NR 566 Final Exam / NR566 Final Exam Review (Latest
2022/2023): Advanced Pharmacology for Care of the Family
- Chamberlain
Doxazosin side effects
... [Show More] (due to alpha 1 receptor being blocked) - dizziness/syncope,
headache, first-dose orthostatic hypotension, drowsiness, nasal congestion
Dutasteride (finasteride) patient teaching - benefits take months to develop, must
continue taking med even if improvement not rapidly seen
may lower ejaculatory volume & libido
How to know Terazosin is working? - improved symptoms of dysuria, urgency, urinary
tract infections, hesitancy etc.
When is it safe and not safe to prescribe Progesterone (Progestin)? - if woman has had
a hysterectomy/pregnant
side effects of progestin-only oral contraceptives? - more likely to cause
irregular/inconsistent bleeding, must be taken at same time every day to be effective
Benefits of prescribing medroxyprogesterone acetate - doesn't cause thromboembolic
disorders, headaches, nausea, or most of the other adverse effects associated with
combo OCs.
does not decrease milk supply during lactation
Testosterone replacement therapy routes: - treatment that involves administering
testosterone supplements through pills, injections, or skin patches
testosterone patch patient teaching: - ○ good hand washing is required after application
○ cover application site with clothing after medication has dried
○ wash the application site before skin-to-skin contact with another person
■ females and children may experience negative effects from exposure to testosterone
■ if cross contamination occurs, wash the affected area with soap and water to prevent
absorption
When is androgen therapy appropriate vs. not needed related to puberty? - Short term:
The psychological pressures of delayed sexual maturation are causing a boy significant
distress.
Long term: if delayed puberty related to true hypogonadism
testosterone replacement therapy side effects? - Hot flashes, bone fractures, decreased
libido, insulin resistance, erectile dysfunction, gynecomastia, acne, HTN, sterility,
hepatotoxicity, mood swings/ aggression.
Alprostadil: benefits of various routes? (for ED) - injection: can be done by patient or in
ER setting; rapidly leads to erection, painless
intraurethral pellet insertion: can be done by patient, erection occurs within 5-10 mins,
minimal side effects
How does carbamazepine impact oral contraceptives and what symptoms may be
associated with that? - accelerates OC metabolism, reducing OC effect
can lead to abnormal bleeding, return of menstrual symptoms, and of course
pregnancy!
what can the provider do is carbamazepine effecting patient's OC? - 1. Increase the
estrogen dosage of the OC.
2. Combine the OC with a second form of birth control.
3. Switch to an alternative form of birth control.
Benefits of Etonogestrel subdermal implant (Nexplanon)? - it is one of the most effective
forms of contraception, long-term option (contraception up to 5 years), reversible by
removing rod
Papaverine plus phentolamine patient education: - do not inject more than once in a 24
hr period, notify provider of erection duration and efficacy, do not take other ED meds
with this medication, needle/injection teaching, do not change the dose yourself, seek
medical attention if erection is >3 hrs
Chlamydia first line drug/dose/route/frequency - Azithromycin 1000 mg PO once
OR
Doxycycline 100 mg PO BID × 7 days [Show Less]