NURS 6521N – Advanced Pharmacology week 6 Assignment Classification of Diabetes.

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Chapterg 1.g Theg Roleg ofg theg Nurseg Practitioner
1.
Nursegpractitionergprescriptivegauthoritygisgregulatedgby:
1
.
ThegNationalgCouncilgofgStategBoardsgofgNursing
2
.
ThegU.S.gDruggEnforcementgAdministration
3
.
ThegStategBoardgofgNursinggforgeachgstate
4
.
ThegStategBoardgofgPharmacy
2.
ThegbenefitsgtogthegpatientgofghavinggangAdvancedgPracticegRegisteredgNurseg(APRN)gprescriberginclude:
1
.
NursesgknowgmoregaboutgPharmacologygthangothergprescribersgbecausegtheygtakegitgbothgingtheirgbasicgnurs
inggprogramg&gingtheirgAPRNgprogram.
2
.
Nursesgcaregforgthegpatientgfromgagholisticgapproachg&gincludegthegpatientgingdecisiongmakinggregardinggth
eirgcare.
3
.
APRNsgareglessglikelygtogprescribegnarcoticsg&gothergcontrolledgsubstances.
4
.
APRNsgaregablegtogprescribegindependentlygingallgstates,gwhereasgagphysician’sgassistantgneedsgtoghavegagph
ysiciangsupervisinggtheirgpractice.
3.
Clinicalgjudgmentgingprescribinggincludes:
1
.
Factoringgingthegcostgtogthegpatientgofgthegmedicationgprescribed
2
.
Alwaysgprescribinggthegnewestgmedicationgavailablegforgthegdiseasegprocess
3
.
H&inggoutgdruggsamplesgtogpoorgpatients
4
.
Prescribinggallggenericgmedicationsgtogcutgcosts
4.
Criteriagforgchoosinggangeffectivegdruggforgagdisorderginclude:
1.
Askinggthegpatientgwhatgdruggtheygthinkgwouldgworkgbestgforgthem
2.
Consultinggnationallygrecognizedgguidelinesgforgdiseasegmanagement
3.
Prescribinggmedicationsgthatgaregavailablegasgsamplesgbeforegwritinggagprescription
4.
FollowinggU.S.gDruggEnforcementgAdministrationgguidelinesgforgprescribing
5.

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Nursegpractitionergpracticegmaygthrivegunderghealth-caregreformgbecausegof:
1
.
Thegdemonstratedgabilitygofgnursegpractitionersgtogcontrolgcostsg&gimprovegpatientgoutcomes

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2
.
Thegfactgthatgnursegpractitionersgwillgbegablegtogpracticegindependently
3
.
Thegfactgthatgnursegpractitionersgwillghavegfullgreimbursementgunderghealth-caregreform
4
.
ThegabilitygtogshiftgaccountabilitygforgMedicaidgtogthegstateglevel
Chapterg 2.g Reviewg ofg Basicg Principlesg ofg Pharmacology
1.
Agpatient’sgnutritionalgintakeg&glaboratorygresultsgreflectghypoalbuminemia.gThisgisgcriticalgtogprescribinggbecause
:
1
.
Distributiongofgdrugsgtogtargetgtissuegmaygbegaffected.
2
.
Thegsolubilitygofgthegdruggwillgnotgmatchgthegsitegofgabsorption.
3
.
Theregwillgbeglessgfreegdruggavailablegtoggenerategangeffect.
4
.
Drugsgboundgtogalbumingaregreadilygexcretedgbygthegkidneys.
2.
Drugsgthatghavegagsignificantgfirst-passgeffect:
1
.
Mustgbeggivengbygthegenteralg(oral)groutegonly
2
.
Bypassgtheghepaticgcirculation2
ADVg Pharmg |g TextBookg |g StudyGuide
3
.
Aregrapidlygmetabolizedgbygthegliverg&gmayghaveglittlegifganygdesiredgaction
4
.
Aregconvertedgbygtheglivergtogmoregactiveg&gfat-solublegforms
3.
Thegroutegofgexcretiongofgagvolatilegdruggwillglikelygbegthe:
1
.
Kidneys
2
.
Lungs
3
.
Bileg&gfeces
4
.
Skin
4.
Medroxyprogesteroneg(DepogProvera)gisgprescribedgintramuscularlyg(IM)gtogcreategagstoragegreservoirgofgthegdrug.
gStoragegreservoirs:
1
.

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Assuregthatgthegdruggwillgreachgitsgintendedgtargetgtissue
2
.
Aregthegreasongforggivinggloadinggdoses
3
.
Increasegtheglengthgofgtimegagdruggisgavailableg&gactive