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Once you graduate from an NP program, in order to prescribe you'll need:
-Advanced nurse prescriber license
-DEA #
What is the purpose of a DEA #?
Needed to prescribed scheduled drugs
Rules for prescribing Schedule II drugs:
-Written script needed
-1 month supply only
-No refills
What is the PDMP?
Prescription Drug Monitoring Program
Used to effectively track patient's controlled substance uses across different health facilities (in the
same state)
,What are clinical practice guidelines?
Recommendations that are intended to optimize patient care that are informed by a systematic review
of the evidence and an assessment of the benefits/harms of alternative care practices
Ex: sepsis, CAP
Common causes of medication errors:
-Illegible writing
-Drug names that sound alike
-Medications that look alike
-Administering a drug with the wrong route
What is pharmacokinetics? What are its 4 categories?
What the body does to the drug
1. Absorption
2. Metabolism
3. Distribution
4. Excretion
Quickest route of absorption? Slowest?
IV = quickest
IM = slowest
, What is the most common way drugs pass through cell membranes?
Passive diffusion
What characteristics of a drug allow it to pass most quickly through cell membranes (usually through
passive diffusion)?
Small, uncharged (unionized), lipid soluble--pass through membrane without any energy
What does it mean when a drug is ionized?
It means that the drug is stuck in the compartment it was ionized in and has to be moved to the next
compartment (cannot be absorbed into the bloodstream)
Where do weak acids absorb?
Stomach
Where do weak bases absorb?
Small intestine
pH of stomach:
2-4
pH of small intestine:
6-7