Exam (elaborations)

NR565/ NR 565 Advanced Midterm Exam: Pharmacology Care of the Fundamentals Exam | Questions and Verified Answers (2023/ 2024 Update)- Chamberlain

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NR565/ NR 565 Advanced Midterm Exam: Pharmacology Care of the Fundamentals Exam | Questions and Verified Answers (2023/ 2024 Update)- Chamberlain NR565/ NR 565 Advanced Midterm Exam: Pharmacology Care of the Fundamentals Exam | Questions and Verified Answers (2023/ 2024 Update)- Chamberlain NR5...

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nr565 nr 565 advanced midterm exam pharmacology

Institution NR565/ NR 565
Course NR565/ NR 565

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NR565/ NR 565 Advanced Midterm Exam:
Pharmacology Care of the Fundamentals Exam |
Questions and Verified Answers (2023/ 2024 Update)-
Chamberlain

When iis iit iused i- iASCVD iRisk iScore i- iANSWER-In ichildren ia
iscreening ishould ibe idone ibetween iages i9 iand i11 iand ithen iagain iat iages

i19 iand i21. iFor iadults ievery i5 iyears iafter ithe iage iof i20. iSome ipeople iare

iat igreater irisk ilike ithose iwith idiabetes iand ia irisk iscore igreater ithan i7.5%

iand ishould ibe iscreened imore ioften

ezetimibe- iwhen ican iit ibe iused? i- iANSWER-pregnancy/breastfeeding
i can ibe iuse iin imonotherapy ior ias iadjunct itherapy iwith ia istatin ior ia
fibrate
i

What iis iezetimibe? i- iANSWER-Cholesterol iAbsorption iInhibitor-
ilowers icholesterol ilevels iby idecreasing ithe iamount iof icholesterol ithat iis

iabsorbed ifrom ithe ismall iintestine, iso ithat ithere iis iless iintestinal

icholesterol idelivered ito ithe iliver. iDoes inot iaffect itriglycerides

lifestyle ichanges ifor ihigh icholesterol i- iANSWER-Lifestyle ichanges iare
inon idrug imeasures iused ito ilower iLDL. iFour imain iissues iare idiet,

iexercise, iweight icontrol, iand ismoking icessation

If ia ipatient iwanted ito iminimize iside ieffects, iwhich idrug iclassification iis
ia igood ichoice? i- iANSWER-Non-statins- ifibrates, iEzetimibe, iBile iacid

isequestrants. iStatins iare igenerally iwell itolerated iand iside ieffects iare

,iuncommon. iSome ipatients idevelop iheadache, iflatulence, iconstipation, ior
iGI idisturbances, ibut ithese ieffects iare iusually imild iand itransient

,Therapeutic iaction iof iorganic initrates i(nitroglycerin) i- iANSWER-direct
irelaxant ieffect ion ivascular ismooth imuscles, iand ithe idilation iof icoronary

ivessels iimproves ioxygen isupply ito ithe imyocardium. iThe idilation iof

iperipheral iveins, iand iin ihigher idoses iperipheral iarteries, ireduces ipreload

iand iafterload, iand ithereby ilowers imyocardial ioxygen iconsumption.

promote ivasodilation

Contraindications ifor iranolazine i- iANSWER-Agents ithat iinhibit
iCYP3A4 ican iincrease ithe ilevels iof iranolazine iand ithereby iincrease ithe

irisk iof itorsades ide ipointes. iThese ithings iinclude: igrapefruit ijuice, iHIV

iprotease iinhibitors, imacrolide iantibiotics, iazole iantifungal idrugs, iand

isome iCCB. iMost iCCB ibut inot iamlodipine ican iincrease ilevels iof

iranolazine. iDrugs ithat iprolong ithe iQT iinterval ican iincrease ithe irisk iof

itorsades ide ipointes. i(quinidine, isotalol).

At iwhat iage ican istatins ibe iprescribed? i- iANSWER-avoid istatin iuse iin
ichildren iunder ithe iage iof i10

CCB irole iwith ivariant iangina i- iANSWER-promote irelaxation iof
icoronary iartery ispasm, iincreasing icardiac ioxygen isupply

what imedication ican ibe iadded ifor ipatients iwith iworsening isymptoms iof
iHF? i- iANSWER-aldosterone iantagonist- ipromotes imyocardial

iremodeling iand ifibrosis, ihelp iwith isymptoms

, CCB istable iangina i- iANSWER-promote irelaxation iof iperipheral
iarterioles, idecreasing iafterload iand ireducing icardiac ioxygen idemand

A i41 iyear iold ipatient icomes iinto ithe iclinic icomplaining iof iincreased
iheart irate iafter istarting initro ipatches ifor istable iangina. iWhat iwould ian

iappropriate iresponse ibe?

1. lets ilower ithe idose iand ifrequency iof iuse
2. I iwill iprescribe ia iBB ito ihelp iwith ithis
3. Next itime ithis ihappens, ilie idown iand ipractice ideep ibreathing, ithis iwill
ibring iyour iheart irate idown i- iANSWER-2- iI iwill iprescribe ia iBB ito ihelp

iwith ithis

What ido iCYP450 iinhibitors iand ireducers ido iwhen inot iused
icorrectly/what iwould ipatient iexperience? i- iANSWER-increased iside

ieffects, iadverse ireactions iand itoxicity

A i55 iyear iold imale icomes iinto ithe iclinic iwith ia igouty iarthritis. iHe istates
ithat ihe ihas ione iflareup ia iyear. iYour iresponse iis:

1. I iwill iprescribe iyou iglucocorticoids ito ihelp iwith iinflammation
2. Lets istart iyou ion iprophylactic itherapy icolchicine.
3. It iwill ibe ihelpful ito itake ian iNSAID ito istart iwith ito ihelp irelive isome
iinflammation. iI'll iprescribe inaproxen. i- iANSWER-3- iin ipatients iwith

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