR PEPTIC ULCER DISEASE. (P. 950; KEY
SEARCH TERM: “ANTIBACTERIAL DRUGS SHOULD”) 18 – 20
15. REVIEW ZOLLINGER-ELLISON SYNDROME. (PP. 948, 952; KEY
20
SEARCH TERM: “INVOLVED ZOLLINGER”)
16. REVIEW OBESITY MANAGEMENT DRUGS. (P. 998; KEY SEARCH
20 – 22
TERM: “WEIGHT LOSS DRUGS LIPASE”)
17. REVIEW ALL MEDICATIONS FOR CONSTIPATION, REVIEW PATIENT
EDUCATION INFORMATION – LENGTH OF TIME FOR RESOLUTION
23 – 26
BASED ON MEDICATION. (P. 963; KEY SEARCH TERM: “STIMULATE
DEFECATION THESE”)
18. REVIEW THE MEDICATIONS, DOSE, ROUTE. (P. 716; KEY SEARCH
26 – 28
TERM: “HORMONE GROWTH”)
19. WHAT ARE RISKS AND BENEFITS OF THESE DRUGS, WHAT ARE
SOME OF SIDE EFFECTS? (P. 718; KEY SEARCH TERM: “ELICITED 28 – 29
EFFICACY”)
20. REVIEW THE WOMEN’S HEALTH INITIATIVE (WHI)
RECOMMENDATIONS ON HORMONE REPLACEMENT THERAPY. (PP. 29
741, 744; KEY SEARCH TERM: “RESULTS OF TWO TRIALS”)
21. REVIEW INDICATIONS FOR USE OF INSULIN. (P. 681; KEY SEARCH
TERM: “MELLITUS INSULIN IS”) 29
22. REVIEW ALL SHORT-ACTING AND LONG-ACTING MEDICATIONS,
WHEN AND HOW TO USE, PATIENT EDUCATION. (P. 684; KEY
SEARCH TERM: “BIGUANIDES METFORMIN METFORMIN”) – 29 – 31
PLEASE SEE QUESTIONS #23 AND #24 FOR ADVERSE EFFECTS,
CONTRAINDICATIONS, AND DOSAGES
23. ADVERSE EFFECTS AND CONTRAINDICATIONS TO USE OF ORAL
ANTIDIABETICS. (P. 686; KEY SEARCH TERM: “INSUFFICIENCY 31
METFORMIN”)
24. DOSING OF ORAL ANTIDIABETICS—HOW AND WHEN DO PATIENTS
TAKE THESE FOR BEST EFFECT? (P. 686; KEY SEARCH TERM: 32 – 33
“BELOW WITH THE”)
25. MONITORING OF ORAL ANTIDIABETICS FOR SIDE EFFECTS—THINK
HYPOGLYCEMIA HERE. (P. 684, KEY SEARCH TERM: "SEVEN MAIN
34
FAMILIES") – PLEASE SEE THE TABLE UNDER QUESTION #23 FOR
ADDITIONAL INFORMATION
26. LAB VALUES PERTINENT TO CARE OF PATIENTS ON DIABETIC
MEDICATIONS (ORAL OR INSULIN)—AGAIN, THINK OF BG, HBA1C, 35
BUT ALSO ELECTROLYTES (K+ IN PARTICULAR). (P. 673; KEY
SEARCH TERM: "SMBG IS RECOMMENDED")
27. DURATION OF ACTION OF THE DIFFERENT INSULIN
PREPARATIONS. (PP. 677, 678; KEY SEARCH TERM: "CLASSIFIED 35 – 36
ACCORDING TO TIME")
28. DIABETIC PATIENT TEACHING; LIFESTYLE MODIFICATIONS FOR
36
DIABETIC PATIENTS. (P. 671; KEY SEARCH TERM: “MEASURES
PROPER”)
29. REVIEW DPP-INHIBITORS – SIDE EFFECTS, PATIENT EDUCATION. (P.
690; KEY SEARCH TERM: “GLIPTINS DPP”) 37
30. WHICH ANTI-HYPERTENSIVES WORK WELL WITH DIABETICS? (P.
669; KEY SEARCH TERM: “NEPHROPATHY THAT IS”) 37
31. TREATMENT OF POLYCYSTIC OVARY SYNDROME. (PP. 770; KEY
37
SEARCH TERM: “PCOS CAN BE TREATED”)
32. MAKE SURE YOU ARE FAMILIAR WITH PATIENT EDUCATION
REGARDING UTILIZATION OF DIABETES MEDS, DIRECTIONS FOR
38 – 40
TAKING MEDICATION, ETC. (P. 698; KEY SEARCH TERM: “PREPARE
FOR SUBQ”)
33. DIABETES MEDICATION IN PREGNANCY—WHICH ONES ARE
APPROVED FOR USAGE? (PP. 685, 670, 687-688; KEY SEARCH TERM: 40


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, “PREGNANCY BEFORE THE”)




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