NUR-635 Pharm final
While rational drug selection is based on the individual patient the aspect of rational
drug selection addressing disease-specific information by a national medical or nursing
organization is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. – answer A. a guideline
Drugs that alter synaptic transmission are much more selective than those that alter
axonal conduction, why is this? – answer a drug that affects the axonal conduction -
non-selective effect.
Drugs that alter synaptic transmission - very selective because of the differences in
synapses and their specific neurotransmitters
What is phenytoin used for? - answerSeizures
What should you monitor for with phenytoin? - answerDelayed hypersensitivity - even 1
month later
What is carbamazepine used for? - answerSeizures
What may cause carbamazepine levels to drop despite no other change? What to do? -
answerAutometabolization of drug. Increase dose.
What is the black box warning for carbamazepine? - answerSteven-Johnson Syndrome
& TENS
Monitoring for carbamazepine, and how often? - answerCBC, 3-4 times a year
What population is most at risk for Steven-Johnson syndrome & TENS when taking
carbamazepine? - answerAsian patients
Main class of medication for depression? - answerSelective serotonin reuptake
inhibitors (SSRIs)
What to watch for with SSRIs? - answerOther medications that can cause serotonin
syndrome
What is lamictal used for? - answerSeizures
, Patient on lamictal has fever, rash, swollen lymph nodes. What are we concerned for? -
answerHypersensitivity in lamictal can lead to MODS
Patient on lamictal wants birth control. What do we need to change? - answerIncrease
lamictal dose.
When will pt notice improvement after starting an SSRI? - answer4 weeks later
1st line medication for moderate generalized anxiety - answerBuspar (SNRI)
1st line med for classic migraines - answerTriptans
2nd line treatment for classic migraines - answerProphylactic - propranolol
Why is important that NPs have the authority to prescribe? - answerIncrease access to
healthcare
What must be done if a drug has a narrow therapeutic index? - answerFrequent serum
level monitoring
Why would 10mg percocet or 10mg oxy work better than the other? - answerDifferences
in pill filler composition
What do medications need in order to be effective: - answerAlbumin (binding to)
If a patient has a toxic drug level, but normal albumin, what could be happening? -
answerOther drugs competing for albumin
What does "Sig" mean on a prescription? - answerDirections to pharmacist
What items are necessary on a prescription? - answerDrug, dose, route, frequency,
quantity, refills
Abbreviations to not use - answerQD
What drug may cause grey teeth? - answerTetracyclines
Pt reports no improvement in seizures after treatment for a few weeks. What next -
answerAssess drug levels for therapeutic index
If patient on phenytoin wants birth control? - answerNot oral contraceptives! IUD better
Patient on teratogen med wants to get pregnant. When should they stop? -
answerBefore getting pregnant, beware first trimester
While rational drug selection is based on the individual patient the aspect of rational
drug selection addressing disease-specific information by a national medical or nursing
organization is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. – answer A. a guideline
Drugs that alter synaptic transmission are much more selective than those that alter
axonal conduction, why is this? – answer a drug that affects the axonal conduction -
non-selective effect.
Drugs that alter synaptic transmission - very selective because of the differences in
synapses and their specific neurotransmitters
What is phenytoin used for? - answerSeizures
What should you monitor for with phenytoin? - answerDelayed hypersensitivity - even 1
month later
What is carbamazepine used for? - answerSeizures
What may cause carbamazepine levels to drop despite no other change? What to do? -
answerAutometabolization of drug. Increase dose.
What is the black box warning for carbamazepine? - answerSteven-Johnson Syndrome
& TENS
Monitoring for carbamazepine, and how often? - answerCBC, 3-4 times a year
What population is most at risk for Steven-Johnson syndrome & TENS when taking
carbamazepine? - answerAsian patients
Main class of medication for depression? - answerSelective serotonin reuptake
inhibitors (SSRIs)
What to watch for with SSRIs? - answerOther medications that can cause serotonin
syndrome
What is lamictal used for? - answerSeizures
, Patient on lamictal has fever, rash, swollen lymph nodes. What are we concerned for? -
answerHypersensitivity in lamictal can lead to MODS
Patient on lamictal wants birth control. What do we need to change? - answerIncrease
lamictal dose.
When will pt notice improvement after starting an SSRI? - answer4 weeks later
1st line medication for moderate generalized anxiety - answerBuspar (SNRI)
1st line med for classic migraines - answerTriptans
2nd line treatment for classic migraines - answerProphylactic - propranolol
Why is important that NPs have the authority to prescribe? - answerIncrease access to
healthcare
What must be done if a drug has a narrow therapeutic index? - answerFrequent serum
level monitoring
Why would 10mg percocet or 10mg oxy work better than the other? - answerDifferences
in pill filler composition
What do medications need in order to be effective: - answerAlbumin (binding to)
If a patient has a toxic drug level, but normal albumin, what could be happening? -
answerOther drugs competing for albumin
What does "Sig" mean on a prescription? - answerDirections to pharmacist
What items are necessary on a prescription? - answerDrug, dose, route, frequency,
quantity, refills
Abbreviations to not use - answerQD
What drug may cause grey teeth? - answerTetracyclines
Pt reports no improvement in seizures after treatment for a few weeks. What next -
answerAssess drug levels for therapeutic index
If patient on phenytoin wants birth control? - answerNot oral contraceptives! IUD better
Patient on teratogen med wants to get pregnant. When should they stop? -
answerBefore getting pregnant, beware first trimester
