NSC 830 Advanced PharmacologyFast Pharm Facts #1100 points 

Question NSC 830 Advanced PharmacologyFast Pharm Facts #1100 points 1.     Nurse practitioner practice and prescriptive authority is regulated by the NP’s: (5 points)  a.     certification body (AANP/ANCC).b.     national nurse organization. c.      state nursing board.d.     educational preparation. 2.     Which of the following has the greatest potential for adverse effects in a 75-year old with seasonal allergies? (5 points)  a.     Loratadine (Claritin)b.     Cetirizine (Zyrtec)c.      Diphenhydramine (Benadryl)d.     Levocetirizine (Xyzal)  3.     For the following list of controlled medications, state if medication is a schedule I, II, III, IV, or V. Use the PowerPoint lecture slides and/or Lehne’s Pharmacotherapeutics as reference (3 points each = 30 points total) Medication Schedule A.     pregabalin (Lyrica)   B.     testosterone   C.     fentanyl   D.     LSD   E.     diazepam (Valium)   F.      carisoprodol (Soma)   G.     methylphenidate (Ritalin)   H.     Tylenol #3 with codeine   I.       promethazine w codeine   J.        zolpidem (Ambien)     4.     An adult patient is prescribed zolpidem (Ambien) to treat insomnia. The patient is advised to avoid drinking alcohol while using this medication, to prevent: (5 points) a.     drug displacement.b.     an additive effect.c.      interference in drug activity.d.     an antagonist effect.  5.     Match each medication with its pregnancy risk category description. Use the PowerPoint lecture slides and/or Lehne’s Pharmacotherapeutics for reference. Each risk category is used only once. (5 points each= 25 points total) Pregnancy Risk Category Drug A.     Generally acceptable  ____ ciprofloxacin (Cipro) B.     May be acceptable ____ levothyroxine (Synthroid) C.     Use with caution if benefits outweigh risks ____ rosuvastatin (Crestor) D.    Use with life-threatening emergencies without safer option ____ lisinopril (Zestril) X. Do not use in pregnancy ____ amoxicillin (Amoxil)  6.     An adult black female is diagnosed with generalized anxiety disorder. NKDA. BMI = 18.1. Medical history includes:·        Hypertension·        Hyperthyroidism·        Irritable Bowel Syndrome-predominant diarrhea Current meds include: ·        telmisartan (Micardis) 40mg PO once daily·        methimazole (Tapazole) 10mg PO once daily·        loperamide (Imodium) 2mg PO PRN  Using PowerPoint lecture slides and course text, list 4 patient-related variables which may affect this patient’s response to pharmacologic treatment. (5 points each = 20 points total)                                                             i.                                                                  ii.                                                                iii.                                                                iv.                  7.     The nurse practitioner is prescribing levofloxacin (Levaquin) for a 60-year old black male diagnosed with community acquired pneumonia. ·        Serum creatinine is 2.2mg/dl a.     What is the patient’s eGFR using the MDRD calculator @ https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-management/kidney-disease/laboratory-evaluation/glomerular-filtration-rate-calculators/mdrd-adults-conventional-units? (5 points)   b.     For the purpose of this question, the patient’s creatinine clearance is estimated to be equivalent to the eGFR above. Use the free Epocrates app for levofloxacin (Levaquin) dosing, to treat community acquired pneumonia (CAP).                                                              i.     Locate the typical Levaquin dosing for CAP, then scroll down for renal adjustment. What is the recommended dosing and duration for this patient? (5 points)   Health Science Science Nursing NSC 830 Share QuestionEmailCopy link Comments (0)

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