SUMMER QUARTER UPDATE (ALREADY GRADED A)
•
A patient has been prescribed a Scheduled 5 drug, an example of this
drug is Antitussive
Drugs have a high potential for abuse. There is no routine therapeutic use for
these drugs and they are not available for regular use. They may be obtained
for “investigational use only” by applying to the U.S. Drug Enforcement
Agency.
Examples include heroin and LSD. Which scheduled drug is this?
Schedule 1
A nurse at a large, university hospital has been informed that a drug trial will
be taking place that may involve several patients in the hospital over the next
several months. What is the nurse's most likely role in this drug testing
process?
Administering the investigational drug to patients
Respons Nurses are generally most involved in phase III of clinical trials
e and may be responsible for administering investigational drugs
Feedbac to patients. The final determination of the efficacy and safety of
k the drug is beyond the scope of nurses. Nurses do not normally
: consult on the choice of testing methodology.
•
A nurse is a member of a research team that is exploring unique differences
in responses to drugs that each individual possesses, based on genetic make-
up. This area of study is called
, Pharmacogenomics
Respons Pharmacogenomics is the area of study that explores the unique
e individual patient responses to drugs based on the mapping of
Feedbac the human genome. This mapping introduces the possibility of
k personally designed medical care and drug regimens based on a
: person's unique genetic make-up. Pharmacotherapeutics is the
branch of pharmacology that deals with uses of drugs to treat,
prevent, and diagnose disease.
Pharmacodynamics involves how a drug affects the body, and
pharmacoeconomics includes any costs involved in drug therapy.
•
The nurse practitioner orders Amoxicillin 500 mg tid? What is the total
amount of medication patient will take per day?
1500 mg
A nurse practitioner understands when prescribing a medication that there
are certain questions to address. Check all that apply.
Is there a need for the drug in treating the presenting problem? Is this the
best drug for the presenting problem? Can the patient take the prescribed
drug?
A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar
disorder. The physician has prescribed lithium carbonate (Eskalith) to treat
the disorder. The nurse is aware that the lithium dose will likely be given in a
lower-than-normal dose
Respons The patient would likely be prescribed a lower-than-normal dose
e of lithium to treat the disorder since he is an American. Chinese
Feedbac Americans require lower levels of lithium to achieve a
k therapeutic response.
: Different drugs can be metabolized only by specific liver
enzymes, and receptors are custom-designed to accept only
certain drug configurations. As with enzymes, the number and
type of receptors are influenced by genetics. Chinese Americans,
and other Chinese people, appear to have a greater number of
lithium-activated receptors than other groups.