Remojudytask

How do antigout medications work? - SOLVED ANSWER-by inhibiting the infiltration and phagocytosis of leukocytes, thus decreasing the breakdown of uric acid to urate crystals. Patient education with Colchicine - SOLVED ANSWER-Almost always causes some degree of diarrhea, make sure patients are aware of this side effect Patient education with Febuxostat (Uloric) - SOLVED ANSWER-Gout may worsen with therapy initially Dietary changes to decrease gout attacks and uric acid deposits. - SOLVED...

Clinical Judgement - SOLVED ANSWER-Conclusion/opinion at which a nurse arrives following a process of observation, reflection, & analysis of observable or available information or data. *must gather data to make diagnosis, must have diagnosis to select and start treatment WHO 6-Step Model of Rational Prescribing - SOLVED ANSWER-1. Define patient's problem (diagnose) 2. Specify the therapeutic objective (goal) 3. Choose treatment 4. Start treatment 5. Educate the patient 6. Monitor th...

What is tiotropium? - SOLVED ANSWER-(Spiriva) Tiotropium bromide (INN) is a long-standing, 24 hour, anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease, (COPD). What is tiotropium used for maintenance treatment of? - SOLVED ANSWER-COPD, which includes chronic bronchitis and emphysema. How do osmotic diuretics work? - SOLVED ANSWER-they expand extracellular fluid and plasma volume, therefore increasing blood flow to the kidney. This washes out the ...

Factors associated with clinical judgement and prescribing - SOLVED ANSWER-making a diagnosis based on observation, reflection, and analysis. gathering data and making diagnosis 11 steps in the prescribing process (DGACGIVWIMA) - SOLVED ANSWER-1. diagnosis 2. set goal 3. decide on approach 4. choose drug class 5. choose generic drug 6. individualize dose, form, frequency, duration 7. verify suitability 8. write prescription 9. inform patient 10. monitor affects 11. alter if needed ...

Stevens Johnson syndrome - SOLVED ANSWER-sulfa carbomazepine (depakote) seizures flouraquinalones doxycycline linezolide (MAOI) depression Hypertensive crisis - SOLVED ANSWER-MAOI- nadal block protein prduction - SOLVED ANSWER-rifampin-inhibit RNA polymerase aminoglycosides- bind to membrane, make whole, stop protein synthesis (GNATS) macrolides-bind to bact ribosome and stop protein production (ACE) chloramphenicol lincosamides- same as macrolide streptogtramins oxazolidin...

What is Tiotropium (SPIRIVA) used to treat? - SOLVED ANSWER-Used in the management/ maintenance treatment of chronic obstructive pulmonary disease (COPD) which includes chronic bronchitis and emphysema. What is the drug classification of Tiotropium? - SOLVED ANSWER->It is a long-acting, 24H anticholinergic-bronchodilator. >It is a muscurinic receptor antagonist, often referred to as an antimuscurinic or anticholinergic agent. What is the mechanism of action of Potassium-sparing diur...

Low-dose colchine - SOLVED ANSWER-1.2 mg at first sign of flare, followed by 0.6 mg one hour later for a total dose of 1.8 mg. High-dose colchine - SOLVED ANSWER-1.2 mg followed by 0.6 mg every 4-6 hours totaling 4.8 mg. Gout - SOLVED ANSWER-BUN, creatinine, and creatinine clearance should be monitored in the treatment of this disease Amiodarone - SOLVED ANSWER-Patient may experience vision problems, a bluish-gray discoloration of the skin, photosensitivity, interstitial disease, as wel...

corticosteroid drugs - SOLVED ANSWER-prednisone, methylprednisolone, dexamethasone, topical such as hydrocortisone, and then joint injections for pain MOA of corticosteroids drugs - SOLVED ANSWER-drugs that suppress inflammation by mimicking glucocorticoid hormones Inhibit interleikin one, tumor necrosis factor and other cytokines, impairs phagocytosis, impairs lymphocytes, and inhibits tissue repair indications for cortocosteriod use - SOLVED ANSWER-Allergy or hypersensitivity, respira...

What factors are associated with clinical judgment when prescribing medications? - SOLVED ANSWER-Thorough assessment of patient and patient environment Medical and Nursing Diagnoses Review of potential alternative therapies Specific knowledge about drug chosen Information about disease you are trying to treat This is patient centered care should be most effective, least invasive and least expensive What are the criteria for choosing an effective drug? - SOLVED ANSWER-Nationally...

How does carbamazepine work? - ANSWER-Works by decreasing nerve impulses that cause seizures and pain What is metronidazole used for? - ANSWER-PID, endocarditis, bacterial vaginosis, giardiasis, trichomonad, amebiasis What is the drug of choice for the first episode of mild-moderate C. Diff? - ANSWER-Metronidazole (Flagyl) What should not be ingested with metronidazole (Flagyl)? - ANSWER-Alcohol -- causes a disulfiram-like reaction What is a disulfiram-like reaction? - ANSWER-N/V, fl...

Henry presents to the clinic with a significantly swollen, painful great toe and is diagnosed with gout. What would be the best treatment? - ANSWER-low-dose colchicine (1.2 mg first, then 0.6 mg after 1 hour) Monitoring a patient on high-dose ASA levels include - ANSWER-salicylate level, CBC, and urine pH Patients on long-term ASA therapy should have _____ checked annually. - ANSWER-CBC (Salicylate levels are checked 7-10 days after initiation, then periodically, and amylase is check prio...

What assessments should be made before prescribing any antihypertensive agent? - SOLVED ANSWER-BP, RF, and head to toe assessment. Assess diet, sodium intake, electrolytes, and potassium levels. Prior to prescribing any antihypertensives, creatinine and BUN levels should be evaluated. Confirmation of elevated BP at 3 different times. Children over 3 years old should be assessed at least once at every visit-preferred method for children is by auscultation, the correct measurement requires using a...

*Dosing for low dose colchicine - SOLVED ANSWER-1.2 mg followed by 0.6 one hour later or 1.8 mg total *Dosing for high dose colchicine - SOLVED ANSWER-1.2 mg followed by 0.6 mg every 4 to 6 hours; or 4.8 mg total. Which of the following is true about procainamide and its dosing schedule? a. It produces bradycardia and should be used cautiously in patients with cardiac conditions that a slower heart rate might worsen. b. Gastrointestinal adverse effects are common so the drug should be ta...

Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? - SOLVED ANSWER-Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance What medication treats scabies and lice? - SOLVED ANSWER-Ivermectin and permethrin cream Rifampin is used to treat what? - SOLVED ANSWER-TB Side effects of rifampin? - SOLVED ANSWER-Joint pain because it can precipitate gout and it is hepatotoxic. IF patients are hypersensitive to Sulfa, what other medicat...

pseudoephedrine - SOLVED ANSWER-children under 4 should not be prescribed this medication. instead encourage rest, fluids, saline sprays, nasal bulb for clearing of secreations pseudoephedrine - SOLVED ANSWER-not to use in children under 3 adr= rapid hr fuzzy feeling expectorants - SOLVED ANSWER-guaifenesin (mucinex) tx- management of cough r/t bronchiits, colds, sinusitis increase output of resp tract by decreasing adhesiveness and surface tension adr-GI metoclopramide - SOLVED ANS...

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 Pharmacy - SOLVED ANSWER-3. The State Board of Nursing for each state Alyssa is a 15-month-old patient who has been on amoxicillin for 2 days for acute otitis media. She is still febrile and there is no change in her tympanic membrane examination. What would be the plan...

How does hypoalbuminemia affect the process of prescribing? - SOLVED ANSWER-Low albumin = more free drug (bc the drug can't bind to albumin aka protein) = increased adverse effects Alpha 2 recpetors are generally considered to work with the..... - SOLVED ANSWER-GI system Alpha 2 receptors affect the pancreas by - SOLVED ANSWER-inhibiting insulin production Beta 1 receptors are located mainly on the X and lead to X HR - SOLVED ANSWER-heart; increased HR Another place to find Beta 1...

What is the action of an ACE inhibitor? - SOLVED ANSWER-Decreases angiotensin II and aldosterone. Vasodilatation on the venous and arterial sides of the heart. Blocks the RAAS system leads to rennin acts on angiotensinogen to angiotensin I to angiotensin II through ACE. Angiotensin II stimulates aldosterone causing sodium and water while losing potassium via the kidney. ACE is also involved in the inactivation of bradykinin a vasodilator. Bradykin is what causes the cough (irritating the lungs)....

*Dosing for low dose colchicine - SOLVED ANSWER-1.2 mg followed by 0.6 one hour later or 1.8 mg total *Dosing for high dose colchicine - SOLVED ANSWER-1.2 mg followed by 0.6 mg every 4 to 6 hours; or 4.8 mg total. What is the difference between low dosing and high dosing of colchicine - SOLVED ANSWER-low dose is as effective as high dose with lower side effect profile What medication is used for gout? - SOLVED ANSWER-Colchicine What does colchicine do? - SOLVED ANSWER-Used for gout a...

Crime Fighter - CORRECT ANSWER--warrior mindset -citizens are the enemy -emphasis on speed and finality -"conveyor belt" Public Servant - CORRECT ANSWER--due process model -finality is not a priority Define Morals - CORRECT ANSWER-principles of right and wrong Define Ethics - CORRECT ANSWER-the discipline of determining good and evil and defining moral duties Define Integrity - CORRECT ANSWER-is being the same person in both private and public life Define Character - COR...