Final Exam: NR566/ NR 566 Advanced Pharmacology Care of the Family Exam | Questions and Verified Answers (2023/ 2024 Update)- Chamberlain
Final Exam: NR566/ NR 566 Advanced Pharmacology Care of the Family Exam | Questions and Verified Answers (2023/ 2024 Update)- Chamberlain Q: How long should it take for antidepressant to work? Answer: "this medication takes about 1-3 weeks to notice a difference" 12 weeks for max response Therapeutic trial should not be considered failure until drug has been taken for at least 1 month without success Q: When are progestin contraindicated Answer: Undiagnosed vaginal bleeding, active thrombophlebitis or history of thromboembolic disorder, active liver disease, and carcinoma of breast Women who have undergone hysterectomy Q: When is it appropriate to increase the dose of donepezil? Answer: After 1-3 months (minimize side effects) Q: What is abortive therapy? Answer: Eliminate headache pain and suppress associated nausea and vomiting Q: When is abortive therapy used? Answer: Treatment should begin at earliest sign of attack Limit to 1-2 days per week. More frequent use can lead to medication overuse headache (MOH) Q: abortive therapy for mild symptoms Answer: NSAID (asa or naproxen may work) Q: abortive therapy for moderate to severe symptoms Answer: Migraine-specific drug such as serotonin agonist-less frequently used- an ergot alkaloid. If these fail an opioid analgesic (butorphanol) may be needed Q: Cholinesterase inhibitors side effects Answer: Dizziness, orthostatic hypotension, weight loss, falls d/t bradycardia, N/V/D, insomnia Q: First line treatment for migraine prevention Answer: Beta blockers (propranolol) Q: How to know someone would be appropriate for preventative therapy for migraines Answer: Indicated for patients who have frequent attacks (3 or more a month), attacks that are especially severe or attacks that do not respond to abortive therapy
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