NUR 635 Pharm Final Exam with Questions and Answers

NUR 635 Pharm Final Exam with Questions and Answers What is the treatment for PUD? ANSWER 1. Check for H Pylori 2. First line triple tx: PPI (Omeprazole), amoxicillin AND clarithromycin 3. If they cannot tolerate all three prescribe clarithromycin for 5 days then amoxicillin for 5 days- Step approach What is the step approach for GERD patients? ANSWER 1. start them on a PPI omeprazole 2 x daily for 4-8 wks 1. First step therapy for GERD: Pepcid H2blocker twice a day - When using the step up approach in caring for pts with GERD, the step up from OTC antacid use is: histamine 2 receptor antagonist Rantidine for 4-8 wks What is the M of A for Reglan (Metoclopramide)? ANSWER Tx for GERD. Increases motility and increases lower gastroesophageal tone Patients whose total dose of prednisone will exceed 1 gm will most likely need a second rx for? ANSWER Omeprazole, PPI to prevent peptic ulcer disease A 37 y/o female who is newly depressed what labs do we get? ANSWER Thyroid R/O hypothyroid T3, T4, TSH if normal and she is depressed start what? TSH is normal what do we start her on: SSRI Lexapro or citalopram NO ATIVAN