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NU641 Final Exam Study Guide NU 641 final exam study PHTLS 10th Edition
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Has several off-label uses including: alcohol and nicotine
Clonodine
withdrawal and post therpautic neuralgia
Guanfacine hypertension drug that has also been approved to use for ADHD
Insomnia med that does not have inverse risk for patients
Ramelteon (Rozerem) engaging in activities while somnolent with no memory of having
taking pill
Common mistakes practitioners General diagnosis and following up to see if treatment goals are
make in treating anxiety being met
disorders
The benzodiazepine with the greatest likelihood of causing
Xanax
dependency s/t it has a short half-life
Although a patient sees a There are many drug-drug interactions with anticonvulsants
neurologist for the management
of her partial seizures, why is it
important to know her
medication regimen?
Routine education for patient To not abruptly discontinue Keppra due to risk for withdrawal
being treated with levetiracetam seizures
(Keppra) for seizures
What advice you would give a Valproate is a known teratogen but may be taken after the first
woman who has been on trimester if necessary
Depakote for seizure and wants
to get pregnant
Prior to starting antidepressants, hypothyroidism
the patient should have lab
testing to rule out
Counteract the ERS effects of phenothiazines
Cholinergic blockers are used
Control tremors and relax smooth muscles in Parkinson's Disease
to:
Inhibit the muscarinic action of Ach on bladder muscle
, A drug used to treat Alzheimer's disease but is not an
Memantine
anticholinergic
Verapamil Preventative therapy for cluster headache
Minocycline (PO)
When prescribing for migraines, Stress reduction and regular sleep are integral to migraine
patient education includes: treatment
Acetaminophen Migraines in pregnancy may be safely treated with this
When are migraines considered There is no known cure
cured?
Nonpharmacologic Therapy for biofeedback, stress management, massage therapy
tension headache includes:
First-line antidepressant for children with major depression
Fluoxetine
between 8 to 17 years old
Contains a black-box warning of suicidal ideation in pediatric
SSRIs
and adolescent groups
Stimulants (methylphenidate or Are the most effective therapy and are generally first line of
amphetamine salts) treatment of ADHD in children unless contraindications exist
Pt treated with more than 100 grams per week of topical
Hypercalcemia
calcipotriene for psoriasis need to be monitored for
An adolescent female calls the Reassure her that the worsening of acne is normal and it should
clinic with concerns that her improve with continued use
acne is worse 2 weeks after
starting topical tretinoin. What
would be the appropriate care
for her?
Oral griseofulvin or Biweekly shampoo with selenium sulfide or
Treatment for Tinea capitis
ketoconazole for 6 to 8 weeks
Treatment for Tinea corporis and Topical antifungals like miconazole applied twice daily for 4
tinea pedis weeks
Oral griseofulvin, ketoconazole, itraconazole, or terbinafine for
Treatment of Onychomycosis
several months; topical product is ciclopirox 8% (Penlac)
Common therapies: permethrin, ivermectin, crotamiton
For permethrin, apply from the neck down, and leave the
medication on for at least eight to 10 hours. Often, all household
members and other close contacts should be treated.
Common treatments and Bedding, clothing, and towels used by infested persons or their
counseling points for scabies household, sexual, and close contacts (as defined above)
anytime during the three days before treatment should be
decontaminated by washing in hot water and drying in a hot
dryer, by dry-cleaning, or by sealing in a plastic bag for at least
72 hours.
Reduces Oral contraceptive Concomitant use of hepatic enzyme inducers such as rifampin;
efficacy barrier methods of contraception should be used as backup
Long-term use of androgens Calcium, testosterone, PSA, liver function, glucose, & lipids
requires specific laboratory
monitoring of: