NR 565 Midt erm E xam
Terms in this set (123)
What are medica tion
exampl es of Schedul e II
drugs?-Ativan & Valium
-Fentanyl
-Oxycodone
-Methadone
What medica tions are
Schedul e III drugs?-Xanax
-Tramadol
-anabol ic steroids
-<90mg of codeine
What medica tions are
Schedul e IV drugs?-Ativan
-Tramadol
-Methadone
-Adder all
Which schedul e drugs can
APRNs prescribe?Schedul e II through Schedul e IV
exampl es of reasons for
medica tion non-adher ence-too busy
-too expensiv e
-ran out
-forgetting
-traveling & busy
Distribution in medica tion in
elderly can be affected in
what ways?-decr eased l ean mass
-decr eased albumin
-decr eased bo dy fat
-slower gastric acidity
-slower absorption r esults in delayed response
In the el derly decrease
albumin and decreased
lean mass affects
medica tions how?medica tion binds to protein so decreased pr otein affects
how medica tion is absorbed and distribut ed In elderly decreased bo dy
fat affects medica tions
how?need fat to transport medica tions and some drug
metabolism is dependent on bo dy weight
When pr escribing
medica tion, we mus t
under stand that liver
function declines with age
due to....decreased bl ood flow to the liver, decreased hep atic
enzymes
What is the mos t import ant
cause of adverse drug
reactions?***overprescribing/ polypharma cy
***decreased r enal excretion
-high drug dosa ges (start low & go slow)
-lack of monit oring medica tions
What can a poor
metabolism phenotype do
to a metabolism of a drug ?-slow or increase absorption
-slow the met abolism
-keep drug in bo dy longer
-increase toxicity
How does poor metabolism
affect a high or low
therapeutic inde x?-increase drug toxicity
(exampl e plavix - clots & increased pl atelets)
Black box warning for
Opioidsrespir atory depr ession
Black box warning for
FentanylFATAL respir atory depr ession
Black box warning for
Methadone (NP cannot
prescribe )QT interval prolonga tion
Black box warning for
Codeine-breastfeeding and inf ant death can occur
-10% of dose converts to morphine
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