Final Exam: NR566/ NR 566 (2023/ 2024 New Update) Advanced Pharmacology for Care of the Family Exam Review| Weeks 5-8| Questions and Verified Answers| 100%... [Show More] Correct- Chamberlain
QUESTION
What are testosterone pellets indicated for?
Answer:
They are indicated for hypogonadism and delayed puberty
QUESTION
Patient education on testosterone pellets?
Answer:
Longacting pellets are implanted subdermally in the hip area or the abdominal wall lateral to the
umbilicus.
The usual dosage is 2-6 pellets (150-450mg) every 3-6 months.
About one third of the dose is absorbed the first month, one fourth the second month, and one
sixth the third month.
For patients switching from IM testosterone, the recommended dosage is 2 pellets for each 25
mg of IM testosterone used weekly.
QUESTION
Patient education on testosterone buccal tablets?
Answer:
Are approved for male hypogonadism, provide steady levels of testosterone.
Tablets are applied to the gum area just above the incisor tooth and are designed to stay in place
until removed.
To ensure good adhesion tablet should be held in place with finger over the lip for at least 30
seconds.
Recommended dosage is one tablet every 12 hours. Alternating sides of the mouth with each
dose.
If a tab falls off before 8 hours, it should be replaced with a new one for the remainder of the
dosing interval. If a tab falls off after the 8 hours, it should be replaced with a new one and the
next scheduled dose should be skipped. The replacement a leg should be kept in place for 16
hours or so.
Tabs are not affected by eating, drinking, chewing gum or brushing teeth.
Transfer of testosterone may occur through saliva during kissing.
Treatment for up to one year has not caused serious gum changes.
Adverse effects include irritation, bitter taste, and taste distortion.
QUESTION
Patient education on IM testosterone?
Answer:
Varies in dosing/release in blood
Formulated in oil and long acting
Testosterone levels vary widely, therefore patients may experience significant variations in
libido, energy, and mood.
QUESTION
When is androgen therapy appropriate?
Answer:
It is appropriate for hypogonadism and testosterone deficiency
QUESTION
When is androgen therapy not appropriate?
Answer:
Not appropriate for Sports enhancement, increase in muscle mass,
QUESTION
Common side effects of androgen therapy?
Answer:
Salt and water retention lead to hypertension, edema, weight gain
When released in high doses (by atheletes) androgens suppress the release on LH and FSH,
resulting in testicular shrinkage, sterility, and gynocomastia.
Acne is common, decrease in LDL and increase in HDL can cause artherosclerosis.
May cause hepatotoxicity (jaundice, hepatitis, carcinoma)
Can cause renal damage
Depression, manic episodes, aggressiveness, abuse syndrome
QUESTION
What can androgens cause in females? How about in boys and girls?
Answer:
Menstrual irregularities and virilization
Can reduce attainable adult height
QUESTION
What is alprostadil?
Answer:
A nonoral medication medication for erectile dysfunction that can be injected into the penis or
insert pellets through the urethra.
Second line agent for ED
QUESTION
What are the benefits of Alprostadil various routes of administration?
Answer:
Transurethral pellets: less side effects, is the only drug approved for up to twice a day use.
Erection develops in 5-10 minutes. And lasts 30-60 mins.
Intra cavernous injection: rapid response and painless. [Show Less]
