NUR-635 PHARM FINAL EXAM | QUESTIONS AND ANSWERS | 2024| 25
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Course
NUR-635.
Institution
NUR-635.
NUR-635 PHARM FINAL EXAM | QUESTIONS AND ANSWERS | 2024| 25
While rational drug selection is based on the individual patient the aspect of rational drug selection addressing disease-specific information by a national medical or nursing organization is
A. a guideline.
B. cost.
C. availab...
NUR-635 PHARM FINAL EXAM | QUESTIONS AND ANSWERS |
2024| 25
While rational drug selection is based on the individual patient the aspect of rational
drug selection addressing disease-specific information by a national medical or nursing
organization is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. - A. a guideline
Drugs that alter synaptic transmission are much more selective than those that alter
axonal conduction, why is this? - a drug that affects the axonal conduction - non-
selective effect.
Drugs that alter synaptic transmission - very selective because of the differences in
synapses and their specific neurotransmitters
What is phenytoin used for? - Seizures
What should you monitor for with phenytoin? - Delayed hypersensitivity - even 1 month
later
What is carbamazepine used for? - Seizures
What may cause carbamazepine levels to drop despite no other change? What to do? -
Autometabolization of drug. Increase dose.
What is the black box warning for carbamazepine? - Steven-Johnson Syndrome &
TENS
Monitoring for carbamazepine, and how often? - CBC, 3-4 times a year
What population is most at risk for Steven-Johnson syndrome & TENS when taking
carbamazepine? - Asian patients
Main class of medication for depression? - Selective serotonin reuptake inhibitors
(SSRIs)
What to watch for with SSRIs? - Other medications that can cause serotonin syndrome
What is lamictal used for? - Seizures
, Patient on lamictal has fever, rash, swollen lymph nodes. What are we concerned for? -
Hypersensitivity in lamictal can lead to MODS
Patient on lamictal wants birth control. What do we need to change? - Increase lamictal
dose.
When will pt notice improvement after starting an SSRI? - 4 weeks later
1st line medication for moderate generalized anxiety - Buspar (SNRI)
1st line med for classic migraines - Triptans
2nd line treatment for classic migraines - Prophylactic - propranolol
-
Why is important that NPs have the authority to prescribe? - Increase access to
healthcare
What must be done if a drug has a narrow therapeutic index? - Frequent serum level
monitoring
Why would 10mg percocet or 10mg oxy work better than the other? - Differences in pill
filler composition
What do medications need in order to be effective: - Albumin (binding to)
If a patient has a toxic drug level, but normal albumin, what could be happening? -
Other drugs competing for albumin
What does "Sig" mean on a prescription? - Directions to pharmacist
What items are necessary on a prescription? - Drug, dose, route, frequency, quantity,
refills
Abbreviations to not use - QD
What drug may cause grey teeth? - Tetracyclines
Pt reports no improvement in seizures after treatment for a few weeks. What next -
Assess drug levels for therapeutic index
If patient on phenytoin wants birth control? - Not oral contraceptives! IUD better
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