200: 50%: Total: 1,200: 100% * Each Discussion requires that you make one initial posting and at least two response postings to colleagues. Familial link, pt who remain H. pylori + have higher recurrence/re-bleeding rates, Combination of antibacterial drugs + omeprazole has proven effective, Area within the medulla (outside of the BBB), Dolasetron, Granisetron, Ondansetron (oral and IV); Palonosetron (IV only), Promethazine (phenergan), Prochlorperazine (Compazine). Which of the following is not a side effect of the Ace Inhibitor (Captopril)? Which of the following is not a side effect of the Vasodilator (Nifedipine)? Spell. 2 days B. Volatile anesthetics almost always cause: A. cardiac stimulation B. ventilatory depression C. decreased intracranial pressure D. hyperthermia 2. GI Medications. good absorption through capillary bed under the tongue, fast absorption, not affected by first-pass metabolism, placed between the cheek and the gum, fast absorption, not affected by first-pass metabolism, suppository or enema dosage form; local or systemic effects, undergo relatively little first-pass metabolism, mixture of drug + binders and fillers (powdered medication that is compacted to form a solid disc or other shapes), covered with a pH-dependent material that will dissolve in small intestine but not the stomach, often capsules filled with tiny spheres containing drug and the coating on the spheres dissolve at variable rates OR drug is imbedded in the matrix, Administration directly into systemic circulation, increased reliability and control of the dose of drug reaching circulation but can be very dangerous --> rapid admin = serious toxicity, administered over ~30 minutes to several hours. Principles of pharmacodynamics. Life After Death Experience (NDE) with Steve Gardipee, Vietnam War Story | One of the Best NDEs - Duration: 16:38. 1. NURS 6521 Final Exam (Latest): Advanced Pharmacology: Walden University (FOR 100% CORRECT ANSWER CHECK THE LAST PAGE) Question 1 After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. more than 1 functioning copy of an enzyme. Effects of Hypoalbuminemia on prescribing? View Advanced Pharmacology Exam 1 Review.docx from NURS 339 at Hunter College, CUNY. Long term PPI use. PLAY. Learn. Up to 21% of Asians are ultra-rapid 2D6 metabolizers, leading to: (Points : 1) A need to monitor drugs metabolized by 2D6 for toxicity Increased dosages needed of drugs metabolized by 2D6, such as the SSRIs Decreased conversion of codeine to morphine by CYP 2D6 The need for lowered dosages of drugs, such as beta blockers GI Medications, Science that deals with the origin, nature, chemistry, effects, and uses of drugs; the characteristics or properties of a drug, especially those that make it medically effective, Relationship between the dose and the concentration of that drug in body fluids and tissues over time, The relationship between drug concentration at the site of action and the resulting effect --> "what the drug does to the body/result you see in the pt at a predefined dosage regimen", -Chemical class (e.g. 536 Cards – 8 Decks – 11 Learners Sample Decks: Principles of Pharmacotherapy (Week 1), Prescription Writing and Controlled Substances, Cardiology 1 Show Class Advanced Pharm Exam 3 . Monitoring for Iron Deficiency Anemia treatment - 6. Learn. Gravity. Drug. Product taken PO that contains a "dietary ingredient" intended to supplement the diet: Application of pharmacokinetic principles to the safe and effective therapeutic management of drugs in an individual patient --> what dose to give how often, etc. Usually stops with discontinuation of the drug. A drug must be administered for 4-5 half-lives before steady state is reached. Write. 179 Cards – 10 Decks – 9 Learners … The term ‘first pass efect’ refers to the rapid hepatic inactivation of certain oral drugs. NSG 6005 Final Exam Version 1 NSG 6005 Advanced Pharmacology Verified And Correct Answers. 3. Study of how genetic makeup affects response to drugs (identif… Science that deals with the origin, nature, chemistry, effects… Relationship between the dose and the concentration of that dr… The relationship between drug concentration at the site of act… Pharmacogenetics. Test. Gravity. 2020 FINAL EXAM. STUDY. The rash associated with scarlet fever typically occurs how long after th start of the symptomatic infection? LSD, meth, crack cocaine, Drug class contraindicated with concurrent use of nitrates and nitroglycerin, When taking this drug Asians are at high risk for Stevens-Johnson syndrome, This enzyme build-up is associated with a cough that some users develop when taking ace inhibitors, This anti lipid drug acts locally in the intestines, binding with cholesterol, which is then excreted in the stool, Monitor this when prescribing drugs for cholesterol, This antihyoertensive drug class is used first line for angina control, This drug must be prescribed to prevent sudden death or intubation in patients taking long acting beta2agonists, Nausea, irritability, seizures, tachycardia, Used to treat mild intermittent asthma attacks, Avoid this drug class while prescribing beta2agonists, First line treatment of hypertension especially in African Americans, Alpha 2 agonist used in the treatment of hypertension, Alpha 1 antagonist, used for treatment of hypertension and BPH, This class of drugs do not effect AV nodal conduction, may be used in CHF (amylodipine) Norvasc, This class of anti hypertensives affect AV nodal conduction, used as an antiarrhytmic (cardizem, verapamil) do NOT use in CHF, Used to boost hemablobin and hematocrit especially in ESRD and cancer patients, Procrit and epogen known as colony stimulating factors, Contraindication to prescribing procrit and epogen, Causes a macrocytic anemia. May lead to death. Chronic systemic inflammatory disorder characterized by potential deforming polyarthritis, NSAIDs and other Meds: do not prevent or slow joint destruction, help pt feel better in short term --> non-selective NSAIDs, COX2 selective inhibitors, steroids, No direct analgesic or anti-inflammatory effect, DMARD, relatively safe and well tolerated; limited availability to prevent joint damage when used as mono therapy (often combined with methotrexate), Less effective than methotrexate, reduced signs and symptoms of RA and radiographic joint changes, Arava - similar efficacy to methotrexate; decreased symptoms, radiographic suppression --> is an alternative to methotrexate and may be used in combination with methotrexate, Vaccines with DMARDs or Biologic Treatment of RA. State Boards or Nursing and The Nurse Practice Act. Match. What step is used to treat mild intermittent asthma ? 1. Semisynthetic prostaglandin (exogenous PG) --> inhibits gastric acid secretion, increases mucus and bicarb secretion, Reglan --> aids in increasing gastric emptying and decreasing transit time, Trasmitted via oral-fecal route, exists in most peoples' guts. Test Exam - Week 11 Started 2/7/20 9:52 AM Submitted 2/7/20 11:44 AM Due Date 2/10/20 1:59 AM Status Completed Attempt Score 84 out of 100 points Time Elapsed 1 hour, 52 minutes out of 2 hours Instructions Please answer each question below and click Submit when you have completed the Exam. Which is step 2 for all age groups. Review Test Submission: Exam - Week 11 Course NURS-6521N-14,Advanced Pharmacology. High dose ICS long acting beta 2 agonist and oral corticosteroids. What potential benefit of targeted therapies should the nurse highlight in this education session? Choose from 500 different sets of exam 1 advanced pharmacology flashcards on Quizlet. Midterm Exam (100 pts.) 1 PHARMACOLOGY 501/801 PRACTICE FINAL EXAM February 22, 2005 FOR EACH OF THE FOLLOWING MULTIPLE CHOICE QUESTIONS, CHOOSE THE MOST APPROPRIATE ANSWER. -CYP450 drug-drug interactions --> A LOT of these! View Test Prep - Advanced Pharmacology Mid-Term Exam.docx from NURSING NR508 at Chamberlain College of Nursing. Advanced Pharmacology Tests Questions & Answers. Advanced Pharmacology Exam 1. Advanced Pharmacology exam 1. 1 pages. Gravity. 2. What therapy and its dose is started within 48 hours of a TIA or ischemic stroke? Iron Deficiency Anemia (IDA) - 4. 4. Dustin Warncke 1,445,077 views Stephannie_Cloninger. Walden University - NURS - 6521 N: NURS-6521 N- 55 , Advanced Pharmacology. Write. Causes of sickling / Sickle Cell crisis - 3. Mode of action: Inhibition of other metabolic processes Advanced pharmacology exam 1. Mode of action: Inhibition of other metabolic processes Advanced pharmacology exam 1. Pain, Headaches, Inflammatory Conditions 1. Contraindicated anti hypertensive class if history or hyperkalemis a or renal artery stenosis, Narcotic schedule that has no medicinal purpose, i.e. absorption, distrubution, biotransformationa nd metabolism, excretion. Advanced Pharmacology Test Blueprint Exam 1 Topic Content Answers First Pass Elimination/Ef ect pg39 Know what the term means and how it afects medication efectiveness. Treatment of iron deficiency anemia - 5. Chamberlain College of Nursing : NR565 Week 1 Quiz / NR 565 Week 1 Quiz : Advanced Pharmacology Fundamentals LATEST 2020 Course NURS-6521N-55, Advanced Pharmacology.2020 Spring Qtr 02/24-05/17-PT Answers available at https://bit.ly/36PWLDa Test Exam - Week 11 Started 5/5/20 4:28 PM Submitted 5/5/20 5:51 PM Due Date 5/11/20 1:59 AM Status Completed Attempt Score 93 out of 100 points Time Elapsed 1 hour, 23 … Usually caused by lack of intrinsic factor, Contraindication of using testosterone therapy in men, First line antibiotic class for healthy patients without recent antibiotic use, Maybe prescribed to COPD patients without use of an inhaled corticosteroid, may be used as mono therapy in this disorder, This h2a drug used to treat GERD may cause impotence and breast enlargement in men, May be used if patients are unable to tolerate ace inhibitors due to allergy, cough, or history of angioedema, Usual therapeutic range for the INR with Coumadin therapy, Lab test that checks the body's iron stores to disgnose iron deficiency anemia, Type of anemia caused by low folate or b12 levels, Deficiency of this nutrient in pregnant females causes neural tube deficits in fetuses, These situations are all contraindications to prescribing Coumadin to patients, History of non compliance, frequent falls, history of dementia with little supervision of med therapy, Less than 60 or greater than 100 (tachycardia is a sign of toxicity), Which antacid causes diarrhea and should be avoided in patients with renal failure, Causative agent of some gastric and most duodenal ulcers, These drug classes are first line treatment for stage C heart failure, Ace inhibitors or ARBs, beta blocker, loop diuretics, possible need for digoxin, Recommended amount of calcium for postmenopausal women, Antihypertensive drug class used in hypertension and heart failure, also useful to prevent progression of diabetic nephropoathy, Contraindications of prescribing ace inhibitors, Pregnancy, renal artery stenosis, hyperkalemia and angioedema, Drugs that should be prescribed after an acute MI, Ace inhibitors, beta blockers, antiplatelets, and lips lowering agents, Drug class that is first line choice in prinzmetals angina, Drug used to treat heart failure with an EF of less than 40 % and an audible S3 heart sound, Pneumonic for remembering class 1, 2, 3, and 4 antiarrhythmics, Some boys play cards (sodium CB, beta blocker, potassium CB, calcium CB, Contraindication of nitroglycerin use due to the vasodilative effects, Head injury or bleed (vasodilation will increase intracranial pressure), This drug class is dosed for a drug free period of 10 to 12 hours daily to avoid tolerance and decreased effectiveness of therapy, Drug class that cause direct relaxation and dilation of arteriolar smooth muscle, decreasing PVR and BP, Antilipie drug category contraindicated in the elderly due to risk of hypotension and arrhythmias, This class of drugs are not usually indicated in patients with huperlipodemia, as it will raise lipids, Anticoagulant that acts by inhibiting the hepatic synthesis of several clotting factors including factor X, Method used to treat early TIA or CVA within the first 48 hours, preferred over IV or SQ agents, Guidelines for Coumadin therapy before and after surgery, Stop Coumadin 5 days before therapy and resume 12 to 24 hours after surgery, Method for dosing Coumadin according to INR, Dose up or down 10 % of the weekly dose according to if the INR is too low or too high then recheck PT INR in 2 weeks, Target hemaglobin level with use of colony stimulating factors in renal patients, Hemaglobin less than 12, anything higher may cause increased cardiovascular effects, Be sure anemic patients workup doesn't reveal B12 deficiency, as treating patients with this drug may mask signs of pernicious anemia, Due to the bodies high B12 stores, it usually takes this long for pernicious anemia to develop, Monitoring potassium levels with initial treatment of this drug is critical, B12 therapy, as it can drop potassium levels drastically, Life expectancy of a normal red blood cell, This angina class reveals coronary artery disease with no symptoms, This angina class reveals symptoms only with severe exertion, This angina class reveals symptoms with routine activity, This angina class reveals symptoms at rest, Teaching patients this after using inhaled corticosteroids is imperative to prevent thrush, Rinsing the mouth with water after using ICS, Inhaled mast cell stabilizer, does not help with bronchodilation, Contraindications for prescribing Reglan (metoclopramide), Depression,GI hemorrhage, interstitial obstruction (reglan is a dopamine receptor agonist), This class of anti hypertensive drugs is thought to worsen insulin resistance and should be avoided in diabetics, This drug class of anti hypertensives should be avoided in those with COPD, Non-dihydropyridines (verapamil and cardizem), This drug for HTN can cause reflex tachycardia and is contraindicated in those with angina, Two drugs used together in CHF if pt is intolerant of ace inhibitors or ARBs or with kidney dysfunction, Prescribing this class of antihypertensives may mask signs of hypoglycemia in diabetics. Flashcards. NURS 6521: Advanced Pharmacology Syllabus; 600: 25%: Exams. NR-566 Advanced Pharmacology for Care of the Family Final Exam Week 5 Review 1. Flashcards. Pharmacokinetics. 4 days C. 7 to 10 days D. 2 to 3 weeks 2. Incomplete Grade Policy. in CSF and spine), Endogenous morphines which inhibit pain transmission in CNS (brain/spinal cord) by binding to opioid receptors (mu), E.g., ASPIRIN, choline magnesium trisalicylate, choline salicylate, diflunisal, salsalate, sodium salicylate, E.g., ibuprofen, indomethacin, ketorolac, naproxen, Endogenous peptides that act on opioid receptors, a drug that activates some or all opioid receptor subtypes and does not block any, a drug that can activate an opioid receptor to effect a sub-maximal response, a drug that blocks some or all opioid receptor subtypes, a drug that activates some opioid receptor subtypes and blocks other opioid receptor subtypes, CNS: analgesia, dysphoria/euphoria, inhibition of cough reflex, miosis, physical dependence, respiratory depression, Respiratory depression --> tolerance within 5-7 days, increased risk of cardiac insult, Neuroadaptation by the odd with chronic use, dose increase required to maintain similar analgesia, occurs as early as days of therapy, Manifests when opioid is discontinued or dose reduced abruptly --> physical symptoms within 6 hours and peaks in 36-48 h, Erratic use and for use other than pain alleviation, PO, IV, IM, Rectal, sublingual, buccal, transdermal, Absorption: SC, IM, PO (well absorbed), first pass effect may require higher oral doses for same effect; lipophilic compounds are absorbed through nasal or buccal mucosa; transdermal absorption best for lipid solubility, Increase compliance, convenience, minimize breakthrough pain, use for mild to moderate pain or breakthrough pain for those on controlled-release preparations. Pain, Headaches, Inflammatory Conditions 4. Rx Writing 3. Terms in this set (233) Pharmacology. Because of immunosuppressive effects of DMARDs and Biologics it's important for pt to be immunized for the following: Used when pt fails DMARD, genetically engineered drugs with increased risk of infection, Parietal Cells --> in body and fundus, secrete H+, Cephalic --> initiated by brain, smell and thoughts of food, Secreted by parietal cells, release is stimulated by ACH, gastrin, and histamine, Secreted from peptic and mucous cells, in the presence of HCl, becomes pepsin (a proteolytic enzyme), Gastric pH increases during the digestive process, Mucus/Bicarbonate --> barrier/neutralizes acid, Upper GI series/Barium swallow --> looking at GI tract for irritation or abnormalities, Reflux of stomach contents into the esophagus --> can be associated with laryngitis, cough, asthma, and dental erosion, Position --> avoid recumbency/slouching, sleep with HOB elevated (NOT up on pillows - actual head of bed propped up), -Family hx of ulcers esp. Change in pharmacologic effect of a drug when given concurrently with another drug, Binding/chelation in the gut --> prevent absorption, Altered protein binding --> co-admin of drugs that bind to same site on protein (e.g., albumin), Increased filtration --> consequence of tissue or protein binding displacement; increased free fraction resulting in increased amount of drug presented to kidney, Family of heme proteins most predominant in liver but also found in the intestines, lungs, and other organs, CYP Substrate + CYP Inducer --> decreased substrate concentration and decreased substrate efficacy, CYP Substrate + CYP Inhibitor --> increased substrate concentration and decreased risk of toxicity, CYP Substrate + CYP Substrate --> increased, decreased, or even substrate concentration and increased, decreased, or even efficacy or toxicity, sum of the individual drug effects (1+1=2), effect is greater than the sum of individual effects (1+1=3), effect is less than expected by using the two drugs together (1+1=1), Decreased response to drug as a result of repeated administration; tolerance, Study of how genetic makeup affects response to drugs (identifying genes that account for varying drug reactions in different people), Formulation maintains extended-release characteristics despite attempts to crush or dissolve it, The opioid is formulated with an aversive agent that results in unpleasant side effects when a large quantity of the opioid is ingested, The formulation is relatively easy to alter, but tampering with the formulation results in the release of a neutralizing antagonist, -Pt's full name, complete address, age or DOB, gender, condition code (if more than 30d supply), release of arachidonic acid and prostaglandins, lymphocytes release lymphokines causing chronic inflammation, neurotransmitters released from peripheral pain receptors, Norepinephrine and serotonin via efferent pathways, reduce the peripheral sensation and decreasing central stimulation, Mild Pain (1-3) --> APAP, ASA, NSAIDs, COX2-Inhibitors, Primary opioid receptor, most common/widespread in body (esp. Rx Writing PLAY. The major advantage of codeine over morphine is: A. it is three times more potent … She reports to the CNP in her local community mental health center. Rafa2187. Intro to Pharm 2. Injection of a drug through the theca of the spinal cord and into the subarachnoid space, often via patch or cream/ointment; need highly lipid soluble substance, Drug characteristics: molecular weight, ionization, solubility, formulation --> the bigger the drugs are the harder it is for them to get through the membrane, Proportion of the drug that reaches the systemic circulation after oral administration, Solubility of the drug --> able to cross lipid membranes and have water-solubility, Loss of drug as it passes for the first time through an organ of elimination, the liver, during the absorption process, Hypothetical volume into which a drug is "dispersed", -Organ blood flow --> rate of distribution determined by proportion of cardiac output received by the organs (heart, liver, kidneys > skeletal muscle > skin, fat), accounts for decline of plasma drug concentrations, Create or unmask a more polar group required for phase II reactions, Conjugation reactions with endogenous substance to facilitate elimination --> forms a larger, more water soluble substance, Accelerated renal drug excretion --> conversion into more polar/water soluble compounds, Kidney is the major site for drug excretion, cannot efficiently eliminate lipophilic drugs; can also eliminate via hepatobiliary system and lungs, Depends on the GFR, impaired renal function = drug dose adjustment, Uses ideal body weight (IBW, kg) unless actual body weight < IBW - then use ABW, Biliary Excretion & Enterohepatic Cycling, Drugs can be excreted in the bile as parent compound or metabolite, Amount of time required for the total amount of drug in the body to decrease by one-half, The amount of drug administered is equal to the amount of drug eliminated within on dosing interval, Least drug needed to be effective and least amount of drug needed to have toxic effects (NOTE: adverse effects can happen anywhere in this range), Rate of elimination is proportional to amount of drug present, Rate of elimination is constant regardless of amount of drug present, Follows linear kinetics until enzymes become saturated, -Hormone and neurotransmitters --> e.g., histamine receptors (cemetidine), opioid receptors (morphine), beta-receptors (metoprolol), A receptor is anything the drug binds to to produce its effect (including enzymes and ribosomes), A substrate (drug) which interacts with a receptor and elicits a subsequent intracellular reaction. fewer proteins to bind to, cause higher levels of free drug, increases risk of toxicity, neutralize gastric PH 30min- 2hr after meals, may use low-weight molecular heparin (Lovenox), Asians: Metabolize must drug rapidly, antidepressants & neuroleptics slower. Advanced Pharmacology exam 1. How many half lives of a drug does it usually take to reach a therapeutic level? Learn exam 1 advanced pharmacology with free interactive flashcards. Spell. PLAY. Which of the following is not a side effect of the cholinoreceptor blocker (Atropine)? Advanced Pharmacology Exam 1. Created by. Omeprazole, Esomeprazole, Lansoprazole, etc. Pharmacogenetics. beta-lactam antibiotic), -Chemical name (e.g., acetylsalicylic acid/ASA), A = controlled studies show no risk (e.g., insulin, levothyroxine), Require direct medical supervision for use, When used in a legal context in the US it is simply one that is totally prohibited or one that is used in violation of strict governmental regulation, The drug or other substance has a high potential for abuse and has NO currently accepted medical use, The drug or other substance has a high potential for abuse and has a currently accepted medical use, The drug or other substance has a potential for abuse less than schedule I and II and has a currently accepted medical use, The drug or other substance has a low potential for abuse relative to schedule III and has a currently accepted medical use, The drug or other substance has a low potential for abuse relative to schedule IV and has a currently accepted medical use. - 2. L. P., age 23, is a Hispanic woman who graduated from college last year. NURS 6521: Advanced Pharmacology final exam Question 1 A nurse educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. Created by. GI, respiratory, endocrine and principles of pharmacology. State Boards or Nursing and The Nurse Practice Act. Pharmacology Practice Test. Plasma concentration of drug rises as the drug distributes to the bloodstream, then falls as the drug is distributed to tissues, metabolized, and excreted. Advanced pharmacology exam 1 294 People UsedView all course ›› Increased pulse Urinary retention Constipation Mydriasis; 2. Sulfonamides interfere with folic acid synthesis by preventing addition of para-aminobenzoic acid (PABA) into the folic acid molecule through competing for the enzyme dihydropteroate synthetase. 123 People Used View all course ›› Visit Site NURS N521 : Advanced Pharmacology - American Sentinel ... Good www.coursehero.com. Advanced Pharmacology Exam 1. Advanced pharmacology exam 1 What is the term that reflects the percentage of a drug that actually enters the bloodstream? Match. Contemporary Pharmacology and Prescribing in … Join us at the 2019 GAPNA Pharmacology Conference: Contemporary Pharmacology and Prescribing in Older Adults March 28-30, 2019, Chicago Hilton, Chicago, IL. All are effective for tx of duodenal and gastric ulcers (take a little longer than PPI), ACG GERD Treatment Recommendation for H2RA Use, -can be used as a maintenance option in pt without erosive disease if to experience heartburn relief, Common use: symptomatic tx in pt with GERD (OTC for dyspepsia and heartburn) --> not recommended for tx of active PUD, w/ alkaline pancreatic secretion in the duodenum, it is precipitated again and subject to reabsorption (sodium > calcium), In the presence of renal insufficiency, absorption of even small amts may cause an increase in plasma levels of counter ions, Affect absorption of other drugs by binding the drug or by increasing gastric pH, Healing of duodenal ulcers in 46-88% after 4wks. A patient asks a primary care NP whether over-the-counter drugs are safer See the Discussion Posting and Response Rubric for posting details. Sulfonamides interfere with folic acid synthesis by preventing addition of para-aminobenzoic acid (PABA) into the folic acid molecule through competing for the enzyme dihydropteroate synthetase. Better taken on empty stomach because acid in stomach increases when you eat, so it will be ineffectively converted by stomach acid --> 1 hour before a meal, Relieve symptoms and begin to heal duodenal and gastric ulcers more quickly than H2 Receptor antagonists (2-4 wks vs. 4-8 wks), ACG GERD Treatment Recommendation for PPI Use, -8 weeks of PPI for symptom relief and healing of erosive esophagitis, ACG Gastrointestinal Bleed Recommendation for PPI Use, -After successful endoscopic hemostasis (cautery), IV PPI with 80 mg bolus followed by 8mg/h continuous infusion for 72h, Histamine receptors found on parietal cells, CNS: confusion, change in mental status, HA, hallucinations, drowsiness. Type of drug reaction that may cause thrombocytopenia leukopenia or hemolytic anemia, The relationship between a drugs desired effects and its adverse effects. Dihydroergotamine (DHE) and Ergotamine; come from fungus that grows on grain --> has CNS toxicity! Principles pf pharmacokinetics. A substrate (drug) which interacts with receptor (occupies it) but does not elicit an intracellular reaction. Most serious type of drug reaction. Elavil - old antidepressant, anticholinergic! Intro to Pharm Rash Angioedema Cough Congestion; 3. Effects of Hypoalbuminemia on prescribing? A. Often used to minor indications such as symptom relief. Test. Use for chronic pain and controlled withdrawal, Alternative to morphine, immediate and extended-release preparations available, Dilaudid, MORE potent than morphine; used for acute pain and pt with opioid tolerance; no controlled-release formulation, Demerol, shorter duration of action than morphine; NOT for long-term use, Most commonly used opioid for mild-moderate acute pain, Used for acute moderate to severe pain in patients with limited opioid use, High potency and lipid solubility, transdermal path offers continuous analgesia (48-72h), oral transmucosal preparation provide relief of episodic pain, Starting doses of 25-50% lower than typical doses, Disposition of opioids may be affected in pt with liver impairment --> increased absorption due to decreased first-pass metabolism, decreased drug clearance, Excretion of metabolites and/or parent drug --> decreased excretion may lead to accumulation, Central analgesic - weak mu receptor agonist, -Distention, traction, or dilation of intracranial or extra cranial arteries, Primary headache; Recurring syndrome of HA, N/V, sensitivity to stimulation of senses: sounds/lights, Primary headache; 1-3 short daily attacks of periorbital pain over 4-8 wks followed by pain-free interval (red eyes, tearing, ptosis), Primary headache; chronic tight band-like discomfort, severity and duration vary, -Other disorders: head trauma, vascular disorders, increased CSF pressure, infection, ca, infmallatoy, metabolic disorders, Prevent and reduce severity, frequency, and duration of recurrent HA (migraines and cluster HA), Non-specific Abortive Drug Analgesia for HA, Serotonin 1B/1D agonists; First-line medications for migraines --> effective even when taken > 4 h after onset. 1. 1. 1. A low dose inhaled corticosteroid. Learn. Advanced Pharmacology Exam Question 1.1. H. pylori positive, Pain with empty stomach/~3 hours post-prandial. Advanced Pharmacology Test Blueprint Exam 1 Topic Content Answers First Pass Elimination/Ef ect pg39 Know what the term means and how it afects medication efectiveness. Start studying Advanced Pharmacology Exam 1. NURS6521 Advanced Pharmacology Final Exam 2020 with Verified Answer. NURS 6521 FINAL EXAM 2020 • Question 1 1 out of 1 points A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is … The expression of the maximum effect a drug can produce, The expression of how much of a drug is needed to produce a response, These drugs rely on metabolism to become active in the body, This type of prescribing takes longer, used by new and inexperienced prescribers, This type of prescribing is used by seasoned clinicians, knowledge from experience, Drugs with a ______therapeutic index have a closer need of monitoring, Drugs with a _____ therapeutic index need less closer monitoring, When drugs enter the liver through the hepatic portal vein, First pass effect. How long after th Start of the cholinoreceptor blocker ( Atropine ) not a side effect of Ace. Course ›› Advanced Pharmacology Pharmacology - American Sentinel... 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