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questions with answers |\ |\
regulations - CORRECT ANSWERS ✔✔∙all states have title |\ |\ |\ |\ |\ |\ |\ |\
protection for NPs |\ |\
•the board of nursing regulates practice
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-5 states have joint oversight with medical board
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•scope of practice is determined by NP license
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investigational new drug (IND) - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\
✔✔•required before an investigational drug or bio product |\ |\ |\ |\ |\ |\ |\
can be administered to a human
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•the IND app is a compilation of all known information
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about the compound |\ |\ |\
•it also includes a description of the clinical research plan
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for the product
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•specific protocol for phase I study |\ |\ |\ |\ |\
phases of clinical study - CORRECT ANSWERS ✔✔•phase I
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clinical eval is the 1st testing of a new compound in
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subjects for the purpose of establishing the tolerance of
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healthy human subjects |\ |\ |\
,•phase II clinical eval is controlled studies performed on
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pts having the target disease or disorder to determine a
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compound's potential usefulness and short term risks |\ |\ |\ |\ |\ |\
•phase III trials are controlled and uncontrolled clinical
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trials of a drug's safety and efficacy in hospital and outpt
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settings |\
•phase III trials verify that the acceptable risk/benefit
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ratio seen in II persists under conditions of anticipated
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usage in groups of pts large enough to identify
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statistically and clinically significant responses |\ |\ |\ |\
clinical judgment in prescribing - CORRECT ANSWERS
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✔✔•is there clear indication for drug?
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•what drugs are effective for the disease?
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•what are the goals of therapy?
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•monitoring to see if drug is meeting goals |\ |\ |\ |\ |\ |\ |\ |\
•duplications in med pts is taking |\ |\ |\ |\ |\ |\
•otc vs prescription
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•cost |\
•sources of info |\ |\
the process of prescribing - CORRECT ANSWERS
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✔✔•identify the pts problem |\ |\ |\ |\
•specify the therapeutic objective |\ |\ |\ |\
, •collab with the pt |\ |\ |\
•choose the treatment |\ |\ |\
•edu the pt
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•mt for effectiveness
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•individualize drug choice |\ |\
special population: pregnancy - CORRECT ANSWERS
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✔✔•avoid ACEI, consider BB |\ |\ |\ |\
•bulk laxative|\
special population: nursing moms - CORRECT ANSWERS
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✔✔avoid ACEI, consider BB |\ |\ |\
special population: pediatric - CORRECT ANSWERS
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✔✔•best pharmaceuticals for children act (BPCA)
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•authorizes research to promote efficacy and safety
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special population: older adults - CORRECT ANSWERS
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✔✔•beers criteria |\ |\
-looks at potential risk
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-does not look at effectiveness
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