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NUR2474 Rasmussen Pharm Exam 1: Questions And Accurate Solutions
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NUR2474 Rasmussen Pharm Exam 1: Questions And Accurate Solutions
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NUR2474 Rasmussen Pharm Exam 1: Questions AndAccurate Solutions
What should we do before giving any medication? Right Ans - - ask about
patient allergies to medications and what happens when they take them.
- remember if they report they get any s/s of allergic run with medication use,
we must hold med and call dr.
Explain intended drug effects Right Ans - - effects that we want to see and
that are therapeutic when using the drug. Ex:
with an antidepressant, we want to see a mood change, because that is the
intended use of the drug.
Explain teratogenic effect Right Ans - - a drug induced birth defect that can
cause harm to the fetus
Why we do not allow pregnant moms or those lactating to not take certain
medications Right Ans - - so they do not harm their child.
Explain paradoxical effect Right Ans - - The opposite of the intended drug
response
Example of paradoxical response Right Ans - - Benzo's may be used for
sedation and insomnia treatment, but may instead
cause them to stay up, have excitement, and to be rowdy. The opposite.
Explain tolerance Right Ans - - occurs when there is a long term reduced
responsiveness to a medication over time, causing the medication to not
produce a therapeutic effect. Will need to increase the dose to get the same
effect. Will be higher dose but the effects will be seen. will take longer to wean
also
Explain dependence Right Ans - - the patient gets used to the drug and
cannot stop using it. When they do stop the med cold turkey they can have
withdrawal symptoms. Why we have to wean and taper the drug
,Explain addiction Right Ans - - occurs when the patient abuses the drug
and uses it for pleasure instead as prescribed.
Why may we give a atypical antipsychotic medication (2nd generation)?
Right Ans - - when one cannot handle the EPS that the 1stgeneration drugs
produce.
Which patient populations should we not use a atypical antipsychotic with?
Right Ans - - those with diabetes, those with high cholesterol
What can the atypical antipsychotics cause? Right Ans - - drug onset
diabetes, drug onset high cholesterol, weight gain
Why should not we use an atypical antipsychotic with a patient with
dementia? Right Ans - - It will not work to control the disease and will
exaggerate the psychosis. They will need a cholinesterase inhibitor
How can we give antipsychotic medications? Right Ans - - Depot IM
injection or PO
What can atypical antipsychotics be used to treat Right Ans - -
schizophrenia,
- bipolar and
- depression
What does phenytoin treat? Right Ans - - epilepsy, partial and tonic clonic
seizures
What is the interactions between phenytoin and pregnancy? Right Ans - -
can be teratogenic and cause fetal deformities. Can also interfere with
clotting factors of newborns, causing bleeding
- Can also interfere and decrease effectiveness of oral contraceptive use
What should we teach pregnant moms to do when taking phenytoin? Right
Ans - - Will need to teach the patient importance of taking folic acid while use
of the drug and importance of taking the vitamin K shot before delivery of the
baby, potential to switch oral contraceptive use to another way to increase
effect of the anti-epileptic
, What things should we always do when giving methylphenidate to a child
with ADHD Right Ans - - ALWAYS: give the drug in the morning, after
breakfast, and give the last dose before 4pm, or else the child will not sleep at
night
Which 3 drugs are controlled substances and highly abused? Right Ans - -
amphetamines,
- barbiturates,
- methylphenidate
What is the purpose of drug treatment with Alzheimer Disease patients
Right Ans - - there is treatment to help slow down the progression of the
disease, but to not
cure it
How does donepezil work Right Ans - - it slows the progression of
Alzheimers disease by causing reversible inhibition of cholinesterase and the
cholinergic receptors.
What should we do when discontinuing an antidepressant (or any
medication) Right Ans - - if antidepressant is stopped cold turkey,
withdrawal syndrome can occur.
- we must gradually taper the drug slowly and have the HCP taper it.
- do not let patient taper drug by themselves
What are signs and symptoms of withdrawal syndrome? Right Ans - - HA,
- Nausea,
- visual disturbances,
- sweating,
- dizziness,
- tremors
What is the relationship between sertraline and nursing infants? Right Ans
- - when this drug is used with a patient who is pregnant or nursing infants,
the infant can have neonatal abstinence syndrome occur
What should we educate pregnant or nursing moms about when using
sertraline? Right Ans - - We must educate the patient on potentially using
other medications during
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