NURS 6521 Mid-Term Exam Summary & Study Guide

100-question Exam which will assess your knowledge on the Learning Resources from Weeks 1-6
Time limit of 2 hours
Multiple choice or multiple selection
NURS 6521 Mid-Term Exam Summary & Study Guide

Understand the implications of changing renal function on creatinine and drug dosing.
What is the impact of the following on drug levels and dosing: NURS 6521 Mid-Term Exam Summary & Study Guide
Protein binding
Drug interactions
Routes of Administration and Dosage Forms:

Understand the different routes of administration and dosage forms and some of the challenges and benefits associated with these routes and forms.
Understand when it is OK to crush (or not crush) certain dosage forms and why NURS 6521 Mid-Term Exam Summary & Study Guide.
Which routes of administration have the fastest and slowest rates of absorption?
Know the relative onset, monitoring and appropriate use of various dosage forms including:
Patches (ie; fentanyl, rivastigmine)
Suppositories (ie; acetaminophen)
Sublingual tablets
Liquid (know common measures)
Elixir (contains alcohol)

Therapeutics: Gastrointestinal, Cardiac, Respiratory, Neurology, Musculoskeletal

Understand the mechanism of action, side effects, appropriate use and contraindications for the classes of drugs and individual drugs listed below. Also, know the key patient education points including cautions, expected effects, and appropriate use (with food, empty stomach, etc.).

Anti-diarrheals (diphenoxylate HCl with atropine sulfate, loperamide, bismuth subsalicylate)
Laxatives (fiber, osmotics, stimulants, other) NURS 6521 Mid-Term Exam Summary & Study Guide
Therapy for various gastrointestinal disorders including antiemetics, ulcers, irritable bowel syndrome, Crohn’s ulcerative colitis (ie; alosetron, PPIs like omeprazole, Mesalamine, ranitidine, etc.)
Cough, cold, and sinus therapies including antihistamines and cough suppressants (ie; dextromethorphan, loratadine, fexofenadine, nasal decongestants
Cardiac Medications – Digoxin (understand toxicity, dosing, use), Statins, Colestipol, Nitroglycerin
Blood pressure medications (calcium channel blockers, ACE Inhibitors, diuretics, beta-blockers, nitroprusside, others)
Diuretics (spironolactone, furosemide, hydrochlorothiazide)
Inhalers (albuterol, ICS, LABA, anticholinergics) NURS 6521 Mid-Term Exam Summary & Study Guide.
Asthma – Theophylline, zafikurlast, steriods and others
Gout and arthritis therapies (allopurinol, etanercept, sulfinpyraxone, methotrexate)
Antineoplastics (etoposide, 5FU, cisplatin, bicalutamide, others)
Agents for thyroid disease (Levothyroxine, methimazole and others)
Multiple sclerosis therapies (Dantrium, Glatirimer, Baclofen, Tizanidine, others)
Antiepileptics (phenytoin, ethosuximide, diazepam, others)
Osteoporosis (calcitonin, others)
Hypoglycemics (glyburide, glipizide, metformin, insulin, etc.)
Meds for Hyperlipidemia
Pain (opioids, muscle relaxants, NSAIDs, acetaminophen, topical lidocaine, etc.)
Adrenergic agonists
NURS 6521 Mid-Term Exam Summary & Study Guide


Drug tolerance
First pass effect
Idiosyncratic response
Medication Reconciliation
NURS 6521 Mid-Term Exam Summary & Study Guide

Other Topics:

Which drug classes produce withdrawal if stopped abruptly? When is withdrawal life threatening?
Understand the appropriate use of herbal therapies
Understand components of cultural competence
How can adverse drug events be minimized?
Why do drugs require clinical study and FDA approval?
Know common teaspoon, tablespoon, and milliliter conversions
Know DEA schedules and examples of therapies in each scheduled class (1-5). What are the special prescribing restrictions for these various classes?
Which medications should be taken with food? Which on an empty stomach?
What is the purpose of the MedWatch Program?
Symptoms and treatment of drug intoxication from cocaine, opioids, marijuana
Appropriate use of reversal agents for digoxin, opioids, etc.
H1, H2 blockers
NURS 6521 Mid-Term Exam Summary & Study Guide

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