NR 565 - advanced pharmacology midterm – Chamberlain / NR 565 - advanced pharmacology midterm – Chamberlain ACTUAL EXAM COMPLETE 245 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ 12 CDC guidelines for prescribing opioids - ANSWER -Opioids are not first line therapy establish goals for pain and function Discuss risks and benefits Use immediate release opioids when starting Use the lowest effective dose Prescribe short durations for acute pain Evaluate benefits and harms frequently Use strategies to migrate risk Review PDMP data Use urine drug testing Avoid concurrent opioid and benzo prescribing Offer treatment for opioid use disorder 1st line treatment of osteoporosis - ANSWER -alendronate A 41 year old patient comes into the clinic complaining of increased heart rate after starting nitro patches for stable angina. What would an appropriate response be? 1. lets lower the dose and frequency of use 2. I will prescribe a BB to help with this 3. Next time this happens, lie down and practice deep breathing, this will bring your heart rate down - ANSWER -2- I will prescribe a BB to help with this What is the purpose o f the Genetic Information Non -Discriminatory Act? - ANSWER -Protects patients from discrimination by employers and insurance providers based on genetic information What is the typical dose of naloxone and how is it administered? - ANSWER -4 mg, nasal spray - one spray to one nostril If no response, additional doses can be given every 2 to 3 minutes until emergency services arrive what is the unique potential adverse effect of minoxidil? - ANSWER -hypertrichosis (excessive growth of hair) What is used to cal culate pt's overdose risk? - ANSWER -total morphine milligram equivalent (MME) per day to help assess the patient's overdose risk. If it is high (≥50 MME/day and especially ≥90 MME/day) Calculate total daily dose: 1. daily amount of each opioid that patie nt takes 2. convert to MME, multiply dose for each opioid by conversion factor 3. add them together What level of pain is tramadol approved for - ANSWER -moderate to moderately severe what medication can be added for patients with worsening symptoms of HF ? - ANSWER -aldosterone antagonist - promotes myocardial remodeling and fibrosis, help with symptoms What medication causes ototoxicity as well and should not be prescribed with lasix? - ANSWER -aminoglycoside antibiotics, end in -cin what medication is contraindicated when a patient is prescribed nitro? - ANSWER -
inhibitors of PDE -5 What medication might we consider prescribing with a loop diuretic to prevent an electrolyte imbalance? - ANSWER -potassium sparing diuretic (spironolactone ) What medications should be used cautiously with statins bc they can raise plasma levels? - ANSWER -inhibitors of CYP3A4 (ex/ erythromycin, amiodarone, grapefruit) What patient education should we provide when prescribing vasodilators? - ANSWER -increased risks for falls, symptoms of hypotension (orthostatic) and advised to sit if these occurs What population should tramadol be AVOIDED in? - ANSWER -pt's with epilepsy, neurologic disorders, elderly What schedule is tramadol classified as? - ANSWER -schedul e IV What should be avoided with the administration of a DRI? - ANSWER -high fat meals What should be co -administered with febuxostat? - ANSWER -NSAIDS or colchicine what should be included in medication administration patient education? - ANSWER -dosage s ize and timing route and technique of administration duration of treatment drug storage nature and time course of desired responses nature and time course of adverse responses finish taking antibiotic What should be used to make prescribing decisions? - ANSWER -documented provider -patient relationship, not prescribing for family or friends, documenting a thorough H&P, including discussions with the patient, drug monitoring/titrating.
inhibitors of PDE -5 What medication might we consider prescribing with a loop diuretic to prevent an electrolyte imbalance? - ANSWER -potassium sparing diuretic (spironolactone ) What medications should be used cautiously with statins bc they can raise plasma levels? - ANSWER -inhibitors of CYP3A4 (ex/ erythromycin, amiodarone, grapefruit) What patient education should we provide when prescribing vasodilators? - ANSWER -increased risks for falls, symptoms of hypotension (orthostatic) and advised to sit if these occurs What population should tramadol be AVOIDED in? - ANSWER -pt's with epilepsy, neurologic disorders, elderly What schedule is tramadol classified as? - ANSWER -schedul e IV What should be avoided with the administration of a DRI? - ANSWER -high fat meals What should be co -administered with febuxostat? - ANSWER -NSAIDS or colchicine what should be included in medication administration patient education? - ANSWER -dosage s ize and timing route and technique of administration duration of treatment drug storage nature and time course of desired responses nature and time course of adverse responses finish taking antibiotic What should be used to make prescribing decisions? - ANSWER -documented provider -patient relationship, not prescribing for family or friends, documenting a thorough H&P, including discussions with the patient, drug monitoring/titrating.
