(NR 508 Week 8 Final Exam Study Guide)
NR 508 Final Exam Consist of 100 Questions From a Random Test Bank of Questions from All 8 weeks and All Embedded Recorded Lectures. Information is taken from the following Areas listed below:
Final Exam Guide – 55 Pages
Cardiovascular management:
- Ace inhibitors and ARBs
- Thiazides
- Thiazide diuretics
- Loop diuretics
- Potassium sparing diuretics
- Carbonic anhydrase inhibitors
- Angiotensin II Receptor Blockers (or Inhibitors) ARBs or Angiotensin-2 Receptor Antagonists)
- Angiotensin-Receptor Neprilysin Inhibitors (ARNIs)
- Beta Blockers are one of the most widely prescribed classes of drugs to treat hypertension (high blood pressure)
- Aldosterone Antagonists
Hydralazine and isosorbide dinitrate (specifically benefits African Americans with heart failure)
What do these types of medication do:
- Anticoagulants (blood thinners)
- Cholesterol lowering drugs (statins)
Neuro/Psych:
- Migraine management and prophylactics
- Migraine medications to avoid in patients with asthma.
- Stimulants
- Nonstimulants
- Strattera (atomoxetine)
Alzheimer’s
Know the treatment of Alzheimer’s and the education behind the medication management of the disease.
Cholinesterase inhibitors (ChE inhibitors) for Alzheimers (AD)
- TACRINE
- METRIFONATE
- RIVASTIGMINE
- PHYSOSTIGMINE’s
- EPTISTIGMINE (MF-201)
- GALANTAMINE (GALANTHAMINE; GAL 9301)
- MEMANTINE
Parkinson Disease:
- Levodopa
- Benztropine
- MAOI:
- Selegiline
- Rasagiline
Amantadine:
Pramipexole
Apomorphine
Effect of protein on absorption of levodopa
Depression medications
SSRIs include:
Monitoring of depression.
Antipsychotics, Serentil/mesoridazine
Clozaril labs to monitor CBC, ANC
Carbamazepine lab monitoring
Seizure management: Know first line treatment for generalized seizure management not adjunct therapies
Absence seizures
Myoclonic seizures
Tonic or atonic seizures
4 Types of incontinence
Anti-cholinergics
Erectile dysfunction
- SILDENAFIL CITRATE (Viagra)
- TADALAFIL (Cialis)
- VARDENAFIL HYDROCHLORIDE (Levitra, Staxyn)
- ALPROSTADIL
- Avanafil (Stendra)
Hyperthyroid
Medications
Radioactive iodine.
Methimazole (Tapazole).
Hypothyroidism
Diabetic medications
- Metformin or Glucaphage-
- Metformin ER or Glucaphage XR
- Micronase or glyburide
- Glucotrol or glipizide
- Avandia or rosiglitazone
- Actos or pioglitazone
- Starlix or nateglinide
- Prandin or repaglinide
Insulin
- Rapid acting
- Short acting
- Precose or Acarbose
- Glyset or miglitol
Canaglifozin
GI/nutrition:
Irritable bowel syndrome (IBS)
MOA:
Drugs OTC
Antacids – Calcium salts, calcium carbonate (Tums®)
xAntacids – Sodium bicarbonate
Antacids – Aluminum salts, aluminum hydroxide (Amphojel®)
Nystatin
Fluconazole
Vitamin deficiency questions
What side effect can occur with Salt substitutes?
Vitamins a vegetarian may require
Smoking cessation:
Nicotrol
Rocky Mountain Spotted Fever
Doxycycline (Monodox, Vibramycin,
Indications for the use of Vancomycin
- Staphylococcal Enterocolitis
- Clostridium difficile-associated Diarrhea
- Endocarditis
- Preoperative Antimicrobial Prophylaxis (Off-label)
- Surgical Prophylaxis (Off-label)
- Dosing Modifications
- Dosing Considerations
Vancomycin
MOA
Cephalosporins
- First Generation:
- Second Generation:
- Third Generation:
- Fourth Generation:
Cephalosporin Mode of Action
Analgesia:
Acetaminophen
Acetaminophen Toxicity
NSAID
Topical NSAIDs
Non-selective NSAIDs (COX-1 and COX-2 inhibitors)
Selective NSAIDs (COX-2 selective)
- Know the Management of Osteoarthritis
- Treatment
- Medications Commonly Used for Osteoarthritis
Final Exam Guide – 8 Pages
Children – Drug — Adverse Reaction
Ear infections
ANTIBIOTICS
- First line therapy for otitis media
- Alternative treatment (if allergy to penicillin)
- Alternative treatment after 48-72 H of failure of initial antibiotic treatment.
- Dermatologic:
- Gastrointestinal:
- Neurologic:
- Reproductive: Vulvovaginitis & Mycotic.
- Dermatologic:
- Gastrointestinal:
- Immunologic:
Contraindications
- Individuals who have hypersensitivity to penicillin’s should avoid amoxicillin.
- … with allergies or atopic conditions including asthma, eczema, hives (urticaria), or hay fever are at increased risk for hypersensitivity reactions to amoxicillin.
- Individuals who have mononucleosis should avoid amoxicillin (Increased risk for rash).
- Caution should be used with the use of amoxicillin in pregnant and breast feeding women.
Interactions:
- Amoxicillin decreases the effectiveness of oral contraceptives.
- B-Blockers may potentate anaphylactic reaction to amoxicillin.
- Tetracycline decreases the effectiveness of amoxicillin.
- Allopurinol increases rate of rash in individual taking amoxicillin.
- Probenecid increases the amount of amoxicillin renally excreted.
Otitis Externa
UTI’s
Nitrofurantoin monohydrate/macro crystals (Furadantin, Macrobid, Macrodantin)
(100 mg twice daily for 5 days)
Trimethoprim-sulfamethoxazole (Bactrim)
(160/800 mg [1 double-strength tablet] twice-daily for 3 days
Fosfomycin (Monurol)
Uncomplicated UTI: 3 g by mouth x1