NR565 Pharmacology Final
11-year-old child - ANSWER Flu Vaccine
Tdap
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HPV
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Meningococcal
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gm
12-month-old child - ANSWER Hep B
Hib
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PCV13
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Flu Vaccine
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MMR
VAR
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Hep A
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1st Step Therapy for Asthma Treatment - ANSWER SABA PRN
2nd Step Therapy For Asthma Treatment - ANSWER SABA PRN + Low dose IGC
, 2
3rd Step Therapy For Asthma Treatment - ANSWER Ages 0-4: SABA PRN +
Medium-dose IGC
Ages 5-Adult: SABA PRN + Low-dose IGC + LABA or LTRA or theophylline OR
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Medium-dose IGC
.co
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4-month-old child Vaccine - ANSWER Rotavirus
DTaP
Hib
gm
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PCV13
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IPV
hig
4th Step Therapy For Asthma Treatment - ANSWER Ages 0-11: SABA PRN +
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Medium-dose IGC plus
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LABA or montelukast
Ages 12-Adult: Medium-dose IGC + LABA
, 3
5th Step Therapy For Asthma Treatment - ANSWER Ages 0-4: SABA PRN +
High-dose IGC + LABA or Montelukast
Ages 5-11: SABA PRN + High-dose IGC +
LABA
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.co
Ages 12-Adult: SABA PRN + High-dose IGC + LABA
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AND consider omalizumab for patients with allergies
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6th Step Therapy For Asthma Treatment - ANSWER Ages 0-4: SABA PRN +
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High-dose IGC + LABA/montelukast + Oral glucocorticoids
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hig
Ages 5-11: SABA PRN + High-dose IGC + LABA +
Oral glucocorticoids
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Ages 12-Adult: High-dose IGC + LABA + Oral glucocorticoids and Consider
omalizumab for patients with allergies
, 4
Advantages of Inhaled Route of Anti-Asthma Drugs - ANSWER (1) therapeutic effects
are enhanced by delivering drugs directly to their site of action, (2) systemic effects are
minimized, and (3) relief of acute attacks is rapid.
Alosetron (Lotronex) - ANSWER approved only for treating women with severe IBS-D
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that has lasted for 6 months or more and has not responded to conventional treatment.
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Alosetron Black Box Warning - ANSWER Can cause ischemic colitis (intestinal damage
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secondary to reduced blood flow)
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Alosetron CONTRAINDICATIONS/PRECAUTIONS - ANSWER Contraindicated
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for clients who have chronic constipation, history of bowel obstruction, Crohn's disease,
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ulcerative colitis, impaired intestinal circulation, diverticulitis, or thrombophlebitis.
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Antacid and Drug Interaction - ANSWER -can influence affects of other drugs
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(ranitidine, cimetidine, sucralfate)
-interactions can be minimized by providing a gap of 1 hour between taking antacids and
these other drugs.