detailed
MSN 571 exam 64 complete solutions
detailed
Prescriptive authority - ANSWER legal authority granted to advanced practice nurses to prescribe
medication; DETERMINED BY STATE LAW
Rational Drug Selection - ANSWER based on individual patient and addresses disease specific
information: ONLY A GUIDELINE
Drug Selection - ANSWER includes analysis of cost, guidelines, avaibalbility, interactions, side effects,
allergies, hepatic and renal function, need for monitoring, special precautions i.e elderly
medication education basic components - ANSWER medication name
purpose
dosing regimen
administration
adverse effects
any storage needs
associated labs testing
food & drug interactions
duration of therapy
medication adherence - ANSWER barriers to adherence=
forgetfulness
lack of planning
cost
dissatisfaction
altered dosing
, MSN 571 exam 64 complete solutions
detailed
Phamacokinetics - ANSWER study of drug movement throughout body
principles of pharmacokinetics - ANSWER absorption
distribution
metabolism
excretion
Passage of drugs across membranes - ANSWER - channels and pores
- transport systems (P-glycoprotein)
- direct penetration of the membrane
Absorption of drugs - ANSWER Transfer of drugs from site of administration across cell membrane into
the blood stream
factors that affect absorption of drugs - ANSWER rate of dissolution- how easy dissolves
surface area- >surface area moves faster
blood flow- >blood flow moves faster
lipid solubility - lipid easily cross membrane
ph partitioning -
Distribution of drugs - ANSWER movement of drugs from systemic circulation to site of drug action
factors that determine drug flow - ANSWER blood flow to tissues
ability to exit vascular system
ability to enter cell
Drug ability to exit vascular system - ANSWER capillary bed- typical