NUR 641E Final Exam Questions And Answers Verified 100% Correct
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Course
NUR 641E
Institution
NUR 641E
NUR 641E Final Exam Questions And
Answers Verified 100% Correct
Half-life - answer --how long it takes for drug to be excreted from the body
-determines frequency of administration
-predicts how long toxic effects can last
first-order (linear) pharmacokinetics - answer -metabolism is direct...
NUR 641E Final Exam Questions And
Answers Verified 100% Correct
Half-life - answer --how long it takes for drug to be excreted from the body
-determines frequency of administration
-predicts how long toxic effects can last
first-order (linear) pharmacokinetics - answer -metabolism is directly proportional
to the free concentration of the drug
zero-order (nonlinear) pharmacokinetics - answer -drug is metabolized at a
constant rate per unit of time
CYP3A4 substrates - answer -may have decreased activity if any CYP3A4 inducer
drugs are used along with it
Discovery - answer -laboratory research to develop the new drug
Preclinical research - answer -animal testing for safety
Phase I - answer -clinical research on healthy human subjects to assess medication
PK
Phase II - answer -clinical research in humans primarily for medication safety
usually in a population for which the treatment is intended
Phase III - answer -clinical research in humans comparing the new drug to
accepted medications or placebo for efficacy and safety
Phase IV - answer -post marketing surveillance. Reporting of adverse effects not
identified in earlier clinical studies
medication safety organizations - answer --ISMP
,-IOM
-Joint Commission
-NCC MERP
-FDA Safe Use Initiative
pharmacological ADR - answer --80-90% of ADRs
-an extension of the pharmacological affect of the drug
-ex. overdose
idiosyncratic ADR - answer --separate from the pharmacological affect of the drug
-commonly immune mediated response
does not - answer -the FDA does/does not mandate that ADRs be reported
Polypharmacy - answer -involves using multiple health care providers for care,
using multiple medications, and using several pharmacies for prescription filling
ACEI - answer --Lisinopril, captopril, enalopil, ramipril, benazepril, fosinopril
-suppress the release of ACE
ACEI (side effects) - answer --cough
-angioedema
-discontinue the ACEI if angioedema occurs
ARBs - answer --block angiotensin II receptors
primary hypertension - answer --denotes high blood pressure from an unidentified
cause; also called essential hypertension
-90% of cases
secondary hypertension - answer --high blood pressure caused by the effects of
another disease
-example: chronic renal failure
beta-1 stimulation - answer --increased HR
-increased BP
-increased CO
beta-1 blockade - answer --reduced heart rate
-reduced BP
-reduced CO
beta agonists - answer --isoproternol
LHF - answer --decreased delivery of O2 to body tissues
Absorption - answer -from the administration site either directly or indirectly into
the blood/plasma
Distribution - answer -Reversibly or irreversibly move from bloodstream into the
interstitial and intracellular fluid
Metabolism - answer -Biotransformed via hepatic metabolism or by other tissues
Elimination - answer -Lastly, the drug and its metabolites are eliminated from the
body
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