NURS 615 Study guides, Class notes & Summaries

Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry? 1. High-dose colchicine 2. Low-dose colchicine 3. High-dose aspirin 4. Acetaminophen with codeine Correct Answer-1. 2. Low-dose colchicine Patient education when prescribing colchicine includes: 1. Colchicine may be constipating. 2. Colchicine always causes some degree of diarrhea. 3. Mild muscle weakness is normal. 4. Moderate amo...

What blood values should be monitored with carbamazepine (Tegretol)? Correct Answer-CBC test every 3-4 months to monitor for decrease in WBCs, platelets, and trouble with RBC production. What are the pharmacodynamics of carbamazepine (Tegretol)? Correct Answer-- Auto-metabolizes leading to lower serum levels despite compliance. - Half-life 30 hours as single dose, 15 hours when given repeatedly. What are the Black Box Warnings for carbamazepine (Tegretol)? Correct Answer-- Stevens-Johnson...

First line treatment for Acute gout attack? Correct Answer-colchicine First line treatment for mild to moderate pain? Correct Answer-Ibuprofen and tylenol Treatment for RA? Correct Answer-NSAIDs, glucocorticoid injections and low dose prednisone OTC Treatment for back pain? Correct Answer-Start w/ NSAIDs Treatment for Gout? Correct Answer-Allopurinol, febuxstat, & Colchicine Low dose colchicine versus high dose colchicine? Correct Answer-low: 1.2 mg initially, 0.6 mg one hour late...

How does hypoalbuminemia affect the process of prescribing? Correct Answer-Low albumin = more free drug (bc the drug can't bind to albumin aka protein) = increased adverse effects What is a Black Box Warning: Correct Answer-is considered a contraindication to administer that drug. What is the drugs half-life? Correct Answer-Half-life specifically means the amount of time it takes for an administered drug to be halfway cleared from the system. Peak of action: Correct Answer-the time bet...

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 Correct Answer-3. The State Board of Nursing for each state 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 thei...

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