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PTCB - CSPT MN551 Final NR 328 - Exam 2
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Terms in this set (61)
Which schedule drugs can APRNs II-V
prescribe?
Who determines and regulates State Board of Nursing
prescriptive authority?
Longer wait times to sign a prescription
How does limited prescriptive Limit practitioners that are needed in rural areas
authority impact patients within the Unequal relationships between providers.
healthcare system? Independent practitioners= more patients being seen= lessens the
patient/provider load
Safe and competent practice
What are the key responsibilities of
Understanding of the drugs, reactions, and pharmacology
prescribing?
Be aware of the age group you are prescribing to
Documented provider-patient relationship
Not prescribing for family or friends
What should be used to make Documenting a thorough H&P, including discussions with the patient,
prescribing decisions? and drug monitoring/titrating.
Cost, guidelines, availability, interactions, side effects, allergies, hepatic
and renal function, need for monitoring, and special populations
, Be familiar with pharmacokinetic increase glomerular filtration rate leads to increase drug excretion
and pharmacodynamic changes of increase hepatic metabolism
older adults and how that would decrease tone and motility of bowel
translate to baseline information increase drug absorption
needed to prescribe.
Recommendations of medications inappropriate for elderly (65 and
Beer's Criteria- What is it and Why is
older)
it important
Prevents adverse drug reactions
Impacts/outcomes of -increase risk for medication interactions
polypharmacy
CYP450 inhibitors inhibit metabolism, increase blood levels of medications
o Examples Examples
o What do they do? Valproate, isoniazid, sulfonamides, amiodarone, chloramphenicol,
o What do they cause if not used ketoconazole, grapefruit juice, quinidine
correctly? (aka: What would the "VISA credit card debt INHIBITS spending on designers like CK to look
patient experience?) GQ"
Examples of CYP450 inducers Speed up metabolism of drugs (drug is cleared faster), drug has lesser
o Examples effect (decrease blood levels of drug)
o What do they do? Examples
o What do they cause if not used Barbituates, St John wort, Carbamazepine, rifampin, alcohol,
correctly? (aka: What would the phenytoin, griseofulvin, phenobarbital, sulfonylureas
patient experience?) "Bullshit Crap GPS INDUCES rage"
What happens when someone has medications metabolized slower, medication might not work or put
a poor metabolism phenotype? them at risk for side-effects
What does the U.S. Food and Drug Whether the drug is safe, effective, and benefits of a drug outweigh
Administration regulate when it the risks
comes to medications?