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FNP Pharmacology Part 6
FNP pharmacology final study guide - this set includes OTC's and vaccines/health promotion
48
Medical
Graduate
04/20/2009

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Cards

Term
Is the inhaled flu (Flumist) vaccine live attenuated?
Definition
Yes
Term
Is the MMR vaccine live attenuated?
Definition
Yes
Term
Is the oral poliovirus vaccine live attenuated?
Definition
Yes
Term
Is the rotavirus vaccine live attenuated?
Definition
Yes
Term
Is the varicella virus vaccine live attenuated?
Definition
Yes
Term
Is the typhoid vaccine live attenuuated?
Definition
Yes
Term
Is the Yellow fever vaccine live attenuated?
Definition
Yes
Term
Is the Bacilllus Calmette-Guérin vaccine live attenuated?
Definition
Yes
Term
Is the DTaP live attenuated?
Definition
No
Term
Is the Haemophilus B conjugate vaccine live attenuated?
Definition
No
Term
Is the inactivated poliovirus vaccine live attenuated?
Definition
No
Term
Is the Hepatitis B vaccine live attenuated?
Definition
No
Term
Is the Hepatitis A vaccine live attenuated?
Definition
No
Term
Is the human papillomavirus vaccine live attenuated?
Definition
No
Term
Is the pneumococcal vaccine live attenuated?
Definition
No
Term
Is the meningococcal vaccine live attenuated?
Definition
No
Term
Is the lyme disease vaccine live attenuated?
Definition
No
Term
Is the typhoid vaccine live attenuated?
Definition
No
Term
Is the cholera vaccine live attenuated?
Definition
No
Term
Is the Japanesse encephalitis virus vaccine live attenuated?
Definition
No
Term
Is the Plague vaccine live attenuated?
Definition
No
Term
Is the Rabies vaccine live attenuated?
Definition
No
Term
What are some contraindications to vaccination?
Definition
FUO, high fevers, or systemic illnesses.
Term
What mechanism of action does aspirin utilize to inhibit platelet aggregation?
Definition
It inhibits thromboxane prostaglandins, which normally bind platelets toether to repair damaged vessels.
Term
Is tinnitus associated with excessive aspirin use?
Definition
Yes
Term
Why do practitioners no longer advise using aspirin to treat the flu, varicella or other viral infections?
Definition
There is an increased risk of developing Reye's syndrome.
Term
What is Reye's syndrome?
Definition
A potentially fatal disease affecting many organs, causes fatty liver and severe encephalopathy.
Term
What's the number 1 adverse effect of aspirin use?
Definition
Bleeding.
Term
Why shouldn't enteric coated aspirin be used for the tx of headaches?
Definition
the enteric coating may prolong onset time - pts should use tylenol instead (while regularly using ECASA).
Term
What organ, the liver or kidney, is particularly damaged in aspirin toxicity?
Definition
Kidney.
Term
If a pt complains of tinnitus, what should a practitioner ask about first?
Definition
Aspirin use.
Term
How do NSAIDs affect Na+ levels?
Definition
They cause Na+ retention.
Term
Diphenhydramine binds to what receptors?
Definition
Central and peripheral H1 receptors.
Term
What should pts be taught, regarding H1 antihistamines and alcohol use?
Definition
Avoid alcohol use with H1 antihistamine use.
Term
What color can Pepto Bismol turn feces?
Definition
Black
Term
What OTC med is good for travelers' diarrhea?
Definition
Pepto Bismol
Term
What can Pepto Bismol do if given to pregnant women?
Definition
Increase likelihood of cleft lip/palate within the first trimester.
Term
What is the most common active ingredient in OTC sleep aids?
Definition
diphenhydramine.
Term
Why is diphenhydramine use cautiously utilized in elderly male patients?
Definition
Can increase likelihood of confusion & it's anticholinergic effect can make them unable to urinate.
Term
What's the efficacy of nicotine replacement combined with smoking cessation therapy?
Definition
25-35%
Term
What's the efficacy of buproprion and nicotine replacement for smoking cessation?
Definition
35%
Term
What are the 5 A's for tobacco cessation?
Definition
Assess smoking, current hx; Advise to quit; Agree to mutually try; Assist - meds, patches, etc; Arrange for followup.
Term
What is the biggest side effect of Chantix what are other side effects?
Definition
Nausea (30%), vivid dreams, erratic behavior.
Term
Phentermine (Adipex-P) can be used in pts with what BMI value?
Definition
>30
Term
What stimulant should phentermine (Adipex-P) not be used with?
Definition
Phenfluramine
Term
For how many months should antibiotic prophylaxis be employed in pts s/p joint prostheses?
Definition
X 6 months
Term
What cardiac conditions indicate antibiotic prophylaxis?
Definition
Valve replacement, hx of infectious endocarditis, unrepaired cyanotic congenital probs w/ residual effects, heart transplant (as long as valve issues continue).
Term
What's a typical drug/dose used in bacterial endocarditis prophylaxis?
Definition
Amoxicillin 2gm 30-60 minutes prior to exam.
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