NR566 / NR 566 Final Exam (Latest
2024 / 2025): Advanced Pharmacology for
Care of the Family - Chamberlain 36 yo male who has HIV presents to the office wanting to discuss starting dietary supplements.The NP knows which of the following is contraindicated?Echinacea-prolonged use should be avoided in those that are immunocompromised. Also compromise drug therapy of TB and cancer. Avoid in RA and SLE. By stimulating the immune system, echinacea can oppose the effects of immunosuppressant drugs.When asking a new patient about OTC or herbal medications they take daily the patient states "I just take coenzyme Q-10". The NP knows this is commonly taken to help with energy boost-it is an antioxidant that serves a vital role in cellular energy production. Leading to interest of conditions with aging and cellular energy production. Structurally similar to vitamin K and should not be used in conjunction with warfarin.What is the Dietary Supplement Act of 1994 (DSHEA) DSHEA categorizes botanical products (herbal supplements), vitamins, and minerals as dietary (food) supplements rather than as drugs. As supplements, DSHEA exempts from undergoing FDA scrutiny and approval before marketing. DSHEA does impose restrictions in labeling. All herbal products must be labeled as dietary supplements.Three weeks ago, a patient who was placed on donepezil 5 mg daily presents to the office today to discuss recent lab work. At the end of the visit she states, " I don't think that medication you put me on for my dementia is working." What would be the best response?The dose can be increased after a patient has been on it for 1-3 months, to minimize side effects.Primary, secondary, and early latent syphilis treatment Benzathine penicillin G 2.4 million units IM Once The following adverse effects can occur when taking Ginkgo Biloba? 1 / 2
Stomach upset headache dizziness vertigo Possible seizures and fatalities if the seeds are eaten Kava-kava is absolutely contraindicated in patients with hepatotoxicity What is meant by abortive therapy?The objective is to eliminate headache pain and suppress associated nausea and vomiting.
Abortive therapy is used:
At earliest sign of attack, only 1-2 days per week. More frequent use can lead to medication overuse headache (MOH) Triptans are first line for terminating migraine
For mild to moderate symptoms of migraine:
NSAID (aspirin, naproxen) For moderate to severe symptoms of migraine Serotonin agonist (Triptans) or ergot alkaloid. if these fail then an opioid analgesic (butorphanol) may be needed.cholinesterase inhibitors have what side effects Donepezil (Aricept) Rivastigmine (Exelon) Galantamine (Razadyne) dizziness, orthostatic hypotension, weight loss, bradycardia cholinesterase inhibitors adverse effects n/v/d, insomnia, falls due to bradycardia, weight loss, orthostatic hypotension
SSRIS and SNRIs are the first line treatment for:
Generalized anxiety disorder SSRIs for GAD
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