NR 566 Final Exam / NR566 Final Exam Review (Latest 2022/2023): Advanced Pharmacology for Care of the Family - Chamberlain

NR 566 Final Exam / NR566 Final Exam Review (Latest 2022/2023): Advanced Pharmacology for Care of the Family - Chamberlain Doxazosin side effects (due to alpha 1 receptor being blocked) - dizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness, nasal congestion Dutasteride (finasteride) patient teaching - benefits take months to develop, must continue taking med even if improvement not rapidly seen may lower ejaculatory volume & libido How to know Terazosin is working? - improved symptoms of dysuria, urgency, urinary tract infections, hesitancy etc. When is it safe and not safe to prescribe Progesterone (Progestin)? - if woman has had a hysterectomy/pregnant side effects of progestin-only oral contraceptives? - more likely to cause irregular/inconsistent bleeding, must be taken at same time every day to be effective Benefits of prescribing medroxyprogesterone acetate - doesn't cause thromboembolic disorders, headaches, nausea, or most of the other adverse effects associated with combo OCs. does not decrease milk supply during lactation Testosterone replacement therapy routes: - treatment that involves administering testosterone supplements through pills, injections, or skin patches testosterone patch patient teaching: - ○ good hand washing is required after application ○ cover application site with clothing after medication has dried ○ wash the application site before skin-to-skin contact with another person ■ females and children may experience negative effects from exposure to testosterone ■ if cross contamination occurs, wash the affected area with soap and water to prevent absorption When is androgen therapy appropriate vs. not needed related to puberty? - Short term: The psychological pressures of delayed sexual maturation are causing a boy significant distress. Long term: if delayed puberty related to true hypogonadism testosterone replacement therapy side effects? - Hot flashes, bone fractures, decreased libido, insulin resistance, erectile dysfunction, gynecomastia, acne, HTN, sterility, hepatotoxicity, mood swings/ aggression. Alprostadil: benefits of various routes? (for ED) - injection: can be done by patient or in ER setting; rapidly leads to erection, painless intraurethral pellet insertion: can be done by patient, erection occurs within 5-10 mins, minimal side effects How does carbamazepine impact oral contraceptives and what symptoms may be associated with that? - accelerates OC metabolism, reducing OC effect can lead to abnormal bleeding, return of menstrual symptoms, and of course pregnancy! what can the provider do is carbamazepine effecting patient's OC? - 1. Increase the estrogen dosage of the OC. 2. Combine the OC with a second form of birth control. 3. Switch to an alternative form of birth control. Benefits of Etonogestrel subdermal implant (Nexplanon)? - i