Advanced Pharmacology Study guides, Class notes & Summaries

What information is needed to write a prescription? NPI#, Provider name, patient name, patient DOB, patient allergies, indication for drug, name of med, strength, dose, route, frequency, number of tabs, number of doses, refills most common reasons for medication non-adherence cost, forgetfulness, not having it with you, lack of planning, dissatisfaction, altered dosing interventions to promote medication regimen adherence pill reminders, setting alarms, pill organizers, refill alerts, mini...

Nurse practitioner prescriptive authority is regulated by: 1. The National Council of State Boards of Nursing 2. The U.S. Drug Enforcement Administration 3. The State Board of Nursing for each state 4. The State Board of Pharmacy3. The State Board of Nursing for each state 2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include: 1. Nurses know more about Pharmacology than other prescribers because they take it both in their basic nursing p...

grapefruit juice inhibits the some cytochrome P450 enzymes system in the intestines. T/F true all of the following medications should generally be avoided in older adults EXCEPT: 1. doxazosin (cardura) 2. clonidine (catapres) 3. lisinopril (zestril) 4. carisoprodol (soma) lisinopril (zestril) Alpha1 receptors are found primarily in the heart, lungs, and blood vessels. T/F false which of the following is an important aspect for establishing a therapeutic relationship between health c...

Agonist a molecule that, by binding to a receptor site, stimulates a response Antagonist a molecule that, by binding to a receptor site, inhibits or blocks a response receptor desensitivity the down regulation of receptors of a particular type Receptor Hypersensitivity (Supersensitivity) the upregulartion of receptors of a particular type ED50 An abbreviation for the effective dose of a chemical that causes 50 percent of the individuals in a dose-response study to display a harmful, ...

Parkinson's disease, pharmacotherapy, patient teaching - symptom journaling (on and off times, dyskinesia, mood/memory changes, nausea/constipation from medication SE -food consistency changes for swallowing issues, increased fluid and fiber for constipation -take medication with food (initially) to avoid nausea/anorexia -limit dietary protein to 3-4 ounces per meal (size of a deck of cards) due to interference with levodopa (take med in morning, eat protein food in evening) -avoid ...

Once you graduate from an NP program, in order to prescribe you'll need: -Advanced nurse prescriber license -DEA # What is the purpose of a DEA #? Needed to prescribed scheduled drugs Rules for prescribing Schedule II drugs: -Written script needed -1 month supply only -No refills What is the PDMP? Prescription Drug Monitoring Program Used to effectively track patient's controlled substance uses across different health facilities (in the same state) What are clinical practice...

four rules for safe drug use 1. All drugs are poisons 2. no drug is a silver bullet 3. All doses are guesses 4. Complacency kills What does All drugs are poison mean? any given drug has the potential to cause an adverse effect. How can an adverse effect or toxicity can occur? because of an overdose of the drug, use in the wrong patient, or administration by the wrong route. What does no drug is a silver bullet mean? Drug treatment is not an end-all solution to a medical problem. Th...

Prescription writing: required pt and prescriber info Patient's name and full address Date of prescription Prescriber's full name, address, and phone number Prescriber's DEA # if controlled substance Prescription writing: required drug info Name (don't abbreviate) Strength and vehicle Dosage Route of administration Directions (Sig) for taking the med: frequency, timing, details specific to drug Amount to be dispensed Refills Critical Rx Information? DAW vs generic, refill #, d...

ADRS Adverse reactions can range in intensity from mild annoying to life threatening Side Effect unavoidable secondary drug effect produced at therapeutic doses examples: drowsiness caused by traditional antihistamines and gastric irritation caused by aspirin Toxicity the degree of detrimental physiologic effects caused by excessive drug dosing Examples include profound respiratory depression from an overdose of morphine and severe hypoglycemia from an overdose of insulin Allergic React...

Briefly review the physiology of pain and pain theory. Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. Includes emotional and cognitive responses to both the sensation of pain and the underlying cause. Personal and subjective. When assessing pain, the most reliable method is to have the patient describe his/her experience. What are the two categories of pain? Nocieceptive Neuropathic What is nocieceptive pain? • Nociceptive Pain ...