for Advanced Practice Nurse
Prescribers, 4th Edition (Wo, Exams
of Pharmacology
are prone to cause adverse drug reactions include -
ANSWER//Insulins US FDA MedWatch system is activated when: -
ANSWER//An adverse even or serious problem occurs with a
medication that is not already identified on the label The Vaccine
Adverse Events Reporting System is - ANSWER//A voluntary
reporting system that healthcare providers or consumers may use
to report vaccine adverse events What is pharmacoeconomics? -
ANSWER//The analysis of the cost and consequences of any health-
care related treatment or services The direct cost of drug therapy
includes - ANSWER//Pain and suffering due to inadequate drug
therapy Indirect costs associated with drug therapy include? -
ANSWER//Loss of wages while undergoing drug therapy The
intangible cost of drug therapy include? - ANSWER//Inconvenience,
pain, and suffering incurred with therapy What is it called when a
pharmacoeconomic analysis takes place regarding two similar
treatments for a disease? - ANSWER//Cost-minimization analysis
Cost-effectiveness analysis compares two or more treatments or
programs that are: - ANSWER//not necessarily therapeutically
equivalent When the cost of a specific treatment or intervention
are calculated and then compared with the dollar value of the
benefit received it is referred to as - ANSWER//Cost-benefit
analysis What is a two-tiered prescription benefit plan? -
ANSWER//Higher co-pay for brand name drugs than for generic
drugs When a provider proscribes a less expensive drug what does it
increase and how? - ANSWER//Compliance & by decreasing the
financial burden set on the patient When someone asks to explain
, what a coverage plan means, such as a Medicare plan, what should
the NP do? - ANSWER//Refer the patient to a Medicare Specialist
at his insurance carrier to explain the benefits of his insurance
Digoxin levels need to be monitored closely when the following
medication is started: 1. Loratadine 2. Diphenhydramine 3.
Ipratropium 4. Albuterol - ANSWER//Albuterol Patients with
pheochromocytoma should avoid what class of drug and why? -
ANSWER//Beta-2-Agonists as it causes hypertensive crisis What
medications should be use cautiously with African American men
with moderate persistent asthma? - ANSWER//Salmeterol - It is
an inhaled long-acting beta agonist; studies showed increase of
respiratory and asthma related deaths in African Americans
LTBA's received a black box warning due to? - ANSWER//increased
risk of asthma related deaths What is the bronchodilator of choice
for those taking propranolol? - ANSWER//Ipratropium Life-style
management for those taking theophylline. - ANSWER//self-
monitoring of respiratory status w. peak flowmeter; stop smoking;
voice environmental triggers for asthma What does Tiotropium
bromide treat (Spiriva)? - ANSWER//COPD the medication is an
inhaled anticholinergic How often should Beclomethasone be used
for someone with asthma? - ANSWER//Daily What are some side
effects if montelukast (singular)? - ANSWER//Aggression, anxiety,
depression, and or suicidal thoughts Who can montelukast be
prescribed for? - ANSWER//a child with moderate persistent
asthma Are there known drug reactions with Beclomethasone
(QVAR) - ANSWER//No What prescription of the following will
someone with acute rhinitis benefit from? 1) Fluticasone 2)
Cetirizine (Zyrtec) 3) OTC Cromolyn Nasap Spray (Nasalcrom) 4)
Any of the Above? - ANSWER//Any of the above What should be
monitor for those who are taking diphenhydramine? -
ANSWER//Urinary retention Why are second generation
antihistamines such as Claritin taking for seasonal allergies instead