{"id":111434,"date":"2023-08-04T02:18:18","date_gmt":"2023-08-04T02:18:18","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=111434"},"modified":"2023-08-04T02:18:21","modified_gmt":"2023-08-04T02:18:21","slug":"nr565-nr-565-midterm-study-guide","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/04\/nr565-nr-565-midterm-study-guide\/","title":{"rendered":"NR565 \/ NR 565 MIDTERM STUDY GUIDE"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li>Drug Schedules<\/li>\n\n\n\n<li>Descriptions of each schedule<\/li>\n\n\n\n<li>Examples of drugs in each schedule: &#8211; Schedule I: high potential for abuse: heroin, lysergic acid diethylamide (LSD), marijuana (cannabis), 3,4-methylenedioxymethamphetamine (ectstasy), methaqualone, and peyote. &#8211;<\/li>\n\n\n\n<li>Schedule II: high potential for abuse, potentially leading to severe psychological<br>or physical dependence. These drugs are also considered dangerous;<br>combination products with less than 15 milligrams of hydrocodone per dosage<br>1 \/ 3<br>565 Midterm Study Guide<br>2<br>unit (Vicodin), cocaine, methamphetamine, methadone, hydromorphone<br>(Dilaudid), meperidine (Demerol), oxycodone (OxyContin), fentanyl, Dexedrine, Adderall, and Ritalin<br>\u2022<\/li>\n\n\n\n<li>Schedule III: Moderate to low potential for physical psychological dependence;<br>producets containing less than 90 milligrams of codeine per dosage unit<br>(Tylenol with codeine), ketamine, anabolic steroids, testosterone<br>Shedule IV: Low potential for abuse and low risk of dependence; Xanax, Soma, Darvan, Darocet, Valium, Ativan, Talwin, Ambien, Tramadol<br>Schedule V: low potential for abuse and contain limited quantities of certain<br>narcotics; antidiarrheal, antitussive, and analgesic purposes. (focus on schedule 2,3, and 4 per tutor) \u2022 Which ones can and cannot be prescribed by nurse practitioners?<\/li>\n\n\n\n<li>Prescriptive Authority<br>Understand what prescriptive authority is and who mandates it. :Practice authority and<br>prescriptive authority together are described as practice \u201cenviornments\u201d according to state<br>laws and regulations. o Full-practice scope: Nurse practitioners have the autonomy to evaluate patients, diagnose, order and interpret tests, initiate and manage treatments and prescribe<br>medications, including controlled substances without physician oversight. o Reduced-Practice scope: Nurse practitioners are limited in at least one element<br>of practice. The state requires a formal collaborative agreement with an outside<br>health discipline for the nurse practitioner to provide patient care. o Restricted practice scope: Nurse practitioners are limited in at least one element of<br>practice by requiring supervision, delegation, or team management by an outside<br>health discipline for the nurse practitioner to provide patient care. \u25aa What problems arise when prescriptive authority is limited? Limited<br>prescriptive authority creates numerous barriers to quality, affordable,<br>2 \/ 3<br>565 Midterm Study Guide<br>3<br>and accessible patient care. For example a requirement to obtain the<br>physician\u2019s cosignature on prescription can increase patient waits. \u2022 Know the responsibilities of prescribing : The ability to prescribe medications is both a<br>Privilege and a burden. The best way to keep your patients and yourself safe is to be<br>prudent and deliberate in your decision making process. Have a documented provider- patient relationship with the person for whom you are prescribing. Do not prescribe for<br>family or friends or for yourself. Document a thorough history and physical examination<br>in your records. \u2022 Know patient reasons for medication non-adherence: &#8211; Forgot to take it &#8211; Ran out &#8211; Was away from home<\/li>\n\n\n\n<li>Was trying to save money<\/li>\n\n\n\n<li>Didn\u2019t like the side effects<\/li>\n\n\n\n<li>Was too busy<\/li>\n\n\n\n<li>The medicine wasn\u2019t working<\/li>\n\n\n\n<li>Know how what type of evidence prescribers should use to make treatment<br>recommendations: &#8211; \u2022 Be familiar with physiological changes of aging that impact pharmacological<br>treatments: &#8211; Drug accumulation secondary to reduced renal function<\/li>\n\n\n\n<li>Polypharmacy (the use of 5 or more medications daily)<\/li>\n\n\n\n<li>Greater severity of illness<\/li>\n\n\n\n<li>Presence of comorbidities<\/li>\n\n\n\n<li>Use of drugs that have a low therapeutic index (e.g., digoxin)<\/li>\n\n\n\n<li>Increased individual variation secondary to altered pharmacokinetics<\/li>\n\n\n\n<li>Inadequate supervision of long-term therapy<\/li>\n\n\n\n<li>Poor patient adherence<\/li>\n\n\n\n<li>\u2022 Be familiar with Beer\u2019s Criteria : The Beers Criteria include five lists that describe<br>certain medications and situations and include: &#8211; Potentially inappropriate Medication (PIM) use in older adults<\/li>\n\n\n\n<li>Potentially Inappropriate Medication (PIM) use in older adults due to<br>medication-disease or medication-syndrome interactions that may exacerbate<br>the disease or syndrome<\/li>\n\n\n\n<li>Medications to be used cautiously in older adults. &#8211; Clinically significant drug interactions that should be avoided in older adults<\/li>\n\n\n\n<li>Medications to be avoided or dosage decreased in the presence of impaired<br>kidney function in older adults<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-111434","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111434","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=111434"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111434\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=111434"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=111434"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=111434"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}