NR 565 - advanced pharmacology Save
midterm - Chamberlain
Terms in this set (244)
1st line treatment of alendronate
osteoporosis
, Opioids are not first line therapy
establish goals for pain and function
Discuss risks and benefits
Use immediate release opioids when starting
Use the lowest effective dose
12 CDC guidelines for Prescribe short durations for acute pain
prescribing opioids Evaluate benefits and harms frequently
Use strategies to migrate risk
Review PDMP data
Use urine drug testing
Avoid concurrent opioid and benzo prescribing
Offer treatment for opioid use disorder
,A 41 year old patient comes 2- I will prescribe a BB to help with this
into the clinic complaining of
increased heart rate after
starting nitro patches for stable
angina. What would an
appropriate response be?
1. lets lower the dose and
frequency of use
2. I will prescribe a BB to help
with this
3. Next time this happens, lie
down and practice deep
breathing, this will bring your
heart rate down
A 55 year old male comes into 3- in patients with infrequent flareups, being less than three per
the clinic with a gouty arthritis. year, treatment of symptoms is all thats needed. NSAIDS are the
He states that he has one first line agent for relieving pain of an acute gout attack.
flareup a year. Your response is:
1. I will prescribe you
glucocorticoids to help with
inflammation
2. Lets start you on
prophylactic therapy colchicine.
3. It will be helpful to take an
NSAID to start with to help
relive some inflammation. I'll
prescribe naproxen.
, An 82 year old male visits the 2&3
clinic complaining that his pain
medications "take forever" to
work after he takes his pill. What
are possible reasons you can
explain to him?
1.Perhaps we need to increase
your dosage.
2.Sometimes as you get older,
absorption may be slower
resulting in a delayed response.
3.As we get older the gastric
acid decreases and may slow
absorption.
Angiotensin Converting Enzyme Inhibitors (ACE-I) prevent the
conversion of angiotensin I to angiotensin II, which disrupts the
renin-angiotensin-aldosterone system (RAAS).
ACE inhibitors MOA 1. reduce levels of angiotensin II (through inhibition of ACE)
2. increasing levels of bradykinin (through inhibition of kinase 11)
End in -pril
adverse effects for osteonecrosis of the jaw and hip fracture, Esophagitis
bisphosphonates
adverse effects of CCBs in gingival hyperplasia (overgrowth of gum tissue) and chronic
elderly patients eczematous rash
midterm - Chamberlain
Terms in this set (244)
1st line treatment of alendronate
osteoporosis
, Opioids are not first line therapy
establish goals for pain and function
Discuss risks and benefits
Use immediate release opioids when starting
Use the lowest effective dose
12 CDC guidelines for Prescribe short durations for acute pain
prescribing opioids Evaluate benefits and harms frequently
Use strategies to migrate risk
Review PDMP data
Use urine drug testing
Avoid concurrent opioid and benzo prescribing
Offer treatment for opioid use disorder
,A 41 year old patient comes 2- I will prescribe a BB to help with this
into the clinic complaining of
increased heart rate after
starting nitro patches for stable
angina. What would an
appropriate response be?
1. lets lower the dose and
frequency of use
2. I will prescribe a BB to help
with this
3. Next time this happens, lie
down and practice deep
breathing, this will bring your
heart rate down
A 55 year old male comes into 3- in patients with infrequent flareups, being less than three per
the clinic with a gouty arthritis. year, treatment of symptoms is all thats needed. NSAIDS are the
He states that he has one first line agent for relieving pain of an acute gout attack.
flareup a year. Your response is:
1. I will prescribe you
glucocorticoids to help with
inflammation
2. Lets start you on
prophylactic therapy colchicine.
3. It will be helpful to take an
NSAID to start with to help
relive some inflammation. I'll
prescribe naproxen.
, An 82 year old male visits the 2&3
clinic complaining that his pain
medications "take forever" to
work after he takes his pill. What
are possible reasons you can
explain to him?
1.Perhaps we need to increase
your dosage.
2.Sometimes as you get older,
absorption may be slower
resulting in a delayed response.
3.As we get older the gastric
acid decreases and may slow
absorption.
Angiotensin Converting Enzyme Inhibitors (ACE-I) prevent the
conversion of angiotensin I to angiotensin II, which disrupts the
renin-angiotensin-aldosterone system (RAAS).
ACE inhibitors MOA 1. reduce levels of angiotensin II (through inhibition of ACE)
2. increasing levels of bradykinin (through inhibition of kinase 11)
End in -pril
adverse effects for osteonecrosis of the jaw and hip fracture, Esophagitis
bisphosphonates
adverse effects of CCBs in gingival hyperplasia (overgrowth of gum tissue) and chronic
elderly patients eczematous rash
