Advance Pharmacy NR565 MIDTERM
EXAM 154 correct solutions.
Advance Pharmacy NR565 MIDTERM
EXAM 154 correct solutions.
·· Which schedule drugs can APRNs prescribe? - ANSWER Schedule II-V
· Who determines and regulates prescriptive authority? - ANSWER Nurse practitioner scope of practice is
determined by state practice and licensure laws.
· How does limited prescriptive authority impact patients within the healthcare system? - ANSWER
limited authority creates problems for the patient. The patient is not able to get the care they need
· What are the key responsibilities of prescribing? - ANSWER 1. Be prudent and deliberate in your
decision-making process
2. Have a documented provider-patient relationship with the person for whom you are prescribing
3. Do not prescribe medications for family or friends or for yourself
4. Document a thorough history and physical examination in your records
5.Include any discussions you have with the patient regarding risk factors, side effects, or therapy
options
6. Have a documented plan regarding drug monitoring or titration, if applicable
· What should be used to make prescribing decisions? - ANSWER should be based on several factors,
including the patient's diagnosis, therapeutic goals, and individual characteristics.
Pharmakinetiscs and Pharmodynamics of older adults - ANSWER drug accumulation secondary to
reduced renal function
polypharmacy (the use of five or more medications daily)
greater severity of illness
presence of comorbidities
,Advance Pharmacy NR565 MIDTERM
EXAM 154 correct solutions.
use of drugs that have a low therapeutic index (e.g., digoxin)
increased individual variation secondary to altered pharmacokinetics
inadequate supervision of long-term therapy
poor patient adherence
· Beer's Criteria - ANSWER •potentially Inappropriate Medication (PIM) use in older adults
•PIM use in older adults due to medication-disease or medication-syndrome interactions that may
exacerbate the disease or syndrome
•medications to be used cautiously in older adults
•clinically significant drug interactions that should be avoided in older adults
•medications to be avoided or dosage decreased in the presence of impaired kidney function in older
adults (American Geriatric Society Beers Criteria Update Expert Panel, 2019)
CYP450 - ANSWER Many medications are metabolized through the liver enzyme system called
cytochrome P450 (CYP450). Metabolization can be inhibited or induced by drugs and once this happens
drug-drug interactions can occur.
VISA credit card dept Inhibits Spending on CK and GQ - ANSWER Valproate
I-soniazid
S-ulfamids
A-miodarone
C-hloramphenical
Ketoconazole
G-rapefruit Juice
Q-uinidine
, Advance Pharmacy NR565 MIDTERM
EXAM 154 correct solutions.
CYP450 Inhibitors - ANSWER - Decreases the CYP450 which keeps the medication in your body longer
which can cause toxicity
CYP450 INDUCERS - ANSWER Increase CYP450 to work faster causes
Drugs to leave your body faster.
Inducers for PY450 Chronic Alcholics Steal Phen Phen and Never Refuse Greasy Carbs - ANSWER Chronic
Alcoholics
St. Johns Wort
Phenytoin
Phenobarbital
Nevirapine
Refiampin
Griseofalvin
Carbamazepine
· What happens when someone has a poor metabolism phenotype? - ANSWER Metabolizes to slow or to
fast.
How is absorption of intramuscular medication different in neonates? - ANSWER •Slow and erratic due
to low blood flow in muscles first few days of life
•Why is absorption of medication in the stomach increased in infancy? - ANSWER Delayed gastric
emptying (adult values reached by 6-8 months)
What are some medications that should be avoided in the pediatric patient? - ANSWER glucocorticoids,
discoloration of developing teeth with tetracyclines, and kernicterus with sulfonamides
•What should be included in medication administration patient education? - ANSWER 1. dosage size and
timing
EXAM 154 correct solutions.
Advance Pharmacy NR565 MIDTERM
EXAM 154 correct solutions.
·· Which schedule drugs can APRNs prescribe? - ANSWER Schedule II-V
· Who determines and regulates prescriptive authority? - ANSWER Nurse practitioner scope of practice is
determined by state practice and licensure laws.
· How does limited prescriptive authority impact patients within the healthcare system? - ANSWER
limited authority creates problems for the patient. The patient is not able to get the care they need
· What are the key responsibilities of prescribing? - ANSWER 1. Be prudent and deliberate in your
decision-making process
2. Have a documented provider-patient relationship with the person for whom you are prescribing
3. Do not prescribe medications for family or friends or for yourself
4. Document a thorough history and physical examination in your records
5.Include any discussions you have with the patient regarding risk factors, side effects, or therapy
options
6. Have a documented plan regarding drug monitoring or titration, if applicable
· What should be used to make prescribing decisions? - ANSWER should be based on several factors,
including the patient's diagnosis, therapeutic goals, and individual characteristics.
Pharmakinetiscs and Pharmodynamics of older adults - ANSWER drug accumulation secondary to
reduced renal function
polypharmacy (the use of five or more medications daily)
greater severity of illness
presence of comorbidities
,Advance Pharmacy NR565 MIDTERM
EXAM 154 correct solutions.
use of drugs that have a low therapeutic index (e.g., digoxin)
increased individual variation secondary to altered pharmacokinetics
inadequate supervision of long-term therapy
poor patient adherence
· Beer's Criteria - ANSWER •potentially Inappropriate Medication (PIM) use in older adults
•PIM use in older adults due to medication-disease or medication-syndrome interactions that may
exacerbate the disease or syndrome
•medications to be used cautiously in older adults
•clinically significant drug interactions that should be avoided in older adults
•medications to be avoided or dosage decreased in the presence of impaired kidney function in older
adults (American Geriatric Society Beers Criteria Update Expert Panel, 2019)
CYP450 - ANSWER Many medications are metabolized through the liver enzyme system called
cytochrome P450 (CYP450). Metabolization can be inhibited or induced by drugs and once this happens
drug-drug interactions can occur.
VISA credit card dept Inhibits Spending on CK and GQ - ANSWER Valproate
I-soniazid
S-ulfamids
A-miodarone
C-hloramphenical
Ketoconazole
G-rapefruit Juice
Q-uinidine
, Advance Pharmacy NR565 MIDTERM
EXAM 154 correct solutions.
CYP450 Inhibitors - ANSWER - Decreases the CYP450 which keeps the medication in your body longer
which can cause toxicity
CYP450 INDUCERS - ANSWER Increase CYP450 to work faster causes
Drugs to leave your body faster.
Inducers for PY450 Chronic Alcholics Steal Phen Phen and Never Refuse Greasy Carbs - ANSWER Chronic
Alcoholics
St. Johns Wort
Phenytoin
Phenobarbital
Nevirapine
Refiampin
Griseofalvin
Carbamazepine
· What happens when someone has a poor metabolism phenotype? - ANSWER Metabolizes to slow or to
fast.
How is absorption of intramuscular medication different in neonates? - ANSWER •Slow and erratic due
to low blood flow in muscles first few days of life
•Why is absorption of medication in the stomach increased in infancy? - ANSWER Delayed gastric
emptying (adult values reached by 6-8 months)
What are some medications that should be avoided in the pediatric patient? - ANSWER glucocorticoids,
discoloration of developing teeth with tetracyclines, and kernicterus with sulfonamides
•What should be included in medication administration patient education? - ANSWER 1. dosage size and
timing
