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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...
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Add to cartHow 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...
How do antigout medications work? correct answer: by inhibiting the infiltration and phagocytosis of leukocytes, thus decreasing the breakdown of uric acid to urate crystals. 
 
Deposition of urate crystals causes correct answer: pain and inflammation 
 
What is Colchicine correct answer: anti-go...
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Add to cartHow do antigout medications work? correct answer: by inhibiting the infiltration and phagocytosis of leukocytes, thus decreasing the breakdown of uric acid to urate crystals. 
 
Deposition of urate crystals causes correct answer: pain and inflammation 
 
What is Colchicine correct answer: anti-go...
Tiotriopium use correct answer: management/maintenance of COPD (chronic bronchitis and emphysema); NOT for acute exacerbations 
 
Tiotropium mech of action correct answer: Non-selective muscarinic receptor antagonist; or anti-muscarinic/anticholinergic. Acts mainly on M3 receptors located on the s...
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Add to cartTiotriopium use correct answer: management/maintenance of COPD (chronic bronchitis and emphysema); NOT for acute exacerbations 
 
Tiotropium mech of action correct answer: Non-selective muscarinic receptor antagonist; or anti-muscarinic/anticholinergic. Acts mainly on M3 receptors located on the s...
What factors are associated with clinical judgment when prescribing medications? correct answer: Prescribing a drug is based on a thorough assessment of the patient and the patient's environment. The determination of potential medical and nursing diagnoses, a review of the potential alternative th...
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Add to cartWhat factors are associated with clinical judgment when prescribing medications? correct answer: Prescribing a drug is based on a thorough assessment of the patient and the patient's environment. The determination of potential medical and nursing diagnoses, a review of the potential alternative th...
What blood values should be monitored with carbamazepine (Tegretol)? P. 236-237 correct answer: CBC for agranulosytosis (leukopenia/ neutropenia), BMP, and liver function tests, monitored at baseline prior to administration and followed throughout treatment 
 
What is the pharmacodynamics of carbam...
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Add to cartWhat blood values should be monitored with carbamazepine (Tegretol)? P. 236-237 correct answer: CBC for agranulosytosis (leukopenia/ neutropenia), BMP, and liver function tests, monitored at baseline prior to administration and followed throughout treatment 
 
What is the pharmacodynamics of carbam...
Colchicine use correct answer: Reduce incidence of acute gout attacks 
 
 relieves pain and discomfort (although it is not an analgesic) 
 
Colchicine Actions correct answer: inhibits migration of granulocytes to the inflamed areas 
 
Reduces lactic acid production by granulocytes 
 
decreases dep...
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Add to cartColchicine use correct answer: Reduce incidence of acute gout attacks 
 
 relieves pain and discomfort (although it is not an analgesic) 
 
Colchicine Actions correct answer: inhibits migration of granulocytes to the inflamed areas 
 
Reduces lactic acid production by granulocytes 
 
decreases dep...
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? correct answer: Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance 
 
What are the black box warnings for Carbamazepine? correct answer: Dermatologic reactions 
1. Steven's Johnson 
2...
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Add to cartCarbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? correct answer: Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance 
 
What are the black box warnings for Carbamazepine? correct answer: Dermatologic reactions 
1. Steven's Johnson 
2...
NP prescriptive authority is regulated by correct answer: the state board of nursing 
 
Criteria for choosing an effective drug for a disorder correct answer: Consulting nationally recognized guidelines for disease management 
 
Hypoalbuminemia affects the process of prescribing because correct an...
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Add to cartNP prescriptive authority is regulated by correct answer: the state board of nursing 
 
Criteria for choosing an effective drug for a disorder correct answer: Consulting nationally recognized guidelines for disease management 
 
Hypoalbuminemia affects the process of prescribing because correct an...
trycyclic anti. depressants correct answer: toxic cardiac issues 
 
Carbamazepine: seizures correct answer: i. CBC Q 3-4 month 
ii. Auto induces metabolism 
iii. Dermatologic reactions 
iv. Stevens Johnson 
v. Toxic epidermal necrosis 
vi. Aplastic anemia 
vii. agranulocytosis 
 
Teach for seizure...
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Add to carttrycyclic anti. depressants correct answer: toxic cardiac issues 
 
Carbamazepine: seizures correct answer: i. CBC Q 3-4 month 
ii. Auto induces metabolism 
iii. Dermatologic reactions 
iv. Stevens Johnson 
v. Toxic epidermal necrosis 
vi. Aplastic anemia 
vii. agranulocytosis 
 
Teach for seizure...
Stevens Johnson syndrome correct answer: sulfa 
carbomazepine (depakote) seizures 
flouraquinalones 
doxycycline 
linezolide (MAOI) depression 
 
Hypertensive crisis correct answer: MAOI- nadal 
 
symptoms of Hypertensive crisis correct answer: headache, palpatiations, stiff or sore neck, chest t...
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Add to cartStevens Johnson syndrome correct answer: sulfa 
carbomazepine (depakote) seizures 
flouraquinalones 
doxycycline 
linezolide (MAOI) depression 
 
Hypertensive crisis correct answer: MAOI- nadal 
 
symptoms of Hypertensive crisis correct answer: headache, palpatiations, stiff or sore neck, chest t...
Low-dose colchine correct 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 correct answer: 1.2 mg followed by 0.6 mg every 4-6 hours totaling 4.8 mg. 
 
Gout correct answer: BUN, creatinine, and creatinine clearance should ...
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Add to cartLow-dose colchine correct 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 correct answer: 1.2 mg followed by 0.6 mg every 4-6 hours totaling 4.8 mg. 
 
Gout correct answer: BUN, creatinine, and creatinine clearance should ...
What is Tiotropium (SPIRIVA) used to treat? correct 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? correct answer: >It is a long-acting, 24H ...
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Add to cartWhat is Tiotropium (SPIRIVA) used to treat? correct 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? correct answer: >It is a long-acting, 24H ...
What assessments should be made before prescribing any antihypertensive agent? correct 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 ...
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Add to cartWhat assessments should be made before prescribing any antihypertensive agent? correct 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 ...
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 lo...
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Add to cartWhat 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 lo...
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 an...
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Add to cartFirst 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 an...
corticosteroid drugs correct answer: prednisone, methylprednisolone, dexamethasone, topical such as hydrocortisone, and then joint injections for pain 
 
MOA of corticosteroids drugs correct answer: drugs that suppress inflammation by mimicking glucocorticoid hormones 
 
Inhibit interleikin one, t...
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Add to cartcorticosteroid drugs correct answer: prednisone, methylprednisolone, dexamethasone, topical such as hydrocortisone, and then joint injections for pain 
 
MOA of corticosteroids drugs correct answer: drugs that suppress inflammation by mimicking glucocorticoid hormones 
 
Inhibit interleikin one, t...
What is tiotropium? correct 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? correct answer: COPD, which includes ...
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Add to cartWhat is tiotropium? correct 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? correct answer: COPD, which includes ...
What factors are associated with clinical judgment when prescribing medications? correct 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 ...
Preview 2 out of 11 pages
Add to cartWhat factors are associated with clinical judgment when prescribing medications? correct 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 ...
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 
 ...
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Add to cartNurse 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 
 ...
Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic hyperplasia. Doxazosin has been chosen to treat his hypertension because it: 
a. Increases peripheral vasoconstriction 
b. Decreases detrusor muscle contractility 
c. Lowers supine blood pressure more than s...
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Add to cartCharlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic hyperplasia. Doxazosin has been chosen to treat his hypertension because it: 
a. Increases peripheral vasoconstriction 
b. Decreases detrusor muscle contractility 
c. Lowers supine blood pressure more than s...
What lab values should be monitored with Carbamazepine (Tegretol)? correct answer: CBC every 3-4 months 
 
What can Carbamazepine (Tegretol) cause in labs findings? correct answer: Leukopenia, thrombocytopenia, aplastic anemia, and agranulocytosis due to bone marrow depression 
 
What are the phar...
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Add to cartWhat lab values should be monitored with Carbamazepine (Tegretol)? correct answer: CBC every 3-4 months 
 
What can Carbamazepine (Tegretol) cause in labs findings? correct answer: Leukopenia, thrombocytopenia, aplastic anemia, and agranulocytosis due to bone marrow depression 
 
What are the phar...
*Dosing for low dose colchicine correct answer: 1.2 mg followed by 0.6 one hour later or 1.8 mg total 
 
*Dosing for high dose colchicine correct 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 correc...
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Add to cart*Dosing for low dose colchicine correct answer: 1.2 mg followed by 0.6 one hour later or 1.8 mg total 
 
*Dosing for high dose colchicine correct 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 correc...
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Mr. Holloway presents to your clinic with a significantly swollen, painful big toe and you diagnose him with gout. Of the following options which would be the best treatment for Mr. Holloway? correct answer: Low-dose colchicine 
 
How is low dose colchicine prescribed? correct answer: 1.2 mg follo...
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Add to cartMr. Holloway presents to your clinic with a significantly swollen, painful big toe and you diagnose him with gout. Of the following options which would be the best treatment for Mr. Holloway? correct answer: Low-dose colchicine 
 
How is low dose colchicine prescribed? correct answer: 1.2 mg follo...
Mr. Holloway presents to your clinic with a significantly swollen, painful big toe and you diagnose him with gout. Of the following options which would be the best treatment for Mr. Holloway? correct answer: low-dose colchicine 1.2 mg followed by 0.6 mg 1 hour later (lower side effects than high do...
Preview 2 out of 9 pages
Add to cartMr. Holloway presents to your clinic with a significantly swollen, painful big toe and you diagnose him with gout. Of the following options which would be the best treatment for Mr. Holloway? correct answer: low-dose colchicine 1.2 mg followed by 0.6 mg 1 hour later (lower side effects than high do...
1. Henry has recently started on carbamazepine to treat seizures. He comes to see you and you note that while his carbamazepine levels had been in the therapeutic range they are now low. The possible cause for the low carbamazepine levels include: correct answer: Carbamazepine auto-induces metaboli...
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Add to cart1. Henry has recently started on carbamazepine to treat seizures. He comes to see you and you note that while his carbamazepine levels had been in the therapeutic range they are now low. The possible cause for the low carbamazepine levels include: correct answer: Carbamazepine auto-induces metaboli...
Tiotropium/Spiriva is a long acting ____________________ used in the maintenance of __________________ correct answer: 1. Antimuscarinic/Anticholinergic 2. COPD 
 
What is the action of Tiotropium (long acting antimuscarinic agent) correct answer: It is a smooth muscle relaxer and it decreases sub...
Preview 2 out of 10 pages
Add to cartTiotropium/Spiriva is a long acting ____________________ used in the maintenance of __________________ correct answer: 1. Antimuscarinic/Anticholinergic 2. COPD 
 
What is the action of Tiotropium (long acting antimuscarinic agent) correct answer: It is a smooth muscle relaxer and it decreases sub...
pseudoephedrine correct answer: children under 4 should not be prescribed this medication. instead encourage rest, fluids, saline sprays, nasal bulb for clearing of secreations 
 
coricidin hbp correct answer: this medication should be prescribed to pts with htn and c/o of nasal congestion 
 
anti...
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Add to cartpseudoephedrine correct answer: children under 4 should not be prescribed this medication. instead encourage rest, fluids, saline sprays, nasal bulb for clearing of secreations 
 
coricidin hbp correct answer: this medication should be prescribed to pts with htn and c/o of nasal congestion 
 
anti...
Adverse effects of chronic long-term use of PPI? correct answer: osteoporosis 
 
What is the most common cause of PUD? correct answer: H. pylori followed by NSAIDS and ASA 
 
How to initially treat PUD and H. pylori? correct answer: Triple Therapy; PPI BID, Amoxil 1 gm BID (metronidazole if aller...
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Add to cartAdverse effects of chronic long-term use of PPI? correct answer: osteoporosis 
 
What is the most common cause of PUD? correct answer: H. pylori followed by NSAIDS and ASA 
 
How to initially treat PUD and H. pylori? correct answer: Triple Therapy; PPI BID, Amoxil 1 gm BID (metronidazole if aller...
Low-dose colchine correct 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. Used for gout 
 
High-dose colchine correct answer: 1.2 mg followed by 0.6 mg every 4-6 hours totaling 4.8 mg.- not recommended/ used for gout 
 
Gout correct answer: Uri...
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Add to cartLow-dose colchine correct 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. Used for gout 
 
High-dose colchine correct answer: 1.2 mg followed by 0.6 mg every 4-6 hours totaling 4.8 mg.- not recommended/ used for gout 
 
Gout correct answer: Uri...
What is a seizure and what can precipitate it? correct answer: A seizure is the result of the abnormal discharge of neurons. Anything that disrupts the neuron can trigger abnormal activity and seizures. Hyperventilation, sleep deprivation, sensory and emotional stress, and hormones are all risk fac...
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Add to cartWhat is a seizure and what can precipitate it? correct answer: A seizure is the result of the abnormal discharge of neurons. Anything that disrupts the neuron can trigger abnormal activity and seizures. Hyperventilation, sleep deprivation, sensory and emotional stress, and hormones are all risk fac...
Furosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring includes: correct answer: serum potssium 
 
Cheryl is a healthy non-pregnant adult woman who recently had a UTI. She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correc...
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Add to cartFurosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring includes: correct answer: serum potssium 
 
Cheryl is a healthy non-pregnant adult woman who recently had a UTI. She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correc...
PPI long term consequences correct answer: osteoporosis, B 12 and iron deficiency 
 
How would you treat peptic ulcer disease and H-pylori (H-pylori being the leading cause of peptic ulcer with NSAIDS and aspirin being second leading causes) correct answer: Triple therapy: 
PPI twice a day 
Amoxic...
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Add to cartPPI long term consequences correct answer: osteoporosis, B 12 and iron deficiency 
 
How would you treat peptic ulcer disease and H-pylori (H-pylori being the leading cause of peptic ulcer with NSAIDS and aspirin being second leading causes) correct answer: Triple therapy: 
PPI twice a day 
Amoxic...
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