Table of Contents
NR 566 Pharmacology For Care Of The Family
NR 566 Week 1 Clinical Case Study Discussion (Original Post, Responses)
Purpose
Problem-based learning is a methodology designed to help students develop the reasoning process used in clinical practice through problem solving actual patient problems in the same manner as they occur in practice. The purpose of this activity is to develop students’ clinical reasoning skills using a case-based learning exercise. Through participation in an online discussion forum, students identify learning issues in a self-directed manner which facilitates learning for the entire group.
Case Study & Discussion Questions
John is a 46-year-old male who presents for his yearly physical examination. He has no complaints. Previous medical history is notable for obesity and hyperlipidemia. He reports a very sedentary lifestyle. He sits at a desk for 8 to 10 hours per day and when he comes home he “just wants to relax in front of the television.” He doesn’t feel motivated enough to exercise on a regular basis, although he knows he should.
John is allergic to penicillin (hives). Medications include atorvastatin 10mg daily and a multivitamin. He occasionally takes acetaminophen for a headache.
Check out another task that was answered by our nursing paper writers on NURS 6501 Knowledge Check Psychological Disorders
Family history is significant for diabetes (mother, maternal grandmother, paternal grandfather) and hypertension (father and brother). He is a nonsmoker and reports drinking “a few beers on the weekend during football season”. His diet largely consists of fast food meals. He drinks sweet tea with every meal and an additional 3-4 cups of coffee per day. Previous labs and exam last year are unremarkable.
Vitals today: BP 130/70 mm Hg, pulse 82 and regular, temperature 98.7, respirations 18, height 6’1”, weight 235 pounds (up 3 lbs. since his visit 1 year ago). He completed fasting labs prior to this appointment as he was instructed which reveal the following:
Fasting plasma glucose=209 mg/dl, HgbA1C=9.1%, TSH=4.0mU/L and Free T4=1.1 ng/dl. Fasting lipid panel includes the following: total cholesterol=190 mg/dL, HDL=35 mg/dL, LDL=120 mg/dL and triglycerides=260 mg/dL.
Physical exam is remarkable for obesity but is otherwise normal.
- What are your treatment goals for John?
- What is your pharmacologic plan and rationale? (cite with appropriate clinical practice guidelines or scholarly, peer-reviewed journals)
- What is the mechanism of action for each drug?
- Please give five medication teaching points for each drug prescribed.
- How would you change the plan if his initial HbgA1C was 14.0 mg/dL and his fasting blood glucose was 350mg/dL along with a urine dipstick that revealed 3+ glucose and + ketones? Provide a detailed alternative plan with the rationale.
NR 566 Week 2 Respiratory Treatments Discussion: Asthma (Original Post, Peer Responses)
Research your assigned topic and include responses to each of the following criteria:
- Presentation & Diagnosis
- What are the subjective findings (symptoms that the patient reports, ex: SOB) associated with the condition? List a minimum of 3.
- What are the objective findings (exam findings that you can measure, ex: tachypnea) associated with the condition? List a minimum of 3.
- How is the diagnosis determined or confirmed?
- What factors do you need to consider in selecting the best medication for the patient with the condition?
- Treatment
- List 3 medication treatment options for the condition in the OUTPATIENT setting (cite with appropriate guidelines or scholarly, peer-reviewed journals).
- … the mechanism of action for each drug.
- List 3 potential adverse responses associated with each drug.
- List 3 medication teaching points for each drug prescribed.
NR 566 Week 2 Respiratory Treatments Discussion: COPD Management (Original Post, Peer Responses)
Research your assigned topic and include responses to each of the following criteria:
- Presentation & Diagnosis
- What are the subjective findings (symptoms that the patient reports, ex: SOB) associated with the condition? List a minimum of 3.
- What are the objective findings (exam findings that you can measure, ex: tachypnea) associated with the condition? List a minimum of 3.
- How is the diagnosis determined or confirmed?
- What factors do you need to consider in selecting the best medication for the patient with the condition?
- Treatment
- List 3 medication treatment options for the condition in the OUTPATIENT setting (cite with appropriate guidelines or scholarly, peer-reviewed journals).
- … the mechanism of action for each drug.
- List 3 potential adverse responses associated with each drug.
- List 3 medication teaching points for each drug prescribed.
NR 566 Week 2 Respiratory Treatments Discussion: Smoking Cessation (Original Post, Peer Responses)
Research your assigned topic and include responses to each of the following criteria:
- Presentation & Diagnosis
- What are the subjective findings (symptoms that the patient reports, ex: SOB) associated with the condition? List a minimum of 3.
- What are the objective findings (exam findings that you can measure, ex: tachypnea) associated with the condition? List a minimum of 3.
- How is the diagnosis determined or confirmed?
- What factors do you need to consider in selecting the best medication for the patient with the condition?
- Treatment
- List 3 medication treatment options for the condition in the OUTPATIENT setting (cite with appropriate guidelines or scholarly, peer-reviewed journals).
- … the mechanism of action for each drug.
- List 3 potential adverse responses associated with each drug.
- List 3 medication teaching points for each drug prescribed.
NR 566 Week 3 Hypertension Guidelines Discussion (Multiple Versions)
- Do a web search to locate the current JNC8 and ACC/AHA guidelines for hypertension.
- Compare and contrast the two sets of guidelines according to the following:
- Define the classes of hypertension (normal, elevated, stage 1 & stage 2) according to each guideline.
- What are the thresholds for initiating treatment?
- What are the treatment goals? (Hint: there may … multiple treatment goals based on certain populations such as diabetics)
- What medications are … to treat hypertension in the African American population?
- Discuss why one set of guidelines might … over the other (i.e., is one superior to the other ?)
NR 566 Week 3 RX Writing Assignment: Carvedilol 25 mg tablets (Multiple Samples)
Max Patrick (DOB 2/08/1971) comes into your office for his routine 6 month follow-up visit for stable, well-controlled hypertension. He needs a prescription refill for carvedilol which he has been taking for two years without problems. He takes 12.5 mg twice a day. The drug is supplied in 25 mg tablets.
He wants to continue to use a mail-order delivery, so he will need the prescription written for a 90 day supply. His next follow-up visit is in 6 months and he will need enough medication to last until then. His address is 9056 Eagle Park Road, Atlanta, GA 30302. Your NP license number is RN230125. Your NPI number is 18322176.
NR 566 Week 3 Quiz: Advanced Pharmacology for Care of the Family
- Question: Diagnosis of heart failure cannot … made by symptoms alone because many disorders share the same symptoms. The most specific and sensitive diagnostic test for heart failure is:
- Question: Because primary hypertension has no identifiable cause, treatment is … on interfering with the physiological mechanisms that regulate blood pressure. Thiazide diuretics treat hypertension because they do which of the following?
- Question: A patient presents to the clinic with complaint of a persistent, dry and nagging cough that begin shortly after starting lisinopril. What action should the clinician take?
- Question: Compelling indications for an ACE inhibitor as treatment for hypertension based on clinical trials includes:
- Question: One of the three types of heart failure involves systolic dysfunction. Potential causes of this most common form of heart failure include:
- Question: Which of the following medications require monitoring of pulmonary and thyroid function tests every 6 months?
- Question: A 59-year-old male has poorly controlled hypertension. He is currently taking furosemide (Lasix) 40mg daily for congestive heart failure. When choosing to add another antihypertensive, which of the following should the clinician avoid due to its strong negative inotropic effect?
- Question: The clinician has … to prescribe an angiotensin-converting enzyme inhibitor (ACEI) for a patient with hypertension. The patient informs the clinician that she is “really bad at taking medication more than once per day”. Which of the following medications requires more than once daily dosing and therefore should be avoided?
- Question: Omega 3 fatty acids are best … to help treat which of the following?
- Question: The clinician is prescribing an angiotensin-converting enzyme inhibitor (ACEI) for hypertension. Which of the following should … at baseline and repeated after the first week of therapy?
NR 566 Week 4 MidTerm Review
NR 566 Week 4 MidTerm Review Questions
Week 1
- Professor question: Why are statins recommended in the evening instead of morning? (pg 561) After starting John on insulin, he calls the office saying he feels bad. He said when he checked his blood sugar before calling it was 52 mg/dl. What instructions should he be given?
- Professor question: What diabetic medications would be contraindicated in patients with heart failure? Which diabetic drug(s) may have beneficial effects in heart failure? (text has info on this but ADA 2020 guidelines has even more up to date info on this topic, so here is the page. See Recommendation 9.9 and 9.10) https://care.diabetesjournals.org/content/43/Supplement_1/S98
- Professor question: What lab do we need to check prior to starting metformin? (hint: which organ function needs to be evaluated?)
- What other potential adverse effects are there associated with metformin? (Micromedex in the library is a good source for this info)
- Professor question: The GLP1RA class drugs end with “-tide”. They are highly recommended as a second agent after metformin by both ADA and AACE/ACE guidelines. Per ADA guidelines:…… continue…. According to the text, what effect does carbamazepine have on thyroid function tests? What is the difference b/w total and free T4?
- Professor question: Can you review in our text the sulfonylurea class? What is the MOA, what are some examples? What are the adverse effects? Thanks!!
- Professor question: If our patient had HF and Afib, he might … on digoxin. What medication for DM can decrease digoxin levels? (class and examples)
- Professor question: Jason- glad you recognized that contrast dye can be an issue for patients on metformin.
- Can you read this (older, I know) article that explains why it is a concern rather than binding with contrast dye?
- Professor question: Can you review for us what the ADA criteria for diagnosis of T2DM are?
- Professor question: If John’s A1C remains … and he does not have any indicators or at high-risk for ASCVD, CKD, or HF, a thiazolidinedione (TZD) could … (American Diabetes Association, 2020). How do thiazolidinediones help control blood sugar? Why is it important that there is little to no risk indicators for cardiovascular involvement when prescribing TZDs?
- Professor question: One class of diabetic drugs sometimes used is meglitinides. What is an important teaching point about this drug for patients to make sure the drug is most effective?
- Professor question: What side effects are most common for GLP-1 receptor agonists? What diseases would … to have with the administration of GLP-1 receptor agonists?
- Professor question: If John is started on insulin and he still struggles to meet A1C goals, a sodium–glucose cotransporter 2 (SGLT2) inhibitor to insulin therapy has shown the ability to improve A1C levels while also aiding in decreasing body weight when compared with insulin therapy alone (American Diabetic Association, 2020). How do SFLT2 drugs work and what are some examples of drugs in that class? Pg 589
Week 2
- Professor FACTS: The current IDSA guidelines (2019) recommend the following 3 options when treating CAP in a previously healthy patient:…….
- Professor question: Can you tell us (from the text), what is the definition of drug-resistant TB?
- Professor question: From our text can you tell us the findings of the SMART trial regaring salmeterol use?
- Professor question: According to our text, what is the advantage of using transdermal nicotine over nicotine gum?
- Professor question: Theophylline is not … very often anymore but we may see it … by a specialist when inhaled therapy is insufficient. The reason is that this is a drug with a narrow therapeutic window- it is … with toxicities including seizures. It is a drug that requires monitoring of drug levels.
- According to our text, are there any considerations regarding theophylline and type of diet?
- Professor question: If a woman is pregnant and taking INH, what supplement do we need to advise? (see text)
- Professor question: What type of medication is Spiriva? What is the generic name?
Week 3
- Professor question: As we discuss medications for HTN this week let’s consider a pregnant women and women of childbearing age who might become pregnant. What classes are … for pregnant woman?
- Professor question: One of our reading topics this week is reduction of lipids. Can you tell us about fenofibric acid? What is it … for and how does it work? At what level of hypertriglyceridemia should it … considered to reduce the risk of pancreatitis?
- Professor question: Thanks! To help with our topic of lipid management this week, what lab test should we order if a patient on a statin develops muscle pain?
- Professor question: To help with our review of lipid therapies this week, will you tell us about ezetimibe (Zetia)? What is it MOA and is it a first line agent?
- Professor question: If a patient has heart failure why would we need to … cautious about prescribing calcium channel blockers? Which CCB have the strongest neg inotropic effect?
- Professor question: Can you review the discussion of angina which discusses imbalance between myocardial oxygen supply (MOS) and demand (MOD) in the myocardium. Which of the following drugs affect MOS? Which affect MOD?
- professor question: What antihypertensive class is … in a patient with DM who has microalbuminuria? According to the text, what are conditions would this class … for?
- Professor question: What is the dosing schedule for long acting isosorbide mononitrate and why?
- Professor question: According to our text, what lipid abnormality is most likely to benefit from omega 3 FA supplementation?
- Professor question: To help with this week’s study can you review from the text the causes of systolic heart failure?
- Professor question: What is the dosing schedule for ACEIs? (how many times per day are they taken?)
- Professor question: According to the text, what labs should … in a week after initiating an ACEI? Why?
- Professor question: What anti-arrhythmic medication in the reading this week requires pulmonary and thyroid function monitoring every 6 months?
- Professor question: Can you review the classes of angina from our text?
- Professor question: From our text, can you review the statin strength from weakest to highest?
NR 566 Week 4 MidTerm Review
- Know what meds you would give for asthma and COPD (LABA and intermittent use)
- What to do when a patient calls you with hypoglycemia
- How many gms of carb is … during hypoglycemic episode
- how many mcg of dietary intake of iodine
- alendronate (Fosamax) patient education- osteoporosis
- what medication decreases the T4
- First choice for hypertension – which diuretic
- Besides hypertension, BB are … for (I selected MI)
- Mechanism of action of Theophylline
- What should you test a patient c/o muscle pain, on atorvastatin
- 7 yo with pneumonia, what to give if already on amoxicillin
- What to give for high cholesterol if cannot take statins – name of medication
- Which inhaler to give on asthma exacerbation
- Nicotine replacement drugs– bupropion should … with what?
- INH – risk for liver toxicity
- Angina patient should be on ASA
- Angina and diabetic should be on what
- Which medication to take for SVT
- MOA of nitroglycerine sublingual
- Goal for HgA1C when on tx;
- Glucagon route; How glucagon is given
- MOA of insulin
- Stages of asthma adults (>12yrs)
- what to give pregnant pt with TB
- know what hgA1c percent is equal to blood sugar/ levels
- Aspirin is … to all patients with cardiovascular disease
- Which drug to give peds pt with chlamydial pneumonia
- Teaching for pancreatic enzymes
- pt has pneumonia, on doxycycline, and comes back 3 days later says he feels better but cxr is worse
- What to do about angina and SL nitro
- Fibric acid
- Most common pathogen for CAP
- Stages of angina
NR 566 Week 5 Assignment: Immunization – Hepatitis B
Choose 2 vaccines from the list above and provide the following information for each:
- Name of disease preventable vaccination
- Trade name (if more than one available, chose one only)
- Type of vaccination (attenuated or inactivated)
- Contraindications
- Precautions
- Adverse drug reactions
- Minimum age to receive the vaccine
- Routine recommended vaccine schedule (timing and dose)
- Special situations
Example:
- Vaccination: Hepatitis A vaccination
- Trade Name: Havrix
- Type: Inactivated
- Contraindication: Person with a previous history of severe reaction to HAV, moderate or severe illness, with or without fever
- Precautions: Patients with immunosuppression (may have lower antibody titers)
- Adverse drug reactions: Injection site reaction, headache & malaise
- Minimum age: 12 months
- Routine vaccination schedule: 2 dose series between ages 12-24 months
- The minimum interval between doses (if applicable): 6 months apart
- Special situations: Vaccine should be given to those at risk for hepatitis A infection including chronic liver disease, clotting factor disorders, men who have sex with men, injection or non-injection drug use, homelessness, work with hepatitis a virus, travel in countries with high or intermediate endemic hepatitis A or close personal contact with an international adoptee.
Barriers & Interventions
- Identify one reason for vaccine non-compliance or vaccine hesitancy by patients/parents.
- Discuss one intervention that Nurse Practitioners can take to improve vaccination compliance.
- Identify when healthcare providers are required by law to report an adverse event.
- Discuss adverse events that healthcare providers are encouraged to report.
- Identify how a healthcare provider would report an adverse event.
NR 566 Week 5 Assignment: Immunization – HPV and Rotavirus
Choose 2 vaccines from the list above and provide the following information for each:
- Name of disease preventable vaccination
- Trade name (if more than one available, chose one only)
- Type of vaccination (attenuated or inactivated)
- Contraindications
- Precautions
- Adverse drug reactions
- Minimum age to receive the vaccine
- Routine recommended vaccine schedule (timing and dose)
- Special situations
Example:
- Vaccination: Hepatitis A vaccination
- Trade Name: Havrix
- Type: Inactivated
- Contraindication: Person with a previous history of severe reaction to HAV, moderate or severe illness, with or without fever
- Precautions: Patients with immunosuppression (may have lower antibody titers)
- Adverse drug reactions: Injection site reaction, headache & malaise
- Minimum age: 12 months
- Routine vaccination schedule: 2 dose series between ages 12-24 months
- The minimum interval between doses (if applicable): 6 months apart
- Special situations: Vaccine should be given to those at risk for hepatitis A infection including chronic liver disease, clotting factor disorders, men who have sex with men, injection or non-injection drug use, homelessness, work with hepatitis a virus, travel in countries with high or intermediate endemic hepatitis A or close personal contact with an international adoptee.
Barriers & Interventions
- Identify one reason for vaccine non-compliance or vaccine hesitancy by patients/parents.
- Discuss one intervention that Nurse Practitioners can take to improve vaccination compliance.
- Identify when healthcare providers are required by law to report an adverse event.
- Discuss adverse events that healthcare providers are encouraged to report.
- Identify how a healthcare provider would report an adverse event.
NR 566 Week 5 Assignment: Immunization-Human Papillomavirus (HPV): 2 Versions
Choose 2 vaccines from the list above and provide the following information for each:
- Name of disease preventable vaccination
- Trade name (if more than one available, chose one only)
- Type of vaccination (attenuated or inactivated)
- Contraindications
- Precautions
- Adverse drug reactions
- Minimum age to receive the vaccine
- Routine recommended vaccine schedule (timing and dose)
- Special situations
Example:
- Vaccination: Hepatitis A vaccination
- Trade Name: Havrix
- Type: Inactivated
- Contraindication: Person with the previous history of severe reaction to HAV, moderate or severe illness, with or without fever
- Precautions: Patients with immunosuppression (may have lower antibody titers)
- Adverse drug reactions: Injection site reaction, headache & malaise
- Minimum age: 12 months
- Routine vaccination schedule: 2 dose series between ages 12-24 months
- The minimum interval between doses (if applicable): 6 months apart
- Special situations: Vaccine should be given to those at risk for hepatitis A infection including chronic liver disease, clotting factor disorders, men who have sex with men, injection or non-injection drug use, homelessness, work with hepatitis a virus, travel in countries with high or intermediate endemic hepatitis A or close personal contact with an international adoptee.
Barriers & Interventions
- Identify one reason for vaccine non-compliance or vaccine hesitancy by patients/parents.
- Discuss one intervention that Nurse Practitioners can take to improve vaccination compliance.
- Identify when healthcare providers are required by law to report an adverse event.
- Discuss adverse events that healthcare providers are encouraged to report.
- Identify how a healthcare provider would report an adverse event.
NR 566 Week 5 Assignment: Immunization – Pneumococcal 13-valent conjugate (PCV13)
Choose 2 vaccines from the list above and provide the following information for each:
- Name of disease preventable vaccination
- Trade name (if more than one available, chose one only)
- Type of vaccination (attenuated or inactivated)
- Contraindications
- Precautions
- Adverse drug reactions
- Minimum age to receive the vaccine
- Routine recommended vaccine schedule (timing and dose)
- Special situations
Example:
- Vaccination: Hepatitis A vaccination
- Trade Name: Havrix
- Type: Inactivated
- Contraindication: Person with a previous history of severe reaction to HAV, moderate or severe illness, with or without fever
- Precautions: Patients with immunosuppression (may have lower antibody titers)
- Adverse drug reactions: Injection site reaction, headache & malaise
- Minimum age: 12 months
- Routine vaccination schedule: 2 dose series between ages 12-24 months
- The minimum interval between doses (if applicable): 6 months apart
- Special situations: Vaccine should be given to those at risk for hepatitis A infection including chronic liver disease, clotting factor disorders, men who have sex with men, injection or non-injection drug use, homelessness, work with hepatitis a virus, travel in countries with high or intermediate endemic hepatitis A or close personal contact with an international adoptee.
Barriers & Interventions
- Identify one reason for vaccine non-compliance or vaccine hesitancy by patients/parents.
- Discuss one intervention that Nurse Practitioners can take to improve vaccination compliance.
- Identify when healthcare providers are required by law to report an adverse event.
- Discuss adverse events that healthcare providers are encouraged to report.
- Identify how a healthcare provider would report an adverse event.
NR 566 Week 5 Assignment: Immunization – Pneumococcal 23-valent polysaccharide (PPSV23)
Choose 2 vaccines from the list above and provide the following information for each:
- Name of disease preventable vaccination
- Trade name (if more than one available, chose one only)
- Type of vaccination (attenuated or inactivated)
- Contraindications
- Precautions
- Adverse drug reactions
- Minimum age to receive the vaccine
- Routine recommended vaccine schedule (timing and dose)
- Special situations
Example:
- Vaccination: Hepatitis A vaccination
- Trade Name: Havrix
- Type: Inactivated
- Contraindication: Person with a previous history of severe reaction to HAV, moderate or severe illness, with or without fever
- Precautions: Patients with immunosuppression (may have lower antibody titers)
- Adverse drug reactions: Injection site reaction, headache & malaise
- Minimum age: 12 months
- Routine vaccination schedule: 2 dose series between ages 12-24 months
- The minimum interval between doses (if applicable): 6 months apart
- Special situations: Vaccine should be given to those at risk for hepatitis A infection including chronic liver disease, clotting factor disorders, men who have sex with men, injection or non-injection drug use, homelessness, work with hepatitis a virus, travel in countries with high or intermediate endemic hepatitis A or close personal contact with an international adoptee.
Barriers & Interventions
- Identify one reason for vaccine non-compliance or vaccine hesitancy by patients/parents.
- Discuss one intervention that Nurse Practitioners can take to improve vaccination compliance.
- Identify when healthcare providers are required by law to report an adverse event.
- Discuss adverse events that healthcare providers are encouraged to report.
- Identify how a healthcare provider would report an adverse event.
NR 566 Week 5 Assignment Immunization – Recommendations for Human Papillomavirus and Hepatitis B
Choose 2 vaccines from the list above and provide the following information for each:
- Name of disease preventable vaccination
- Trade name (if more than one available, chose one only)
- Type of vaccination (attenuated or inactivated)
- Contraindications
- Precautions
- Adverse drug reactions
- Minimum age to receive vaccine
- Routine recommended vaccine schedule (timing and dose)
- Special situations
Example:
- Vaccination: Hepatitis A vaccination
- Trade Name: Havrix
- Type: Inactivated
- Contraindication: Person with a previous history of severe reaction to HAV, moderate or severe illness, with or without fever
- Precautions: Patients with immunosuppression (may have lower antibody titers)
- Adverse drug reactions: Injection site reaction, headache & malaise
- Minimum age: 12 months
- Routine vaccination schedule: 2 dose series between ages 12-24 months
- The minimum interval between doses (if applicable): 6 months apart
- Special situations: Vaccine should be given to those at risk for hepatitis A infection including chronic liver disease, clotting factor disorders, men who have sex with men, injection or non-injection drug use, homelessness, work with hepatitis a virus, travel in countries with high or intermediate endemic hepatitis A or close personal contact with an international adoptee.
Barriers & Interventions
- Identify one reason for vaccine non-compliance or vaccine hesitancy by patients/parents.
- Discuss one intervention that Nurse Practitioners can take to improve vaccination compliance.
- Identify when healthcare providers are required by law to report an adverse event.
- Discuss adverse events that healthcare providers are encouraged to report.
- Identify how a healthcare provider would report an adverse event.
NR 566 Week 5 Assignment: Immunization – Varicella (VAR)
Choose 2 vaccines from the list above and provide the following information for each:
- Name of disease preventable vaccination
- Trade name (if more than one available, chose one only)
- Type of vaccination (attenuated or inactivated)
- Contraindications
- Precautions
- Adverse drug reactions
- Minimum age to receive vaccine
- Routine recommended vaccine schedule (timing and dose)
- Special situations
Example:
- Vaccination: Hepatitis A vaccination
- Trade Name: Havrix
- Type: Inactivated
- Contraindication: Person with a previous history of severe reaction to HAV, moderate or severe illness, with or without fever
- Precautions: Patients with immunosuppression (may have lower antibody titers)
- Adverse drug reactions: Injection site reaction, headache & malaise
- Minimum age: 12 months
- Routine vaccination schedule: 2 dose series between ages 12-24 months
- The minimum interval between doses (if applicable): 6 months apart
- Special situations: Vaccine should be given to those at risk for hepatitis A infection including chronic liver disease, clotting factor disorders, men who have sex with men, injection or non-injection drug use, homelessness, work with hepatitis a virus, travel in countries with high or intermediate endemic hepatitis A or close personal contact with an international adoptee.
Barriers & Interventions
- Identify one reason for vaccine non-compliance or vaccine hesitancy by patients/parents.
- Discuss one intervention that Nurse Practitioners can take to improve vaccination compliance.
- Identify when healthcare providers are required by law to report an adverse event.
- Discuss adverse events that healthcare providers are encouraged to report.
- Identify how a healthcare provider would report an adverse event.
NR 566 Week 5 Open Forum – Not Graded But Required
This is a required but not graded discussion. What is something you have … interesting in this course so far that you were not familiar with or … confident about?
NR 566 Week 6 Grand Rounds Presentation Part 1 – WHAT IS CHLAMYDIA AND HOW IT IS TREATED
Case Study (4 required elements)
- Student’s case is … on a fictional patient with the … medical condition
- Subjective data from the patient’s history includes ALL of the following:
- History of Present Illness (HPI)
- Previous Medical History
- Medication Allergies
- Objective data from the patient includes:
- Vital Signs
- Physical exam findings
4. Relevant labs or test results are … (IF pertinent to the medication management of the assigned condition)
Description of Disease (4 required elements)
- A brief pathophysiology statement of the condition is … ; AND
- Common signs and symptoms of the condition are … (include relevant labs or tests if applicable); AND
- Potential barriers … to cultural or socioeconomic diversity and/or healthcare literacy are … ; AND
At least 1 viable solution to overcoming these barriers are presented
Medication Management (6 required elements)
- An evidence-based medication plan is … and includes ALL of the following:
- A detailed description of first line … medications recommended for the condition
- A detailed description of the second line medication that would … IF the patient had an allergy to 1stline treatment
- Medication details include ALL of the following:
- Trade and generic names for each medication
- Typical dose for each medication
- Mechanism of action for each medication … ; AND
- For each medication, the following is included:
- Adverse effects
- Major contraindications for use
- Major drug-drug interactions
- At least 1 common alternative therapy for treatment of the disease is discussed
- The optimal outcome for treatment with the … medication is stated
Expectations for patient follow-up … to the medication plan is discussed
Evidence Based Support (4 required elements)
- Requirements for the disease description are … with appropriate references (textbook is acceptable in this section).
- Treatment plan is … with a minimum of 2 appropriate, scholarly sources*; AND
- Sources are … within the last 5 years (unless it is the most current CPG); AND
- A Reference list is provided with in-text citations to match
NR 566 Week 6 Grand Rounds Presentation Part 1 – Heart Failure due to Reduced Ejection Fraction
Case Study (4 required elements)
- Student’s case is … on a fictional patient with the … medical condition
- Subjective data from the patient’s history includes ALL of the following:
- History of Present Illness (HPI)
- Previous Medical History
- Medication Allergies
- Objective data from the patient includes:
- Vital Signs
- Physical exam findings
4. Relevant labs or test results are … (IF pertinent to the medication management of the assigned condition)
Description of Disease (4 required elements)
- A brief pathophysiology statement of the condition is … ; AND
- Common signs and symptoms of the condition are … (include relevant labs or tests if applicable); AND
- Potential barriers … to cultural or socioeconomic diversity and/or healthcare literacy are … ; AND
At least 1 viable solution to overcoming these barriers are presented
Medication Management (6 required elements)
- An evidence-based medication plan is … and includes ALL of the following:
- A detailed description of first line … medications recommended for the condition
- A detailed description of the second line medication that would … IF the patient had an allergy to 1stline treatment
- Medication details include ALL of the following:
- Trade and generic names for each medication
- Typical dose for each medication
- Mechanism of action for each medication … ; AND
- For each medication, the following is included:
- Adverse effects
- Major contraindications for use
- Major drug-drug interactions
- At least 1 common alternative therapy for treatment of the disease is discussed
- The optimal outcome for treatment with the … medication is stated
Expectations for patient follow-up … to the medication plan is discussed
Evidence Based Support (4 required elements)
- Requirements for the disease description are … with appropriate references (textbook is acceptable in this section).
- Treatment plan is … with a minimum of 2 appropriate, scholarly sources*; AND
- Sources are … within the last 5 years (unless it is the most current CPG); AND
- A Reference list is provided with in-text citations to match
NR 566 Week 6 Grand Rounds Presentation Part 1 – Deep Vein Thrombosis
Case Study (4 required elements)
- Student’s case is … on a fictional patient with the … medical condition
- Subjective data from the patient’s history includes ALL of the following:
- History of Present Illness (HPI)
- Previous Medical History
- Medication Allergies
- Objective data from the patient includes:
- Vital Signs
- Physical exam findings
4. Relevant labs or test results are … (IF pertinent to the medication management of the assigned condition)
Description of Disease (4 required elements)
- A brief pathophysiology statement of the condition is … ; AND
- Common signs and symptoms of the condition are … (include relevant labs or tests if applicable); AND
- Potential barriers … to cultural or socioeconomic diversity and/or healthcare literacy are … ; AND
At least 1 viable solution to overcoming these barriers are presented
Medication Management (6 required elements)
- An evidence-based medication plan is … and includes ALL of the following:
- A detailed description of first line … medications recommended for the condition
- A detailed description of the second line medication that would … IF the patient had an allergy to 1stline treatment
- Medication details include ALL of the following:
- Trade and generic names for each medication
- Typical dose for each medication
- Mechanism of action for each medication … ; AND
- For each medication, the following is included:
- Adverse effects
- Major contraindications for use
- Major drug-drug interactions
- At least 1 common alternative therapy for treatment of the disease is discussed
- The optimal outcome for treatment with the … medication is stated
Expectations for patient follow-up … to the medication plan is discussed
Evidence Based Support (4 required elements)
- Requirements for the disease description are … with appropriate references (textbook is acceptable in this section).
- Treatment plan is … with a minimum of 2 appropriate, scholarly sources*; AND
- Sources are … within the last 5 years (unless it is the most current CPG); AND
- A Reference list is provided with in-text citations to match
NR 566 Week 6 Grand Rounds Presentation Part 1 – Gonorrhea
Case Study (4 required elements)
- Student’s case is … on a fictional patient with the … medical condition
- Subjective data from the patient’s history includes ALL of the following:
- History of Present Illness (HPI)
- Previous Medical History
- Medication Allergies
- Objective data from the patient includes:
- Vital Signs
- Physical exam findings
4. Relevant labs or test results are … (IF pertinent to the medication management of the assigned condition)
Description of Disease (4 required elements)
- A brief pathophysiology statement of the condition is … ; AND
- Common signs and symptoms of the condition are … (include relevant labs or tests if applicable); AND
- Potential barriers … to cultural or socioeconomic diversity and/or healthcare literacy are … ; AND
At least 1 viable solution to overcoming these barriers are presented
Medication Management (6 required elements)
- An evidence-based medication plan is … and includes ALL of the following:
- A detailed description of first line … medications recommended for the condition
- A detailed description of the second line medication that would … IF the patient had an allergy to 1stline treatment
- Medication details include ALL of the following:
- Trade and generic names for each medication
- Typical dose for each medication
- Mechanism of action for each medication … ; AND
- For each medication, the following is included:
- Adverse effects
- Major contraindications for use
- Major drug-drug interactions
- At least 1 common alternative therapy for treatment of the disease is discussed
- The optimal outcome for treatment with the … medication is stated
Expectations for patient follow-up … to the medication plan is discussed
Evidence Based Support (4 required elements)
- Requirements for the disease description are … with appropriate references (textbook is acceptable in this section).
- Treatment plan is … with a minimum of 2 appropriate, scholarly sources*; AND
- Sources are … within the last 5 years (unless it is the most current CPG); AND
- A Reference list is provided with in-text citations to match
NR 566 Week 7 RX Writing Assignment
Maggie Little (DOB 8/17/1994) is here for her annual gynecological exam and she needs a refill on her oral contraception. She has been taking Loestrin FE for 5 years without problems and there are no contraindications for … use. You plan to see her back in 1 year. Her address is 769 Fox Valley Circle, Dayton, OH 45415. Your NP license number is 05347. Your NPI number is 18621459.
NR 566 Week 8 Reflection Assignment (2 Versions)
The purpose of this assignment is to allow nurse practitioners (NP) students the opportunity to reflect on their personal achievements during the course on the following areas: Program outcomes, MSN Essential and NONPF Core Competency.
NR 566 Exam Preparation: Test Bank Questions for Weeks 5-7
- Question: Kenneth is taking warfarin and is asking about what he can take for minor aches and pains. The best recommendation is:
- Question: Juanita had a DVT and was on heparin in the hospital and was discharged on warfarin. She asks her primary care provider NP why she was getting both medications while in the hospital. The best response is to:
- Question: The safest drug to use to treat pregnant women who require anticoagulant therapy is:
- Question: The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5 mg daily should … in which patients?
- Question: Cecil and his wife are traveling to Southeast Asia on vacation and he has come into the clinic to review his medications. He is healthy with only mild hypertension that is well controlled. He asks about getting “a shot” to prevent blood clots like his friend Ralph did before international travel. The correct … would … :
- Question: Robert, age 51 years, has been told by his primary care provider (PCP) to take an aspirin a day. Why would this be recommended?
- Question: Sally has been … aspirin 320 mg per day for her atrial fibrillation. She also takes aspirin four or more times a day for arthritis pain. What are the symptoms of aspirin toxicity she would need to … for:
- Question: Patient education when prescribing clopidogrel includes:
- Question: For patients taking warfarin INRs are best drawn:
- Question: Patients receiving heparin therapy require monitoring of:
- Question: The routine monitoring … for low molecular weight heparin is:
- Question: When writing a prescription for warfarin it is common to write ____ on the prescription.
- Question: Education of patients who are taking warfarin includes discussing their diet. Instructions include:
- Question: Patients who are being treated with epoetin alfa need to be monitored for the development of:
- Question: The FDA issued a safety announcement regarding the use of erythropoiesis-stimulating agents (ESAs) in 2010 with the recommendation that:
- Question: When patients are … on darbepoetin alfa (Aranesp) they need monitoring of their blood counts to determine a dosage adjustment in:
- Question: Jim is having a hip replacement surgery and would like to self-donate blood for the surgery. In addition to being prescribed epogen alpha he should also … prescribed:
- Question: Monitoring for a patient being … iron for iron deficiency anemia includes:
- Question: Patient education regarding taking iron replacements includes:
- Question: Patients with pernicious anemia require treatment with:
- Question: The first lab value indication that Vitamin B12 therapy is adequately treating pernicious anemia is:
- Question: Patients who are beginning therapy with Vitamin B12 need to … for:
Week 5 Chapter 19: Drugs Affecting the Immune System
- Question: Attenuated vaccines are also known as:
- Question: Live attenuated influenza vaccine (FluMist) may … to:
- Question: The reason that two MMR vaccines at least a month apart are … is:
- Question: MMR vaccine is not recommended for pregnant women because:
- Question: If the MMRV (measles, mumps, rubella, and varicella) combined vaccine is … to be given as the first MMR and varicella dose to a child the CDC recommends:
- Question: The rotavirus vaccine (RotaTeq, Rotarix):
- Question: Varicella vaccine is recommended to be given to patients who are:
- Question: Zoster vaccine (Zostavax) is:
- Question: True contraindications to diphtheria, tetanus, and acellular pertussis (DTaP or Tdap) vaccine include:
- Question: Hepatitis B vaccine (HBV) is contraindicated in patients who:
- Question: Human papillomavirus (HPV) vaccine (Gardasil, Cervarix):
- Question: Influenza vaccine may … annually to:
- Question: Immune globulin serums (IGs):
- Question: Hepatitis B immune globulin (HBIG) is administered to provide passive immunity to:
- Question: Rho(D) immune globulin (RhoGAM) is given to:
- Question: Tuberculin … protein derivative (PPD):
- Question: Diane may benefit from cyclosporine (Sandimmune). Cyclosporin may … to:
- Question: Azathioprine has significant adverse drug effects, including:
Week 5 Chapter 27 Anemia
- Question: Pernicious anemia is … with:
- Question: Premature infants require iron supplementation with:
- Question: Breastfed infants should receive iron supplementation of:
- Question: Valerie presents to clinic with menorrhagia. Her hemoglobin is 10.2 and her ferritin is 15 ng/mL. Initial treatment for her anemia would … :
- Question: Chee is a 15-month-old male whose screening hemoglobin is 10.4 g/dL. Treatment for his anemia would be:
- Question: Monitoring for a patient taking iron to treat iron deficiency anemia is:
- Question: Valerie has been … iron to treat her anemia. Education of patients prescribed iron would include:
- Question: Allie has just had her pregnancy … and is asking about how to ensure a healthy baby. What is the folic acid requirement during pregnancy?
- Question: Kyle has Crohn’s disease and has a … folate deficiency. Drug therapy for folate deficiency anemia is:
- Question: Patients who are being treated for folate deficiency require monitoring of:
- Question: The treatment of vitamin B12 deficiency is:
- Question: The dosage of Vitamin B12 to initially treat pernicious anemia is:
- Question: Before beginning IM Vitamin B12 therapy, which laboratory values should be obtained?
- Question: ____ should be monitored when Vitamin B12 therapy is started.
- Question: Anemia due to chronic renal failure is treated with:
Week 5 Chapter 37: HIV
- Question: The goals of treatment when prescribing antiretroviral medication to patients with HIV include:
- Question: A challenge … with antiretroviral therapy (ART) is:
- Question: Predictors for successful treatment with antiretroviral therapy (ART) in HIV-positive patients include:
- Question: The goal of antiretroviral therapy (ART) in HIV-positive patients is:
- Question: Pregnant women who are HIV positive:
- Question: Antiretroviral therapy is … for HIV-positive patients with:
- Question: If considering starting a patient on the nucleoside reverse transcriptase inhibitor (NRTI) abacavir, the following testing is recommended prior to prescribing:
- Question: Suzanne is pregnant and has … HIV positive. Which antiretroviral drug should … in women who are pregnant?
- Question: The cost of HIV treatment can be prohibitive for any patient. Patients can receive assistance from the:
- Question: Resistance to antiretroviral therapy (ART) is measured by:
- Question: Phenotype assays are … to measure ____ of antiretroviral therapy (ART).
- Question: Patient factors that contribute to antiretroviral therapy (ART) failure include:
- Question: Patients who are taking antiretroviral therapy (ART) need to have the following monitored:
- Question: Successful antiretroviral therapy (ART) in an HIV-positive patient is determined by:
Week 6 Chapter 22 Drugs affecting the reproductive system
- Question: Men who use transdermal testosterone gel (AndroGel) should … to avoid:
- Question: Education when prescribing androgens to male patients includes:
- Question: Patients who are … exogenous androgens need to … that decreased libido:
- Question: The U.S. Food and Drug Administration (FDA) warns that androgens may cause:
- Question: Monitoring for a patient who is using androgens includes:
- Question: Male patients require ____ before and during androgen therapy.
- Question: Absolute contraindications to estrogen therapy include:
- Question: Women with an intact uterus should not … :
- Question: Women who have migraine with aura should not … estrogen due to:
- Question: A 22-year-old women receives a prescription for oral contraceptives. Education for this patient includes:
- Question: A 19-year-old female is a nasal Staph aureus carrier and is placed on 5 days of rifampin for treatment. Her only other medication is … oral contraceptives. What education should she receive regarding her medications?
- Question: A 56-year-old women is complaining of vaginal dryness and dyspareunia. To treat her symptoms with the lowest adverse effects she should … :
- Question: Shana is receiving her first medroxyprogesterone (Depo Provera) injection. Shana will need to … monitored for:
- Question: When prescribing medroxyprogesterone (Depo Provera) injections, essential education would include the adverse drug effects of:
- Question: Medroxyprogesterone (Depo Provera) injection has an FDA Black Box warning due to:
- Question: Shana received her first medroxyprogesterone (Depo Provera) injection 6 weeks ago and calls the clinic with a concern that she has been having a light “period” off and on since receiving her Depo shot. What would be the management of Shana?
- Question: William is a 62-year-old male who is requesting a prescription for sildenafil (Viagra). He should … screened for ____ before prescribing sildenafil.
- Question: Men who are … sildenafil (Viagra) need ongoing monitoring for:
- Question: Men who are … an erectile dysfunction drug such as sildenafil (Viagra) should … about the risk for:
Week 6 Chapter 31 Contraception
- Question: Women who are taking an oral contraceptive containing the progesterone drospirenone may require monitoring of:
- Question: The mechanism of action of oral combined contraceptives which prevents pregnancy is:
- Question: To improve actual effectiveness of oral contraceptives women should … regarding:
- Question: A contraindication to the use of … contraceptives is:
- Question: Obese women may have … risk of failure with which contraceptive method?
- Question: Ashley comes to clinic with a request for oral contraceptives. She has successfully … oral contraceptives before and has recently … dating a new boyfriend so would like to restart contraception. She denies recent intercourse and has a negative urine pregnancy test in the clinic. An appropriate plan of care would … :
- Question: When discussing with a patient the different start methods … for oral … contraceptives, the advantage of a Sunday start over the other start methods is:
- Question: The topical patch … contraceptive (Ortho Evra) is:
- Question: Progesterone-only pills are … for women who:
- Question: Women who are … progestin-only contraception need education regarding which common adverse drug effects?
- Question: An advantage of using the NuvaRing vaginal ring for contraception is:
- Question: Oral emergency contraception (Plan B) is … in women who:
Week 6 Chapter 38: Hormone Replacement Therapy and Osteoporosis
- Question: The goals of therapy when prescribing hormone replacement therapy (HRT) include reducing:
- Question: The optimal maximum time frame for hormone replacement therapy (HRT) or estrogen replacement therapy (ERT) is:
- Question: Dosage changes of … equine estrogen (Premarin) are made at ____ intervals.
- The advantage of vaginal estrogen preparations in the treatment of vulvovaginal atrophy and dryness is:
- Question: Women with an intact uterus should … with both estrogen and progestin due to:
- Question: Ongoing monitoring for women on estrogen replacement therapy (ERT) includes:
- Question: Kristine would like to start hormone replacement therapy (HRT) to treat the significant vasomotor symptoms she is experiencing during menopause. Education for a woman considering hormone replacement would include:
- Question: Angela is a black woman who has … that women of African descent do not need to worry about osteoporosis. What education would you provide Angela about her risk?
- Question: Drugs that increase the risk of osteoporosis developing include:
- Question: Selective estrogen receptor modifiers (SERMs) treat osteoporosis by selectively:
- Question: Sallie has been … with osteoporosis and is asking about the “once a month” pill to treat her condition. How do bisphosphonates treat osteoporosis?
- Question: Inadequate Vitamin D intake can contribute to the development of osteoporosis by:
- Question: Cassie is a 15-year-old female who presents to clinic for a sports physical. Her diet history indicates she drinks less than one glass of milk per day and avoids dairy products to lose weight. What is the … daily calcium intake for Cassie?
- Question: Susan is a 52-year-old perimenopausal woman who is lactose intolerant. What is her … calcium and vitamin D requirement?
- Question: The drug … as primary prevention of osteoporosis in women over age 70 years is:
- Question: The drug … as primary prevention of osteoporosis in men over age 70 years is:
- Question: Intranasal calcitonin is … in the treatment of osteoporosis. Calcitonin therapy is appropriate for which patient?
- Question: The ongoing monitoring for patients over age 65 years taking alendronate (Fosamax) or any other bisphosphonate is:
Week 6 Chapter 44: STI and Vaginitis
- Question: The goals of treatment when prescribing for sexually … infections include:
- Question: The drug of choice for treatment of primary or secondary syphilis is:
- Question: The drug of choice for treatment of early latent or tertiary syphilis is:
- Question: Demione is a 24 year old who is 32 weeks pregnant and has … positive for syphilis. The best treatment for her would be:
- Question: Treatment for … gonorrhea is:
- Question: When treating … gonorrhea in a non-pregnant patient, the patient should … concurrently … for Chlamydia with:
- Question: Ongoing monitoring is essential after treating for gonorrhea. The patient should . for gon..orrhea and Chlamydia in:
- Question: A test of cure is … after treating Chlamydia in which patient population?
- Question: Treatment for chancroid in a non-pregnant patient would … :
- Question: Jamie was … for chancroid. Follow-up testing after treatment of chancroid would … :
- Question: Helima presents with a complaint of vaginal discharge that when tested meets the criteria for bacterial vaginosis. Treatment of bacterial vaginosis in a non-pregnant symptomatic women would … :
- Question: Besides prescribing antimicrobial therapy, patients with bacterial vaginosis require education regarding:
- Question: Sydney presents to clinic with vulvovaginal candidiasis. Appropriate treatment for her would … :
- Question: If a woman presents with recurrent vulvovaginal candidiasis she may … with:
- Question: Zoe presents with genital warts present on her labia. Patient-applied topical therapy for warts includes:
- Question: Sophie presents to clinic with a malodorous vaginal discharge and is … to have Trichomonas Treatment for her would include:
- Question: In addition to antimicrobial therapy, patients … for Trichomonas infection should … regarding:
Week7 Ch. 48 Women as Patients
- Question: Prescribing for women during their childbearing years requires constant awareness of the possibility of:
- Question: Intimate partner violence is a serious public health problem. It should … for:
- Question: Because of their longer life expectancy, women are more likely than men to experience a disabling condition. Common conditions in older women that can produce disability include:
- Question: Gender differences between men and women in pharmacokinetics include:
- Question: Which of the following drug classes is … with significant differences in metabolism … on gender?
- Question: Since 40% of bone accrual occurs during adolescence, building bone during this time is critical. Ways to improve bone accrual in adolescents include:
- Question: The physiologic anemia of pregnancy can … with:
- Question: Hot flashes are often a concern during menopause. Which of the following may help in reducing them?
- Question: Factors common in women that can affect adherence to a treatment regimen include all of the following EXCEPT:
- Question: Dysmenorrhea is one of the most common gynecological complaints in young women. Question: The first line of drug treatment for this disorder is:
- Question: Premenstrual dysphoric disorder (PMDD) occurs in a fairly small number of patients. Theories of the pathology behind PMDD that are … in research include:
- Question: Treatment of PMDD that affects all or most of the symptoms includes:
- Question: Women are now the fastest growing population with HIV infection and AIDS. HIV infected women:
- Question: Maternal-to-child transmission of HIV infection during pregnancy may … by:
- Question: Erroneous information about LGBTQ individuals can lead to failure to give accurate advice to them as patients. Which of the following statements are true about lesbians:
Week 7 Chapter 49 Men as Patients
- Question: The factor that has the greatest effect on males developing male sexual characteristics is:
- Question: When … a male for hypogonadism prior to prescribing testosterone replacement, serum testosterone levels are drawn:
- Question: Some research supports that testosterone replacement therapy may … in which of the following … in men?
- Question: The goal of testosterone replacement therapy is:
- Question: While on testosterone replacement, hemoglobin and hematocrit levels should be … Levels suggestive of excessive erythrocytosis or abuse are:
- Question: Monitoring of an older male patient on testosterone replacement includes:
- Question: When prescribing phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil (Viagra) patients should … for use of:
- Question: Men who are … phosphodiesterase type 5 (PDE-5) inhibitors for erectile dysfunction should be … regarding the adverse effects of the drug which include:
- Question: Male patients who should not … phosphodiesterase type 5 (PDE-5) inhibitors include:
- Question: Monitoring of male patients who are using phosphodiesterase type 5 (PDE-5) inhibitors includes:
Week 7 Chapter 50: Pediatric Patients
- Question: The Pediatric Research Equity Acts requires:
- Question: The Best Pharmaceuticals for Children Act:
- Question: The developmental variation in Phase I enzymes has what impact on pediatric prescribing?
- Question: Developmental variation in renal function has what impact on prescribing for infants and children?
- Question: Topical corticosteroids are … cautiously in young children due to:
- Question: Liza is breastfeeding her 2-month-old son and has an infection that requires an antibiotic. What drug factors influence the effect of the drug on the infant?
- Question: Drugs that are absolutely … in lactating women include:
- Question: Zia is a 4 month old with otitis media. Education of his parents regarding administering oral antibiotics to an infant includes:
- Question: To increase adherence in pediatric patients a prescription medication should:
- Question: Janie is a 5-month-old breastfed infant with a fever. Treatment for her fever may include:
NR 566 Week 8 Final Review-Study Guide
NR 566 Week 8 Final Pointers
Peds doses of motrin and tylenol. Rabies tx, immunizations. STDs- which med is appropriate for which infection. One question on lesbian health and one on homosexual males. Contraception and hormone replacement. Blood thinners. Few questions on pregnant patients- folic acid, blood thinners. Osteoporosis. Several peds/adolescent med questions.
NR 566 Week 8 Final Review
- Know INR target for stroke/afib
- Who can get hep B vaccine
- Who can get tuberculin screening
- Ultimate goal of therapy for HIV
- t score and what to do
- Metronidazole education
- Treatment for primary dysmenorrhea
- All the drugs approved for pmdd
- True contraindication for dtap
- Who can get ppd
- Know pediatric Motrin
- Tylenol dosages
- ED meds specifically spirolactone
- Which med to give for a t score of -2.8
- Difference between estrogen and non estrogen meds
- Proper way to medicate infant
- Which med preferred in children for Otitis media
- What not to give concurrently with warfarin
- Who should get Warfarin and when to start
- Pregnant women and Enoxaparin
- Dabigatran
- Teriparatide moa
- Pharmacodynamics of pde5
- Depo blackbox warning
- Gonorrhea treatment
- Syphillis treatment
- Which treatment goes with which
- WHI guidelines for ethinyl estradiol/ contraindications and dosages
- Who cant get Testosterone replacement therapy
- Available forms of testosterone
- B12 Dosage
- Erythrocytosis
- Lots of osteoporosis med stuff
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