GCU Adv. Pharm NUR 635 Final
Sarhan & Tyler Review
Main medication class used in tx of depression - answerSSRIs
Prescribing concerns with SSRI - answerserotonin syndrome caused by drug-drug
interactions
what is phenytoin prescribed for - answerSeizures
prescribing concerns for phenytoin - answerdelayed onset of hypersensitivity rxn
carbamazepine prescribed for - answerseizures
what causes carbamazepine levels to drop despite no other change -
answerautometabolizes- med digests itself, need to increase dose
Black box warning carbamazepine - answerSJS, TEN(toxic epidermal necrolysis)
Long-term carbamazepine use requires monitoring of - answerCBC minimum 4 times a
year due to risk of hematological effects
Lamotrigine(Lamictal) for tx of seizures prescribing concerns - answerSJS, TEN
Pts taking oral contraceptives: estrogen can lower lamotrigine levels, may need to
adjust dosing
Prescribing SSRI: Educate - When should pts notice a difference - answerCheck back
in four weeks. May take some time.
Carbamazepine black box warning - answerAsians are at higher risk for SJS and TEN
Moderate generalized anxiety disorder: good first medication - answerBuspar
Buspar class - answerSNRI
cluster headache, first choice tx - answer100% oxygen 15-30min
classic migraine, first choice tx - answertriptans
classic migraine, tx after triptans are not working, first choice prophylactic -
answerpropranolol (beta blocker)
, Chantix (varenicline) SE teaching - answerdepression, mania, psychosis, hallucinations,
paranoia, delusions, homicidal ideation, aggression, hostility, anxiety, and panic, as well
as suicidal ideation, suicide attempt, and completed suicide in patients attempting to
quit smoking while taking CHANTIX
1st rx choice for c/o nerve pain - answergabapentin
why is it important for NPs to have full prescriptive authority - answerincrease access to
healthcare
considerations for rx with narrow therapeutic index - answermonitor plasma levels
closely
10mg Percocet and 10mg oxycodone, Pt asks why does the Percocet work faster? -
answerMedication formulations (fillers and other additives) can effect
pharmacodynamics
what medications need in order to be effective in an individual - answerAlbumin for
binding. Toxicity can occur if drug-drug interactions result in competition for albumin
"Sig" on a prescription - answerhow you take the medication, Latin for directions.
Directions to pharmacist
Abbreviation not used in rx - answerQD
medication that can discolor teeth - answertetracycline antibiotic
giving a pt antiseizure drugs for a couple of weeks, pt is still having the same amount of
seizures, what to check? - answerCheck serum drug levels
considerations for phenytoin and contraception - answerphenytoin (Dilantin) is a serious
teratogen, oral contraception is not the most effective way to prevent pregnancy
pts taking teratogen rx and thinking about getting pregnant, when to dc - answerNow.
Before getting pregnant. Most defects occur in first trimester
Pt taking daily aspirin becomes pregnant. Development concern? - answerCan see
premature closure of PDA (patent ductus art)
Pneumonia tx goal: Fever gone in 2-4 days. If fever persists: - answercurrent AB not
targeting the right pathogen
Adults w/no risk factors with CAP tx: - answermacrolide such as azithromycin,
clarithromycin, erythromycin or doxycycline when allergic to pcn
most common pathogen: s.pneumoniae
Sarhan & Tyler Review
Main medication class used in tx of depression - answerSSRIs
Prescribing concerns with SSRI - answerserotonin syndrome caused by drug-drug
interactions
what is phenytoin prescribed for - answerSeizures
prescribing concerns for phenytoin - answerdelayed onset of hypersensitivity rxn
carbamazepine prescribed for - answerseizures
what causes carbamazepine levels to drop despite no other change -
answerautometabolizes- med digests itself, need to increase dose
Black box warning carbamazepine - answerSJS, TEN(toxic epidermal necrolysis)
Long-term carbamazepine use requires monitoring of - answerCBC minimum 4 times a
year due to risk of hematological effects
Lamotrigine(Lamictal) for tx of seizures prescribing concerns - answerSJS, TEN
Pts taking oral contraceptives: estrogen can lower lamotrigine levels, may need to
adjust dosing
Prescribing SSRI: Educate - When should pts notice a difference - answerCheck back
in four weeks. May take some time.
Carbamazepine black box warning - answerAsians are at higher risk for SJS and TEN
Moderate generalized anxiety disorder: good first medication - answerBuspar
Buspar class - answerSNRI
cluster headache, first choice tx - answer100% oxygen 15-30min
classic migraine, first choice tx - answertriptans
classic migraine, tx after triptans are not working, first choice prophylactic -
answerpropranolol (beta blocker)
, Chantix (varenicline) SE teaching - answerdepression, mania, psychosis, hallucinations,
paranoia, delusions, homicidal ideation, aggression, hostility, anxiety, and panic, as well
as suicidal ideation, suicide attempt, and completed suicide in patients attempting to
quit smoking while taking CHANTIX
1st rx choice for c/o nerve pain - answergabapentin
why is it important for NPs to have full prescriptive authority - answerincrease access to
healthcare
considerations for rx with narrow therapeutic index - answermonitor plasma levels
closely
10mg Percocet and 10mg oxycodone, Pt asks why does the Percocet work faster? -
answerMedication formulations (fillers and other additives) can effect
pharmacodynamics
what medications need in order to be effective in an individual - answerAlbumin for
binding. Toxicity can occur if drug-drug interactions result in competition for albumin
"Sig" on a prescription - answerhow you take the medication, Latin for directions.
Directions to pharmacist
Abbreviation not used in rx - answerQD
medication that can discolor teeth - answertetracycline antibiotic
giving a pt antiseizure drugs for a couple of weeks, pt is still having the same amount of
seizures, what to check? - answerCheck serum drug levels
considerations for phenytoin and contraception - answerphenytoin (Dilantin) is a serious
teratogen, oral contraception is not the most effective way to prevent pregnancy
pts taking teratogen rx and thinking about getting pregnant, when to dc - answerNow.
Before getting pregnant. Most defects occur in first trimester
Pt taking daily aspirin becomes pregnant. Development concern? - answerCan see
premature closure of PDA (patent ductus art)
Pneumonia tx goal: Fever gone in 2-4 days. If fever persists: - answercurrent AB not
targeting the right pathogen
Adults w/no risk factors with CAP tx: - answermacrolide such as azithromycin,
clarithromycin, erythromycin or doxycycline when allergic to pcn
most common pathogen: s.pneumoniae
