NURS 615 Pharm Exam 1 Questions
With Accurate Answers
Factors associated with clinical judgement and prescribing - SOLVED ANSWER-making
a diagnosis based on observation, reflection, and analysis. gathering data and making
diagnosis
11 steps in the prescribing process (DGACGIVWIMA) - SOLVED ANSWER-1.
diagnosis
2. set goal
3. decide on approach
4. choose drug class
5. choose generic drug
6. individualize dose, form, frequency, duration
7. verify suitability
8. write prescription
9. inform patient
10. monitor affects
11. alter if needed
How does hypoalbuminemia affect the process of prescribing? - SOLVED ANSWER-
less albumin means less drugs binding, more free floating meds, toxic affects
drug's half-life - SOLVED ANSWER-time it takes for the concentration of the drug in the
body to decrease by 1/2
, onset of action - SOLVED ANSWER-when the desired response is reached
peak of action - SOLVED ANSWER-time b/w admin of med and max drug in blood,
therapeutic effect reached
duration of action - SOLVED ANSWER-time of the desired response
steady-state - SOLVED ANSWER-4/5 x the half life, overall intake of med is equal with
its elimination
factors affecting absorption - SOLVED ANSWER-cell membrane, solubility (lipophilic vs
hydrophilic), pH and ionization
drug metabolism - SOLVED ANSWER-inactivation of the medication to prepare for
elimination
CYP450 system - SOLVED ANSWER-tries to inactivate the med to make it water
soluble in order to excrete the med, responsible for oxidation (method of metab), where
drug interactions occur- when taking 2 of these meds they will either induce or inhibit
the other
drug efficacy - SOLVED ANSWER-desired effect of med
intrinsic activity - SOLVED ANSWER-a drug's efficacy to a drug of the highest observed
efficacy
effectiveness - SOLVED ANSWER-ability of drug to produce beneficial effect
With Accurate Answers
Factors associated with clinical judgement and prescribing - SOLVED ANSWER-making
a diagnosis based on observation, reflection, and analysis. gathering data and making
diagnosis
11 steps in the prescribing process (DGACGIVWIMA) - SOLVED ANSWER-1.
diagnosis
2. set goal
3. decide on approach
4. choose drug class
5. choose generic drug
6. individualize dose, form, frequency, duration
7. verify suitability
8. write prescription
9. inform patient
10. monitor affects
11. alter if needed
How does hypoalbuminemia affect the process of prescribing? - SOLVED ANSWER-
less albumin means less drugs binding, more free floating meds, toxic affects
drug's half-life - SOLVED ANSWER-time it takes for the concentration of the drug in the
body to decrease by 1/2
, onset of action - SOLVED ANSWER-when the desired response is reached
peak of action - SOLVED ANSWER-time b/w admin of med and max drug in blood,
therapeutic effect reached
duration of action - SOLVED ANSWER-time of the desired response
steady-state - SOLVED ANSWER-4/5 x the half life, overall intake of med is equal with
its elimination
factors affecting absorption - SOLVED ANSWER-cell membrane, solubility (lipophilic vs
hydrophilic), pH and ionization
drug metabolism - SOLVED ANSWER-inactivation of the medication to prepare for
elimination
CYP450 system - SOLVED ANSWER-tries to inactivate the med to make it water
soluble in order to excrete the med, responsible for oxidation (method of metab), where
drug interactions occur- when taking 2 of these meds they will either induce or inhibit
the other
drug efficacy - SOLVED ANSWER-desired effect of med
intrinsic activity - SOLVED ANSWER-a drug's efficacy to a drug of the highest observed
efficacy
effectiveness - SOLVED ANSWER-ability of drug to produce beneficial effect
