NR 566 Final Exam: Advanced Pharmacology
for Care of the Family 2025 Latest Update
100% Pass Graded A+
_______________________________________
Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) Treatment
- Ceftriaxone 500 mg IM in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID of 14 days
- Cefoxitin 2g IM in a single dose +
Probenecid 1g orally in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
- Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
Syphilis Treatment
Benzathine Penicillin G 2.4 million units IM in a single dose
Doxazosin side effects (due to alpha 1 receptor being blocked)
dizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness, nasal
congestion
Dutasteride (Avodart) patient teaching
benefits take months to develop, must continue taking med even if improvement not
rapidly seen
, may lower ejaculatory volume & libido
Should not be handled by pregnant women as the medication is teratogenic
How to know Terazosin is working?
improved symptoms of dysuria, urgency, urinary tract infections, hesitancy etc.
Improvement should occur rapidly
Oral Estrogen
Most convenient and used most often.
Transdermal Estrogen
Total dose of estrogen is greatly reduced. Less nausea and vomiting, blood levels of
estrogen fluctuate less. Lower risk for DVT, PE, and stroke.
Intravaginal Estrogen
Used for local effects. Primarily treatment of vulval and vaginal atrophy associated with
menopause.
Femring (vaginal ring) - used for systemic effects (controlling hot flashes and night sweats),
as well as local effects (vulval and vaginal atrophy)
Parenteral Estrogen
Limited to acute, emergency control of heavy uterine bleeding
When is it safe to prescribe Progesterone (Progestin)?
Safe: Menopausal hormone therapy, dysfunctional uterine bleeding, amenorrhea,
endometrial Hyperplasia and carcinoma, In Vitro Fertilization
When is it not safe to prescribe Progesterone (Progestin)?
Not safe: Undiagnosed abnormal vaginal bleeding, active thrombophlebitis, history of
thromboembolic disorders, active liver disease and carcinoma of the breast
Side effects of progestin-only oral contraceptives?
for Care of the Family 2025 Latest Update
100% Pass Graded A+
_______________________________________
Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) Treatment
- Ceftriaxone 500 mg IM in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID of 14 days
- Cefoxitin 2g IM in a single dose +
Probenecid 1g orally in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
- Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
Syphilis Treatment
Benzathine Penicillin G 2.4 million units IM in a single dose
Doxazosin side effects (due to alpha 1 receptor being blocked)
dizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness, nasal
congestion
Dutasteride (Avodart) patient teaching
benefits take months to develop, must continue taking med even if improvement not
rapidly seen
, may lower ejaculatory volume & libido
Should not be handled by pregnant women as the medication is teratogenic
How to know Terazosin is working?
improved symptoms of dysuria, urgency, urinary tract infections, hesitancy etc.
Improvement should occur rapidly
Oral Estrogen
Most convenient and used most often.
Transdermal Estrogen
Total dose of estrogen is greatly reduced. Less nausea and vomiting, blood levels of
estrogen fluctuate less. Lower risk for DVT, PE, and stroke.
Intravaginal Estrogen
Used for local effects. Primarily treatment of vulval and vaginal atrophy associated with
menopause.
Femring (vaginal ring) - used for systemic effects (controlling hot flashes and night sweats),
as well as local effects (vulval and vaginal atrophy)
Parenteral Estrogen
Limited to acute, emergency control of heavy uterine bleeding
When is it safe to prescribe Progesterone (Progestin)?
Safe: Menopausal hormone therapy, dysfunctional uterine bleeding, amenorrhea,
endometrial Hyperplasia and carcinoma, In Vitro Fertilization
When is it not safe to prescribe Progesterone (Progestin)?
Not safe: Undiagnosed abnormal vaginal bleeding, active thrombophlebitis, history of
thromboembolic disorders, active liver disease and carcinoma of the breast
Side effects of progestin-only oral contraceptives?
