Midterm Exam NR 565 Advanced
Pharmacology Care of the Fundamentals Exam
| Questions and Answers (2024)- Chamberlain
What prevision were made to guidlines for prescribing opioids to non cancer pt. - 1. Use
opioids only after non opiods analgesics and more conservative methods fail
2. Discussing the Benefits and Risks of Long term opioids
3. Using only one prescriber and one pharmacy PRMP to look up when medications
were filled.
5. Comprehensive follow up assessment of the side effects of treatment
5. Stopping opioids after and attempt at opioids rotation has provided inadiquate
benefits
6. Fully documenting the entire process.
What are some of the effects of opioids use the don't change with long term use and
tolerance - 1. EUPHORIA
2. Respiratory Depression
3. Miosis(PUPIL CONSTRICTION)
4. Constipation
Methdone is used for ___________thearapy and __________therapy - 1. Maintenance
2. Suppressive
What is the Black Box warning for Methodone - Prolong QT
Long half Life
Resp Depression
Should only be prescribed by specially trained health care provider
What is the reversal for Benzodiazepines - FLUMAZENIL IV Only
Does Methadone or Bupreorphine have a ceiling to respitory depression? - Methodone
does have a ceiling
Buprenorphine ?
What are adverse effects to lasix - Hypokalemia and increased urination
Hyponatrium
Dehydration
Auto toxicity
, Drug interaction with Lasix - Digoxin
Lithium
What medicaton will we prescribe with Loop Diurect to prevent an electrolyte imbalance
- Potassium Sparing diuretics'.
What is a name of Thiazide Diurectic - HTZ or also called Microzide
WHAT IS THE MOA for Microzide - Reabsorbing of Na in the Distal Conduluant Tubule
What are Thiazide diaretic use to treat - 1st choice for Hypertension without any other
morbidities.
What is the MOA of Aldactone or Spiroaldactone - Blocks action of Aldosterone in the
distal Nephrone
Removes Na in Urine
What is Spirolactone use to treat -
What are some Adverse effects to Spiroalctone - HYPER K
Dysrhythmia
Gynomastatiod
Mensural irregulates
Deepening of the voice in women
Black Box warning for Spiroalctone - Tumors in rats
Chronic Toxicity
Black box warning for Triamterene and Amiloride(K sparing diurectics - HYPER K
What are the action of Angiotension II - 1. Vasoconstriction
2. Release of Aldosterone
What is the action of Aldosterone - Na+ resorbtion, K+ excretion
Are drugs that block the RASS SAFE IN PREGNANCY - Only in the 1st Trimester
DO NOT USE IN 2ND and 3RD Trimester
What is the name of an Ace Inhibiter {prils} - Lisinopril
What is the MOA of ACE inhibitors? - These agents inhibit the angiotensin converting
enzyme (ACE), preventing the convesion of angiotensin I (AngI) to angiotensin II (AngII)
, a potent vasoconstrictor.
What is the Adverse Reaction to ACE inhibitors - Cough
Angioedema- occurs anytime
Pharmacology Care of the Fundamentals Exam
| Questions and Answers (2024)- Chamberlain
What prevision were made to guidlines for prescribing opioids to non cancer pt. - 1. Use
opioids only after non opiods analgesics and more conservative methods fail
2. Discussing the Benefits and Risks of Long term opioids
3. Using only one prescriber and one pharmacy PRMP to look up when medications
were filled.
5. Comprehensive follow up assessment of the side effects of treatment
5. Stopping opioids after and attempt at opioids rotation has provided inadiquate
benefits
6. Fully documenting the entire process.
What are some of the effects of opioids use the don't change with long term use and
tolerance - 1. EUPHORIA
2. Respiratory Depression
3. Miosis(PUPIL CONSTRICTION)
4. Constipation
Methdone is used for ___________thearapy and __________therapy - 1. Maintenance
2. Suppressive
What is the Black Box warning for Methodone - Prolong QT
Long half Life
Resp Depression
Should only be prescribed by specially trained health care provider
What is the reversal for Benzodiazepines - FLUMAZENIL IV Only
Does Methadone or Bupreorphine have a ceiling to respitory depression? - Methodone
does have a ceiling
Buprenorphine ?
What are adverse effects to lasix - Hypokalemia and increased urination
Hyponatrium
Dehydration
Auto toxicity
, Drug interaction with Lasix - Digoxin
Lithium
What medicaton will we prescribe with Loop Diurect to prevent an electrolyte imbalance
- Potassium Sparing diuretics'.
What is a name of Thiazide Diurectic - HTZ or also called Microzide
WHAT IS THE MOA for Microzide - Reabsorbing of Na in the Distal Conduluant Tubule
What are Thiazide diaretic use to treat - 1st choice for Hypertension without any other
morbidities.
What is the MOA of Aldactone or Spiroaldactone - Blocks action of Aldosterone in the
distal Nephrone
Removes Na in Urine
What is Spirolactone use to treat -
What are some Adverse effects to Spiroalctone - HYPER K
Dysrhythmia
Gynomastatiod
Mensural irregulates
Deepening of the voice in women
Black Box warning for Spiroalctone - Tumors in rats
Chronic Toxicity
Black box warning for Triamterene and Amiloride(K sparing diurectics - HYPER K
What are the action of Angiotension II - 1. Vasoconstriction
2. Release of Aldosterone
What is the action of Aldosterone - Na+ resorbtion, K+ excretion
Are drugs that block the RASS SAFE IN PREGNANCY - Only in the 1st Trimester
DO NOT USE IN 2ND and 3RD Trimester
What is the name of an Ace Inhibiter {prils} - Lisinopril
What is the MOA of ACE inhibitors? - These agents inhibit the angiotensin converting
enzyme (ACE), preventing the convesion of angiotensin I (AngI) to angiotensin II (AngII)
, a potent vasoconstrictor.
What is the Adverse Reaction to ACE inhibitors - Cough
Angioedema- occurs anytime
