{"id":127223,"date":"2023-11-26T10:33:48","date_gmt":"2023-11-26T10:33:48","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=127223"},"modified":"2023-11-26T10:33:49","modified_gmt":"2023-11-26T10:33:49","slug":"midterm-exam-nr-568-nr568-latest-2023-2024-advanced-pharmacology-for-the-adult-gerontology-primary-care-nurse-practitioner-week-1-4-complete-study-guide-with-verified-answers-chamberlain","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/11\/26\/midterm-exam-nr-568-nr568-latest-2023-2024-advanced-pharmacology-for-the-adult-gerontology-primary-care-nurse-practitioner-week-1-4-complete-study-guide-with-verified-answers-chamberlain\/","title":{"rendered":"Midterm Exam: NR 568 (NR568) |Latest 2023\/ 2024| Advanced Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner Week 1-4| Complete Study Guide with Verified Answers- Chamberlain"},"content":{"rendered":"\n<p>Midterm Exam: NR 568 (NR568) |Latest 2023\/ 2024| Advanced Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner Week 1-4| Complete Study Guide with Verified Answers- Chamberlain<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/learnexams.com\/blog\/wp-content\/uploads\/2023\/11\/download-2023-11-26T133326.546-725x1024.png\" alt=\"\" class=\"wp-image-127225\"\/><\/a><\/figure>\n\n\n\n<p>Week 1<br>Things to know about each of the major antibiotic drug classes<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aminoglycosides (Gentamicin, Neomycin, Tobramycin) \u2018icin<br>Precautions \/ Contraindications<br>\uf0b7 Pregnancy: fetal ototoxicity<br>\uf0b7 With other ototoxic drugs: furosemide, minocycline<br>\uf0b7 With nephrotoxic drugs: vancomycin, cisplatin<br>\uf0b7 Elderly patients<br>\uf0b7 Those with kidney disease<br>\uf0b7 Cautious use of muscle relaxants<br>\uf0b7 Do not mix with any other drug in same syringe<br>High Risk Patients<br>\uf0b7 Are allergic to sulfites (often found in certain wines and dried fruits)<br>\uf0b7 Have kidney or hearing problems, including problems with balance and uncontrollable eye<br>movements<br>\uf0b7 Have a disorder affecting the nerves and muscles, like multiple sclerosis or myasthenia<br>gravis.<br>\uf0b7 Are 65 years of age or older<br>\uf0b7 You have a newborn or very young baby who might be treated for a serious infection<br>using aminoglycosides<\/li>\n\n\n\n<li>Carbapenems (Doripenem, Ertapenem, Imipenem) \u2018nem<br>Precautions \/ Contraindications\/High Risk Patients<br>\uf0b7 Contraindicated in patients with prior allergic reactions to beta lactam antibiotics.<br>\uf0b7 Contraindicated in patients with prior adverse reactions to lidocaine.<br>\uf0b7 Contraindicated in patients who are taking valproic acid for seizures, as it has been<br>shown to decrease valproic acid concentrations by as much as 90%<br>\uf0b7 Carbapenems are powerful antibiotics that kill bacteria causing a range of diseases<br>including pneumonia, urinary tract infections, serious skin infections, meningitis, and<br>septicaemia (blood poisoning)<br>\uf0b7 Only Given for serious infections<br>\uf0b7 Patients who are taking valproate to control seizures should not be placed on Imipenem<br>\uf0b7 Dosage should be reduced in patients with renal impairment<\/li>\n\n\n\n<li>Cephalosporins (Cefadroxil, Cefazolin, Cephalexin) \u2018in<br>Precautions \/ Contraindications\/High Risk Patients<br>\uf0b7 Contraindicated for patients Hx of allergic reactions to cephalosporins or severe reactions<br>to penicillin<br>\uf0b7 Dosage should be reduced in patients with renal impairment<br>1<br>Midterm Exam: NR 568 (NR568) |Latest 2023\/ 2024|<br>Advanced Pharmacology for the Adult-Gerontology<br>Primary Care Nurse Practitioner Week 1-4| Complete<br>Study Guide with Verified Answers- Chamberlain<\/li>\n<\/ul>\n\n\n\n<p>568 Midterm Study Guide<br>\uf0b7 Report stool frequency (can promote Clostridiodies difficile infection)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fluoroquinolones (Ciprofloxacin, Delafloxacin, Lovofloxacin) \u2018xacin<br>Precautions \/ Contraindications<br>\uf0b7 Previous allergic reaction to Fluoroquinolones<br>\uf0b7 Certain disorders that predispose to arrhythmias (eg, QT-interval prolongation, uncorrected<br>hypokalemia or hypomagnesemia, significant bradycardia)<br>\uf0b7 Use of drugs known to prolong the QT interval or to cause bradycardia (eg, metoclopramide,<br>cisapride, erythromycin, clarithromycin, classes Ia and III antiarrhythmics, tricyclic<br>antidepressants)<br>High Risk Patients<br>\uf0b7 arthritis or problems with your tendons, bones or joints (especially in children);<br>\uf0b7 diabetes, low blood sugar;<br>\uf0b7 nerve problems;<br>\uf0b7 an aneurysm or blood circulation problems;<br>\uf0b7 heart problems, or a heart attack;<br>\uf0b7 muscle weakness, myasthenia gravis;<br>\uf0b7 liver or kidney disease;<br>\uf0b7 a seizure, head injury, or brain tumor;<br>\uf0b7 trouble swallowing pills;<br>\uf0b7 long QT syndrome (in you or a family member); or<br>\uf0b7 low levels of potassium in your blood (hypokalemia).<br>\uf0b7 Do not give this medicine to a child without medical advice.<br>Precautions \/ Contraindications\/High Risk Patients<\/li>\n\n\n\n<li>Glycopeptides &amp; Lipoglycopeptides (Vancomycin, dalbavancin, oritavancin ,telavancin)<br>\uf0b7 Use of glycopeptides and lipoglycopeptides during pregnancy is not recommended, but<br>sometimes the benefits of treatment may outweigh the risks. For example, vancomycin taken by<br>mouth may be used to treat C. difficile\u2013induced diarrhea in pregnant women<br>\uf0b7 Patients with history of antibiotic associated diarrhea must be cautious about using Vancomycin.<br>Discuss with your doctor regarding your history of the same.<br>\uf0b7 Patients with history of opportunistic infections must be cautious about using Vancomycin.<br>Discuss with your doctor regarding your history of the same.<br>\uf0b7 Patients with history of diminished hearing and ototoxicity are at increased risk for hearing loss<br>with Vancomycin. Discuss with your doctor regarding safety with Vancomycin use.<br>\uf0b7 Vancomycin is not metabolized and is excreted unchanged in the urine. Individuals with<br>compromised renal functions tend to retain the drug in the circulation longer, thus resulting in<br>toxicity. Vancomycin should be avoided or used with extreme caution in such individuals.<br>\uf0b7 Individuals with history of seizures and hallucinations can present with exacerbation of these<br>symptoms with Vancomycin. Vancomycin should be avoided or used with extreme caution in<br>individuals with seizure history.<br>\uf0b7 Vancomycin should be avoided or used cautiously in individuals with history of cardiac<br>arrhythmias, as it has the potential to induce life-threatening cardiac arrest. Individuals with<br>history of chronic disturbance in serum magnesium and potassium ions are at increased risk for<br>arrhythmias. Also, individuals taking Lasix are at increased risk for losing potassium, thus setting<br>the ground for life-threatening arrhythmias with Vancomycin.<br>\uf0b7 Vancomycin intake can increase the risk for skin rash, ranging from mild to severe exfoliating<br>rash, easy bleeding, bruising, and blister formation. Individuals with history of extreme skin<br>rashes and taking Vancomycin should be aware of this response and observe a close watch on<br>the same.<br>High Risk Patients<br>2<\/li>\n<\/ul>\n\n\n\n<p>568 Midterm Study Guide<br>\uf0b7 Telavancin has a boxed warning highlighting the increased mortality in patients with preexisting<br>kidney dysfunction (creatinine clearance 50 mL\/min or less).<br>Precautions \/ Contraindications\/High Risk Patients<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Macrolides (Erythromycin and azithromycin) \u2018mycin<br>\uf0b7 Concomitant administration of macrolides with astemizole, cisapride, pimozide, or<br>terfenadine is contraindicated because potentially fatal cardiac arrhythmias (eg, QT<br>prolongation, ventricular tachycardia, ventricular fibrillation, torsades de pointes) may<br>occur when clarithromycin or erythromycin is given with these drugs.<br>High Risk Patients<br>\uf0b7 liver disease;<br>\uf0b7 kidney disease;<br>\uf0b7 myasthenia gravis;<br>\uf0b7 a heart rhythm disorder;<br>\uf0b7 low levels of potassium in your blood; or<br>\uf0b7 long QT syndrome (in you or a family member).<br>Precautions \/ Contraindications\/High Risk Patients<\/li>\n\n\n\n<li>Monobactams (aztreonam)<br>\uf0b7 Aztreonam for injection should be halved in patients with estimated creatinine<br>clearances between 10 and 30 mL\/min\/1.73 m2 after an initial loading dose of 1 or 2 g.<\/li>\n\n\n\n<li>Oxazolidinones (linezolid &amp; tedizolid) \u2018zolid<br>Precautions \/ Contraindications<\/li>\n\n\n\n<li>Penicillin\u2019s (Amoxicillin, Dicloxacillin, Penicillin G, V)<br>Precautions \/ Contraindications<br>\uf0b7 Doses should be adjusted in older adults with renal dysfunction<br>\uf0b7 Renal impairment can cause penicillins to accumulate to toxic levels. Monitor function in<br>patients with renal disease.<\/li>\n\n\n\n<li>Polypeptides (Bacitracin, Colistin, Polymyxin B)<\/li>\n\n\n\n<li>Rifamycin\u2019s (Rafampin, Rifaximin, Rafapentine) starts with R..<\/li>\n\n\n\n<li>Sulfonamides (Mafenide, Sulfadoxine, Sulfisoxazole)(Sulfamethoxazole w\/ trimethoprim)<\/li>\n\n\n\n<li>Streptogramins (qunupristin &amp; dalfopristin) \u2018pristin<\/li>\n\n\n\n<li>Tetracyclines (Doxycycline, Eravacycline, Minocycline, Tetracyclines, Omadacycline)<br>\u2018cycline<br>3<br>Powered by <a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=<\/a><\/li>\n<\/ul>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/learnexams.com\/blog\/wp-content\/uploads\/2023\/11\/midterm-exam-nr-568-nr568-latest-2023-2024.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of midterm-exam-nr-568-nr568-latest-2023-2024.\"><\/object><a id=\"wp-block-file--media-986f3d64-812e-42a0-9d31-4a9c7808ccf8\" href=\"https:\/\/learnexams.com\/blog\/wp-content\/uploads\/2023\/11\/midterm-exam-nr-568-nr568-latest-2023-2024.pdf\" target=\"_blank\" rel=\"noopener\">midterm-exam-nr-568-nr568-latest-2023-2024<\/a><a href=\"https:\/\/learnexams.com\/blog\/wp-content\/uploads\/2023\/11\/midterm-exam-nr-568-nr568-latest-2023-2024.pdf\" class=\"wp-block-file__button wp-element-button\" aria-describedby=\"wp-block-file--media-986f3d64-812e-42a0-9d31-4a9c7808ccf8\" download target=\"_blank\" rel=\"noopener\">Download<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Midterm Exam: NR 568 (NR568) |Latest 2023\/ 2024| Advanced Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner Week 1-4| Complete Study Guide with Verified Answers- Chamberlain Week 1Things to know about each of the major antibiotic drug classes 568 Midterm Study Guide\uf0b7 Report stool frequency (can promote Clostridiodies difficile infection) 568 Midterm Study Guide\uf0b7 Telavancin [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","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 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