Study Quiz For Nr 566 Questions And Answers

STUDY QUIZ FOR NR 566 QUESTIONS AND ANSWERS treatment of obesity: evaluation of phentermine/topiramate - CORRECT ANSWERSchedule IV drug indicated for chronic weight loss. Phetermine suppresses appetite which topirmate increses satiety. Most common side efrects are dry mouth, constipation, blurred vision, and numbness tingling. -serious effects are memory loss, concentration, HTN, tachycardia, hypoglycemia treatment of obesity: evaluation of phentermine/topiramate contraindications: - CORRECT ANSWER-Glaucoma or hyperthyroid -Should not be given with MAOI. Stop MAOI 2 weeks before starting. -Carbonic anhydrase increases risk for metabolic acidosis -diuretics that are not K+ sparing increases risk for hyperkalemia Orlistat (Xenical) - CORRECT ANSWER-- Is prescribed to morbidly obese pts to lose weight. It prevents absorption of some of the fat in the pts diet. - The med should be taken 3 times/day within 1 hour of a meal - Its a lipase inhibitor, not an appetite suppressor. Orlistat (Xenical) adverse effects: - CORRECT ANSWER-Oily rectal leakage, sharting, fecal urgency, and fatty or oily stools -increased defecation and incontinence -rare: severe liver damage — itching, vomiting, anoxeria, dark urine, light colored stools -acute pancreatitis and kidney stones Orlistat (Xenical) contraindications - CORRECT ANSWER-Malabsorption syndrome and cholestasis Lorcaserin (Belviq) - CORRECT ANSWER-weight loss drug Lorcaserin adverse effects - CORRECT ANSWER-HA, back pain, decrease lymphocytes and URIs, hypoglycemia in diabetics Lorcaserin adverse reactions that are less common - CORRECT ANSWER-Blood dye radios, cognitive impairment, psychiatric disorders, priapism, HTN, valvular heart disease Weight loss drugscontraindications for children - CORRECT ANSWER-Not recommended. - orlistat is not approved for kids under 12 Diethylpropion and phentermine are not for children under 16 Weight loss drugs contradictions: pregnancy - CORRECT ANSWER-Not recommended Can take diethylpropion- it's not teratogen; but neonates born to women who take this drug May experience withdrawal Weight loss drugs contradictions: breastfeeding - CORRECT ANSWER-Not recommended for all drugs Weight loss drugs for older adults contradictions - CORRECT ANSWER-Those with renal impairment -Naltrexone/bupropion should be limited to one tablet daily - creatinine level is less than 50 -phentermine/topiramate should be limited to 7.5/46 capsule daily -lorcaserin should not be given with 30 or less creatinine clearance Nalrexone (ReVia) - CORRECT ANSWER-Decrease the ability opioid analgesics to relieve pain -do not take within 2 weeks of a MAOI Naltrexone/Bupropion (Contrave) adverse reactions - CORRECT ANSWER-N/v, constipation, HA, dizziness, and insomnia, increase blood pressure, dry mouth, diarrhea, and discomfort, anxiety, and fatigue, SI thoughts Naltrexone/Bupropion (Contrave) black box - CORRECT ANSWER-SI, SI attempts in children, adolescents, and young adults Naltrexone/Bupropion (Contrave) contradictions - CORRECT ANSWER-Taking other bupropion Pts with uncontrolled HTN, seizure disorder, eating disorders such as anorexia or bulimia -those going through alcohol, barbiturate, or benzodiazepine withdrawal Orlistat (Xenical) drug interactions - CORRECT ANSWER-Levothyroxine- may cause hypothyroidism by decreasing the absorption of thyroid hormone. If drug is needed take them 4 hrs apart -cyclosporine- can reduce absorption, give them 2-3 hrs apart Baseline data: Liraglutide - CORRECT ANSWER-HB A1C, lipids, renal function Assessment of the one administering the injection ongoing assessment for Liraglutide - CORRECT ANSWER-HBA1C every 6 months Triglycerides