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NUR 2060 Pharm Exam 1_ Biopsychosocial (1)
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NUR 2060 Pharm Exam 1_ Biopsychosocial (1)
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NUR 2060 Pharm Exam 1: Biopsychosocial11 Things you wan to make sure the pt knows about the drug they are going to be taking -
ANS-1. name of the drug is and why they are taking it.
2. dose
3. when they should be taking it (provide chart)
4. How they should take it (may require education)
5. what response they should expect and when
6. things they can do to enhance response (drink extra water when taking this pill)
7. how long they have to take it for
8. how to store it (OUT OF REACH OF KIDS)
9. ADR symptoms and how to mitigate them
10. drug-drug and drug-food interactions (if any)
11. If severe ADRs or adverse interactions occur who to call
What are Risk Management Programs designed for? - ANS-detect, evaluate, prevent, and
mitigate adverse drug events.
Early attemps at risk management included - ANS-patient packet inserts
medication guides
restricted access programs
controlled substance classification
REMS - ANS-Risk Evaluation and Mitigation Strategy
Thanks to REMS drugs can be subject to evaluation in the postmarketing period if - ANS-1. it is
associated with serious risks
2. ensure benefits outweigh the risks
3. new info is discovered about potentially harmful effects
Name 3 physiologic changes that a pregnant woman's body undergoes that impact drug dosing
- ANS-1. kidney is involved in clearance
2. Liver is involved in metabolism
3. GI tract has decreased tone
Name some adverse reactions caused by drugs during pregnancy and indicate the most
dangerous one - ANS-1. Teratogenesis causes birth defects (most danger)
2. Prostoglandins cause uterine stimulation
3. aspirn late in preg causes uterine supression
4. infant drug dependence
5. CNS meds cause neonates to have respiratory supression
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