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NR565- Advance Pharmacology Questions With Complete Solutions
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NR565- Advance Pharmacology Questions With Complete Solutions
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NR565- Advance Pharmacology Questions With CompleteSolutions
· Amlodipine
Common dose
Directions for use
Indication Correct Answer Essential HTN & Angina
5-10mg/daily
· Colchicine
Common dose
Directions for use
Indication Correct Answer Gout attack
start tx at the first sign of attack, and stop use is side effects
occur
0.6-1.2mg q12-daily as recommended
· Hydrocodone/Acetaminophen (Lortab)
Common dose
Directions for use
Indication Correct Answer Pain
5mg/325mg- 1-2 tabs q4-6h
7.5mg/325mg- 1tab q4-6h
10mg/325mg- 1tab q4-6h
· Lisinopril
Common dose
Directions for use
Indication Correct Answer HTN- 10-40 mg once/d
HF- 20-40 mg once/day
Acute MI- 10 mg once/day for at least 6 weeks
,Atherosclerotic Cardiovascular Disease (ASCVD) Risk Score
o What is it?
o When is it used? Correct Answer ASCVD risk assessment is
directed at determining the patient's absolute risk of developing
the clinical coronary disease over the next 10 years. Defines
high risk as 7.5% or greater. A calculation of your 10-year risk
of having a cardiovascular problem, such as a heart attack or
stroke.
In children, screening should be done between ages 9 and 11 and
then again at ages 19 and 21. For adults every 5 years after the
age of 20. Some people are at greater risk like those with
diabetes and a risk score greater than 7.5% and should be
screened more often
Be familiar with pharmacokinetic and pharmacodynamic
changes of older adults and how that would translate to baseline
information needed to prescribe. Correct Answer increase
glomerular filtration rate leads to increase drug excretion
increase hepatic metabolism
decrease tone and motility of bowel
increase drug absorption
Beer's Criteria- What is it and Why is it important Correct
Answer Recommendations of medications inappropriate for
elderly (65 and older)
Prevents adverse drug reactions
Behaviors that predict controlled substance addiction Correct
Answer chronic pain
, family history
other substance abuse
prescribed for long-term use
Best approach or drug to use for HTN during pregnancy or
someone wishing to become pregnant Correct Answer labetalol
methyldopa
nifedipine
Beta-blockers
o Their use with nitroglycerin and tachycardia
o Know examples
o Risk of stopping them abruptly
o What happens when given to someone with asthma? Correct
Answer -Beta Blockers suppress nitroglycerin-induced
tachycardia.
They do so by preventing sympathetic activation of beta-1
adrenergic receptors in the heart.
-End in -olol
-Stopping abruptly can increase the incidence and intensity of
anginal attacks and may even precipitate MI
-May cause bronchospasms
Black Box Warnings
o What are they?
o Why are they issued? Correct Answer Is the strongest safety
warning a drug can carry and still remain on the market. Usually
presented on the label with a heavy black border.
Issued by the FDA due to having serious or life-threatening risks
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