Midterm Exam Study Guide

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NR565 / NR 565 Advanced Pharmacology Fundamentals Midterm Exam Study Guide 100% Guarantee Pass

• What schedule drugs can APRNs prescribe?

Answer It depends on the governing body in each state. In AZ there are no restrictions on APRN prescribing by schedule.

• Who determines and regulates prescriptive authority?

Answer AZ - State Board of Nursing

• How does limited prescriptive authority impact patients within the health-

care system?Answer Creates numerous barriers to quality affordable and acessible patient care.

• What are the key responsibilities of prescribing?

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• Be 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 medications for family or friends or for yourself
• Document a thorough history and physical examination in your records

5.Include any discussions you have with the patient regarding risk factors, side effects, or therapy options

• Have a documented plan regarding drug monitoring or titration, if applicable.

• What should be used to make prescribing decisions?

Answer Cost, availability, cur- rent practice guidelines, medication interactions with food side effects need for monitoring how drug is metabolized. special populations. ask if prescriptions are cost prohibitive.

• Be familiar with pharmacokinetic and pharmacodynamic changes of older

adults and how that would translate to baseline information needed to pre- scribe.Answer Older adults often metabolize drugs more slowly. Dosages may need to be adjusted to accommodate age related changes in GI system, liver function, kidney function, etc.

• What is the BEERS criteria?

Answer Joshua 2 / 4

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lists potentially inappropriate drugs that lead to adverse effects in the elderly

• why is the BEERS criteria important?

Answer It provides a list of medications that are potentially harmful in elderly. List that identifies drugs with a high likelihood of causing adverse effects in older adults.Beers Criteria are recommendations; ultimately prescribers must determine whether a medication is appropriate for use or not. These guidelines are not intended to limit the use of medications or apply to all older adults. Safe and judicious prescribing is crucial in the older adult to optimize pharmacotherapy.

• Impacts/outcomes of polypharmacy

Answer

• drug interactions with mild side effects to life-threatening consequences

• CYP450 inhibitors

Answer inhibit metabolism, increase blood levels of medications

• CYP450 inhibitors mnemonic ^ drug levels

Answer

CRACK AMIGOS

Cimetidine Ritonavir Joshua 3 / 4

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Amiodarone Ciprofloxacin Ketoconazole Acute Alcohol Use Macrolides Isoniazid Grapefruit Juice Omeprazole Sulfonamides

• CYP450 inducers mnemonic

Answer Bull Shit CRAP GPS induces my rage.

Barbiturates St. John's wort Carbamzapine Rifampin Alcohol (Chronic use) Phenytoin Griseofulvin Phenobarbital Sulfonylureas

• CYP450 inducers

Answer Joshua

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