Exam (elaborations)
ACNP Pharm - Questions & Expert Verified Solutions
- Course
- Institution
ACNP Pharm - Questions & Expert Verified Solutions
[Show more]
Content preview
ACNP Pharm - Questions & Expert Verified SolutionsNutraceuticals- role of NP Right Ans - Refer pt to credible sources
MOA Sulfonylurea Right Ans - Stimulate insulin release from beta-cells
UTI TX pregnant women Right Ans - Macrobid
MOA Glucophage/Metformin Right Ans - Improves insulin sensitivity by
increasing peripheral glucose uptake and utilization and decreases glucose
production
NP consider what if DM uncontrolled with multiple oral medications Right
Ans - Insulin
CAP, no commorbities-1st line TX Right Ans - Azithromycin (brand name
Zithromax aka Z-pack)
Iron deficiency anemia TX successful when Right Ans - Hemoglobin
normal, continue to monitor level every 4-6 months
When first starting levethyroxine for hypothyroidism, when should the TSH
be checked? Right Ans - 4 weeks
DM DX A1C Right Ans - 6.5% or higher
1st line for DM Right Ans - Glucophage/Metformin
1st line for Generalized Anxiety Right Ans - SSRI
MOA of PPI Right Ans - Increase PH of stomach
Pt with gastroparesis give what med? Right Ans - Reglan
MOA Reglan Right Ans - Gastric emptying
DX GERD negative h pylori TX: Right Ans - PPI
TX duodenal ulcer Right Ans - Amoxicillin (antibiotics)
,TX Strep pharyngitis Right Ans - Penicillin
TX for Strep pharyngitis if allergy to PCN Right Ans - Azithromycin (Z-pack)
if allergy to PCN
Newborns are at risk for vit K deficiency bleeding TX Right Ans - IM vit K
(phytonadione) within 24 hours of birth
What is a contraindication for ordering Metformin? Right Ans - Renal
issues
Metformin does not typically cause Right Ans - hypoglycemia
Patient education regarding iron supplements Right Ans - Take on empty
stomach with juice
Pernicious anemia TX Right Ans - Vitamin B12
Measure what to know Pernicious anemia TX working Right Ans -
Hemoglobin levels return to normal
Carbamazepine can produce low levels despite good compliance due to:
Right Ans - Auto-induced metabolism
SSRI uses: Right Ans - Anxiety, Depression, OCD
Acute Gouty Arthritis Attack 1st line TX: Right Ans - NSAIDS-
example:Indomethacin
Trycyclic Antidepressant ADR Right Ans - Cardiotoxicity
ACE Inhibitors contraindicated in: Right Ans - Patients with Renal Artery
Stenosis
Names of ACE Inhibitors Right Ans - End in 'pril' Lisinopril, Enalapril,
Captopril, Benazepril, Quinapril, Fosinopril
Risk of prescribing Benzos Right Ans - Physical withdrawal
, Contraindication for putting ear drops in ear canal Right Ans - The
Tympanic Membrane needs to be intact
NSAIDS Black Box Warning Right Ans - GI Bleed
1st Line TX Migraine Right Ans - NSAID
Monitor new patient on Levothyroxine for: Right Ans - Tachycardia, Angina
Peptic ulcers fall into two categories: Right Ans - Duodenal ulcers and
Gastric Ulcers
Duodenal Ulcer characteristics Right Ans - Pattern of exacerbation and
remission for years, h-pylori cause in 95-100% of cases, nocturnal pain
common, antacid and food will give relief, more common in men, age 20-50
Gastric ulcer characteristics Right Ans - Chronic ulcer without pattern of
exacerbation and remission, food causes pain, antacid relief, increases risk of
cancer, common in men and women, age 50-70
Pernicious anemia (Vitamin B12) TX Right Ans - Vit. B12 1,000mcg IM
daily for 1 week, then 100-1,000mcg weekly for a month. Once levels normal,
1,000mcg IM a month or 1,000mcg PO daily (less expensive)
Monitor what during Pernicious anemia TX Right Ans - Hbg, HCT, Vit. B12,
Folic Acid, Potassium before TX, then 5-7 days after TX starts, then until
Hemoglobin and Hematocrit levels normal. Also monitor Liver enzymes every
2-4 weeks.
Pt education with MRSA infection: Right Ans - Hand washing, do not share
towels or utensils, wash with antibacterial soap
Oral TX MRSA Right Ans - Clindamycin, Bactrim, Doxy
Topical TX Skin Staph or Strep Infections Right Ans - Bacitracin 2-5 times a
day until clear
Double ABT: Bacitracin/Polymixin B
Triple ABT: Bacitracin/Polymixin B/Neomycin
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now