NUR 635 Pharm Final Exam -

NUR 635 Pharm Final Exam - Questions And Answers (Graded A+) 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 guideline.
• cost.
• availability.
• patient hepatic and renal function. Correct Ans - A. a guideline

Drugs that alter synaptic transmission are much more selective than those that alter axonal conduction, why is this? Correct Ans - 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? Correct Ans - Seizures What should you monitor for with phenytoin? Correct Ans - Delayed hypersensitivity - even 1 month later What is carbamazepine used for? Correct Ans - Seizures What may cause carbamazepine levels to drop despite no other change? What to do? Correct Ans - Autometabolization of drug. Increase dose.What is the black box warning for carbamazepine? Correct Ans - Steven-Johnson Syndrome & TENS Monitoring for carbamazepine, and how often? Correct Ans - CBC, 3-4 times a year What population is most at risk for Steven-Johnson syndrome & TENS when taking carbamazepine? Correct Ans - Asian patients 1 / 2

Main class of medication for depression? Correct Ans - Selective serotonin reuptake inhibitors (SSRIs) What to watch for with SSRIs? Correct Ans - Other medications that can cause serotonin syndrome What is lamictal used for? Correct Ans - Seizures Patient on lamictal has fever, rash, swollen lymph nodes. What are we concerned for? Correct Ans - Hypersensitivity in lamictal can lead to MODS Patient on lamictal wants birth control. What do we need to change?Correct Ans - Increase lamictal dose.When will pt notice improvement after starting an SSRI? Correct Ans -

• weeks later

1st line medication for moderate generalized anxiety Correct Ans - Buspar (SNRI) 1st line med for classic migraines Correct Ans - Triptans 2nd line treatment for classic migraines Correct Ans - Prophylactic - propranolol Correct Ans - Why is important that NPs have the authority to prescribe? Correct Ans - Increase access to healthcare What must be done if a drug has a narrow therapeutic index? Correct Ans

• Frequent serum level monitoring

Why would 10mg percocet or 10mg oxy work better than the other?Correct Ans - Differences in pill filler composition

• / 2