Maryville University Of St. Louis

What lab values should be monitored with Carbamazepine (Tegretol)? correct answer: CBC every 3-4 months What can Carbamazepine (Tegretol) cause in labs findings? correct answer: Leukopenia, thrombocytopenia, aplastic anemia, and agranulocytosis due to bone marrow depression What are the pharamacodynamics of Carbamazepine (Tegretol)? correct answer: Thought to effect sodium channels, slowing the influx of sodium in the cortical neurons and slowing the spread of abnormal activity. It exer...

Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic hyperplasia. Doxazosin has been chosen to treat his hypertension because it: a. Increases peripheral vasoconstriction b. Decreases detrusor muscle contractility c. Lowers supine blood pressure more than standing pressure d. Relaxes smooth muscle in the bladder neck correct answer: d. Relaxes smooth muscle in the bladder neck To reduce potential adverse effects, patients taking a peripherally acti...

Nurse practitioner prescriptive authority is regulated by: 1. The National Council of State Boards of Nursing 2. The U.S. Drug Enforcement Administration 3. The State Board of Nursing for each state 4. The State Board of Pharmacy correct answer: 3. The State Board of Nursing for each state The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include: 1. Nurses know more about Pharmacology than other prescribers because they take it both in th...

What factors are associated with clinical judgment when prescribing medications? correct answer: Thorough assessment of patient and patient environment Medical and Nursing Diagnoses Review of potential alternative therapies Specific knowledge about drug chosen Information about disease you are trying to treat This is patient centered care should be most effective, least invasive and least expensive What are the criteria for choosing an effective drug? correct answer: National...

What is tiotropium? correct answer: (Spiriva) Tiotropium bromide (INN) is a long-standing, 24 hour, anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease, (COPD). What is tiotropium used for maintenance treatment of? correct answer: COPD, which includes chronic bronchitis and emphysema. Tiotropium correct answer: is not used in the treatment for acute exacerbations of COPD and bronchitis Tiotropium correct answer: is a muscarinic receptor ant...

corticosteroid drugs correct answer: prednisone, methylprednisolone, dexamethasone, topical such as hydrocortisone, and then joint injections for pain MOA of corticosteroids drugs correct answer: drugs that suppress inflammation by mimicking glucocorticoid hormones Inhibit interleikin one, tumor necrosis factor and other cytokines, impairs phagocytosis, impairs lymphocytes, and inhibits tissue repair indications for cortocosteriod use correct answer: Allergy or hypersensitivity, resp...

First line treatment for Acute gout attack? correct answer: colchicine First line treatment for mild to moderate pain? correct answer: Ibuprofen and tylenol Treatment for RA? correct answer: NSAIDs, glucocorticoid injections and low dose prednisone OTC Treatment for back pain? correct answer: Start w/ NSAIDs Treatment for Gout? correct answer: Allopurinol, febuxstat, & Colchicine Low dose colchicine versus high dose colchicine? correct answer: low: 1.2 mg initially, 0.6 mg o...

What blood values should be monitored with carbamazepine (Tegretol)? correct answer: CBC test every 3-4 months to monitor for decrease in WBCs, platelets, and trouble with RBC production. What are the pharmacodynamics of carbamazepine (Tegretol)? correct answer: - Auto-metabolizes leading to lower serum levels despite compliance. - Half-life 30 hours as single dose, 15 hours when given repeatedly. What are the Black Box Warnings for carbamazepine (Tegretol)? correct answer: - Stevens-J...

What assessments should be made before prescribing any antihypertensive agent? correct answer: BP, RF, and head to toe assessment. Assess diet, sodium intake, electrolytes, and potassium levels. Prior to prescribing any antihypertensives, creatinine and BUN levels should be evaluated. Confirmation of elevated BP at 3 different times. Children over 3 years old should be assessed at least once at every visit-preferred method for children is by auscultation, the correct measurement requires using ...

What is Tiotropium (SPIRIVA) used to treat? correct answer: Used in the management/ maintenance treatment of chronic obstructive pulmonary disease (COPD) which includes chronic bronchitis and emphysema. What is the drug classification of Tiotropium? correct answer: >It is a long-acting, 24H anticholinergic-bronchodilator. >It is a muscurinic receptor antagonist, often referred to as an antimuscurinic or anticholinergic agent. What is the mechanism of action of Tiotropium (SPIRIVA)...