NR566 Advanced Pharmacology Care of
the Family FINAL EXAM
What are some potential drug interactions with Lithium? - Diuretics, NSAIDS,
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Anticholinergics
(Concerned w/dehydration & sodium balance)
What is the black box warning for tricyclic antidepressants and all other depressants as
well? - risk for suicide
What is the normal lithium range? - 0.4- 1 mEq/L
(>1.5 is getting towards toxicity range)
What is the role of androgens in treating anemia? - synthesis of erythropoietin
Which of these drugs are known to elevate phenytoin levels? - diazepam
isoniazid
cimetidine
carbamazepine
phenobarbital
alcohol
What is the preferred administration route of alprostadil (used to treat ED)? - injection
into the penis or by insertion into the urethra
What are some potential adverse effects of finasteride (Proscar -BPH)? - decreases
ejaculation volume and libido
gynecomastia
What are some potential adverse effects on Nonselective al Blockers (used to treat BPH
& HTN)? - Hypotension
Fainting
Dizziness
Somnolence
Nasal Congestion
What are some potential adverse effects of Phosphodiesterase-5 Inhibitor (used to treat
ED)? - Hypotension and Priapism
A prolonged and unwanted erection of the penis that occurs without sexual stimulation.
This causes penile pain, rigid penile shaft, and erection that last for more than 4 hours
without sexual stimulation. - Priapism
What are typically the best antibiotics for Chlamydia in adults? - Azithromycin or
doxycycline
What are typically the best antibiotics for Gonorrhea in adults? - ceftriaxone IM plus
azithromycin oral
What should we prescribe for BV and/or Trichomoniasis? - Metronidazole PO or
Clindamycin Cream
What is our first-choice drug for Syphilis? - Penicillin G
What are some good treatment options for Herpes Simplex Virus? - Acyclovir (firs one
typically)
Famciclovir
Valacyclovir
What patient education should we provide regarding SSRIs? - don't abrupt
discontinuation b/c it can result in withdrawal syndrome
Why choose local estrogen over systemic? - treatment of vulval and vaginal atrophy
associated with menopause
MAO inhibitors are appropriate for a patient... - able to strictly adhere to avoiding
tyramine containing foods (beer, avocado, aged cheese, persevered/fermented foods,
cured meat)
When would we use systemic estrogen? - hot flashes
night sweats
What is the name of some 5 alpha reductase inhibitors? - Dutasteride (Avodart)
Finasteride (Proscar)
What are the names of some alpha 1 blockers? - Silodosin and Tamsulosin
What are the names of some phosphodiesterase 5 inhibitors?
What type of education is needed with these meds? - Sildenafil (Viagra)
Tadalafil (Cialis)
***if they have an erection >4hrs must go to emergen [Show Less]