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Original Question

Source for answers should be from: Rosenthal, L., Burchum, J. (2021). Lehne’s pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants (2nd ed.). Elsevier. Thyroid Diagnosis & Evaluation What labs are used to diagnose? Timeframe for re-check of labs after starting levothyroxine Signs and symptoms of hypo and hyperthyroidism Treatment Treatment of thyroid storm Result of not treating hypothyroidism during pregnancy Medication to treat symptoms of hyperthyroidism (notice this is treating symptoms and not the hyperthyroidism itself) Drug/Food/Supplement interactions with levothyroxine Diabetes How to confirm a diagnosis prior to beginning treatment A1C General goals Older Adult goal When should insulin be considered? At what time interval should it be re-checked? Action of Insulin Pioglitazone contraindications Be familiar with abbreviations of diabetic drug classifications (GLP-1, TZD, DPP4-I, SGLT2i) Which drug class should be considered for diabetes prior to insulin? Ratio of basal insulin to rapid-acting insulin in total daily dose (TDD) of insulin Know the carbohydrate-to insulin ratio when calculating basal insulin Simple calculation (No calculators are allowed and will not be needed) Mechanism of Action GLP-1 TZD DPP-4i Sulfonylureas SGLT2i Which diabetic medication(s) come with a concern of hypoglycemia? Methylxanthines Who is at risk for toxicity and why? Asthma & COPD Step 1 therapy Complete this sentence: Manage with a ______ as needed. Symptoms associated with each classification of asthma (mild-persistent, moderate-persistent, etc.). Know examples of drug classes (SABA, LABA, ICS, etc.) SABA Know examples Benefits of use Patient instructions Why is it important to know the frequency a patient is using their SABA? LABA Know examples Benefits of use Use in COPD Inhaled Corticosteroid (ICS) Know examples Benefits of use At what point would an oral steroid be prescribed? When would roflumilast be indicated for a COPD patient? Smoking Cessation Nicotine replacement How it works Patient education needed for various types Patch Gum Nasal spray Wellbutrin Contraindications Bupropion Recommended length of treatment Tuberculosis (TB) What constitutes drug resistant TB Treatment of TB in a pregnant person, what all should be included? Isoniazid (INH) is a drug that can be used to prevent TB in people that have been exposed. Cold & Cough Examples of decongestant Which drug class has no significant drug interactionsH2 receptor antagonists Examples Which is most likely to interact due to CYP450 enzyme system? Proton Pump Inhibitors Associated vitamin and/or mineral deficiencies Short term use increases risk of what? Symptoms this may be occurring GERD How to treat moderate to severe GERD What medication for GERD to avoid in older adults and why? Treating GERD during pregnancy Which cytoprotective agents would be used When to test for h. Pylori How to treat h. Pylori PUD Lifestyle modifications to support ulcer healing Anti-diarrheal Which one contradicted in children during or after chickenpox Patient teaching for ciprofloxacin for traveler’s diarrhea Which one associated with gray/black stools and black tongue Constipation Lifestyle modifications to suggest prior to treatment Risks of laxatives during pregnancy Preferred treatment during breastfeeding Psyllium How it works and what to assess for if it doesn’t produce a bowel movement Irritable Bowel Syndrome (IBS) A diary can be helpful to aid in diagnosis and treatment Vomiting How to treat gastroparesis Black box warning associated with treatment Metronidazole Patient teaching needed DTaP or Tdap Who should receive the Tdap vaccine? Vaccine Contraindications True contraindication for DTaP or Tdap vaccine. Varicella Hepatitis B virus (HBV) vaccine Examples of vaccine types Attenuated Live virus Toxoid Inactive viral antigen Types of immunity What are they and how is each one achieved? Definition of vaccine Post exposure prophylaxis for suspected rabies bite Patient teaching and assessments for post vaccine side effects Who can receive attenuated influenza vaccine (FluMist)? WHAT are the common doses, directions for use, indication, and calculations to figure quantity of the following medications: Pantoprazole Metronidazole Ondansetron Albuterol MDI

 
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